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HomeMy WebLinkAbout160893 06/25/2008 CITY OF CARMEL, INDIANA VENDOR 120950 Page 1 of 1 ONE CIVIC SQUARE DOUGLAS HANEY 4 0 CHECK AMOUNT: $1,454.98 ,.o CARMEL, INDIANA 46032 C/O DEPT OF LAW ram C/O DEPT OF LAW CHECK NUMBER: 160893 CHECK DATE: 6/25/2008 DEPARTMEN ACCOUNT PO NUM INV OICE NUMBER AMOU DESCRIP 1180 4343002 787.04 EXTERNAL TRAINING TRA 51180 R4343002 667.94 TRAVEL FEES esr i I INDIANA RETAIL TAX EXEMPT PAGE C i t CERTIFICATE NO. 003120155 002 0 =C Jl mel PURCHASE ORDER NUMBER FEDERAL.EXCISE TAX EXEMPT 35- 60000972 V 1 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER'DATE DATE REQUIRED REQUISITION NOS VENDOR NO. DESCRIPTION VENDOR 'J SHIP TO CONFIRMATION B=UNIT PAYMENT TERMS FREIGHT QUANTITY DESCRIPTION UNIT PRICE EXTENSION 101a( -311o7 I /�a 8 -l��i /off 5 39 A,. d o g 3, o aQ /p Q t y 9 Send Invoice To: Fe -d� f, PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT,ACCOUNT. AMOUNT l aw PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NU NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. HIS A TPPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEME THERETO. 1 Jf 9 CLERK- TREASURER DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO.__..__� WARRANT NO.-- ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR PO# or `Y Board Members DEPT INVOICE NO. ACCT #/TIT E AMOUNT 1 here b certify that the attache invoice(s), or 1 g s (are) true and correct nd that the aterials or services itemize thereon for W h charge is made were r`dered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund w Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Douglas C. Haney 49 Hawthorne Drive Purchase Order No. ((,eq. 9'7 Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5 -22 -08 Reimburse Douglas C. Haney for monies he personally expended while on City business from April April 15, 2008 to attend an IMLA's Mid-Year Seminar in Washington, D.C., per thazUaGhed Expense Report and receipts Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. $667.94 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 49j,j awt ho rne Drive Ca rmel, Indiana 46033 $667.94 ON ACCOUNT OF APPROPRIATION FOR Department of Law 430 -57002 External Training Fees Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 17879 E CUMBRANCE bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except p2 20 ure Cost distribution ledger classification if Title claim paid motor vehicle highway fund CITY OF CARMEL Expense Report (required for all travel expenses) /NDI11Na EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 04/12/08 DEPARTMENT: Law Department RETURN DATE: 04/15/08 TIME: :cx:� PM REASON FOR TRAVEL: IMLA's Mid -Year Seminar DESTINATION CITY: Washington, DC EXPENSES ARE FOR (check.all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas /Tolls/ Meals Date Lodging Misc. Total Parkin Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem Apr. 12 thru 15, 2008 1 $272.80 $80.50 $891.68 $210.00 $1,454.98 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $272.801 $0.001 $0.001 $80.501 $891.681 $0.00 $0.00 $0.001 $0.001 $210.001 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within _my d epartment's appropriated budget. 2rar l �JFPr► n Date 5/22/2WM Page 1 t IMLA's Mid Year Seminar Omni Shoreham Hotel i1; Washington, DC 'W April 13 -15, 2008" Do not use this form unless you are a speaker for the IMLA 2008 Mid Year Seminar. If you are not a speaker, please contact the IMLA Office or visit our web site for the appropriate registration form. SPEAKER REGISTRATION INFORMATION Name Douglas Haney Title _Carmel, Indiana, City Attorney Badge Name Dn1,g1aG Haney Local Government Entity C; f), of Carmel Tndinnn Address One Civic Square, Department of Law City Carmel State Indiana Zip 46032 Phone 317 -571 -2472 Fax 317 -571 -2484 E -mail dhaney @carmel.in.gov Guest Name Guest Badge Name (Complete only if registering Guest) Badges are required for all functions. Please indicate your registration type and options listed below (check all that apply) Speaker Registrant $365 O Guest Registrant(see below) O Luncheon Ticket(s) $40.00 each, No. of ticket(s) (only guest need to purchase) O CLE Credits, please specify state(s) Indiana Your Bar No's. 11207 -49 Registration Fees include: Admission to all sessions, all workshops, seminar materials, Sunday night reception, Monday's luncheon and all coffee breaks (not applicable to guest). Guest Fees include: Attendance at the Sunday night reception, Monday's hospitality suite. Cancellation Refund Policy: Cancellations must be received in writing by March 1, 2008 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After March 1, 2008 those not attending will receive the event materials in full consideration of registration fees paid. Replacements are always welcomed. Guest cancellations are subject to a $25.00 administrative processing fee. All refunds will be remitted 90 days after the event. Send all cancellations in writing to IMLA Events Department. NOTE NEW POLICY: Discounted Registration Fees Expire 15 Days After Rate Ends, If Payment Is Not Received, Next Rate Will Apply.The discounted registration fees below are available for those staying in IMLA Seminar Hotel, otherwise $100 will be added to your registration fee to help defray IMLA Seminar expenses (local attendees exempt from $100). Seminar payment must be received within 15 days. To process credit cards payments, please provide IMLA with your card three digit security code. NEW CD /HARD COPY POLICY* Registration fees include CD of speakers materials. These materials will also be available for registrants from (MLA's web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must add an additional $120 to your registration fee and check here. O I'FOUR EASY WAYS TO REGISTERI MAIL: IMLA, 7910 Woodmont Avenue, Suite 1440, Bethesda, MD 20814 b PHONE: 202 466 -5424 FAX: 202 785 -0152 b E -MAIL: info @imla.org Super Early yg Saver Rate Bird Rate REGISTRATION PAYMENT INFORMATION Registration Ends Ends 4egular At Door 121-) I Type 1/07/08 2/01/08 Rate Rate biBiill Mel �6 Enclosed 13 Visa O Master Card First Member $488 $5 255` $593 $630 7� Make all checks payable to IMLA; U.S. currency only. Addt'I. Member $400 $4 $530 $565 Amount 3 or More From Same Office Name Each person $32500 $450 $500 Q► T Account No. Judicial $289 ,$289 $289 $289 Expiration Date 3 Digit Security Code Nonmember $840 4 T $945 $998 $1,019 Signature Guest of Seminar Registrant $75 $100 $100 $125 For program updates visit our web site: http: /www.imia.org 1001 16th Street •Washington, DC 20036 Capp l Hilton Phone (202) 393 -1000 Fax (202) 639 -5784 �.i A i Reservations Name Address www.hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 986/Q1D 49 HAWTHORNE DR Arrival Date 4/12/2008 2:50:OOPM Departure Date 4/15/2008 CARMEL, IN 460331906 Adult/Child 2/0 US Room Rate 259.00 RATE PLAN L -DJ HH# 864254159 GOLD AL NW #061240012 BONUS AL CAR Confirmation Number 3298677418 4/15/2008 PAGE 1 DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE 4/12/2008 GUEST ROOM EAME 3668670 $259.00 411212008 ROOM TAX EAME 3668670 $37.56 4/13/2008 FAX RECEIVED BIBA 3669505 $2.00 4/13/2008 GUEST ROOM NYOA 3670256 $259.00 4/13/2008 ROOM TAX NYOA 3670256 $37.56 4/14/2008 GUEST ROOM NYOA 3671977 $259.00 4/14/2008 ROOM TAX NYOA 3671977 $37.56 WILL BE SETTLED TO $891.68 EFFECTIVE BALANCE OF $0.00 Hilton HHonors(R) stays po st to your account withir 72 hours of checko it. To check your earnings to this stay or a y other st y at any of more thz n 3,000 Hilton Family hotels worldwide vis t HiltonHH Thank you for choosing H ton! Please v1 sit us at hill on. com to view our best available Net Direct r 3tes, plan a ST ecial vacat on getaway or selec t a convenient location for yo ir next business trip. DATE OF CHARGE FOLIO NO. /CHECK NO. 7%7 532809 A Zip -Out Check -Out JL Good Morning We hope you enjoyed your stay. With Zip -Out Check-Out AUTHORIZATION INITIAL there is no need to stop at the Front Desk to check out. Please review this statement. It is a record of your charges as of late last PURCHASES SERVICES evening. For any charges after your account was prepared, you may: TAXES 0 pay at the time of purchase. charge purchases to your account, then stop by the Front Desk for an updated statement. TIPS MISC. or request an updated statement be mailed to you within two business days. Simply call extension 5610 from your room and tell us when you are ready to TOTAL AMOUNT depart. Your account will be automatically checked out and you may use this statement as your receipt. Feel free to leave your key(s) in the room. Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. Capital Hilton Dear Capital Hilton Guest: It has been pleasure serving you and we hope you enjoyed your stay. Due to the especially large number of departures expected this morning April 15, 2008 we would like to make you aware of our express checkout options for your convenience. You may bypass the Front Desk at check -out and avoid waiting in line by taking advantage of one of the following options: Video checkout is available by pressing the Menu button on your TV remote control and selecting the services icon. Then, follow the instructions to review your account balance and checkout. You will have the option to send your final bill to your personal e-mail address. If the receipt you received this morning is correct, you can dial our ZIP- OUT extension 5610 in order to check -out. You can stop by our Zip -In /Check -In® Kiosk located by the concierge desk where you can check -out, obtain a final copy of your receipt and print your airline boarding pass. You can also view and print a copy of your final bill from your home or office (you have to be a member of the Hilton HHonors program). For more details, please visit www.hhonors.com. With any of the above mentioned options, you may leave your key card(s) in your room upon departure. As a reminder, our checkout time is 12 NOON. Please be advised that we are unable to _-grant late departures today Complimentary luggage storage e is available at our Bell Desk located on the lobby level next to the Front Desk. Please dial 77 or press the Bell Captain button located on your guestroom phone should you require luggage assistance. Thank you for staying at The Capital Hilton. Please take a moment to fill out our Guest Comment Card. You may leave it in your room when completed or drop it at the Front Desk. We do appreciate your feedback. Have a safe trip home, and we look forward to welcoming you back. USA 1001 16th Street, NW, Washington, DC 20036 -5701 Tel: 202 393 1000 Fax: 202 639 5784 Official Sponsor of the U.S. Olympic Team Reservations: www.hilton.com or 1- 800 HILTONS ��m VALUE z O O O 1 8 G s @E' 2 9 O S g S ƒ /Vj©&¢t O 2 s n A open dos 7 A Ir'K P 4[3 R T SURFACE RECEIPT ENTRY TINEg 0-4-/12/08 11--07 EXIT TIME 04/15,,/08 16-26 PARK-IDUR. H-11'* M 11-11 C-ONPUTED 64- Oc-!� PAID Si 64-- 00 TRANSACTION 90, KTUAD OF PAYMENT A-UTP.- CO2DE 02- THANK YOU EI,M E AM Cnwa. s J Passenger Receipt �nwa® s J r Depart Arrive Date Cabin Fare Code I E- Ticket 4: 0122157705151 Indianapolis, IN Washington- Reagan, Na 12APR.08 Coach L14E19N I Issue Date: 06DEC07 Washington Reagan Na Indianapolis. IN 15APR08 Coach L14E19N I Name /Place of Issue: NWA.COM US E- TICKET T I AR MPLS /ST PAUL MN I Endorsements /Restrictions: NON REFUNDABLE /PENALTY FOR CHANGES I HANEY /DOUGLAS.0 I Transportation subject to terms of carriage Total Fare This TicketUSD 272.80 1 printed inside ticket jacket J. 1 US TAX 17.58 Card DOM SEGMENT FEE 6.80 E- Ticket is 0122157705151 OTHER. TAX 14.00 Confirmation r, MGWY6I TOTAL IJSD Bag Tag 4'0C,25 39 /40 Pane 1 of 1 I I Thank you for flying Northwest Airlines. Please retain this portion of your boarding pass. Dear Customer, please take a moment to provide contact information. Visit us on line at nwa.com 1. Contact Name for all your travel planning needs, (4 person not traveling with you today) from frequent flyer information and 2. Contact Phone Number award travel reservations to flight status, (Include country code, area code and number) schedules, availability and pricing. 3. Are you a U.S. Citizen? Yes No I 4.1 decline to provide this information. This information is only retained for 24 hours and will remain confidential. Thank you. INDIANA RETAIL TAX EXEMPT PAGE C i t y o Carmel CERTIFICATE NO.003120155 002 0 1i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 E CIVIC SQUARE J THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1 Ial VENDOR SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION A, Al �s kr k •6° Send Invoice To: (J PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT r 0 PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. /d"� r•f NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND t VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS.APPROPRIAT.ION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. f C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS.y �r,,�,dj��r THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r CLERK TREASURER DOCUMENT CONTROL NO L A. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF 'r8'Too�{ ON CCOUNT OF APPRO IATION FOR G-� Board Members PO# or INVOICE NO.. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or l$as g 'Dy bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 b Si to e Title Cost distribution ledger classification if claim paid motor vehicle highway fund