HomeMy WebLinkAbout157954 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $1,587.78
CARMEL, INDIANA 46032 C/O DEPT OF LAW
ao DEPT or LAW CHECK NUMBER: 157954
CHECK DATE: 4/1/2008
DEPAR TMENT ACCOUN PO N UMBER INVOICE NU MBER AM OUNT DESCRIPTION
1180 4343003 58.32 TRAVEL LODGING
1180 4343004 149.46 TRAVEL PER DIEMS
1180 R4343002 17879 .1,380.00 TRAVEL FEES
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INGLEWOOD, CA
STN 00308975
02/29/08 1.7:33:43
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Vehicle N 87147611.`,
Model COBALT 4
Iris Urivat, CCAR !Class Clmrged MAR
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MIKms: Iii 711
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CA IUURISM a'. !,,M[--NI 2.10 Mom
CUS I UMLR FAI' I L I I Y CHART III I IU
COMISSION RLOJUP FLL 8.911"
SALFS TAX 98.750 X 8.12 0
iotal Charges !ISO 113.06
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Emer;dd CI„l, iunl.ni redits wi I I he
posted within 24 huu
Custumer servic:r, Nnm1,,: 1 800 -468 -3334
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E- Ticket Nbr: E0122161520394
Issued Date: 27FEB08
Name /Place of Issue: NORTHWEST AIRLINES AIRP
ORT INDIANAP
OLIS IN
Total Fare This Ticket: USD 22.9.00
Endorsements /REStrictions:
Transportation subiect to terms of carriage
printed inside ticket jacket
Par.= 1 of 1
Thank you for flying Northwest Airlines.
Please retain this portion of your'
boarding pass.
I
Visit us on line at nwa.com
for all your travel planning needs,
from frequent flyer information and
award travel reservations to flight status,
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---8528 CLOSED FESl3 3 38PM---
FR B C E3 i P3
040902131717200
Capitol Commons
Cjpitol Commons Garage
10 So. Capitol
317/951-0865'
VeeComputer Number: 9
Entry Time: 2/13/2008 3:25 Ki
Exit Time: 2/13/2008 5:17 PH
Duration: Gym
Op: 02
Receipt 000000000005318
Tan: 5274
Ticket Number: 16608
A Normal 19 JO
Total: 19,00
Tender: 19 To
Change: OVO
Thank You!
Drive Safely
-Y r
IHANK YUU IOR CMOs IG MCDONA&T
Al 52nd and KEYSTONE
WHO Udll w/any comments or concerns
Pimiles Beatty Slr. Mgr, 202-9280
5198 N. MORE AVE.
INDIANAPULIS, IN 45205-018
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Who WNW! TEIP n,02-9280
CA v 1
Order #412 TO GO
1 2 FILD-0-FISH 3.00
1 IRG COKE 1'89
SLW MAL 4.89
TAKE Q 1 A 0.39
5 A8
CASH TENURED 6:00
CHANGE 0.12
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CuG[O08[ 01 E3E6
Welcome TO White Castle
White Castle Gift Cards
are now available.
Thank you for visiting
White Castle 450011
317-928-1424
:3a 1 e tf 63883447
Drive-thrU Register A l
DRM 2 Emp| #627
3 UDL Ch8oseburg 3.78
No Pickle
Orion Chips 1.59
l Med Diet 1.49
Fax 0.55
Grand AS 7.41
Cdx 7.4)
Wed Ma( 05. 2008 11:24:35 Om
Comments and Concerns
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CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANP
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 02/27/08 TIME: 11:56 AM
DEPARTMENT: Law Department RETURN DATE: 03/01/08 TIME: 10:27 AM
REASON FOR TRAVEL: ALI -ABA Seminar DESTINATION CITY: Newport Beach, California
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem
$0.00
Feb. 27,
2008-
Mar. 1,
2008 $229.00 $113.06 $119.76 $708.18 1 $210.00 $1,380.00
$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 $229.00 $113.061 $0.00 $119.76 $708.18 $0.001 $0.00 $0.00 $0.001 $210.001 $0.00 .1 e
DIRECTOR'S STATE affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date: 1 0200
City of Carmel Form ERQ6 Revision Date 3/17/2008 Page 1
Northwest Airlines nwa.com Travel Center https://www.nwa.com/cgi-bin/view
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Reservation Details *2G4JWO*
Below are the flight and E- Ticket details for your confirmed reservation.
NWA Confirmation Number:2G4JWO
Passenger Name E- Ticket Number Frequent Flyer Number
HANEY /DOUGLASC 0122157699619 NW061240012 Silver Elite
The following flights are confirmed: 3 days until departure f
Date: Wednesday, February 27 Flight: NW 497
Departs: Indianapolis- Int'I, IN (IND) a 11:56AM� l�
Arrives: Minneapolis /St. Paul- Int'I, MN (MSP) at 12:42PM
Class of Service: Economy Class (K) Seat: 05 -E}
Flight Duration: 1 hour 46 minutes Approximate Miles: 502
Meal Service: None Aircraft: McDonnell Douglas DC9 -50
Note: Flight Status posted day before departure �Q J
Date: Wednesday, February 27 Flight: NW 315
Departs: Minneapolis /St. Paul- Int'I, MN (MSP) at 2:25PM
Arrives: Los Angeles Int'I, CA (LAX) at 4:17PM
Class of Service: Economy Class (K) Seat: 05 -D Aisle
Flight Duration: 3 hours 52 minutes Approximate Miles: 1,530
Meal Service: Snack Box ($5) Aircraft: Airbus A320
Note: Flight Status posted day before departure
Date: Saturday, March 1 Flight: NW 336
Departs: Los Angeles Int'I, CA (LAX) at 12:10AM
Arrives: Detroit -Wayne County Int'I, MI (DTW) at 7:36AM
Class of Service: Economy Class (K) Seat: 21 -C Aisle
Flight Duration: 4 hours 26 minutes Approximate Miles: 1,982
Meal Service: Snack Box ($5) Aircraft: Boeing 757 -200
Note: Flight Status posted day before departure
Date: Saturday, March 1 Flight: NW 1557
Departs: Detroit -Wayne County Int'I, MI (DTW) at 9:12AM
Arrives: Indianapolis- Int'I, IN (IND) at 10:27AM
Class of Service: Economy Class (K) Seat: 06 -D Aisle
Flight Duration: 1 hour 15 minutes Approximate Miles: 241
Meal Service: None Aircraft: McDonnell Douglas DC9 -50
Note: Flight Status posted day before departure
Notes:
Some flights may be operated by our alliance partner, KLM Royal Dutch Airlines,
Northwest- designated affiliate partners, or Northwest Airlink.
Times shown are local times at the departure /arrival cities.
Cho
1 of 1 2/24/2008 3:16 PM
21100 Pacific Coast Highway
Huntington Beach, CA 92648
J�1�l Phone (714) 845 -8000 Fax (714) 845 -8425
Reservations
Name Address Waterfront Beach Resort www.hilton.com or 1 800 HILTONS
HANEY, DOUGLAS Room 809 /K1 LP
49 HAWTHORNE DR Arrival Date 02/27/08 8:57PM
Departure Date 02/29/08
CARMEL, IN 460331906 Adult/Child 1/0
cis Room Rate 299.00
RATE PLAN L -DJ
HH# 864254159 GOLD
AL: NW #061240012 f
BONUS AL: CAR: s�
CONFIRMATION NUMBER: 3300003994
02/29108 PAGE 1
DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE
02/27/08 PARKING VALET SCHESTER 1536044 $22.00
02/27/08 GUEST ROOM SCHESTER 1536045 $299.00
02/27/08 CITY TAX/ASSESSMENT SCHESTER 1536045 $32.89
02/27/08 CA TOURISM FEE SCHESTER 1536045 $0.20
ASSESSMENT TheHiltbn amily
02128108 PARKING VALET AT1 1537040 $22.00
02/28/08 GUEST ROOM AT1 1537041 $299.00
02/28/08 CITY TAX/ASSESSMENT AT1 1537041 $32.89
02/28/08 CA TOURISM FEE AT1 1537041 $0.20 Hilton
ASSESSMENT
BALANCE $708.18
I GON RA D'
You have earned apprc ximately 8026 HHonors oints and approxim tely
642 miles with Northwe st Airlines for his stay. F r reservations and 19 check DOUBLETREF
your point balance, vise I hiltonfamily. c om.
Thank you for choosing Hilton! Pleas visit us at hilton.com to view c ur best
available Net Direct rat s, plan a spe -ial vacatio i getaway or select 3
convenient location for your next bus ess trip.
�G
ACCOUNT NO. DATE OF CHARGE FOLIO NO. /CHECK NO.
221127 A R;taon
Grand Vacations Cluh'
CARD MEMBER NAME AUTHORIZATION INITIAL
HONIEW00D
SL1rrF_S
CARD MEMBER SIGNATURE PURCHASES SERVICES min.
TAXES
TIPS MISC. V Q
Official Sponsor
TOTAL AMOUNT
PAYMENT DUE UPON RECEIPT
Prescribed by State Boazd 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.
Douglas C. Haney Payee qOQ -7 g
Purchase Order No.
49 Hawthorne Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -17 -08 Reimburse Douglas C. Haney for monies he personally 1,380.00
expended while on Uty business from February
Beach Maich 1, 2008 to attend an ALI Serninar h rn liffirnin I per the attached Expense Report and receipts
Total )0 3 $O .O O
1 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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas C...-._Haney IN SUM OF
49 Hawthorne Drive
Carmel, Indiana 46033
$1,380.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -57002 External Training Fees
o�DO 7L�'f2�(il�l/y1G�l'�GC�� Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
I hereby certify that the attached invoice(s), or
17879E qCUMBRANCE $1,380.00 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
f 20 OT
ignature
Cost distribution ledger classification if Titl
claim paid motor vehicle highway fund
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that I while
on City business attending an Indiana State Bar Association Meeting on Public Access Counselor Opinion
in Indianapolis, Indiana, on March 6, 2008, 1 expended $4.00 of my own money for parking and for which
I need to be reimbursed.
1-4-
Dated this day of March, 2008.
�Hst�gls -E- ney
f�.
Subscribed and sworn to before me, the undersigned Notary Public, this 1 g day of March, 2008.
A. Elaine Bass, NOTAR. PUBLIC
Resident of Marion County, Indiana
My Commission Expires:
October 23, 2008
deb:ms—rd:zAshare&iffida 6Bt iffadivit parking.doc:3 /19/081
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
Purchase Order No.
49 Hawthorne Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -17 -08 Reimburse Douglas C. Haney for monies he personally $9.28
expended while on City business per the attached receipts
and Affidavit
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. $9.28
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
[Douglas C Haney IN SUM OF
49. Hawthorne Drive
C,4rmel, Indiana 46033
$9.28
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -43003 Travel Lodging Non Training
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 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
200
Signature
Cost distribution ledger classification if Tit (e
claim paid motor vehicle highway fund
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
Purchase Order No.
49 Hawthorne Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -17 -08 Reimburse Douglas C. Haney for monies he persona y
expended while on City business attending e
per the attached 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. $25.00
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Dnl.tcnlas C_ Hanev IN SUM OF
49 Hawthorne Drive
Carmel, Indiana 46033
$25.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -43003 Travel 8r Lodging Non Training
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 $25.00 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 D
ature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
;eo.ral Form No. 101 90M
htrcribed by 9tm* Hoard o: Acm�mu.
MILEAGE C LA l M
(GOVERNMENTAL U IT) TO r DR.
30
0 7 YY-UV Q
ON ACCOUNT OF APPROPRIATION N0. %rX�U FO V41
(OFFICE. BOARD. DEPAR76 OR INSTITUTION)
SPEEDOMETER AUTO �MILEAGE�
DATE FROM TO READING+
aQO ?MATURE OF BUSINESS MILES 5 r
POINT POINT START FINISH TRAVELED PER MILE
011 0q y�
c
01 O SS iS�o ,�t^k. O
p s 'a S a!
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AUTO LICENSE NO. TOTALS 7
+SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map.
-Pursuant to the provisions and penalties of Chapter 155, Acts 1953. I hereby certify that the foregoing account is just and correct, that the amount .claimed is legally due, after allowing all just credits
and that no part of the same has been paid.
Date ``�1
Claim No, Warrant -Nb: I have examined the within claim and hereby
IN FAVOR OF certify as follows:
n That it is in proper form.
That it is duly authenticated as required
by law.
That it is based upon statutory authority.
That it is apparently i correct
j incorrect
On Account of Appropriation No. `Y.3ay �ior Disbursing leer
A A w
JAAZ C/ Yom/ y �.�7y
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A.E. JOYCE CO.. MUNCIE, IND. 00113 9
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.
Douglas C. Haney Payee
Purchase Order No.
49 Hawthorne Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -17 -08 Reimburse Douglas C. Haney for monies he personally
expended while on City business attending e
Le U11 i
on 3-5-08 per the attaGhed 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. $12.04
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
not jolas C:_ HanPV IN SUM OF
49 Hawthorne Drive
Carmel, Indiana 46033
$12.04
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -43003 Travel Lodging Non Training
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 $12.04 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
i nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Prescribed by Stated 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.
Douglas C. Haney Payee
Purchase Order No.
49 Hawthorne Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 -17 -08 Reimburse Douglas C. Haney for monies he personally
expendea Tor par ing while on City business
i ifigalton settlement meeting on the Martin Marietta lawsuit
in indianap oll s-, la"na on February 6, 5 per the attached
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. $12.00
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLONED 20
Douglas C. Haney N SUM OF
Hawthorne Drive
Carmel, Indiana 46033
$12.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -43003 Travel Lodging Non Training
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 $12.00 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 O
ture
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund