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156193 02/06/2008
��4 F CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1 ONE CIVIC SQUARE DOUGLAS HANEY CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK AMOUNT: $5,054.57 CIO DEPT OF LAW CHECK NUMBER: 156193 CHECK DATE: 2/6/2008 DEP ARTMENT ACC OUNT PO NUM INVO NUMBER AMOU DESCRIPT 1180 R4343003 17856 181.94 REIMBURSEMENT 1180 R4357002 17857 174.22 REIMBURSEMENT 1180 R4357002 17877 1,186.57 TRAVEL FEES 1180 R4343002 17879 3,511.84 TRAVEL FEES I rR f CITY OF CARMEL Expense Report (required for all travel expenses) NDIANp EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 06/21/07 AM AM DEPARTMENT: Law Department RETURN DATE: 06/22/07 TIME: AM PM REASON FOR TRAVEL: IMLA Municipal Law XXIV DESTINATION CITY: Indianapolis, Indiana 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 06 -21 -07 thru 06 -22 -07 $164.57 $9.65 $174.22 $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 $0.00 $0.00 $0.00 $0.00 $164.57 $0.001 $9.651 $0.00 $0.00 $0.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. 'Z V46AQ *blfl r n Date 12/17/Rd�e Page 1 HOMEWOOD 2501 E. 86th Street Indianapolis, IN 46240 S y i B nc Phone (317) 253 -1919 Fax (317) 255 -8223 vi Reservations Name Address Hilton w- ,vw•homewood- suites.com or 1- 800 -CALL -HOME HANEY, DOUGLAS Room 2241KHWN 49 HAWTHORNE DR Arrival Date 06/21/07 9:57PM Departure Date 06/22/07 CARMEL, IN 46033 US Adult/Child 1/0 Room Rate 143.10 S -AAA RATE PLAN HH# 864254159 GOLD Z AL: NW #061240012 CAR: CONFIRMATION NUMBER: 85760673 06/22/07 PAGE 1 DATE REFERENCE DESCRIPTION AMOUNT TheMionFamily 06/21/07 651514 GUEST ROOM $143.10 06/21/07 651514 STATE TAX $8.59 06/21/07 651514 CITY TAX $12.88 Hilton 06/22/07 651577 ($164.57) i BALANCE $0.00 I CONRAD' DOOBLETRE E' q You have ea ed approximately 1788 HHonors points and approximately 143 iles with NORTHWES AIRLINES for this stay. For reservations and to check your poin balance, visit hiltonfamily.c m. Hooray! To ce lebrate this week's opening of our 200th Homewood Suites by Hl7on hotel, we're adding 200 HHonors bonus points to your account. That's 200 extra points in honor ol 200 places to call My Hilton Garden Inn• ACCOUNT N0. DATE OF CHARGE FOLIO NO. /CHECK NO. Hilton 177722 A Grand vacations Club CARD MEMBER NAME AUTHORIZATION INITIAL HOMERC)OD SUITES ESTABLISHMENT NO. &LOCATION ESTABLISHMENT AGREES TO TRANSMIT TO CARD HOLDER FOR PAYMENT PURCHASES SERVICES eR� 6PM CXL D.O.A. EXCEPT SPECIAL EVENTS DATES TAXES TIPS MISC. Y ^S ^p CARD MEMBER'S SIGNATURE V V TOTAL AMOUNT Official Sponsor MERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEH r 1.5X PER MONTH INrERF,Sr CHARGE WILL BE APPLIED TO ALI, PAST' DUE LNVOICES. A INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER C Y FEDERAL EXCISE TAX EXEMPT 1 r) Q �i�a'�tfl. i t 35- 60000972 6 ONE CIVIC SQUARE 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 r� r VENDOR U SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION F e, rc� 1 -rte, .�.i✓�7 i pr N. a I i O i p Send Invoice To: 1 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT f AMOUNT f „ti �i PAYMENT rR A/P VOUCHER CANNOT BE APPROVED FOR PAY ENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATIGN SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY 7 SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. r r CLERK TREASURER DOCUMENT CONTROL NO. 8 AW. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO,__ NO..._____.._ ALLOWED 20 IN THE SUM OF ON A NT OF APPROP IATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT .D�� 1 hereby certify that the attached invoice(s), or g$ bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and receivedexcept �71 AV a 20 ure Title Cost distribution ledger classification if claim paid motor vehicle highway fund OF F_ CITY OF CARMEL Expense Report (required for all travel expenses) lND I AN I' EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 11/28/07 TIME: AM PM DEPARTMENT: Law Department RETURN DATE: 12/01/07 TIME: AM/PM REASON FOR TRAVEL: ALI -ABA Seminar DESTINATION CITY: Washington, D.C. 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 11 -28 -07 thru 12 1 -07 $198.80 $101.66 $78.20 $992.73 $210.00 $1,581.39 $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 r Total $198.80 $0.00 $101.66 $78.20 $992.73 $0.00 $0.00 $0.00 $0.00 $210.00 $0.00 tom. DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. {@rar11�F�rr RAvosmo Date 1/28/2W Page 1 1001 16th Street Washington, DC 20036 Capital Hilton Phone (202) 393 -1000 Fax (202) 639 -5784 Name Address Reservations www.hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 1469/K1T 49 HAWTHORNE DR Arrival Date 11/28/20072:34:OOPM Departure Date 12/1/2007 CARMEL, IN 460331906 Adult/Child 2/0 L� US Room Rate 289.00 Rate Plan L -DJ HH# 864254159 GOLD Airli NW #061240012 Confirmation Number 3293503330 Bonus Airline Car: 12/1/2007 Page 1 DATE I DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE 11/28/200 FAX RECEIVED RCRUZ 3489554 $62.50 11/28/200 GUEST ROOM NYOA 3489745 $289.00 11/28/200 ROOM TAX NYOA 3489745 $41.91 11/29/200 FAX RECEIVED DAGG 3490926 $30.50 11/29/200 FAX RECEIVED DAGG 3490928 $3.50 11/29/200 GUEST ROOM EAME 3491347 $289.00 11/29/200 ROOM TAX EAME 3491347 $41.91 11/30/200 7 GUEST ROOM EAME 3492942 $289.00 11/30/200 7 ROOM TAX EAME 3492942 $41.91 Will Be Settled To $1,089.23 Effective Balance Of $0.00 Hilton HHonors (R) stays p ost to your account withi 7 72 hours of check ut. To check your earnings fo this stay or ariy other stay at more than 2,70 hotels worldwide visit ww .hiltonhhonor .com Thank you for choosing H ton! Please vis us at hil on. com to view our best available Net Direct r 9tes, plan a s ecia/ vacat on getaway or selec t a convenient location for yo next busine s trip. DATE OF CHARGE FOLIO N0. /CHECK NO. 510866 A Zip -Out Check -Out 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 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 cull the Front Desk if you wish to extend your stay or if you have any questions about your account. F Capital Milton 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 December 01, 2007 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•Ir./Check -I1;® 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 is available at our Bell Desk located on the lobby level next to the Front Desk. Please deal 77 or press the .,Bell Captain button located on your guestroom phone should you require iuggage assistance. Thank you for staying at The Capital Hilton. Please take a moment to fill -i P, 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 QW 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: ww w.hilton.com or 1- 800- HILTONS f Federal ID 23- 1352013 r ALI -ABA Continuing Leadership in Professional Education KJ ALIAB"A 4ne�m: l:?+1.�b`yti�:�i5aiueYarAeaiisxi 4025 Chestnut Street Philadelphia, PA 191,04 -3099 TEL 800 253 -6397 [800 -CLE -NEWS] a FAX 215 -243 -1664 INTERNET:. WWW.ALI- ABA.ORG REGISTRATION REGISTRANT: Douglas C. Haney City of Carmel, Indiana 1. Civic. Sq Carmel, IN 46032 -2584 BILL TO: Douglas. C. Haney PAGE NO.: 1 of 1 City of Car -rncl, Lmdiana INVOICE DATE: 1. Civic. Sq INVOICE NUMBER: 0 Carmel, IN 46032 -2584 ACCOUNT NUMBER: 181343 PURCHASE ORDER: 17445 ORDER NUMBER: 392746.00 071112 -31 MMONTGOMER ADDRESS CORRECTION REQUESTS: Call 800 253 -6397 [800 -CLE -NEWS] Item Back Order Unit Quantity Code Estimated Date Description Price Amount 1 CNO29/FULL Full Registration $1,195.00 $1,195.00 Advanced Employment. Law and Litigation Thursday,. November 29, 2007 Total: $1,195.00 Balance Due: $1,195.00 General terms and conditions on the reverse REMITTANCE ADVICE Please complete and send this portion with your payment, .in U.S. dollars, to the Chestnut Street address on reverse. Credit Card (circle one): American Express Discover MasterCard Visa Card No.: Expires: Make check payable to: ALI -ABA BALANCE DUE $1,195.00 Account No. 181343 AMOUNT ENCLOSED: Invoice No. 0 Reason for difference:. Purchase Order: 17445 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 ;,00'7 Purchase Order No. 6 7 5 7 9 49 Hawthorne Drive Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 -28 -08 Reimburse Douglas C. Haney for monies he per expended while on Cily business to attend s "Advanced Employment Law and Litigation" seminar 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. $1,581.39 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 49 Haw th o rne Drive Carmel, Indiana 46033 $1,581.39 ON ACCOUNT OF APPROPRIATION FOR Department of Law 430 -57002 External Training Fees 64O 0 h Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 17879 ENCUMBRANCE 1,581.39 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 a�5 200 nature Title Cost distribution ledger classification if claim paid motor vehicle highway fund INDIANA RETAIL TAX EXEMPT PAGE s CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT /f 35- 60000972 f 7 ONE CIVIC SQUARE 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 VENDOR SHIP TO CONFIRMATION BLANKET CONTRACT PAYNIENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE y EXTENSION A qy. '03) D a Send Invoice To: r T1 1 1 t PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT j Q A MOUNT K,.�,'' Per '�>`✓03 PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. 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 THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL p SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1 8 M', CLERK- TREASURER DOCUMENT CONTROL NO COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO._-- WARRANT ALLOWED 20 IN THE SUM OF M I P N AC OUNT OF APPRO IATION FOR Board Members 1P O# or INVOICE LE AMOUNT I hereby certify that the attached invoice(s), or 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 tS 201 �ture Title Cost distribution ledger classification if claim paid motor vehicle highway fund c��v oe Cqq�� F CITY OF CARMEL Expense Report (required for all travel expenses) /NDIANP EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 10/26/07 A M DEPARTMENT: Law Department RETURN DATE: 10/31/07 TIME: PM REASON FOR TRAVEL: IMLA 72nd Annual Conference DESTINATION CITY: Nashville, Tennessee EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Date Transportation Gas /Tolls/ Lodging Meals Misc. Total Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 10-26-07- 10-31-07 $266.10 $120.00 $1,214.35 $330.00 $1,930.45 $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 $266.10 $0.00 $0.00 $120.00 $1,214.35 $0.001 $0.001 $0.00 $0.00 $330.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. ry Director Signature: Date: b City of Carmel Form ER06 Revision Date 1/28/2008 Page 1 EMBASSY SUITES NASHVILLE, VANDERBILT UNIVERSITY F 1811 BROADWAY NASHVILLE, TN 37203 TELEPHONE 615 320 -8899 FAX 615 320- 8881r-�/� Name Address "7 !P fr HANEY, DOUGLAS Arrival Date: Room '`639 /KNGN EMBASSY SUITES 49 HAWTHORNE DR Departure Date: 10/26/0710:53PM 10/31 /07 HOTELS® CARMEL, IN 460331906 Adult Child: US Room Rate: 2/0 $209.00 Rate quoted based on arrival date and length of stay. SIMJTE-j8LANto deoart early, LaVQ Hilton Honors' HH' V 864254159 GOLD subjectto change. INIT AL: NW #061240012 p� `1ee IF THE DEBIT/CREDIT CARD YOU ARE USING FOR CHECK -IN ISSAONUSTOA N� TANK OR CHECKING ACCOU�di, N RULD WILL BE PLACED ON THE ACCOUNT FOR THE FULL ANTICIPATED DOLLAR AMOUNT TO BE OWED TO THE HOTEL, INCLUDING ESTIMATED INCIDENTALS, THROUGH YOUR DATE OF CHECK -OUT AND SUCH FUNDS WILL NOT BE RELEASED FOR 72 BUSINESS Confirmation: 86392212 HOURS FROM THE DATE OF CHECK -OUT OR LONGER AT THE DISCRETION OF YOUR FINANCIAL INSTITUTION. RATES SUBJECT TO APPLICABLE SALES, OCCUPANCY, OR OTHER TAXES. PLEASE DO NOT LEAVE ANY MONEY OR ITEMS OF VALUE UNATTENDED IN YOUR ROOM. A SAFE DEPOSIT BOX IS AVAILABLE FOR YOU IN THE LOBBY. I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT THE INDICATED PERSON COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FULL AMOUNT OF THESE CHARGES, I HAVE REQUESTED WEEKDAY DELIVERY OF USA TODAY, GUEST SIGNATURE 10/31/07 PAGE 1 IF REFUSED, A CREDIT OF $0.75 WILL BE APPLIED TO MY ACCOUNT. IN THE EVENT OF AN EMERGENCY, 1, OR SOMEONE IN MY PARTY, REQUIRE SPECIAL EVACUATION ASSISTANCE DUE TO A PHYSICAL DISABILITY. PLEASE INDICATE YES BY CHECKING HERE A SAFE DEPOSIT BOX IS PROVIDED FORTHE DEPOSIT OF VALUABLES THE HOTEL CANNOT BE RESPONSIBLE FOR VALUABLES NOT LEFT IN THE SAFE DEPOSIT BOX. DATE REFERENCE DESCRIPTION AMOUNT The Hilton Family 10/26/07 1174249 -GI- T -&HeP- $9 -55 10/26/07 1174465 GUEST ROOM $209.00 10/26/07 1174465 STATE TAX $19.33 10/26/07 1174465 OCCUPANCY TAX $12.54 Hilton 10/26/07 1174465 CITY TAX $2.00 10/27/07 1174759 G -$3.75 10/27/07 1175015 GUEST ROOM $209.00 CONRAD' 10/27/07 1175015 STATE TAX $19.33 HOTELS R RESORTS 10/27/07 1175015 OCCUPANCY TAX $12.54 10/27/07 1175015 CITY TAX w 10/28/07 1175168 r- �,,-_-bc-'..^,A. T 10/28/07 1175597 GUEST ROOM $209.00 DO B LETREP 10/28/07 1175597 STATE TAX $19.33 10/28/07 1175597 OCCUPANCY TAX $12.54 10/28/07 1175597 CITY TAX $2.00 10/29/07 1176084 GUEST ROOM $209.00 .p =F,' -10/29/07 1176084 STATE TAX $19.33 10/29/07 1176084 OCCUPANCY TAX $12.54 10129107 1176084 CITY TAX $2.00 10/30/07 1176380 $13.76 10/30/07 1176564 GUEST ROOM $209.00 10/30/07 1176564 STATE TAX $19.33 10/30/07 1176564 OCCUPANCY TAX $12.54 Gaon Garden Inn• 10/30%07 1176561 CITY TAY $2.00 ID Hilton Grand Vacations HOMEWOOD 232230 A SH ITES WALDORF ASTORIA 000 0.00 official sponsor enn6assysuites.conn 800 Em6assy EMBASSY SUITES NASHVILLE, VANDERBILT UNIVERSITY 1811 BROADWAY NASHVILLE, TN 37203 *a TELEPHONE 615 320 -8899 FAX 615 320 -8881 y� Name Address Room: HANEY, DOUGLAS Arrival Date: 639 /KNGN EMBASSY SUITES 49 HAWTHORNE DR Departure Date: 10/26/0710:53PM 10/31/07 HOTELS® CARMEL, IN 460331906 Adult Child: US Room Rate: 2/0 $209.00 Rate quoted based on arrival date and length of stay. SIRA13EJ FILANto depart early. ILVQ Hilton HHonors• HH# 864254159 GOLD subjectto change. INIT AL: �J q N #061240012 (q IF THE DEBIT/CREDIT CARD YOU ARE USING FOR CHECK -IN IS �EU BANK OR CHECKING ACCOUNT, A WILL BE PLACED ON THE ACCOUNT FOR THE FULL ANTICIPATED DOLLAR AMOUNT TO BE OWED TO THE HOTEL, INCLUDING ESTIMATED INCIDENTALS, THROUGH YOUR DATE OF CHECK -OUT AND SUCH FUNDS WILL NOT BE RELEASED FOR 72 BUSINESS Confirmation: 86392212 HOURS FROM THE DATE OF CHECK -OUT OR LONGER AT THE DISCRETION OF YOUR FINANCIAL INSTITUTION. RATES SUBJECT TO APPLICABLE SALES, OCCUPANCY, OR OTHER TAXES. PLEASE DO NOT LEAVE ANY MONEY OR ITEMS OF VALUE UNATTENDED IN YOUR ROOM. A SAFE DEPOSIT BOX IS AVAILABLE FOR YOU IN THE LOBBY. I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT THE INDICATED PERSON COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FULL AMOUNT OF THESE CHARGES. I HAVE REQUESTED WEEKDAY DELIVERY OF USA TODAY. GUEST SIGNATURE 10/31 /07 PAGE 2 IF REFUSED, A CREDIT OF $0.75 WILL BE APPLIED TO MY ACCOUNT. IN THE EVENT OF AN EMERGENCY, I, OR SOMEONE IN MY PARTY, REQUIRE SPECIAL EVACUATION ASSISTANCE DUE TO A PHYSICAL DISABILITY. PLEASE INDICATE YES BY CHECKING'HERE A SAFE DEPOSIT BOX IS PROVIDED FOR THE DEPOSIT OF VALUABLES -THE HOTEL CANNOT BE RESPONSIBLE FOR VALUABLES NOT LEFT IN THE SAFE DEPOSIT BOX. DATE REFERENCE DESCRIPTION AMOUNT TheHiltonFamily WILL BE SETTLED TO $1,232.85 EFFECTIVE BALANCE OF $0.00 lb Hilton CONRAD ItOTELS 6 RESORTS W DOUG L ETREF You have earned approximately 13293 HHonors points and approximately 1063 miles with Northwest Airlines for this stay. For reservations and to check your point balance, visit hiltofifamily.com. Thank you for staying with us. Be sure to visit embassysuites.com for information on your next Hilton Garden Inn• business or leisure stay, reservations or subscribe to E- nnouncements e- newsletter with news and offers. Hilton Grand Vacations HOMEWOOD 232230 A SUITES WALDORF- ASTORIA �ODOQ 0.00 official sponsor embassysuites.conn 800 Embassy 111111 LA 's 72 Annual Conference Renaissance Nashville Hotel Nashville, Tennessee October 28 -31, 2007 Check here if you are a new member or first time conference attendee Name Douglas C_ Haney, Esq. NEW CD /HARD COPY POLICY* Registration fees include CD of speakers Badge Name Douglas Haney materials. These materials will also be available for conference registrants from IM LA's web site one to two weeks prior to Title City. Attorney::= Carmel,, _Tndana the meeting. If you require paper copies of speaker materials you must add an Local Government Entity or firm C; ty of .Carmel T N additional $120 to your registration fee and check here. Address One Civic Square INSTITUTE FOR LOCAL GOVERNMENT City /State /Zip Cnrmpl, TIldiana 4AO32 LAWYERS (ILGL) New local government at or more Phone 317 571 -2472 Fax 317- 571 -2484 senior attorneys looking for a refresher may attend the ILGL for an additional fee. Please E -mail dhaney@carmel.in.gov check here to receive information or go to IMLA web site for details. Please indicate below the meal functions you plan to attend. Opening Night Reception O Monday Luncheon OTuesday Luncheon Registration Fee includes: Admission to all sessions, conference Monday Night Dinner materials, Sunday opening night reception, two luncheons, Monday night dinner and all coffee breaks (not applicable to guest) State Breakfast Guest Name: information available at a later date. IMLA Guest Fees Include: Attendance at the Sunday night reception, Monday night dinner, Monday 8 Tuesday's spouse /guest activities. IMLA Cancellation Refund Policy: Guest Badge Name: Cancellation must be received in writing by September 21, 2007 to qualify for a refund. All cancellations are subject to a $50 ($25 guest) administrative processing fee. After September 21, 2007 those not attending will receive the Luncheon Ticket(s) ($40.00 each) event materials in full consideration of registration fees paid. Replacements only guest need to purchase please check date(s) O Monday OTuesday are always welcomed. All refunds will be remitted 90 days after the event. CLE Credits, Bar No. 07- ($25.00 processing fee for each state) Send all cancellations in writing to IMLA Event Department. Please specify state(s) V,01!4d& REGISTRATION INFORMATION: DISCOUNTED CD REGISTRATION FEE Make all checks payable to the International Municipal A discounted registration fee is available for those choosing the Lawyers As ciation Conference CD and for those staying in IMLA Conference Hotel. fly. '117(& Super Early Additional Qi Bill Me L) Visa L) MasterCard Saver Rate Bird Rate Fee for ❑Check Enclosed (U.S. currency only) Registration Ends Ends Regular At Door Papers in Type 6/30/07 7/31/07 Rate Rate Packets* Amount 3 Ce First Member $536 $562 $625 $651 $120 Additional Member $445 $470 $525 $555 $120 Name: Judicial $305 $305 $305 $305 $120 Account Number: Non Member $1,071 $1,124 $1,229 $1,281 $120 Guest of Expiration Date: IMLA Member $100 $100 $100 $100 n/a Signature: Guest of To help defray attrition expenses from {MLA Nonmember $100 $100 $100 $100 n/a the contracted conference hotel, an additional $100 will be added to your TO REGISTER registration fees if you do not stay at the Send a copy of form payment to: International Municipal Lawyers Renaissance Conference hotel Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814, i (daily /drive in registrants excluded). Phone 202.466.5424 Fax 202.785.0152 or E -mail: infol�_imla.org. Visit web i site wvvw.imla.org for continual program updates. 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)) 1 -28 -08 Reimburse oug as C. Haney for monies he personally expended while on City business to attend s 72nd nference i n Nashv"'e, Tennessee, 10/26 31/07 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. $1,930.45 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 D ouglas C. Haney IN SUM o f 49 Hawthorne Drive Carmel, Indiana 46033 $1,930.45 ON ACCOUNT OF APPROPRIATION FOR Department of Law 430 -57002 External Training Fees 4 ��©7 Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 17879 E CUMBRANCE 1,930.45 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 Ohs 20 Q nature Cost distribution ledger classification if Title claim paid motor vehicle highway fund 4".j of CA24, a pp0.Tpf 'H.1 /Ip CITY OF CARMEL Expense Report (required for all travel expenses) /NDIANp EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 01/19/08 AM DEPARTMENT: Law Department RETURN DATE: 01/22/08 TIME: REASON FOR TRAVEL: IMLA Code Enforcement Seminar DESTINATION CITY: St. Augustine, Florida 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 Jan. 19 Jan. 22, 2008 $139.61 $122.48 $90.00 $389.13 $240.00 $981.22 $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 $139.61 $122.48 $0.00 $90.00 $389.13 $0.00 $0.00 $0.00 $0.00 $240.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. l �lff'rr r n Date 1/29/2W Page 1 OGard Hilton enlnrr 401 At Beach Blvd.St. Augustine Beach, FL 3208 Phone (904) 471 -5559 Fax (904) 471 -7146 St. Augustine Beach Reservations Name Address www.hiltongardeninn.com or 1 877 STAY HGI HANEY, DOUGLAS Room 327/K1 49 HAWTHORNE DR Arrival Date 01/19/084:47PM CARMEL, IN 46033 -1906 Departure Date 01/22/08 US Adult /Child 2/0 Room Rate $119.00 RATE PLAN L -DJ HH# 864254159 GOLD AL: NW #061240012 BONUS AL: CAR: Confirmation: 3292379277 01/22/08 PAGE 1 DATE REFERENCE DESCRIPTION AMOUNT 01/19/08 547229 9i 11112 T URii i G $_2 f 01/19/08 547230 R� $228 01/19/08 547263 $z-59 01/19/08 547263 $84,6 -01/19/08 547264 $z'-59 01/19/08 547264 $t-+6 01/19/08 547265 $e-94 01/19/08 547265 $9-96 01/19/08 547368 GUEST ROOM $119.00 01/19/08 547368 STATE TAX $7.14 01/19/08 547368 OCCUPANCY TAX $3.57 01/20/08 547404 lmtrlctIE $44_99 01/20/08 547404 eTAZE CQML SERUW,99 roc $4-4,7� 01/20/08 547404 $9-" 01/20/08 547572 GUEST ROOM $119.00 01/20/08 547572 STATE TAX $7.14 01/20/08 547572 OCCUPANCY TAX $3.57 01/21/08 547720 GUEST ROOM $119.00 01/21/08 547720 STATE TAX $7.14 01/21/08 547720 OCCUPANCY TAX $3.57 WILL BE SETTLED TO $441.50 EFFECTIVE BALANCE OF $0.00 DATE OF CHARGE FOLIO NO. /CHECK NO, Zip -Out Check -Out® 153035 A IL Good iINIorning We hope you enjoyed your stay. With Zip -Out Check -Oup AIJTHORIZATION INtTtAt. 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 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. If the statement meets with your approval, simply press the Zip -Out Check -Out TOTAL AD10UAT 0.0� button on your guest room telephone. Your account will be automatically checke out and you may use this statement as your receipt. Feel free to leave your key(s) in the room. Please tall the Front Desk if you wish to extend your stay or if you have any questions about your account. Northwest Airlines nwa.com Travel Center Trip Summary and Receipt Page 1 of 2 a 0 F 8 Send to Printer Trip Summary and Receipt *73HUaw* Thank you for choosing Northwest Airlines! Check in and get your boarding passes online at www.nwa.com within 24 hours of your flight or use a Northwest Airlines self service airport kiosk available throughout the U.S. and Canada. Receive a complimentary flight and gate status alert e-mail from Northwest, sign up now at M y NWA Info. View the Terms and Conditions that apply to your reservation. Review TSA Security Requirements NWA Confirmation Number: 73HUAW Passenger Name E- Ticket Number Frequent Flyer Number HAN EY /DOUG LAS. C 0122156623946 N W061240012 The following flights are confirmed: Date: Saturday, January 19 Flight: NW 693 Departs: Indianapolis- Int'I, IN (IND) at 8:OOAM Arrives: Memphis- Int'I, TN at 8:32AM Class of Service: First Class (R) Seat: 03 -A Window Flight Duration: 1 hour 32 minutes Approximate Miles: 382 Meal Service: None Aircraft: Airbus A320 Date: Saturday, January 19 Flight: NW 5707 Departs: Memphis- Int'I, TN at 9:15AM Arrives: Jacksonville- Int'I, FL (JAX) at 11:58AM Class of Service: Economy Class (K) Seat: 02 -C Aisle Flight Duration: 1 hour 43 minutes Approximate Miles: 582 Meal Service: None Aircraft: Canadair Re Jet CRJ Note: "Operated by PINNACLE AIRLINES /NWA AIRLINK Date: Tuesday, January 22 Flight: NW 5710 Departs: Jacksonville- Int'I, FL (JAX) at 4:45PM Arrives: Memphis Int'l, TN at 5:40PM Class of Service: Economy Class (K) Seat: 02 -C Aisle Flight Duration: 1 hour 55 minutes Approximate Miles: 582 Meal Service: None Aircraft: Canadair Re Jet CRJ Note: 'Operated by PINNACLE AIRLINES /NWA AIRLINK Date: Tuesday, January 22 Flight: NW 692 Departs: Memphis- Int'I, TN at 6:40PM Arrives: Indianapolis- Int'I, IN (IND) at 9:01 PM Class of Service: Economy Class (K) Seat: 05 -D Aisle Flight Duration: 1 hour 21 minutes Approximate Miles: 382 Meal Service: None Aircraft: Airbus A320 Passenger Name: HANEY /DOUGLAS.0 Receipt Information for your E- Ticket Number(s): 0122156623946 E- Ticket Issue Date: November 08, 2007 Flight Origin- Destination Date Fare Basis Code Status NW 0693 IND -MEM 19Jan2008 KR21 WBNC Used https:// www .nwa.com/cgi- bin/view_res.pro 1/18/2008 r, Northwest Airlines nwa.com Travel Center Trip Summary and Receipt Page 2 of 2 NW 5707 MEM -JAX 19Jan2008 KR21 WBNC Used NW 5710 JAX -MEM 22Jan2O08 KR21 WBNC Available NW 0692 MEM-IND 22Jan2008 KR21 WBNC Available Base Fare: USD99.54 Tax:19.00 Tax:7.47 Tax: 13.60 E- Ticket Total: USD139.61 Method of Payment: Fare Calculation: 7 IND NW X /MEM Q4.19NW JAX45.58 NW X /MEM Q4.19NW IND45.58USD 99.54END NW ZPINDMEMJAXMEM XT 10.00AY9.00XF IND4.5JAX4.5 Other Restrictions: NON REFUNDABLE PENALTY FOR CHANGES Name /Place of Issue: NWA.COM US E- TICKET TAR MPLS /ST PAUL MN/ ,Back .,1. 'b�..: .'R 4 .::kS. F.. ..E.. K- t., rv. 5: a. .r'..6.:. t K'. ',.N dt. w( .'r .P..:... K rt.YT. .;g 'P W.:x"'t xl -Y i.,N'+rt Northwest Airlines 2008 https:// www .nwa.com/cgi- bin/view_res.pro 1/18/2008 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 a00 Purchase Order No. /7 S7!? 49 Hawthorne Drive Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 -29 -08 Reimburse Douglas C. Haney for monies he personally 981.22 expended while on Uity business to attend s UOae Enforcement Seminar january 20-22, 2008 in St. Augustine, FL 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. $981.22 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 49 Hawthorne Drive Carmel, Indiana 46033 $981.22 ON ACCOUNT OF APPROPRIATION FOR Department of Law 430 -57002 External Training Fees 0 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT �-T I hereby certify that the attached invoice(s), or 17877 ENCUMBRANCE $981.22 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 ature Cost distribution ledger classification if Title claim paid motor vehicle highway fund i i IV All a OF C Q �A 1 CITY OF CARMEL Expense Report (required for all travel expenses) AND I ANS` r, Y EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 12/04/07 AM DEPARTMENT: Law Department RETURN DATE: 12/05/07 TIME: PM s REASON FOR TRAVEL: IACT New Elected Officials Training DESTINATION CITY: Lebanon, Indiana EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM I Transportation Gas /Tolls/ Meals Date Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 12/4/07 $99.89 $25.00 $124.89 12/5/07 $50.00 $50.00 $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 $0.00 $0.001 $0.001 $0.001 $99.891 $0.001 $0.001 5.00 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 1/29/2008 Page 1 1 )610,N P.- 1 11 1 1 y9�� Douglas Haney A/R Number 49 Hawthorne Dr Carmel, IN 46033 -1906 Group Code US Folio /Invoice No. 31916 Reference Room No. 128 Page No. 1 of 1 Arrival 12 -05 -07 Cashier No. 100 Departure 12 -05 -07 User ID MSEVERE www.hiexpress.com /lebanoninhiex Da te Description Charges Credits 12 -05 -07 "Accommodation 89.99 12 -05 -07 State Tax 5.40 12 -05 -07 County Lodging Tax 4.50 I 12 -05 -07 99.89 Thank you for staying at the Holiday Inn Express Lebanon. Qualifying points for this stay will Total 99.89 99 .89 automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www. priorityclub.com. We look forward Balance 0.00 to welcoming you back soon. Guest Signature: I have received the goods and or services in the amount shown heron. I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or association fails to pay for any part or the full amount of these charges. It a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. Holiday Inn Express Lebanon 335 North Mt. Zion Rd. Lebanon,IN 46052 Telephone: (765) 483 -4100 Fax. (765) 483 -4101 VOUCHER NO. WARRANT NO. ALLOWED 20 D u las C. Haney IN SUM OF 49; Haw Drive Carmel, Indiana 46033 $174.89 ON ACCOUNT OF APPROPRIATION FOR Department of Law 430 -57002 External Training Fees 4 Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 17877 E CUMBRANCE $174.89 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 20Q i re Title Cost distribution ledger classification if 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. Douglas C. Haney Payee Purchase Order No. g Hawthorne rive 7 Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) eim urse Douglas G. Haney for monies he personally expended %iffffida's Training SeFninar held On Lebanon, Indiana 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. $174.89 20 Clerk- Treasurer �.1 oe CqN CITY OF CARMEL Expense Report (required for all travel expenses) Np1ANp EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 10/09/07 TIME: AM PM DEPARTMENT: Law Department RETURN DATE: 10/10/07 TIME: AM/PM REASON FOR TRAVEL: Indiana State Bar Association DESTINATION CITY: Indianapolis 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 ��7 rll3 $0.00 10/9/07 $96.91 $90;:.00 $186.91 $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 $0.001 $0.001 $0.00 $0.00 $96.91 $0.001 $0.001 $0.001 $0.001 $90.001 $0.00 DIRECTOR'S STATEME eby affirm that all expenses listed conform to the City's travel policy and are within my de ahment's appropriated budget. Director Signature: Date: 2 T City of Carmel Form ER06 Revision Date 12/17/2007 Page 1 355 3rd Avenue Jas er IN 47546 hone 812] 487.1888 fax [8;12]'481 1.8,11 name room number: HANEY, DOUGLAS 202lKXTD 49 HAWTHORNE DR address arrival date: 10109/078:00PM departure date: 10/10/07 CARMEL, 'IN 46033 adult/child: US room rate: 2/0 87.30 if the debittcredit card you are using for check -in is attached to abank or checking: account, a hold will be placed on the account for the full anticipated dollar amount to be owed to the hotel, including estimated 'RATE PLAN S -AAA incidentals, through your date of check -out and such funds will notbe released for 72 business hours from H H# 864254159 GOLD the date of check -out. AL: NW #061240012 Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value unattended in Conflrmatlon: 83968652 your room. A safety deposit box is available,for you in the lobby. i agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person, company or asociation fails to pay for any part or the full amount of these charges. I have requested weekday delivery of USA TODAY. If refused, a credit of $35 will be applied to 10/10/07 PAGE 1 my account. 1 the event of an emergency I, or someone in my party, require special evacuation due to a physical disability. Please indicate yes by checking here: Q signature: 10/09/07 577926 GUEST ROOM $87.30 10/09/07 577926 STATE TAX $5.24 10/09/07 577926 LOCAL TAX $4.37 WILL BE SETTLED TO $96.91 EFFECTIVE BALANCE OF $0.00 You have earned approximately 1091 HHonors points and approximately 87 miles with NORTHWEST AIRLINES r this stay. For reservations and to check your point balance, visit hiltonfamily. com. Hit the roadlthis weekend and take time out for you! Visit family, friends and just take time to play. Visit hamptommd com or call 1 for reservations call T:800 Fiamptor or visit us online at www hamptoninn com =..b account no. date of charge folio /check no. card member name authorization 155666 1 itial establishment no. and location establishment agrees to transmit to card holder for payment purchases services taxes tips misc. signature of card member total amount X 0.00 E t7/°ntp7m� 00 4 2 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. 7 9 15(0 49 Hawthorne Drive Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 -28 -08 Reimburse Douglas C. Haney for monies he personally expended while on City business to attend e Indiana State Bat Assoc Annual Meeting i n Ind IN, on rin-C)rtrihor 9 and 10, 2007, 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. $186.91 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 4.9 Hawthorne Drive Carmel, Indiana 46033 ON ACCOUNT 'FA-PP APP OPRIATION FOR Depal rme�nt of Law 430 -43003 Travel Lodging Non Training Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 17856 ENCUMBRANCE $186'9;1 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 I ature Cost distribution ledger classification if Tltle claim paid motor vehicle highway fund G C A24, CITY OF CARMEL Expense Report (required for all travel expenses) NDIANP EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 04/19/07 TIME: AM PM DEPARTMENT: Law Department RETURN, DATE: 04/19/07 TIME: AM/PM REASON FOR TRAVEL: Indpls. Ch. Com. Real Estate DESTINATION CITY: Indianpolis 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 9 Breakfast Lunch Dinner Snacks Per Diem $0.00 4/19/07 $1.00 $6.03 $7.03 $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 $0.001 $0.001 $0.001 $1.001 $0.001 $0.00 $6.03 $0.00 $0.00 $0.001 $0.00 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: City of Carmel Form ER06 Revision Date 12//l7/2007 Page 1 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 O Douglas C. Haney e Purchase Order No. /7 O 49 Hawthorne Drive Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 -29 -08 Reimburse Douglas C. Haney for monies he personally 30. expended while on Uty business to attend s. raining Seminar held if i Indianapolis, Indiana on january 16, 2008 —ruar-thgatLached 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. $30.46 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 44 Hawthorne Drive Carmel, Indiana 46033 $30.46 ON ACCOUNT OF APPROPRIATION FOR Department of Law 430 -57002 External Training Fees Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 17877E qCUMBRANCE $30.46 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 �--�sz Cost distribution ledger classification if Title 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 at the Indianapolis Chapter of Commercial Real Estate Women on April 19, 2007, I expended $1.00 of my own money for parking and for which I need to be reimbursed. Dated this day of December, 2007. Don ney Subscribed and sworn to before me, the undersigned Notary Public, this day of December, 2007 A. Elaine Bass, NOTARY PUBLIC Resident of Johnson County, Indiana My Commission Expires: October 23, 2008 [eb:— word: z:�shared\a ffidavits�a ffadivit-parking.doc: 12/17/07] Prescribed by Slate 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 d 00 7 66 &ks Douglas C. Haney Purchase Order No. .7 8jr�P 49 Hawthorne Drive Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 -28 -08 Reimburse Douglas C. Haney for monies he personally 7. expended while on Uty business to attend e Indianapolis Chapter of Commerc Rea' Estate Wornen on April 19, 2007 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. $7.03 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 49 Hawthorne Drive Carmel, Indiana 46033 $7.03 ON ACCOUNT OF APPROPRIATION FOR Department of Law 430 -43003 Travel Lodging Non Training Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT I hereby certify that the attached invoice(s), or 17856 E CUMBRANCE $7.03 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 ture Cost distribution ledger classification if Title claim paid motor vehicle highway fund