HomeMy WebLinkAbout167347 12/23/2008 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $6,199.78
r CARMEL, INDIANA 46032 CIO DEPT OF LAW
CIO DEPT OF LAW CHECK NUMBER: 167347
f' CHECK DATE: 12/23/2008
DEPAR A AC COUNT PO NU INVO NUM BER AMOUNT DESCRIPT
1180 4343002 5,870.37 EXTERNAL TRAINING TRA
1180 4343003 3.00 TRAVEL LODGING
1180 4343004 326.41 TRAVEL PER DIEMS
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GATEWAY SHELL 17
1888 S.ROYAL LN.
COPPELL,TX.75819
SHELL
1060 SOUTH ROYAL LAN
E
COPPELL TX
RT# 57542943086
11/12/88 '18:83:56
HANEY /DOUGLAS C
Acct
R'CPTIt; ].1 -7913
Inv# 426213
Aut.h# 80536A
PUMP# 8
Unleaded 7.146G
SELF.
PRICE /GAL $2.899
FULL TOTAL $15.88
TOTAL44 X15.88
THANK YOU.
PLEASE COME AGAIN
i' NA 1 0 N A L
CAR
RA 515276563 Inv 50013127607
Rental 09 -NOV -2008 04:18 PM
DALLAS FT WORTH ARPT
Return 12 -NOV -2008 10:19 AM
DALLAS FT WORTH ARPT
DOUGLAS HANEY
Vehicle 91186479
Model IMPALA LT
Class Driven FCAR Class Charged FCAR
License# MSH946 r State /Province TX
M /Kms Driven 163
M /Kms Out 939
MIKms In 1102
Charges No Unit Price Aniount
T 6 M 3 Days 53.90 161.70"
UNLIM M /KM 0 M /Kms 0.00"
CDW /LOW 3 Days 22.99 68.97"
FACILITY CHARGE 12.00"
CUST TRANSPORTATION CHG 6.60"
CONCESSION FEE RECOV 17.96"
VEH LIC RECOV 1.73 /DAY 5.19"
MTR VEH RNT TAX @10.000 X 27.24
EULESS MVR TAX @5.000 X. 13.62
Total Charges ZUSD313.28
Paid By 313,28
Amount Due USD 0.00
Taxable Items
Subject to Audit
Your Emerald Club Number is 888836362
Emerald Club rental credits will be
posted within 24 hours
Customer service Number 1- 800 -468 -3334
n�wa
PF sse nger R_ 9— cz e P
Depart Arrive Date Cabin Fare Code E- Ticket a: 0122169611142
Indianapolis, IN Mpls.St. Paul, MN 09NOV08 Coach T14E3W8N Issue Date: 28AUG08
Mpls /St. Paul, MN Dallas; Ft. Worth, TX 09NOV08 Coach T14E3W8N Name /Place of Issue: NWA.COM US E- TICKET T
DallasrFt. Worth, TX Memphis, TN 12NOV08 Coach T14E3W8N AR MPLS
Memphis, TN Indianapolis, IN 12NOV08 Coach T14E3W8N /ST PAUL MN
Endorsements/ Restrictions:
NON REFUNDABLE /PENALTY FOR CHANGES
HANEWDOUGLAS_C Transportation subject to terms of carriage
Total Fare This Ticket: USD 331.00 printed inside ticker jacket
FARE 273.02 Form of Payment:
US TAX 20.48 Card 4:
DOM SEGMENT FEE 14.00 E- Ticket 0122169611142
OTHER TAX S0 Confirmation 30Y8VV v r,
TOTAL USD 331.00
i
Bag Tag NW1367S9//60 Page 1. of 1
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DIPT P, 1 TIMM
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RECEIPT
09/15/2009
08:51 AM
LAS VEGAS MOI, ,RA L
Las Vegas Hi 1 turn
TVM#
CREDIT CARU SAL
CARD
AUTH 01591
BANK REF 44730
SALES AMT8.00
Three Day
000080 034
YELLOW- CHECKER -STAR
"THE" CAB COMPANIES
Las Vegas, Nevada
873 -2227
COMPUTER RADIO DISPATCHED p �p
DRIVER# DATE
(CHARGE THE ACCT. OF)
(RECEIVED OF) FOR TAXI FARE FROM
TO
(X) DRIVER NAME
(X) PASSENGER SIGNATURE
I ND I AINA OL 1
AIRPORT
SURFACE LOT
RECEIPT x-67
ENTRY TIME%
09/14/08 os.: 40
EXIT TIME
09/ 20-=39
COMPUTED 130.00
PAID 80=00
00
TRANSACTION 9860
KIND OF PAY.MENT
AUT H= CODE 0186,47
THANK YOU
PASSENGER RECEIPT
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Total F.- re Thi F i rku t: USD 465. 1 >0 pr inside Ii,—k—,, jaw-kol
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Indianapolis International Airport
indianapolisairport.com
RECEIPT
Toledo Ticket Co., Toledo, OH
IRAN IN TTME OUT TIME FEE CC#
4121 12104 05 :52 12/07 18:00 $64.00 3257
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AM
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Cabin Fare Code E 1 2 1 6 4 8
N'?, o 4 F') E C C1 S i T; 4USN ls Da"e: ISNUVOS
1 7 Fl E(10 8 C_ __-Tir 1: F T F
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En-Jorsernents Restrict ions:
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ricke ;acket
TOLL RECEIPT
California Department of Transportation
Dumbarton Bridge
ATCAS
Please Don' t Drink R Drive!
11/07/08 1 LANE: 01 ID: 262
CLASS: 12 4.00 ASH
6 N9
TELL RECEIPT
California Department of Transportation
San Mateo Hayward Bridge
Please Don't Drink Drive.
Thant: You!
11/88/ 08 1 :24 LANE: 10 ID: 241
CLA55: 1 L4.0� CASH
;Oa+ :4 H Aid l..
i T t; NUMBER
L.I. er c. e 8 .11 2 2
)OUICLP S C IIANEY
,
'4;MP# 3 REGULAP
.ALLONS 1.2.4
$2.389/GAL.
=UEL
TOTAL
3EU NUM 278 B
MTHU 82529A
IAN MATiE=O, CA
CRANK YOU?
:ome back Again???
1
DISPLAY FACE UP ON DASF
8 Stanford University
Tresidder Lot (L -39)
Machine Serial 000003370006
EXPIRATION DATE AND TIME
Exp 04 24pm
-NOV 07,2008
•TICKET LOT MACH
000107.7 0203 -0039 006
$6.00 �C
FNSTRUCTIONS ON SIGNS
Valid for all Visitor
Pay Par0 ng locations.
Info: 650 723 -9362
DISPLAY FACE UP ON DASF
We accept no respon Id 1 333
or damage to vehicle
We do not take custod
only rent sp
NON TRANSFE dbZ ZT
900Z`LOAON
DISPLAY REVEF pasegojnd
FACE UP OR TIC 900 4U3aW
6£00£OZO�
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TERMS AND COI dbZ :b0 dX3
We accept no respon
or damage to vehiclE O
S 00 0
We do not take custod
only rent sp,,
NON TRANSFE'
DISPLAY REV6
Id 1 333�
FACE UP OR TIC
PLACE rACE UP ON CASH
Stanford University
Memorial Way Solar
Expiration Date/Time
EXP 12:42PM
NOV 06 '2008
Add Time 240081
Purchase Date/Time: 10:42am Nov 05, 2008
Total Due: LIDO, Rate: Incrementa
Total i $3.00 Payment Type: Cas
Ticket 49021400
SIN 100007171572
Setting: East-Solar
Mach Name: Memorial Solar
Observe Posted Signage
Valid for all Visitor
Pay Parking Locations
Info: 650.723.9362
RECEIPT
Stanford University
Memorial Way Solar
Expiration DatelTime: 12:42pm Nov 06, 2008
Purchase Date/Time: 10:42am Nov 06, 2008
Add Time 240091
Total Due: $3.00 Rate: Incrementa
Total Paid: $3.00 Payment Type: Cas
Ticket 49021400
Setting: East-Solar
Mach Name: Memorial Solar
PLACE FACE UP ON DASH
Stanford University
Memorial Way Solar
Expiration Date/Time
EXP 03:58PM
NOV 06 '2008
+Add Time 240091
Purchase DatelTime: 10:44am Nov 06, 2008
To Rate: Incrementa
Thal Paid: $4.90 Payment Type: Cas
Ticket M: 10930440
SIN b: 100007171672
Setting: East-Solar
Mach Name: Memorial Solar
Observe Posted Signage
Valid for all Visitor
Pay Parking Locations
Info: 650.723.9362
RECEIPT Lj
Stanford University
Memorial Way Solar
Expiration Date/Time: 03:58pm Nov 06, 2008
Purchase Date/Time: 10:44am Nov O6, 2008
Add Time 240091
Total Due: $4.90 Rate: Incrementa
Total Paid: $4.90 Payment Type: Cas
Ticket a: 10930440
Setting: East-Solar
Mach Name:' Memorial Solar
A a APO u
SWASCA LOT
ENTRY TIME��
11/05/08 06046
EXIT TIME
I I oe s 2 a 40
P uR •—D ate. s m H 9, S g M I N
s
34715 54
AYNENT
AUT e a CODE 04503A
THPJ YOU
NATIONAL
CAR RENTAL
RA 316278P72' Inv 30013726743
Rental Dc- NOV-2008 12:39 PM
SAN FRANCISCO �Rr-1
Return 08 -NOV -2008 11:40 AM
SAN FRANCISCO ARPT
OOU(;LAS HANEY
Veh icle 9F154155
Model MALIBU LT
CI'a:;s 0! iven FCAR Class Charged !CAR
Licar:se# 6ETH55l SLate /Province CA
MIKms Driven 328
MIKms Out 3008
MIKms In 3336
Charges No Uri it Price Amount
T M 3 Days 39.99 119.97"
UNLIM MIKM 0 MIKms 0.00"
OSCNI T &M 5.00% -6.00"
COW/LOW 3 Days 14.9J 44.97
CONCE::SION PECOV FEE 17 66"
APRT TRANSPORT FEE 17.50 r
CA IOURISM ASSESSMENT 2.85
SALES TAX 96.250 7 10.86
Total Charges USD 207.81
Paid By 207.81
Amount. Due LSD O.uO
Taxal' Items
Subject to Audit
Your Emerald Club Number is 886836362
Emerald Club rental credits will be
posted within 24 hours
We hope you enjoyed driving your
upgraded Emerald Club vehicle.
Customer service Number 1- 800 468-3334
V� arvC
Rsy
3
CITY OF CARMEL Expense Report (required for all travel expenses)
/NDIANP
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 11/05/08 9:00 a. m. AM
DEPARTMENT: Law Department RETURN DATE: 11/08/08 TIME: 12:40 p.m. PM
REASON FOR TRAVEL: Georgetown Takings Seminar DESTINATION CITY: Stanford, CA
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
Nov. 5 8,
2008 $321.00 $207.81 $119.65 $521.40 $260.00 $1,429.86
$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
�h
$0.00
$0.00
0.00
Total $321.00 $207.81 $0.00 $119.65 $521.401 $0.00 $0.00 $0.00 $0.00 $260.00 $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: �'1°D p5Q O
City of Carmel Form ERO Revision Date 12/12/2008 Page 1
egistration
(650) 328 -2800 phone Payment must accompany registration.
Email: sheratonreservations @pahotel.com
Rate: $199 for Traditional King Price: $695 Regular $495 Public Sector
or Two Double
)n: Group name:Takings Conference
ommended Conference rates available until Name: nnumT AS C EANEY_,Carme1_ City A tnrnP
n the hotels' October 20, 2008 (as you would like it to appear on your name badge)
Room availability
rooms well in Disclaimer: E -mail address: dhaney@carmel in goy
Speakers are subject to change (please print clearly)
Services for People Firm /Organization: City of Ca I ndiana
With Special Needs:
Call 202 -662 -9863 Address: One Civic Square
Scholarships: City: Carmel..
Submit written request to
Georgetown Environmental Law State: Indiana Zip: 46032
Policy Institute
I (SLS) Georgetown University Law Center Phone 317 -571 -2472
600 New Jersey Ave, NW
Washington, DC 20001
Or fax to 202 662 -9005 Fax 317 -571 -2484
Deadline: October I, 2008
Cancellations:
Information: Please fax your cancellation notice to (202) 662 -9005 by 5:00 p.m.
com/ Call: 202 662 -9863 on October 31, 2008 for a refund (less $50 administrative fee).
Fax: 202-662-9005
E -Mail: gelpi @law.georgetown.edu 1 cannot attend, but send me:
Course materials: $200.00
1 L) In hard copy
a In electronic copy on cd
Hotel Audio Program: $200.00
s 89 On audio cd
Cjroxyemw:r,ZLvmeRSm( rv(jru
As mp3 file on data disc
m /sheraton/
I ?propertylD =214 Both materials and audio program: $385.00
For course material, individuals or firms with a DC address will
Barton H. Thompson, Jr. Program Chairs be charged 5.75% sales tax, with aVA address will be charged 5%
Robert E. Paradise Professor of Natural Meg Caldwell sales tax, with a MD address will be charged 5% sales tax, and
Resources Law and Perry L. McCarty
Director,Woods Institute for the Senior Lecturer in Law and Director with a PA address will be charged 6% (except Philadelphia and
Environment Environmental and Natural Resources Alleghany County 7% sales tax).
Stanford University Law Policy Program
Stanford, CA Interim Director, Center for
Ocean Solutions
Michael von Loewenfeldt Stanford University Wa to
Partner Stanford, CA
Kerr Wagstaffe 1. Online at www.georgetowricle.org
S John D. Echeverria
San Francisco, CA
Executive Director (credit card registrations only)
Richard Whitman Georgetown Environmental Law 2. Fax to (202) 662 -9005 (credit card registrations only)
Director Policy Institute 3. Phone to (202) 662 -9863 (credit card registrations only)
Oregon Department of Georgetown University Law Center 4. Mail with check or purchase order payable to GULC to
Land Conservation and Washington, DC
Development Georgetown Environmental Law Policy Institute
Salem, OR Georgetown University Law Center
600 New Jersey Ave., NW,Washington, DC 20001
(Please indicate payment is for the Takings Conference.)
S. At- The -Door ($50 additional)
39900 Balentine Drive Newark, CA 94560
Hilt ®n Phone (510) 490 -8390 Fax (510) 651 -7828
Reservations
Name Address Newark /Fremont www.hilton.com or 1 800 HILTONS
HANEY, DOUGLAS Room 5022/D2E
13828 SMOKEY RIDGE DR Arrival Date 11/05/083:42PM
Departure Date 11/08/08
CARMEL, IN 46033 -9101
US Adult/Child 2/0
Room Rate 161.00
RATE PLAN L -AA
HH# 864254159 GOLD
AL: NW #061240012
BONUS AL: CAR:
CONFIRMATION NUMBER: 3333542892
11/08/08 PAGE 1
DATE REFERENCE DESCRIPTION AMOUNT
11/05/08 1408015 GUEST ROOM $161.00
11/05/08 1408015 RM CITY TAX $16.10 H_
11/06/08 1408868 GUEST ROOM $161.00
11/06/08 1408868 RM CITY TAX $16.10
11/07/08 1409474 GUEST ROOM $152.00
11/07/08 1409474 RM CITY TAX $15.20
WILL BE SETTLED TO $521.40
EFFECTIVE BALANCE OF $0.00
EXPENSE REPORT SUMMARY
11/05/08 1 i /6/2008 1,iL7J2008 STAY TOTAL
ROOM &TAX $177 10 $177 10 $167 20 $521;40'
DAILY T TAL $177.10 $177.10 $167.20 $521:'40
You have ea ed approximately 5925 HHonors points and approximately 474 iles with Northwest
Airlines for th s stay. To check your earnings for this stay or any other stay at a iy of more than 3, 000
Hi
Thank you fo choosing Hilton! Please visit us at hilton.com to view our best av 3ilable Net Direct rates,
plan a specia vacation getaway or select a convenient location for your next bu siness trip.
DATE OF CHARGE FOLIO NO. /CHECK NO.
C h ec k-Out h -Out' 330818 A
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 the Front Desk 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 0.00
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.
nwa.com Manage My Reservation New Confirmed Itinerary Page 1 of 1 1
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Thank you for exchanging your ticket(s) on nwa.com
Your new flights have been confirmed and the E- Ticket(s) are being processed. A Trip Summary Receipt will
be sent to the e-mail address you provided.
Print this page for your records
Confirmation Number Passenger Name(s) E- Ticket Number(s)
31_79PW HANEY /DOUGLAS 0122168650880 -881
New Itinerary
Class Of
Date Flight Depart Arrive Service
Nov. 5, 2008, NW 0803 Indianapolis (IND) Mpls /St. Paul (MSP) Economy (K)
Wednesday (Non -Stop) 9:00 a.m. 9:55 a.m.
Nov. 5, 2008, NW 0221 Mpls /St. Paul (MSP) San Francisco (SFO) Economy (K)
Wednesday (Non -Stop) 11:45 a.m. 1:49 p.m.
Nov. 8, 2008, NW 0342 San Franc FO) Detroit (DTW)
isco (S Economy (K)
Saturday i (Non -Stop) 12:40 p.m. 8:19 p.m.
Nov. 8, 2008, I NW 0237 Detroit (DTW) Indianapolis (IND) Economy (K)
Saturday (Non -Stop) 9:15 p.m. 10:30 p.m.
I
Total cost to exchange your E- Ticket(s), including taxes: 197.50 USD
Description Fare Amount Fare Difference Change Fee Total Cost Difference
E- Ticket Number 273.50 USD
0122168650880 -881
New Itinerary 321.00 USD 47.50 USD 150.00 USD 197.50 USD
Total 47.50 USD 150.00 USD 197.50 USD
Click 'View Reservation'to review your new itinerary, add or modify frequent flyer information, seats, and any
special requests.
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7c 0 INDIANA RETAIL TAX EXEMPT PAGE
i ty Sri C ®I' mel CERTIFICATE NO. 003120155 002 0 lVS1,lr, 1i PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
xoz
35- 60000972 2( v
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
l ,ib 09
VENDOR v SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
A41C
s•
Send Invoice To:
A00 g'
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT_ AMOUNT
PAYMENT 1 l/ a�9 $q (e
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.
lr i A ''r``''
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 'f
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 19 A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
lye
VOUCHER WARRANT NO.___.___..,..__...__
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPARIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
-xt I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
SP materials or services itemized thereon for
which charge is made were ordered and`
received
20��
ture
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
4� xtC
rQr L Rsyp
CITY OF CARMEL Expense Report (required for all travel expenses)
NDIANp
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 11/09/08 11:44 AM AM
DEPARTMENT: Law Department RETURN DATE: 11/12/08 TIME: 11:33,AM AM
Y
REASON FOR TRAVEL: IMLA Employment Law Seminar DESTINATION CITY: Dallas, Texas
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
Nov. 9
12, 2008 $331.00 $313.28 $82.00 $437.31 $260.00 $1,423.59
$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 1 $331.001 $313.281 $0.00 $82.00 $437.311 $0.00 $0.001 $0.001 $0.00 $260.00 $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 12/12/2008 Pagel
Confirmation Page 1 of 2
Bass, Elaine A
From: Trina Shropshire Paschal [Trina @imla.org]
Sent: Friday, December 12, 2008 7:20 PM
To: Bass, Elaine A
Cc: Mary Vlach
Subject: FW: Purchase Confirmation No. 2970150 (Mr. Douglas C. Haney, Esq.)
Hi Elaine,
There wasn't a fee for the speakers of the Employment Law Seminar in Dallas. Trina
Trina S. Paschal
Associate Director for Events
International Municipal Lawyers Association
7910 Woodmont Avenue, Suite 1440
Bethesda, MD 20814
(P) 202.466.5424 x 7102
(F) 202.785.0152
Future IMLA Sponsored Events:
Code Enforcement Program, January 18 -20, 2009
Construction Law Program, March 1 -3, 2009
IMLA's Mid -Year Seminar, Washington, DC: April 19 -21, 2009
1MLA's 74th Annual Conference, Miami, FI :October 18 -21, 2009
From: trina @imla.org [mailto:trina @imla.org]
Sent: Tuesday, October 28, 2008 5:50 PM
To: dhaney @carmel.in.us
Cc: Trina Shropshire Paschal
Subject: Purchase Confirmation No. 2970150 (Mr. Douglas C. Haney, Esq.)
Dear Mr. Douglas C. Haney, Esq.,
THANK YOU. This is your confirmation /invoice and receipt for your purchase. For your records, here is a summary of your purchase from The
International Municipal Lawyers Association. Please contact Rhonda, Mary or Trina directly if you have a question ref. paper sales,
membership or events. RHONDA JACKSON: PAPER SALES GENERAL FINANCE INFORMATION Jackson @imla.org; TRINA SHROPSHIRE:
EVENTS trina @imla.org; MARY VLACH: MEMBERSHIP mvlach @imla.org. Forward Check Payments to: International Municipal Lawyers
Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814
Your confirmation number is: 2970150 Please keep this number for any references.
Shopping Cart Items Amount Quant To
Employment Law Meeting 2008
Main Registration Badge Name: Douglas $0.00 1 $0.00
Event
Subtotal $0.00
Taxes $0.00
Shipping $0.00
Invoice Total $0.00
Grand Total $0.00
Payment $0.00
12/15/2008
r
Northwest Airlines nwa.com Travel Center Schedule Change Advisory Page 1 of 1
Haney, Douglas C
From: My_NWA_Info @nwa.com
Sent: Sunday, September 14, 2008 12:03 PM
To: DTECK31 @EARTHLINK.NET
Subject: Northwest Airlines Schedule Change for Trip 09NOV #30Y8VV
.7,
'nwa. y
Check in within 24 hours of your flight.
Schedule Change Advisory
Dear Douglas Haney:
A schedule change for your itinerary departing on November 9 has occurred. Your new flight schedule
follows:
Flight: NW 0497
From: Indianapolis Int'l, IN
To: Minneapolis /St. Paul- Int'I, MN
Departure Time: November 9, 11:44 am
Arrival Time: November 9, 12:36 pm
Flight: NW 1908
From: Minneapolis /St. Paul Int'l, MN
To: Dallas /Fort Worth Int'l, TX
Departure Time: November 9, 2:20 pm
Arrival Time: November 9, 4:53 pm
Flight: NW 2265
From: Dallas /Fort Worth- Int'I, TX
To: Memphis Int'l, TN
Departure Time: November 12, 11:33 am
Arrival Time: November 12, 1:05 pm
Flight: NW 2254
From: Memphis Int'l, TN
To: Indianapolis Int'l, IN
Departure Time: November 12, 2:20 pm
Arrival Time: November 12, 4:55 pm
Confirmation number: 30Y8VV
We apologize for any inconvenience this may have caused.
Use View Change Reservations on nwa.com before or during your trip to:
Request or change seats for each flight on your trip.
Update frequent flyer information in your reservation.
View special reservation requests for this itinerary.
Make changes to any flight in this itinerary.
This is a service message from Northwest Airlines, Department A6810, 2700 Lone Oak Parkway, St. Paul,
MN 55121. To update your contact information and sign up for check -in and flight status alerts, please visit My_
NWA Info on nwa.com.
d a:.i kr`r ;tit.. t -rsu q. i.2 ::K ...:5. 2N;•C _^..'r> t.: v+.ah d._:,,'.; fii f'K. r...,
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Northwest Airlines 2007
9/19/2008
4099 Valley View Lane Dallas, TX 75244
D O U B L E T R E E` Phone (972) 385 -9000 Fax (972) 788-1174
HOTEL Reservations
Name Address www.doubletree.com
DALLAS NEA0. THE GALLERIA
HANEY, DOUGLAS Room 935/NK1E
13828 SMOKEY RIDGE DR Arrival Date 11/09/085:16PM
CARMEL, IN 460339101 Departure Date 11/12/08
US Adult /Child 2/0
Room Rate $129.00
RATE PLAN C -IML
HH# 864254159 GOLD
AL: NW #061240012
BONUS AL: CAR:
Confirmation: 88241980
11/12/08 PAGE 1
DATE REFERENCE DESCRIP'T'ION AMOUNT
11/09/08 1760340 GUEST ROOM $129.00
11/09/08 1760340 STATE TAX $7.74
11/09/08 1760340 CITY TAX $9.03
11/10/08 1761463 GUEST ROOM $129.00
11/10/08 1761463 STATE TAX $7.74
11/10/08 1761463 CITY TAX $9.03
11/11/08 1762746 GUEST ROOM $129.00
11/11/08 1762746 STATE TAX $7.74
11/11/08 1762746 CITY TAX $9.03
WILL BE'`'SETTLED TO $437.31
EFFECTIVE BALANCE OF $0.00
N.&
Hilton HHono s(R) stays are posted within 72 hours of checkout. To check you earnings for this or
any other sta at more than 3,000 Hilton Family hotels worldwide, please visit kliltonHHonors.com.
You may be aving, but you don't have to say goodbye. For information, resen or a
subscription t our monthly Doubletree (R) Items e- newsletter with news and o ers, just visit
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DATE OF CHARGE FOLIO NOJCHECK NO.
EXPRESS CHECK -OUT
Good ,Jorning We hope you enjoyed your stay. With Express Check -Out AUTHORIZATION 23148b 'KITIAL
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
evening, PURCHASES SERVICES
For ally charges after your account Was prepared, you may:
pay at the time of purchase. TAXES
charge purchases to your account, then stop by the Front Desk for an
0
updated statement.
or request an updated statement be mailed to you within two business days. TIPS MISC.
Simply call the Front Desk from your room and tell us when you are ready to
depart. Your account will be automatically checked out and you may use this
'1'O'fAL AYIOUNT
statement as your receipt. Feel free to leave your key(s) in the room.
Please cull the Front Desk if yon wish to extend your stay or if you have any
questions about your account.
PAYMENT DUG UPON REICE111'f 1.5% PGR DIONTH INTEREST CHARGE WILL ]it, API'LIIiD TO AI., PAST DUL INVOICES.
INDIANA RETAIL TAX EXEMPT PAGE
C ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 1 /61 l
35- 60000972
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. t VENDOR NO. DESCRIPTION
VENDOR SHIP
t TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
f
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
:w
a w
9?
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
0 r' PAYMENT
r 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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY `��r�-
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE i .t� t__.P..f.IILG.�.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. t
9.,
CLERK TREASURER
DOCUMENT CONTROL NO.
S AP. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.. WARRANT NO..__
ALLOWED 20
IN THE SUM OF
OWACCOUNT OF APPF�OPRIATION FOR
A.l�0
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
IXPfi'�X I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
Z) materials or services itemized thereon for
which charge is made were ordered and*
received except
i
20
gnature
Title
I
I
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
oN OF CAg4,
nQ pRT \F./( y v
CITY OF CARMEL Expense Report (required for all travel expenses)
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 09/14/08 9:15 a.m. AM
DEPARTMENT: Law Department RETURN DATE: 09/18/08 TIME: 1:35 p.m. PM
REASON FOR TRAVEL: IMLA Annual Conference DESTINATION CITY: Las Vegas, NV
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 9 Breakfast Lunch Dinner Snacks Per Diem
Sept. 14
18, 2008 $465.50 $56.00 $80.00 $645.96 $300.00 $1,547.46
$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
vb $0.00
$0.00
0.00
Total $465.50 $0.00 $56.00 $80.00 $645.96 $0.00 $0.00 $0.001 $0.00 $300.001 $0.00
HIMEM\
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: eq
City of Carmel Form E Revision Date 12/12/2008 Page 1
Confirmation Pagel of 2
Bass, Elaine A
From: Trina Shropshire Paschal [Trina @imla.org]
Sent: Friday, December 12, 2008 7:18 PM
To: Bass, Elaine A
Cc: Mary Vlach
Subject: FW: Purchase Confirmation No. 2360760 (Mr. Douglas C. Haney, Esq.)
Hi Elaine,
Below is the invoice for the Annual Conference, please note there was no charge for the
Employment Law Seminar, invoice to follow. Please let me know if further information is
needed. Trina
Trina S. Paschal
Associate Director for Events
International Municipal Lawyers Association
7910 Woodmont Avenue, Suite 1440
Bethesda, MD 20814
(P) 202.466.5424 x 7102
(F) 202.785.0152
Future IMLA Sponsored Events:
Code Enforcement Program, January 18 -20, 2009.
Construction Law Program, March 1 -3, 2009
IMLA's Mid -Year Seminar, Washington, DC: April 19 -21, 2009
IMLA's 74th Annual Conference, Miami, FI :October 18 -21, 2009
From: tina @imla.org [mailto:trina @imla.org]
Sent: Friday, August 22, 2008 3:19 PM
To: dhaney @carmel.in.us
Cc: Trina Shropshire Paschal
Subject: Purchase Confirmation No. 2360760 (Mr. Douglas C. Haney, Esq.)
Dear Mr. Douglas C. Haney, Esq.,
THANK YOU. This is your confirmation /invoice and receipt for your purchase. For your records, here is a summary of your purchase from The
International Municipal Lawyers Association. Please contact Mary or Trina directly if you have a question re membership or events. TRINA
SHROPSHIRE: EVENTS trina @imla.org MARY VLACH: MEMBERSHIP mvlach @imla.org Forward Check Payments to: International Municipal
Lawyers Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814
Your confirmation number is: 2360760 Please keep this number for any references.
Shopping Cart Items Amount Quantity Tota
2008 Annual Conference
Main Registration Badge Name: Douglas $350.00 1 $350.00
Event
Subtotal $350.00
Taxes $0.00
Shipping $0.00
Invoice Total $350.00
Grand Total $350.00
12/15/2008
Confirmation Page 2 of 2
Payment $0.00
Balance $350.00
Shipping Billing Information
Billing Address:
Douglas C. Haney
One Civic Square
Carmel IN 46032
United States
(317) 571-2472
Payment Information
Payment Amount: $0.00
Payment Method: Bill Me
12/15/2008
Page 1 of 1
0
09/18/08
11:33:13
CI: LVFDGARCP
o CO: LVFDJASPEC
DOUGLAS HANEY Wing /Room 6134
49 HAWTHORNE DR No Party 2
Fol ID 397044142659
CARMEL IN46033 -1906 Page 1 09/18/08 11:32AM
Arrival 09/14/08
Departure 09/18/08
Bill code
Group HVHAAA
Thank you for staying with us
DATE REFERENCE DESCRIPTION CHARGES CREDITS BALANCE
09/14/08 397049001695 ROOM CHARGE 6134 148.16
TAX2 13.33 161.49
09/15/08 397059001738 ROOM CHARGE 6134 148.16
TAX2 13.33 322.98
09/16/08 397064254822 HOSPITALITY NET PAY TV 14.99 337.97
6134'00:29 PPV1 2255
09/16/08 397069001975 ROOM CHARGE 6134 148.16
TAX2 13.33 499.46
09/17/08 397079001985 ROOM CHARGE 6134 148.16
TAX2 13.33 660.95
09/18/08 397084309017 FRONT DESK 660.95
*
Balance Due
1O7
Thank you for staying at the new Las Vegas Hilton! Why wait to plan your next
trip to Vegas? Log on to www.lvhilton.com or call 800 732 -7117 today to
reserve a room at the most affordable luxury in Las Vegas.
file:HCADocuments and Settings \dhaney\Local SettingsUemporary Internet Files \OLKB\f... 9/19/2008
Northwest Airlines nwa.com Travel Center Page 1 of 1
C nwaxorn 8 Send to Printer
Reservation Details *N9JZL9*
Below are the flight and E- Ticket details for your confirmed reservation.
NWA Confirmation Number: N9JZL9
Passenger Name E- Ticket Number Frequent Flyer Number
HANEY /DOUGLASC 0122163928604 NW061240012 Silver Elite
The following flights are confirmed: 46 days until departure
Date: Sunday, September 14 Flight: NW 1543
Departs: Indianapolis- Int'I, IN (IND) at 9:15AM
Arrives: Minneapolis /St. Paul- Int'I, MN (MSP) at 10:07AM
Class of Service: Economy Class (M) Seat: 06 -D Aisle
Flight Duration: 1 hour 52 minutes Approximate Miles: 502
Meal Service: None Aircraft: Airbus A320
Note: Flight Status posted day before departure
Date: Sunday, September 14 Flight: NW 777
Departs: Minneapolis /St. Paul- Int'I, MN (MSP) at 11:35AM
Arrives: Las Vegas Mccarran Int'I, NV (LAS) at 1:01 PM
Class of Service: Economy Class (M) Seat: 18 -D Aisle
Flight Duration: 3 hours 26 minutes Approximate Miles: 1,299
Meal Service: Snacks Aircraft: Boeing 757 -200
Note: Flight Status posted day before departure
Date: Thursday, September 18 Flight: NW 298
Departs: Las Vegas Mccarran Int'I, NV (LAS) at 1:35PM
Arrives: Indianapolis Int'l, IN (IND) at 8:19PM
Class of Service: Economy Class (L) Seat: 08 -C Aisle
Flight Duration: 3 hours 44 minutes Approximate Miles: 1,588
Meal Service: Snacks Aircraft: Airbus A319
Note: Flight Status posted day before departure
Note: 60 Minute check -in required in Las Vegas
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.
https: /www.nwa.com/egi- bin/view_res. pro? param= 865126B79928AE20A932D52398679 7/30/2008
City. INDIANA RETAIL TAX EXEMPT PAGE
f rme� CERTIFICATE NO. 003120155 002 0
lvs PURCHASE ORDER NUMBER
b FEDERAL EXCISE TAX EXEMPT
�uf 35- 60000972 /?M7
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
SHIP
TO
VENDOR
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
/',�gcl G iC� PAYMENT A
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
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. t
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. e r
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
..f.,I/;�.1.
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
J 1 CLERK TREASURER
DOCUMENT CONTROL NO A.P7/. COPY -SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER VVARRANTND`_____
ALLOWED 20
|N THE SUM DF$
DN A&OUNTOFAPPROPR|*i|ON FOR
Board Members
PO# or 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 ia made were ordered and
received except
ature
Titlo
Cost distribution ledger classification if
uaon paid motor vehicle highway fund
4` OF CAR,HF
110119".11F r
CITY OF CARN9EL Expense Report (required for all travel expenses)
V Y
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 12/04/08 TIME: 7:00 a.m.
DEPARTMENT: Law Department RETURN DATE: 12/07/08 TIME: 2:35 p.m.J
REASON FOR TRAVEL: ALI -ABA Seminar DESTINATION CITY: Washington, DC
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
Dec. 4
thru Dec.
7, 2008 $302.00 $13.50 $64.00 $584.28 $260.00 $1,223.78
$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 $302.00 $0.00 $13.50 $64.00 $584.28 $0.001 $0.001 $0.00 $0.00 $260.00 $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 12/15/2008 Page 1
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that while
on City business December 3 6, 2008, attending ALI -ABA's "Advanced Employment Law and
Litigation" seminar in Washington, D.C., I expended Thirteen Dollars and Fifty Cents ($13.50) of my own
monies for subway transportation for which I need to be reimbursed.
Dated this day of December, 2008.
D oug as C. Haney
Subscribed and sworn to before me, the undersigned Notary Public, this S' day of
December, 2008.
c
C
A. Elaine Bass, NOTARY PUBLIC
Resident of Marion County, Indiana
My Commission Expires:
October 23, 2016
[&—word :z\shwed�ffidavits\affadivir subway seminar.dm: 12 /15/081
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Passengers: HANEY /DOUGLAS.0
I
The following flights are con
Date: Thursday, December 4 Flight: NW 2192
Departs: Indianapolis Int'l, IN (IND) at T00AM
Arrives: Washington- Reagan National, DC (DCA) at 8:45AM
Class of Service: Economy Class (T) Seat: not assigned
Flight Duration: 1 hour 45 minutes Approximate Miles: 487
Meal Service: None Aircraft: Canadair Regional JetC.RJ
Note: Flight Status posted day before departure
Note: Operated by PINNACLE AIRLINES /NWA AIRLINK
Note: Check in with Northwest Airlines
Weather forecast for Was Reagan Plan y ouur trip to Washington IR n National,
National, DC (DCA DC (DCA)
Make a reservation in Washington- Reagan
National, DC (DCA)
Date: Sunday, December 7 Flight: NW 2189
Departs: Washington- Reagan National, DC (DCA) at 2:35PM
Arrives: Indianapolis- Int'I, IN (IND) at 4:30PM
Class of Service: Economy Class (T) Seat: 03 -C Aisle
Flight Duration: 1 hour 55 minutes Approximate Miles: 487
Meal Service: None Aircraft: Canadair Regional Jet CRJ
Note: Flight Status posted day before departure
Note: Operated by PINNACLE AIRLINES /NWA AIRLINK
Note: Check in with Northwest Airlines
Note: Departs from Terminal A
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1001 16th Street Washington, DC 20036
Capital Hilton Phone (202) 393 -1000 Fax (202) 639 -5784
Reservations
Name Address www.hillon.com or 1 800 HILTONS
HANEY, DOUGLAS Room 786/K1D
49 HAWTHORNE DR Arrival Date 12/4/2008 9:16:OOAM
Departure Date 12/7/2008
CARMEL, IN 460331906 Adult/Child 1/0
US Room Rate 170.10
RATE PLAN L -AA
HH# 864254159 DIAMOND
AL NW #061240012
BONUS AL CAR
Confirmation Number: 3316870031
12/7/2008 PAGE 1
DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE
12/4/2008 GUEST ROOM EAME 4017321 $170.10
12/4/2008 ROOM TAX EAME 4017321 $24.66
12/5/2008 GUEST ROOM EAME 4018637 $170.10
121512008 ROOM TAX EAME 4018637 $24.66
12/6/2008 GUEST ROOM EAME 4019448 $170.10
12/6/2008 ROOM TAX EAME 4019448 $24.66
WILL BE SETTLED TO $584.28
EFFECTIVE BALANCE OF $0.00
Hilton HHonors(R) stays e re posted within 72 hours of checkout. To ch6 ck
your earnings for this or aj 7y other stay a t more thar 3,000 Hilton Family
hotels worldwide, please t isit HiltonHHo ors.com.
Thank you for choosing H ton! Book yoL r next stay at hilton. corn and to <e
advantage of our Internet- my Advance urchase I ates and limited -tim
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DATE OF CHARGE FOLIO Nod HECK NO,
597240 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 0
pay at the time of purchase.
i 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.
C
Capital Hilton
Dear Capital Hilton Guest:
It has been a pleasure serving you and we hope you enjoyed your stay.
Due to the especially large number of departures expected this morning
December 07, 2008 we would lil�e 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 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 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.
1001 16th Street, NW, Washington, DC 20036 -5701
Tel: 202 393 1000 Fax: 202 639 5784
Reservations: -hilton.com or 1- 800- 1111,TONS
s. cr*.: w•:.:. �rc ,..:t;....',....�+i., —s, •a,:.:'.,:.a.:_�.citw.. n.,:. tir. +:�au�r,.;?.'.— *,w..:;+.,._k4ay ,m.:,;w,e 2:. a.. s.;__. r�', a: 4. es. eJ.::,: ka. x4. ia. u-:. l v- nav- :.....e..,,:,.„
Page 2 of 2
COURSE REGISTRATION CONFIRMATION CP024
Billing ID: 181343
Attendee ID: 181343
PO Number: 18266
Douglas C. Haney
City of Carmel, Indiana
1 Civic Sq
Carmel, IN 46032 -2584
You are registered for the following:
Program:
Advanced Employment Law and Litigation
12/4/2008 December 6, 2008
Registration Fee: 936.75
Payment: .00
Balance Due: 936.75
PLEASE REMIT ANY BALANCE DUE WITH A COPY OF THIS LETTER TO:
ALIABA
ATTN: Accounting
4025 Chestnut Street
Philadelphia, PA 19104
IF YOU ARE REGISTERED BUT CANNOT ATTEND IN PERSON:
1) Consider transferring to a webcast registration and /or taking the online video or audio made
available to all registrants 4 -6 weeks after most ALI -ABA courses. Most states allow you to earn
participatory or self -study CLE credit through these internet formats. PDF versions of study materials are
provided with these options.
2) Or apply your tuition to one of the following:
a. DVD or mp3 CD -ROM (includes the study materials in PDF format that can be copied to
your computer or printed);
b. or another ALI -ABA course or product.
3) Or receive a refund less a $50 cancellation fee when you mail, fax (215- 243 1664), or e-mail
registrar@ali- aba.org a request and it is received at least two business days before the course.
Registrants who do not provide notice and do not attend can receive access to the archive online and the
study materials upon request.
8/18/2008
�l
/4 Lp
I
INDIANA RETAIL TAX EXEMPT PAGE
Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
Y JJJIII
t /W 1 7 FEDERAL EXCISE TAX EXEMPT
"J 35- 60000972
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 C SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
r o
f 0
17 r
A%5
.p s
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT �,'t 3. ,79
r 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 1 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
SHIPPING LABELS. �rq 011t1pl .r THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE •'.f t e o
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 1
CLERK- TREASURER
DOCUMENT CONTROL NO. A� COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
O ACCOUNT OF APP PRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
r I hereby certify that the attached invoice(s), or
j a h
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
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Signature
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Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986)
MILEAGE CLAIM
d TO 4-0'�
4 130
(GOVERNMENTAL UNIT)
C/ ON ACCOUNT OF APPROPRIATION NO. J00 FOR
(OFFICE, HOARD, DEPAR NT OR INSTITUTION)
DATE FROM TO SREAD NGET +R
AUTO MILEAGE
MILES
"ta POINT POINT START FINISH NATURE OF BUSINESS TRAVELED
PER MILE
3d) o o
o S o 0 q3
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m aze
a s c -Z
d
3
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3 oSD X13 C
O 3 3
AUTO LICENSE NO. TOTALS
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 a 241- A X—AJ 1 r l'r O�O
Claim No. Warrant No. I have examined the within claim and hereby
IN FAVOR OF certify as follows:
That it is in proper form.
Oki C That it is duly authenticated as required
by law
That it is based upon statutory authority
61D That it is apparently I correct
(J 1 incorrect
Disbursing Officer
On Account of Appropriation No. for
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L] CITY OF CARMEL Expense Report (required for all travel expenses)
/NDIANP
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 10/13/08 J oo pol
DEPARTMENT: Law Department RETURN DATE: 10/14/08 TIME:
REASON FOR TRAVEL: IACT Annual Conference DESTINATION CITY: South Bend, 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
October
13 14,
2008 $145.77 $100.00 $245.77
$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 $145.77 $0.00 $0.00 $0.00 $0.00 $100.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy a nd are within my department's appropriated budget.
A 6alfPrr n Date 12/15/;@@ n zt�4 Page 1
52769 US 3" NORTH
SOUTH BEND, IN 46637 u S A
0 TELEPHONE 5742779373 FAX 5742430128
official sponsor U.S. Olympic Team
HANEY, DOUGLAS 336 /KXTY
13828 SMOKEY RIDGE DR name room number: 10/13/0811:18PM
address arrival date: 10/14/08
CARMEL, IN 46033 departure date:
US adult/child: 1109.00
room rate:
If the debit/credit card you are using for check -in is attached to a bank or checking account, a hold will RATE PLAN S -AAA
be placed on the account for the full anticipated dollar amount to be owed to the hotel, including HH# 864254159 GOLD
estimated incidentals, through your date of check -out and such funds will not be released for 72 business AL: NW #061240012
hours from the date of checkout or longer at the discretion of your financial institution. BONUS AL: CAR:
CONFIRMATION NUMBER: 86777131 Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value unattended in
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 association fails to pay for any part or the full
10/14/08 PAGE 1 amount of these charges. I have requested weekday delivery of USA TODAY. If refused, a credit of $.75 will be applied to
my account. In the event of an emergency, 1, or someone in my party, require special evacuation due to a physical disability.
Please indicate yes by checking here: E]
signature:
10/13/08 745444 GUEST ROOM $129.00
10/13/08 745444 STATE TAX $9.03
10/13/08 745444 OCCUPANCY TAX $7.74
WILL BE SETTLED TO $145.77
EFFECTIVE BALANCE OF $0.00
EXPENSE REPORT SUMMARY
10/13/08 STAY TOTAL
ROOM TAX $145.77 $145.77
DAILY TOTAL $145.77 $145.77
Hilton HHonors(R) stays post to your account within 72 hours of checkout. To heck your earnings for
this stay or any other stay at any of more than 3, 000 Hilton Family hotels wort wide visit HiltonHH
Hit the road his weekend and take time out for you! Visit family, friends and JU t take time to play. Visit
hamptoninn. ,Iom or call 1- 800 HAMPTON.
for reservations call 1.800.hampton or visit us online at www.hampton.com
account no. date of charge folio /check no.
card member name authorization initial
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
Hilton H"onors
Ite Hilton in till thanks'.
Indiana Association of Cities Towns: Events Calendar Page 1 of 1
TACT Home Events Calendar
About TACT Home I Browse I At A Glanc I Clear Se arch Results I Back
Member Resources
Government Affairs TACT Annual Conference
Affiliate Groups Event Website I back
Corporate Partners Event Date:
News Room October 12th, 2008 at 12:00 AM Through October 15th, 2008 at 11:55 PM (3 days)
Site S Go Event Location:
Century Center
120 S Saint Joseph St
South Bend IN 46601
Location Details I Map]
Event Description
The IACT Annual Conference Exhibition is the state's largest gathering of municipal officials. The
conference features workshops, an exhibit hall, networking opportunities and more.
Indiana Ass9cari_on f Ci ies-and_
Station Place
200 South Meridian Street, Suite 340
Indianapolis, IN 46225
(317) 237 -6200
Site Design and Content 2007
e&qv Content Management System by eGov Strategies LLC
http /www.citiesandtowns.org /egov/ apps/ events /calendar.egov ?path =03 &search timeframe= 180 &yr 2008 &mo= 10 &dy= 13 12/15/2008
INDIANA RETAIL TAX EXEMPT PAGE
C i ty o I' 1i Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
E r L -7, 0 FEDERAL 35-60000972 EXEMPT
D 9 �y
ONE CIVIC SQUARE O T� 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
SHIP
VENDOR
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
bo
m
tea,
I
2 11 P "I
age
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEP ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT 1-*!
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
�n d';vF��,,(,, NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
i,,''f.%''� vU 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
SHIPPING LABELS. f 3
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE /vr l Y }lfi; ell
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. v Y r I
CLERK TREASURER tj
DOCUMENT CONTROL NO A. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.—Z-1-- WARRANT NO.._....-..___.
ALLOWED 20
IN THE SUM OF
71
P N COUNT OF APP'FiOPRIATION FOR
a
PO# or
Board Members
INVOICE NO. ACCT #(TITLE AMOUNT
rte-# I hereby certify that the attached invoice(s), or
,ry bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received
I
20 D S
ignature
Title
I
Cost distribution ledger classification if
claim laid motor vehicle highway fund
i
yea
w
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that while
attending Indiana State Bar Association's Annual Conference on October 2, 2008, in Indianapolis,
Indiana, on behalf of the City of Carmel, I personally expended Three Dollars ($3.00) for a parking meter
and for which I need to be reimbursed.
Dated this day of December, 2008.
ou aney
Subscribed and sworn to before me, the undersigned Notary Public, this day of December,
2008.
s
A. Elaine Bass, NOTARY PUBLIC
Resident of Marion County, Indiana
My Commission Expires:
October 23, 2016
eb: msword :z:\shmediaffdavits\affadivit iact parking met -doc: 12/15 /08]
)From: Ashley Higgins
Sen Tuesday, August 12, 2008 11:30 AM
To: 'Haney, Douglas C'
Cc: Stately Hayes
Subject: October 2 CLE Program Speaker Confirmation Deadlines
Hi Doug,
Thank you for agreeing to speak during our Annual Meeting, October 1 -3 at the Hyatt Regency located
at One South Capital Avenue in Indianapolis. Your presentation "Access to Public Records Act: The New
Paper Chase is scheduled for October 2 from 2:00- 3:00pm.
When you arrive at the Hyatt for your presentation, please check -in at the ISBA registration desk located
in the Cosmopolitan Ballroom Foyer on the 3rd floor. A member of the ISBA staff will be on -site to
assist you in setting up for your presentation or anything else you may need. Please plan to arrive 1 5-
20 minutes prior to your presentation.
Below are a few important upcoming deadlines related to your program:
AUDIO VISUAL NEEDS: All meeting rooms will be provided with a speakers table and a podium
microphone. If you will need any additional audio visual needs (LCD `projector, laptop, wireless
microphone, flipchart, etc.), please let me know by Monday, August 18
HANDOUTS: Your presentation has been approved for 1 hr CLE so we are required to provide handouts
to attendees. Please send an electronic copy of your handouts to me by Tuesday September 2
Program handouts can be a presentation outline or anything related to your topic. (Note: )f you are
doing a powerpoint presentation, this can suffice as your handout).
Attendees will receive a link to all program handouts prior to the annual meeting. In addition, a disc
containing the program handouts will be provided for attendees when they register on -site.
BIO: Speaker bios will be included with the program handouts given to attendees. Please email a copy
of your current bio to me by Tuesday, September 2
CLE CREDITS: Speakers will receive complimentary CLE for their presentation (if applicable). A CLE
credit form will be given to you when you check -in for your presentation. When your presentation is
over, simply fill out the form and return to the on -site ISBA registration desk. If you would like to
attend additional CLE programming or other events during the Annual Meeting, you may register for
9/3/2008
the meeting online at www.inbar.org
Thank you, again, for being apart of our Annual Meeting. Please let me know if you have any questions.
Ashley Higgins
Director of Meetings Events
Indiana State Bar Association
One Indiana Square, Suite 530
Indianapolis, IN 46204
Work: 31 7.639.5465
Cell: 31 7.640.5927
Fax: 317.266.2 588
ISBA ANNUAL MEETING
October 1 -3, Hyatt Regency Indianapolis
Registration brochure now available online at www.inbar.org!
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.
13828 Smokey Ridge Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12-16- eim urse Douglas G. Haney tor monies he personally
expended
per the attached aff
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. $3.00
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
nouglas C Haney
IN SUM OF
(4
13828 Smokey Ridge Drive
Carmel, Indiana 46033
$3.0
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 $3.00 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
i nature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund