200881 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
s ONE CIVIC SQUARE DOUGLAS HANEY
CARMEL, INDIANA 46032 CIO DEPT OF LAW CHECK AMOUNT: $673.86
C/O DEPT OF LAW CHECK NUMBER: 200881
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 673.86 EXTERNAL TRAINING TRA
OF Caq,�,'
fQTN [.t:RYiin f
CITY OF CARMEL Expense Report (required for all travel expenses)
/NDIPNR
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 07/24/11 TIME: 6:30 p.m.
DEPARTMENT: Law Department RETURN DATE: 07126/11 TIME: 6:30 p.m.
REASON FOR TRAVEL: PLI Legal Seminar DESTINATION CITY: Chicago, Illinois
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas /Tolls/ Meals
Date Lodging Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
July 24
July 26,
2011 1P0 0 $413.361 $160.00 $673.36
$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
0.0
Total $0.00 $0.00 $0.00 $1 .00 $413.36 $0.00 $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.(
AA
AW Rov s n date 8/15/2 f Page 1
Bass, Elaine A
From: John Jabar gjabar @pli.eduj
Sent: Tuesday, June 14, 2011 9:43 AM
To: Bass, Elaine A
Subject: PLI- Reg.
Elaine
Below shows that Mr. Haney has been registered, if you have any questions please feel free to give me a call. Mr. Haney
will personally be receiving emails from PLI for his registration as well.
Thanks,
John
Order Summary for Douglas Haney (873892)
Order Date:6/14/2011
Bi glas Ship To: °der Numb 1812951
Douglas Haney Douglas Haney
City of Carmel Dept of Law City of Carmel Dept of Law
1 Civic Sq 1 Civic Sq Business Location: NEWYORKCSR
Carmel IN 460322584 Carmel IN 460322584 Warehouse: 5WHSE
USA USA
Customer PO:
DESC
:r
LINE. ITEM ID RIPTION WL1B0 r °ORIG PRtIGE t QT1f ��EXT_ PRICES V„DISe' AMT NET PRICE 1 TAxi E
R x h9fvre3�__.s.'. -.s= .�a'�,.�tLi,vf.:..:�. .e '�k .�.rs.:
1 28555 Basics AF CHI 11 $1495.00 1 7 $1495.00 $1495.00 $0.00 $0.00
2 28598 Civil Practice CHI 11 $995.00 1 $995.00 $995.00 $0.00 $0.00
3 32491 Empl Inst 11 GC CHI $1595.00 1 $1595.00 $1595.00 $0.00 $0.00
Price:
3 'PAYMENT *METHOD�f� ACCTNUM AMOUN7��. r�AMOUNT USED.�.� $4085.00
Discount: $4085.00
Tax: $0.00
Sub Total: $0.00
Shipping: $0.00
Total: $0.00
Total Balance Due:$0.00
If you have questions, please call PLI's Customer Service Department at (800) 260 -4PLI or (212) 824 -5710 between the hours of 9:00 am
6:00 pm est. or e-mail infoppli.edu
1
511 North Columbus Drive Chicago, IL 60611
Phone (3 12) 836 -5900 Fax (3 12) 836 -5901
F, M n A s s v s u YT E s For reservations across the nation
Name Address n o T s r, s wxNA% or 1 -800- EMBASSY
HANEY, DOUGLAS Suite 1615 /KNGN
13828 SMOKEY RIDGE DR Arrival Date 7/24/2011 7:41:OOPM
CARMEL, IN 460339101 Departure Date 7/26/2011
US Adult /Child 210
Suite Rate $179.10
RATE PLAN S -AAA
HH# 864254159 GOLD
AL DL #061240012
BONUS AL CAR
Confirmation: 83530729
7/26/2011 PAGE 1
DATE REFERENCE DESCRIPTION AMOUNT
7/24/2011 4397297 VALET PARKING $49 $49.00
7/24/2011 4397673 GUEST ROOM $179.10
7/24/2011 4397673 STATE TAX $21.31
7/24/2011 4397673 CITY TAX $6.27
7/25/2011 4398442 VALET PARKING $49 $49.00
7/25/2011 4398807 GUEST ROOM $179.10
7/25/2011 4398807 STATE TAX $21.31
7/25/2011 4398807 CITY TAX $6.27
WILL BE SETTLED TO $511.36
EFFECTIVE BALANCE OF $0.00
Hilton HHono s(R) stays are posted within 72 hours of checkout. To 004 �1� 0 0 t Cftl-
any other sta at more than 3,000 Hilton Family hotels worldwide, p ease vial rlton onors.com.
Thank you fo staying with us. _Visit embassysuites. com for more information of hotel packages,
subscribe to d ur E- nnouncements newsletter, or plan your next stay at close to 200 destinations.
EXPRESS CHECK -OUT DATE OF CE LARGH FOLIO NO./CHECK NO.
Good Morning 1 We hope you enjoyed your stay. With Express Check -Out AuTttoRiznTloN TIAI-
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. PURCIWES SERVICES
For any 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
updated statement.
or request an updated statement be mailed to you within two business days. TIPS Misc.
Simply call the operator from your suite and tell us when you are ready to
depart. Your account wilt be automatically checked out and you may use this
TOTAL AMOUNT
statement as your receipt. Feel free to leave your kcy(s) in the suite. 0.00
Please call the operator if you with to extend your stay or if you have any
questions ahout your account.
Bass, Elaine A
From: John Jabar Ujabar @pli.edu]
Sent: Tuesday, June 14, 2011 9:43 AM
To: Bass, Elaine A
Subject: PLI- Reg.
Elaine
Below shows that Mr. Haney has been registered, if you have any questions please feel free to give me a call. Mr. Haney
will personally be receiving emails from PLI for his registration as well.
Thanks,
John
1 9
Order Summary for Douglas Haney (873092)
Order Date:6 /14/2011
Bill Doug Ship To: °der Numb 1812951
Douglas Haney Douglas Haney a
City of Carmel Dept of Law City of Carmel Dept of Law
1 Civic Sq 1 Civic Sq Business Location: NEWYORKCSR
Carmel IN 460322584 Carmel IN 460322584
USA USA Warehouse: SWHSE
Customer PO:
t �'ek�.; "*;:'rt `et 3 ''`S�'+€ �;,'"v.� i 't°� —r �s1c. -w� Aa se+na�?Rt'�' ru ""�'F ,.mac r� t :i s' 3. ��'S,t x" .r- :�r,�^r-� s,."'
LINE ITEM ID DESCRIPTION���; �W�I..lBO ORIG PRI�CE�, QTsY EXT PRIDE DISC AMT• NET�PRICE� ti TAX�AMT
1 28555 Basics AF CHI 11 $1495.00 1 $1495.00: $1495.00: $0.00: $0.00
2 28598 Civil Practice CHI 11 $995.00 1 $995.00 $995.00 $0.00 $0.00
3 32491 Empl Inst 11 GC CHI $1595.00 1 $1595.00 $1595.00 $0.00 $0.00
.."_+'fr -x. ce��". G v,'i`.,'" r e.eS 3'1rsa,YFJ $4085.00
Ck PAYMENT�METHOD ��ACCI 'NUM �AMOUNT�� USED Price:
i'���_.._'�� Discount: $4085.00
Tax: $0.00
Sub Total:
Shipping:
Total: $0.00
T Balance Due:$0.00
If you have questions, please call PLI's Customer Service Department at (800) 260 -4PLI or (212) 824 -5710 between the hours of 9.00 am
6:00 pm est. or e-mail into((5)pli.ecEu
1
INDIANA RETAIL. TAX EXEMPT PAGE
City of -C arme"l CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
'G 35-64000972 i
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
?URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR 1 _�7 SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
e
�t
All
J
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
A:lw //go PAYMENT �p
y A!P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
Z��yf,/ 1 (p w 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.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. j
CLERK TREASURER
DOCUMENT CONTROL No.27865 A.P.L. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER N4. WARRANT NO.___�_
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPR PRIATION FOR
,�a X00
1
Board Members
PO# or INVOICE NO. ACCT #{TITLE AMOUNT
I hereby certify that the attached invoice(s), or
G 7 3 d 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
l5' 20 l
Sig %e
Title
Cost, distribution ledgsr classification if
claim paid motor vehicle highway fund t
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