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Home My WebLink About202140 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1 ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $4,967.54 CARMEL, INDIANA 46032 C/O DEPT OF LAW C/O DEPT OF LAW CHECK NUMBER: 202140 CHECK DATE: 9/27/2011 DEPARTMENT ACCOUNT PO NU MBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 4,415. EXP- ENSZ 1180 4343002 112.89 HOTEL EXPENSE 1180 4343004 289.9 1180 4355300 148.92 ORGANIZATION MEMBER 4\t oa CAL? SQ 0.YNf:R, C E CITY OF CARMEL Expense Report (required for all travel expenses) xoi_K, EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 08/18/11 TIME: 7:36 p.m. DEPARTMENT: Law Department RETURN DATE: 08/19/11 TIME: 6:48 p.m. REASON FOR TRAVEL: ISBA Government Practice Seminar 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 8/18 -19/11 $106.47 $6.42 $112.89 $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 [7 Total 1 $0.00 $0.00 $0.00 $0.00 $106.47 $0.00 $0.00 $0.001 $0.001 $6.42 $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 Signat Date: Q U 7 zm City of Carmel Form ER06 Revision Date 8/29/2011 Page 1 Hilton �J� y� �n TT1 In 8910 Hatfield Drive Indianapolis, IN 46231 vv Phone (317) 856 -9100 Fax(317)856-7002 Indianapolis Airport Reservations: 1 877 STAY HGI or Name Address www.Indianapolisairport.HGI.com HANEY, DOUGLAS Room 407 /K1RZ 13828 SMOKEY RIDGE DR Arrival Date 8/18/2011 10:47:OOPM Departure Date 8/19/2011 CARMEL, IN 46033 -9101. Adult/Child 1/0 US Room Rate 91.00 RATE PLAN L -AA HH# 864254159 GOLD AL DL #6061240013 BONUS AL CAR Confirmation Number: 3429799010 8/1912011 PAGE 1 DATE DES RIPTI N ID REF CHARGES CREDITS BALANCE 8/18/2011 "PAVILLION PANTRY LINTR 279582 $6.42 P&vp 8/18/2011 GUEST ROOM MBENKER 279655 $91.00 8/18/2011 RM -STATE TAX MBENKER 279655 $6.37 8/1812011 HOTEL OCCUPANCY TAX MBENKER 279655 $9.10 WILL BE SETTLED TO $112.89 EFFECTIVE BALANCE OF $0.00 i Hilton HHonors(R)l stays e posted within 72 hour of checkout. To check your earnings for this or a y other stay more than 3,000 Hilton Famil hotels worldwide, lease visit HiltonHHo 7 ors. com. Hilton Garden Inn is opening locations a over the orld. Look for us in Canada, Costa Rica, Germ any, India, Itz ly, Mexico, Saudi Arabia, TurkE y, United Kingdom and throughout the US I, www.hgi. 3om �,(3 U DATE OF CHARGE FOLIO NO3CHECK NO. 84383 A Zip -O Check -Out' AUTHORIZATION INITIAL JL Good Morning'. We hope you enjoyed your stay. Please review this statement. It is a record of your charges as of late last PURCHASES SERVICFS evening. For any charges after your account was prepared, you may: TAXES 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. Feel free to leave your key(s) in the room. TOTAL AMOUNT Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. PAYMENT DUE UPON RECEIPT F Page 1 of 5 GOVERNMENT PRACTICE AND PROCEDURE LIVE Register Now August 19 2011 Indianapolis Tell a Friend Sample Chapter Co- Sponsored with the Government Practice Section of the ISBA Live s emina r 6.0 Total CLE Units, 1.0 of which may be applied toward Ethics Course N2: lA025 Course Level: Intermediate Item D C redi t Infor I Tuition I Faculty I D ates Locations Course Mate rials O Item Des cription Register Now batk to top Government Practice and Procedure August 19, 2011 Crowne Plaza Indianapolis Airport 2501 South High School Road Indianapolis 6 CLE 1 Ethics Credit Co- Sponsored with the Government Practice Section of the ISBA *Information on available overnight accommodations at the Crowne Plaza Indianapolis Airport is located immediately below the agenda. SECTION DISCOUNT! Not a Section member? Want to become a member of the Government Practice Section so you can receive the discount? Contact Maryann Williams at the ISBA by calling (317) 639 -5465 for information. Then, come back to this page and register for the program at the ISBA Government Practice Section Member price! AFTER THE PROGRAM The Government Practice Section invites you to come on out to Victory Field after the program for an evening of Indians baseball. For ticket information, please contact Maryann Williams of the ISBA at (317) 639 -5465. I 8:30 Registration Coffee 8:50 Welcome Course Objectives Douglas I C. Haney, Program Chair 9:00 Legislative Update Too Keller 9:30 What The Buzz: Social Media Issues Jan Michelsen 10:00 Public Finance Thomas A. Pitman 10:30 Coffee Break I ahnnt blank R/19/9.() 1 1 Page 2 of 5 10:45 Inte local Agreements Brion C: Bosma 11:15 Issues In Eminent Domain Alan S. Townsend 11:45 Electronic Discovery: The New Paper Chase Gary P. Price 12:15 Lunch (provided) 1:10 Break -Out Interest Session #1 (Select One) New Issues In Public School Law David R. Day Appellate Practice Pointers Bryan H. Babb Civil Discovery, Nuts Bolts Liberty L. Roberts 1:40 1:45 Room Transition Time 1:45 Break -Out Interest Session #2 (Select One) EEOC Investigations: The Agency Viewpoint —Jo Ann Farnsworth Public Personnel Law Scott Craig Public Bidding, Nuts Bolts —Barbara A. Duncombe 2:15 2:20 Room Transition Time 2:20 Break -Out Interest Session #3 (Select One) Drainage /Storm Water Issues Christine Crull Altman Construction Law Michael F. Drewry Public Records, Nuts Bolts Vlodo Vronjes 2:50 Refreshment Break 3:00 Issue In Immigration Law Thomas R. Ruge 3:30 Ethics Issues For The Public Sector Attorney Andrew 'P. Wirick 4:30 Final Announcements Adjournment Douglas C. Honey OVERNIGHT ACCOMMODATIONS: Reservations can be made by calling 317 244 -6861. Be sure to mention you are with the (CLEF group, for a discounted rate. The reservation ID is V67. Please try to make reservations by July 28, 2011 Reservations after this date will be accepted on a space and rate availability basis. 10 Credit Informati Register_Nq_7 back io top 6.0 Total CLE Units, 1.0 of which may be applied toward Ethics d Dat Locatio f Register Now,. bads to top shmit-hlnnk R/19/ ?.01 1 Page 3 of 5 Please note: Check -in begins 30 minutes prior to every event. Location Start Time End Time Crowne Plaza Indianapolis Airport, Course No. lA025 Conveniently located just off the 1 -465 beltway at the Sam Fri, 8:50A Fri, 4:30P Re Jones Expressway exit. Aug 19 2011 Aug 19 2011 aster Reg- 2501 S. Hig School Road, I ndianapolis, IN 46241 I O Tuition h back to top I ISBA Government Practice Section Member $202.00 L I SBA Members $237 i Non -ISBA Members $317.00 ISBA Member 0 -3 Years in Practice or ISB Pa r a legal M $192.00 i Non -IS Member 0 -3 Years in Practice or Non -ISBA Paralegal $237.00 O a culty Register Now back to top Douglas C. Haney Program Chair, City of Carmel, Carmel Too Keller Partner, Keller Macaluso LLC, Carmel Jan Michelsen Shareholder, Ogletree Deakins Nash Smoak Stewart, P.C., Indianapolis Thomas A. Pitman Partner, Barnes Thornburg LLP, Indianapolis Brian C. Bosma Partner, Kroger Gardis Regas, LLP, Indianapolis Alan S. Townsend Partner, Bose McKinney Evans LLP, Indianapolis Gary P. Price Director, Lewis Kappes, P.C., Indianapolis David R. Day Part ier, Church Church Hittle Antrim, Noblesville Bryan H. Babb Partner, Bose McKinney Evans LLP, Indianapolis Liberty L. Roberts Partner, Collier -Magar Roberts, P.C., Indianapolis Jo Ann Farnsworth Senior Trial Attorney, Equal Employment Opportunity Commission, Indianapolis Scott Craig Member, Cox Zwerner Gambill Sullivan, LLP, Terre Haute Barbara A. Duncombe Partner, Taft Stettinius Hollister LLP, Dayton, OH Christine Crull Altman Attorney at Law, Carmel Michael F. Drewry Partner, Drewry Simmons Vornehm, LLP, Indianapolis Vlado Vranjes Corporation Counsel, City of Elkhart, Elkhart Thomas R. Ruqe Partner, Lewis Kappes, P.C., Indianapolis Andrew P. Wirick Senior Partner, Hume Smith Geddes Green Simmons, LLP, Indianapolis O Course Materials R egister Now back to top.] i 2011 Government Practice Table -of- Contents (25 P ag es 58 KB) 't§ PowlerPoint- Alan -S- Townsend (9 Pages, 840 KB) ahrnit -hlank R/1919.n I I Page 4 of 5 'i PowerPoint- Brian -C -Bosma (6 Pages, 147 KB) j j Ti PowerPoint- Thom A- Pitman (25 Pages, 1 MB) r` ection- one Too Keller- Nathan Hutchings (18 Pages, 627 KB) C _i Secti -two- Jan Michelsen (28 Pages, 1 MB) I�-- I -t S ction- three- Thoma -A Pitman (16 Pages, 731 KB) i Sec f our Brian -C -B (97 Pages, 3 M t-i Se +tion- fi Ala =S- To wn se nd Sama nth a -G -Spiro (37 Pag 1 MB) i 'i Section -six- Gary-P -Price Pages, 2 MB) ti Sec tion- seven- David -R -D (7 Pa 164 KB) tl Section eight- Bry -H -Ba bb (8 P 465 KB) Section n Liberty -L- R (39 Pages, 1 M '?i Section-ten-Jo-Ann-Farnsworth (8 Pages, 195 KB) i 7 Section- eleven- Scott Craig- Traci -M- Lawson (10 Pages, 365 KB) k Section twelve- Barbara- A- Duncombe (43 Pages, 1 MB) °,"l Section thirteen Christine Crull- Altman (1 Pages, 355 KB) 'It Sec it on- fourteen- Michaei -F- Dr Andrew M (21 Pages, 1 MB) 7�Section- fifteen Vlado Vranjes- Amber -J- Bressler (47 Pages, 1 MB) Section- sixteen Tho R -Ruge (34 Pages 1 M B) Tt Secti sev Andrew- P- Wiirick- Beth Barnes (121 Pages, 7 MB) �i PowerPoint Vlado- Vranjes (11 Pages, 216 KB) I i ,_.i PowerPoint- Too Keller (8 Pages, 314 KB) �T, PowerPoint- Scott -Crai g 11 Pages, 682 KB !k Po Jan Michelsen (15 Pag 975 KB) j tl PowerPoint- Liberty -L- Rob 14 Pages, 278 KB) i 2011 Glo 12 Pages, 553 KB) J i j O Users who b t his Live Seminar also bought." i Res�ster. Now back to THE ESTATE PLANNER'S INDEX Publication An easy to use reference guide that is a must for any Indiana estate planner! Electronic Document SOCIAL SECURITY MAY 21, 2010 present ed live at May 2 1, 2010 A AVD LACED ELDER LAW 2011 LIVE August 25 -26 2011 Parkview Live Seminar Field in IFort Wayne PROGRAM I S NOW FULL ahcrut.:hlank R/19/2011 Page 5 of 5 Online Seminar PLANNING ZONING AN ICLEF ON DEMAND Seminar #0134124) Demo O l. P Date December 9, 2010 INDIANA LAW UPDATE 2011 LIVE September 13 -14 2011 Live Seminar Indianapolis Co- Sponsored with the IU School of Law Indianapolis Alumni Association i i I aboutNank 8/19/2011 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Douglas C. Haney Purchase Order No. 13828 Smokey Ridge Drive Terms Carmel, Indiana 46033 Date Due I Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8 -29 -11 Reimburse Douglas C. Haney for monies he personally $112.89 expended to chair the Indiana State Bar Association's bovernment Fractice And Procedure' Seminar held in anapolis, Indiana on August 19, 2011 per the attached Total $112.89 1 hereby certify that the att invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 13828 S Ridge Drive Carmel, Indiana 46033 $112.89 ON ACCOUNT OF APPROPRIATION FOR Department of Law 1180 430 -43002 External Training Travel Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1180 $112.89 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 20// i pture Title Cost distribution ledger classification if claim paid motor vehicle highway fund 4` x .4 of CAf `p xT�F'R, q CITY OF CARMEL Expense Report (required for all travel expenses) NDIPNp EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 07/27/11 6:38 a.m. DEPARTMENT: Law Department RETURN DATE: 08/01/11 TIME: 12:42 p.m. REASON FOR TRAVEL: ALI -ABA Employment Law Seminar DESTINATION CITY: Santa Fe, New Mexico 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 July 27 August 1, 2011 $394.50 $392.41 $35.00 $173.50 $600.32 1 $260.00 $1,855.73 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 1 1:2q 1,1 C 1 $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 $394.50 $392.41 $35.00 $173.50 $600.32 $0.00 $0.00 $0.00 $0.00 $260.00 $0.00 DIRECTOR'S STATEMENT: eb affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. ASPO a A%I* lffri 4 ER06 n Date 8/15/2M Page 1 ALI A�� Pro R eg istration American Law Institute— American Bar Association Continuing Leadership in i P Please register me for the following ALI -ABA Course of Study /Webcast /Telephone Seminar: r Live COURSE /Program Title "Current Developments in Employment Law: The Obama Years" CD o g Live Course Location LaFonda on the Plaza Sante Fe, New Mexico Live Course /Program No. I CT001 Date(s) July 28-30, 2011 Tuition 1 449.00 30 %less 434.70 Gov. Disc. Live WEBCAST (on your computer) Program Title Live Webcast Program No. Date(s) Tuition I would like to register for only, i segment(s) of this program: A B C D E F G H Please check the Webcast FAQs and Webcast Test Page for important information. L For group viewing of the live webcast, please contact groupregistrationpali- aba.orcl For the group registration form, click here C 8 Live TELEPHONE SEMINAR Program Title =Z L— Live Telephone Seminar Program No. Date(s) Tuition Registrant's Name Douglas C Haney (Carmel, Indiana City Att orney) Firm /Organization Ci of Ca rmel, I ndiana Street Address (no P.O. boxes) One Civic Square city Carmel State IN Zip +4 46032 Phone 3( 17 571 -2472 Fax (3 17 571 -2484 E -mail Address: (required for webcast and telephone seminar registrants) dhaney@carmel.in.gov i Your e-mail address is required for webcast registrations. All communications (instructions, confirmation, etc.) will be sent to the e-mail address you provide. In addition, your e -mail address will serve as your username for webcast log in and study materials download. If your Internet provider filters ii coming e-mail, please add ali- aba.org to your list of approved senders to ensure your receipt of future e- mails. Rays► e++x►s�accea�pag�cx�g+strat+ox� Purchase Order No. 27138 Attached Amount enclosed 1,014 130 Check made payable to ALI -ABA AMEX Mastercard Visa Discover Card No. Exp. Date Signature Name on card (ifdifferentthan registrant) How did you learn about thil program? Please check all that apply: E -mail promotion Printed publication 1WWeb search Colleague Advertisement of related course Facebook Twitter I Other Complete this form and send with payment to: ALI -ABA Customer Service Dept., 4025 Chestnut Street, Philadelphia, PA 19104 -3099. Registrations charged to credit cards may be faxed to (215) 243 -1664 or telephoned to (800) CLE -NEWS (253 -6397) or (215) 243 -1600. You may also register online for any ALI -ABA program. Go to www.aii- aba.org and navigate to the applicable course information page. 4025 Chestnut Street Philadelphia, Pit 19104-3099 (215) 24.3 -1600 1 x%-ww:ali- aba.org Haney, Douglas C I From: DeltaElectronicTicketReceipt @delta.com Sent: Saturday, June 04, 2011 11:41 PM To: Haney, Douglas C Subject: DOUGLAS C INDIANAPOLIS 27JUL11 D E LTA. a I (Scan this barcode at a Delta Self- Service Kiosk to access your Your Receipt and Itinerary reservation.) DOUGLAS C HANEY 13828 SMOKEY RIDGE DR CARMEL IN 46033 i i Thank you for choosing Delta. We encourage you to review this information before your trip. If you need to contact Delta or check on your flight information, go to delta.com call 800 221 -1212 or call the number on the back of your SkyMilese card. Now, managing your travel plans just got easier. You can exchange, reissue and refund electronic tickets at delta.com Take control and make changes to your itineraries at delta.com /itineraries Speed through the airport. C I eck -in online for Check in your flight. Flight Information DELTA CONFIRMATION GRCFFL TICKET 00623512136402 -41 Bkng Meals/ Seat/ Day Date Flight Status Class City Time Other Cabin Wed 27JUL DELTA 2320 OK U LV INDIANAPOLIS 638A 6C AR DETROIT 750A COACH Wed 27JUL DELTA 1650 OK U LV DETROIT 935A 12B AR MINNEAPOLIS/ 1035A COACH SPAUL Wed 27JUL DELTA 2115 OK U LV MINNEAPOLIS/ 1115A V 7D SPAUL COACH AR ALBUQUERQUE 1254P Mon 01AUG DELTA 1594 OK U LV ALBUQUERQUE 550A V 6C AR MINNEAPOLIS/ 924A COACH SPAUL Mon 01AUG DELTA 2106 OK U LV MINNEAPOLIS/ 1002A 6B SPAUL COACH AR INDIANAPOLIS 1242P Check your flight information online at delta.com or call the Delta Flightline at 800 325 -1999. I Key to Terms Arrival date different than departure date 1 See Seats on delta.com Baggage and check -in requirements vary by airport and airline, so please check with the operating carrier on your i Multi meals ticket. I I *S$ Multiple seats Please review Delta's check -in Requirements and baggage guidelines for details. AR Arrives I B Breakfast You must be checked in and at the gate at least 15 minutes before your scheduled departure time for travel inside I C Bagels /Beverages the United States. I D Dinner You must be checked in and at the gate at least 45 minutes before your scheduled departure time for international I F Food available for purchase travel. I L Lunch For tips on flying safely with laptops, cell phones, and other battery- powered devices, please visit I LV Departs http: /SafeTravel.dot.gov I M Movie I R Refreshments Complimentary Do you have comments about our service? Please email us to share them with us. I S Snack T Cold meal V Snacks for Sale I i I I I I I I Passenger Information DOUGLAS C HANEY SkyMiles Number: *013 Silver Medallion® Billing Details Receipt Information Fare Details: IND DL X /DTT DL X /MSP DL ABQ161.86UA07AONA DL X /MSP DL IND161.8 6UA07AONA USD323.72ENDIZP INDDTWMSPABQMSP XF IND4.5DTW4.5ABQ4.5MSP4.5 Fare: 323.72 USD Form of Payment Tax: 0. TX' Total: 394:50 USD NON— REF /$CHANGE FEE Note: When using certain vouchers to purchase tickets, remaining credits may not be refunded. Additional charges and /or credits may apply and are displayed in the sections below. The Medallion status listed reflects a customer's status at the time of ticketing, which may differ from the actual status at the time of flight departure. This ticket is non refundable u less issued at a fully refundable fare. Any change to your itinerary may require payment of a change fee and increased fare. Failure to appear for any flight without notice to Delta will result in cancellation of your remaining reservation. Detailed Tax Information Total Tax: 70.78 USD XF 18.00 ZP 18.50 AY 10.00 US 24.28 Ticketing Details 2 11,1 U11 ARPT 31 -JUL -2011 10:40 PM Charges No Unit Price /Unit Amount BC507615 TIME DISTANCE 1 Weeks 326.88 326.88 XTERRA UNLIMITED MILES /KM TIME DIST M /Kms 0.00 n SFAR DISCOUNT TIME DIST 11.00% 326.88 -35.96 re SFAR CUSTOMER FACILITY CHARGE 4.35 /DAY 5 Days 4.35 21.75 879XBL CONCESSION FEE 9.89 PCT 290.92 28.77 nce COLORADO NM LEASED VEHICLE SURCHARGE 5 Days 2.00 10.00 :n 715 LEASED GROSS RECEIPT @5.000 341.44 17.07 17060 SALES TAX @7.000 341.44 23.90 17775 terns Audit .d Club Number is 888836362 Total Charges USD 392.41 Payments AUTH: 027252 27 -JUL -2011 392.41 Payment 392.41 rvice Number 1- 800 468 -3334 lb rental credits will be posted within 24 hours Amount Due USD 0.00 Hilton 20 Buffalo Thunder Trail Santa Fe, NM 87506 Phone (505) 455 -5555 Fax (505) 455 -0200 Santa Fe Golf Resort Spa Reservations Name Address I at Buffalo Thunder www.hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 4206/K1B 13828 SMOKEY RIDGE DR Arrival Date 7/27/2011 3:54:OOPM Departure Date 7/31/2011 11:17:OOAM I CARMEL, IN 460339101 Adult/Child 2/0 US Room Rate 134.00 RATE PLAN L -AA G Z G HH# 864254159 GOLD AL: DL #061240012 BONUS AL: CAR: CONFIRMATION NUMBER: 3428321186 7/31/2011 PAGE 1 DATE DESCRIPTIONI I ID REF NO CHARGES CREDITS BALANCE 7/27/2011 9 JEW301200 LINTR 1060686 7/27/2011 INHIMEW LINTR 1060760 TheliiltonFarn4y 7/27/2011 GUEST ROOM JARWHITE 1061257 $134.00 7/27/2011 ROOM TAXES JARWHITE 1061257 $16.08 7/28/2011 GUEST ROOM KFR 1062550 $134.00 7/28/2011 ROOM TAXES KFR 1062550 $16.08 Hilton 7/29/2011 LINTR 1063252 7/29/2011 A LINTR 1063260 7/29/2011 GUEST ROOM JARWHITE 1065759 $134.00 coNRAv 7/29/2011 ROOM TAXES JARWHITE 1065759 $16.08 7/30/2011 =B0110M LINTR 10664971 Qum 7/3012011 GUEST ROOM JARWHITE 1067096 r, $134.00 7/30/2011 ROOM TAXES JARWHITE 1067096 ry $16.08 1� DOUILETREV 7/31/2011 SHIRE ERO S 3 1067643 $727.94 BALANCE..�� t. $0.00 You have earned appr ximately 8373 Hilton HH nors points and approximately 2007 Mi s with Delta it Lines to) this stay. Visit HHonors.corn to check your point bal nce from lays at any of the 3, 700 h Thank you for choosin Tilton! Book our next s ay at hilton. com an take Hilton advantage of our inter et -only Advan e Purcha Rates and limited- ime 3 F B. Garden ►nn special offers! 0J Hillnn Grand Vacations Club ACCOUNT NO. DATE OF CHARGE FOLIO NO. /CHECK NO. AX '8805 728/2011 194875 A tW HOMEWOOD SUrrFS —uwoo— CARD MEMBER NAME AUTHORIZATION INITIAL HANEY, DOUGLAS I 952754 ESTABLISHMENT NO. &LOCATION EsrnnLlsn'I usrrnr.Rlas �a TRANSmrr TO Cnxn nolnl[R rux PATMIN'r PURCHASES SERVICES DEBIT CARDS PRESENTED AT CHECK -IN ARE APPROVED FOR V FULL ROOM AND TAX PLUS AN ADDITIONAL $50 PER NIGHT. TAXES 'CJC7' ADDITIONAL FUNDS APPROVED ARE AUTOMATICALLY REFUNDED 3 -5 BUSINESS DAYS AFTER CHECK -OUT. TIPS MISC. Official Sponsor CARD MEMBER'S SIGNATURE X TOTAL AMOUNT MERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE. UPON RECEIPT INDIANA RETAIL TAX EXEMPT PAGE FCCI ®f C a rmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER I FEDERAL EXCISE TAX EXEMPT 35- 60000972 7 /Q ONE CIVIC SOUA RE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD O ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION �i� C SHIP VENDOR TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION i W/ Q A III 0 Send Invoice To: r PLEASE INVOICE IN DUPLICATE DEPARTMENT J ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT F_'5 ''3 N G A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT THE P.O. I 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. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL a SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAP IER 99, ACTS 1945 TITLE v I v v AND ACTS AMENDATORY THEREOF AND SUPPLEM THERETO. DOCUMENT CONTROL NO. 2 1 8 6 4 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 v IN THE SUM OF �5s3 ON AC OUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO, ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1 bill(s) is (are) true and correct and that the AIM materials or services itemized thereon for which charge is made were ordered and received except 20-// ig re Title Cost distribution ledger classification if claim paid motor vehicle highway fund f CITY OF CARMEL Expense Report (required for all travel expenses)' /NDIANp EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 09/09/11 10:03 a.m. DEPARTMENT: Law Department RETURN DATE: 09/14/11 TIME: 9:12 p.m. REASON FOR TRAVEL: IMLA's 76th Annual Conference DESTINATION CITY: Chicago, Illinois EXPENSES ARE FO R (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 Sept. 9 Sept. 14, X 2011 $15.57? $259.601 $1,924.86 $360.00 $2,560.03 j $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 V/ (c»-S $0.00 $0.00 49 1 $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 $15.571 $259.60 $1,924.86 $0.00 $0.001 $0.00 $0.001 $360.00 $0.00 DIRECTOR'S STATEMENT: I hereby aff that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. �k�P6i (6AQ *WI'rr F- #-R-- +L Rt;v' smon Date 9/22/2PWe A j 6 FJ Page 1 STATE OF INDIANA SS: COUNTY OF HAMILTON AFFIDAVIT 1, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that I while attending the Internatli onal Municipal Lawyers Association's 2011 76`" Annual Conference in Chicago, Illinois, on behalf of the City, September 9 14, 2011, I expended a total of One Dollar and Sixty Cents (51.60) of my own money in tolls and that I need to be reimbursed for this expense. t3 Dated this day of September, 2011. Dou 1 aney Subscribed and sworn to before me, the undersigned Notary Public, this day of September, 2011. A. Elaine Bass, NOTARY PUBLIC Resident of Marion County, I.ndiana My-Commission Expires: Cam Obtob 23, D E� [eb:num ord: z: \sharedNaffidacits�affadi %it- sobway.da:9122i I 1 720 South Michigan Avenue Chicago, IL 60605 Phone (312) 922 -4400 Fax (312) 922 -5240 Name &Address Mi Billing Inquiries: (312) 431 -6961 Cwcag 0 Reservations: www.hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 2163/K1J 13828 SMOKEY RIDGE DR Arrival Date 9/9/2011 5:59:OOPM Departure Date 9115/2011 CARMEL, IN 46033 -9101 Adult/Child 2/0 US Room Rate 278.00 RATE PLAN C -IMX HH# 864254159 GOLD AL DL #6061240013 BONUS AL CAR Confirmation Number: 3405942223 9/15/2011 PAGE 1 DATE DESCRIPTION I ID REF. NO CHARGES CREDITS BALANCE 9/9/2011 EXT42163 317 843 -2062 LINTR 12407420 $8.38 002 18:10 919/2011 1 GARAGE PARKING -SELF SBART 12408642 $43.00 9/9/2011 GUEST ROOM SBART 12408643 $278.00 9/9/2011 HOTEL CITY TAX SBART 12408643 $9.73 9/9/2011 HOTEL STATE TAX SBART 12408643 $33.08 9/10/2011 EXT42163 317-370-0421 LINTR 12410598 $7.19 001 21:33 9/10/2011 GARAGE PARKING -SELF SBART 12411829 $43.00 9/10/2011 GUEST ROOM SBART 12411830 $278.00 9/10/2011 HOTEL CITY TAX SBART 12411830 $9.73 9/10/2011 HOTEL STATE TAX SBART 12411830 $33.08 LINTR 2 9/11/2011 GARAGE PARKING -SELF MRUAC 124,15216 $43.00 9/11/2011 GUEST ROOM MRUAC 1241521.7 $278.00 9/11/2011 HOTEL CITY TAX i MRUAC 12415217 $9.73 9/11/2011 HOTEL STATE TAX ;MRUAC 12415217 $33.08 -a 9/1212011 GARAGE PARKING -SELF MRUAC 12418920 $43.00 9/12/2011 GUEST ROOM MRUAC 12418921 $278.00 9/12/2011 HOTEL CITY TAX MRUAC 12418921 $9.73 9/12/2011 HOTEL STATE TAX MRUAC 12418921 $33.08 9/13/2011 GARAGE PARKING -SELF SBART 12422879 $43.00 9/13/2011 GUEST ROOM SBART 12422880 $278.00 9/13/2011 HOTEL CITY TAX SBART 12422880 $9.73 9/13/2011 HOTEL STATE TAX SBART 12422880 $33.08 9/14/2011 GARAGE PARKING -SELF SBART 12427021 $43.00 9/14/2011 GUEST ROOM SBART 12427022 $278.00 9/14/2011 HOTEL CITY TAX SBART 12427022 $9.73 9/14/2011 HOTEL STATE TAX SBART 12427022 $33.08 DATE OF CHARGE FOLIO NO. /CHECK NO. Zip -Out ��ec k -Out 1831774 A Good Morning We hope you en 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 dial 4794 and tell us when you are ready to depart. TOTAL AMOUNT 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. TM Hilton Chicago Good Morning, On behalf of the entire Hilton Chicago staff, we sincerely hope that you experienced our Grand Tradition during your visit. Check -out time is 12: 00 pm. Late check -outs can be granted based upon availability at an additional charge. Please contact our Bell Captain at extension 56 to request luggage assistance. Luggage storage is available at our Grand Tradition Room for x'2.00 per bag. There are several options available to make your departure quick and efficient: Video Check -Out: Press the "Menu function on the television remote control, select the "Service" icon and review your account balance and check -out. Zip -Out Check -Out: Simply call extension 4794. A dial tone will signs you've been successfully checked out. Key Drop-Off. Place your room keys into the "Key Drop" box, located at the Front Desk Registration area. On the opposite side of this letter is a copy of your bill. Pri.nting Receipt Online: Being our valued Hilton HHonors member, you can view and print a copy of your final bill from your home or office. For more details, please visit www.hhonors.com Boarding Pass Printing: Complimentary printing of your boarding pass is available at our Boarding Pass Kiosk, located adjacent to the Concierge Desk. Thank you for choosing Hilton Chicago! Have a safe trip home and we look to seeing you during your next visit to the Windy City. Sincerely, John G. Wells General Manager 720 South Michigan Avenue Chicago, IL 60605 Phone (312) Fax(312)922 -5240 Hilton Billing Inquiries: (312) 431 -6961 Name Address Chicago Reservations: www.hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 2163/K1J 13828 SMOKEY RIDGE DR Arrival Date 9/9/2011 5:59:OOPM Departure Date 9/15/2011 CARMEL, IN 46033 -9101 Adult/Child 2/0 US Room Rate 278.00 RATE PLAN C -IMX HH# 864254159 GOLD AL DL #6061240013 BONUS AL CAR Confirmation Number: 3405942223 9/15/2011 PAGE 2 DATE DESCRIPTION I ID REF NO CHARGES CREDITS BALANCE WILL BE SETTLED T mb $2,202. EFFECTIVE BALANCE OF $0.00 Hilton HHonors(R) stays er posted within 72 hours of checkout. To check your earnings for this or aj iy other stay a t more thar 3, 000 Hilton Family hotels worldwide, please i isit HiltonHHo 7ors. com. Thank you for choosing H ton! Book yo r next sty at,hilton.com and to e advantage of our internet my Advance urchase ales and limited -tim s ecial offers! DATE OF CHARGE FOLIO NO. /CHECK NO. Zip -Out Check -Out® 1831774 A Good Morning We hope you enjoyed your stay. With "Lip -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 dial 4794 and tell us when you are ready to depart. I TOTAL AMOUNT 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. iM Hilton Chicago Good Morning, On behalf of the entire Hilton Chicago staff, we sincerely hope that you experienced our Grand Tradition during your visit. Check -out time is 12: 00 pm. Late check -outs can be granted based upon availability at an additional charge. Please contact our Bell Captain at extension 56 to request luggage assistance. Luggage storage is available at our Grand Tradition Room for x'2.00 per bag. There are several options available to make your departure quick and efficient: Video Check -Out: Press the "Menu" function on the television remote control, select the "Service" icon and review your account balance and check -out. Zip -Out Check -Out: Simply call extension 4794. A dial tone will signify you've been successfully checked out. Key Drop -Off: Place your room keys into the "Key Drop" box, located at the Front Desk Registration area. On the opposite side of this letter is a copy of your bill. Printing Receipt Online: Being our valued Hilton HHonors member, you can view and print a copy of your final bill from your home or office. For more details, please visit www. hhonors. com Boarding Pass Printing: Complimentary printing of your boarding pass is available at our Boarding Pass Kiosk, located adjacent to the Concierge Desk. Thank you for choosing Hilton Chicago! Have a safe trip home and we look forward to seeing you during your next visit to the Windy City. Sincerely, John G. Wells General Manager I International Municipal Lawyers Association 7910 Wood mont Avenue Suite 1440 Bethesda, MD 20814 www.imia.org I1�(L x 201 S�MINA2 Er A NNUA L CON W a 1 0C AprUl 10 -12, 2011 C I L Sep tember 11 -14, 2011 21z 3u �ISCOUNr zE IS MA7 ION Cr Now SAV -Pay a li >apr�L 1, 201 Y 7%01 3 e lea of Ote, Yeu t r!!.►! r 4 n F f' T Sig 11 I 'I I 'I I iI 1I IZ eg i, Irat'i,aw I V VKZWLL0 -w Each registrant must complete a separate form. This form may be duplicated. Name Douglas C I Haney Badge Name Douglas Haney Title Carmel City Attorney Organization City of Carmel, Indiana Address One Civ is Square City Carmel State Indiana Zip Code 46032 Country 1JSA Phone 317 571 -24,72 Fax 317 571 -2484 p Email (REQUIRED) dhaney@carmel.in.gov CLE Credits (Specify Stl te(s)): Indiana Bar No: 11207 -49 Registration Fees include: Admission to all sessions, "event materials IMLA social functions, luncheons and all coffee breaks. Guest Fees include: Attendance at all social events. Prices are based on attendee staying in Conference Hotel. Cancellation Refund Substitution Policy: Cancellations must be received in writing by March 1, 2011 to qualify for a refund. All cancellations are subject to a $50.00 administrative fee per event. After March 1, 2011 those not attending the event(s) will receive the materials in full consideration for registration fees paid. All refunds will be remitted 90 days after the event. Substitutions are accepted in lieu of cancellations. 0 Send all cancellations and substitutions in writing to the IMLA Events Department. N REGISTRATION FEE INFORMATION REGISTRATION PAYMENT INFORMATION 1�1 Two Registrations for the p of One!!! J Bill Me Check Enclosed Visa MasterCard $1 ,000 First Registrant Make all checks payable to IMLA; U.S. currency only. H $950 Second Registrant Amount 1 C o (90 Name on Card $900 Three or more Registrants Card No. $200 Spouse /G Registrant CVV Code Exp.Date Payments must be received by April 01, 2011. Signature International Municipal Lawyers Association Phone: 202.466.5424 Email: info(o)imla.org Fax: 202.785.0152 IM LA 76"A u Li C i For program updates to register online visit our web site: http: /www.imla.org IC14G0— I S th e��t+nUe�r 11 i 4, of Y IMLA 's 76 Annual Conference Chicago Hilton Hotel REGISTRATION INFORMATION Name I Title Badge Name I Local Government Entity Address City State Zip Phone Fax E -mail Guest Name Guest Badge Name (Complete only if registering Guest) Badges are required for all functions. Please indicate your iegistration type and options listed below (check all that apply) Guest Registrant (see below) Luncheon Ticket(s) $75.00 each, No. of ticket(s) (only guest need to purchase) CLE Credits, please specify state(s) Your Bar No's. INSTITUTE FOR LOCAL GOVERNMENT LAWYERS (ILGL) $100 to register. For more information visit www.imia.org Registration Fees include: Admission to all sessions, conference materials, IMLA social functions, Monday and Tuesday luncheons and all coffee breaks (not applicable to guest). Guest Fees include: Attendance at the social events. Cancellation Refundl Policy: Cancellations must be received in writing by August 1, 2011 to qualify for a refund. All cancellations are subject to a $50.00 administrative processing fee. After August 1, 2011 those not attending will receive the event materials in full consideration of registration fees paid. Replacements are always welcomed. Guest Cancellations are subject to a $25.00 administrative processing fee. All refunds will be remitted 90 days after the event. Send all cancellations in writing to the IMLA Events Department. Discounted Registration Fees Expire 15 Days After Rate Ends, If Payment Is Not Received, Next Rate Will Apply. The discounted registration fees below are available for those staying in IMLA Conference Hotel, otherwise $100 will be added to your registration fee to help defray IMLA Conference expenses (local attendees exempt from $100). Conference payment y must be received within 15 days. HARD COPY POLICY: Registration fees include USB of speaker's materials. These materials will also be available for registrants from llkA's web site one to two weeks prior to the meeting. If you require paper copies of speaker materials you must L add an additional $120 to your registration fee and check here. 1 FOUR EASY WAYS TO REGISTER! MAIL: IMLA, 7910 Woodmont Avenue Suite 1440 Bethesda, MD 20814 PHONE: 202 466 -5424 FAX: 202 785 -0152 E -MAIL: info @imla.org Super Early REGISTRATION PAYMENT INFORMATION Saver Rate Bird Rate Regular Rate Registration Ends Ends Rate Ends After El Bill Me Check Enclosed El Visa MasterCard Type 5/31/11 8/16/11 9/01/11 9/01/11 Make all checks payable to IMLA; U.S. currency only First Member $650 I $700 $775 $875 Addt'I. Member $625 I $675 $700 $825 Amount 3 or More From Name Same Office Each person $350 $400 $475 $500 Card No. Judicial $355 I $355 $355 $355 Nonmember $1,322 I $1374 $1,500 $1,600 G Exp.Date Guest of Seminar Signature Registrant $125 $125 $150 $200 CODE ENFORCEMENT CONFERENCE 2011 Program subject to change Saturday, September 10 8:00 a.m. Registration 8:30 a.m. Service of Process and Notice Peter Letzmann, Attorney, Mediator and Consultant IMLA Michigan State Chair, MANIA Professionalism and Education Committee, Chair GVSLI 10:00 a.m. New Section Business Meeting: Adoption of Bylaws and Election of Officers 10:15 a.m. Break 10:45 a.m. Searching for Problems: Administrative Warrants and Code Enforcement (Fourth Amendment issues) Thomas Carpenter, Little Rock, AR 11:45 a.m. Look Before You Leap: How Code Officials and City Attorneys Can Effectively Plan Enforcement Nicholas Spiiopoulos, Borough Attorney, Matanuska- Susitna Borough, AK 12:45 p.m. Lunch (on yoi r own) 2:00 p.m. Tales from the Last Frontier: "GOV -zilla Meets the Parking Fairies" "When Towing Becomes Predatory Julia Tucker, Assembly Counsel, Anchorage, AK, 3:00 p.m. Junkyard "Dog" Cases: Enforcement of Codes and Remedies Daniel Crean Crean Law Office, Pembroke, NH The ABCs of Green Junkyards James Watson', ABC Auto Parts Sunday, September 11 8:30 a.m. As the Rooster Crows: Chickens and Other Exotic Pets Marianne Landers Banks, Assistant City Attorney, City of Springfield, N40 Laiv Department 9:15 a.m. Signs, Signs, Everywhere a (Digital) Sign: Issues in Code Enforcement David Ives, Assistant City Attorney, Murfreesboro, TN 10:20 a.m. Break 10:30 a.m. Effective Witness Preparation for Trial Ginger Wald, Assistant City Attorney, Ft. Lauderdale, FL IMLA 76r" A vt u1,a2/ Trial Techniques Best Practices Patti Gregory Chang, Senior Counsel, City of Chicago, IL Hon. Andv Wright, City Judge, City of Mt. Juliet, TN N G}flGflGO and City Attorney, City of Lebanon, TN Noon Lunch (on your own)Fk' SeP temllet 11— 14, 2011' s 1:00 P.M. Walking _Land Use Tour (free, but sjgE up 6:00 p.m. IMLA Welcome Receptio x INDIANA RETAIL TAX EXEMPT PAGE City ®f C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT ;r iJ Gs 35- 60000972 0 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF.A000UNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. i PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION oG VENDOR SHIP TO CONFIRMATION BLANKET CONTRACT I PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION CG Send Invoice To: f I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT �p Q 1 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. bj' /✓C� 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. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. I THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 7945 TITLE a AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 7 04- I CLERK- TREASURER DOCUMENT CONTROL NO. 2 I 8 7 4 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 op IN THE SUM OF ON ACCOUNT OF 19ROPRIATION FOR �30 Soo PO# or Board Members INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or n 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/ fure Title- Cost distribution ledger classification if claim paid motor vehicle highway fund i' PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1986) MILEAGr CLA C A a /7 e "0 t. t (GOVEAN AL UNI j ON ACCOUNT OF APPROPRIATION NO. FOR OFFICE, BO�DEPA NT OR INSTITUTION) DATE FROM TO SPEEDOMETER (READING AUTO MILE E 1 NATURE OF BUSINESS MILES y� POINT POINT START FINISH TRAVELED pE MILE y 3 3 3 3 (0 4- 5"-352 7/7 F1.1 L 90 •x- q o o o r D CK 1 Y AUTO LICENSE NO. TOTALS SPEEDOMETER READING columns are to be used only hen distance between y 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 p rt of the same has been paid. Date G Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: That it is in proper form. That it is duly authenticated as required by law That it is based upon statutory authority. That it is apparently I correct t incorrect Disbursing Officer On Account of Appropriation No. 4L3oo Si for o tr a CL o y m M a x p n Allowed 19 m 0 a 0 a M in the sum of m m a V p. tr' m m G o in p- a m p a P3 0 o o (Board Or Commission) O. .n. a FILED m :e a y a a w N (Official Title) o m O 8 o M m K7 m N A.E. ROYCE CO- INC. MUNCIE, IN 01136 a Payment Receipt Thank you for submitting your payment! Please print this page for your records. Confirmation M 8147190 Billing Information rmation Douglas Haney 317 571 -2472 dhaney @carImel.in.gov 1 Civic Square Carmel, IN 46032 us Payment Method Douglas Hani y xxxxxxxxxxx 5/2012 Invoice Su Douglas Hani y Annual Fee 145.00 Subtotal: 145.00 Portal Processing Fee: 3.92 Grand Total: 148.92 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) CITY OF CARMEL An invoice or bill to be prope Ily 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. 13828 Smokey Ridge Drive Terms Carmel, Indiana 46033 Date Due I Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 9 -22 -11 8147190 Reimburse Douglas C. Haney for monies he personally $148.92 expended expended for Annual State Bar Dues per the attached receipt TOTAL: Total $148.92 1 hereby certify that the att invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 13 S mokey Ridge Drive Carmel, Indiana 46033 $148.92 ON ACCOUNT OF APPROPRIATION FOR Department of Law 1180 430 -55300 Organization Member dues Board Members PON INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 1180 8147190 148.92 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 tu re Cost distribution ledger classification if Title claim paid motor vehicle highway fund