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Home My WebLink About203469 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1 ONE CIVIC SQUARE DOUGLAS HANEY CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK AMOUNT: $2,907.69 C/O DEPT OF LAW a CHECK NUMBER: 203469 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 2,170.89 EXTERNAL TRAINING TRA 1180 4343004 628.80 MILEAGE 1180 4345500 108.00 PUBLICATION OF LEGAL CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 10/20/11 TIME: 7:00 p.m. t%�V DEPARTMENT: Law Department RETURN DATE: 10/21/11 TIME: 8:00 p.m. REASON FOR TRAVEL: ISBA Annual Meeting DESTINATION CITY: French Lick, Indiana 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 Oct. 20 -21, 2011 $95.91 1 00 $210.91 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $0.001 $0.00 $0.00 $0.001 $95.911 $0.001 $0.00 $0.00 $0.00 $115.00 $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 10/28/2011 Page 1 2455 LANDMARK A E. CORYDON, IN 47112 TELEPHONE 812 738 -6688 FAX 812 738 -6699 HANEY, DOUGLAS 2 0 4 /KXTD name room number: 13828 SMOKEY RIDGE DR address arrival date: 10/20/2011 9:25:OOPM CARMEL, IN 46033 departure date: 10/21/2011 US adult/child: 1/0 room rate: $86.40 If the debiticredit 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 DL #6061240013 hours from the date of check out or longer at the discretion of your financial institution. BONUS AL CAR Confirmation: 84962817 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 10/2112011 PAGE 1 full amount of these charges. I have requested weekday delivery of USA TODAY. If refused, a credit of $0.75 will be applied to my account. In the event of an emergency, I, or someone in my party, require special evacuation due to a physical disability. Please indicate yes by checking here: signature: 10/20/2011 484246 GUEST ROOM $86.40 10/20/2011 484246 STATE TAX $6.05 10/20/2011 484246 LOCAL TAX $3.46 WILL BE SETTLED TO AX *1002 $95.91 EFFECTIVE BALANCE OF $0.00 You have e rned approximately 1944 Hilton HHonors points and apg��fEG�li� "f -r Lines for thi stay. Visit HHonors. com to check your point balance from s ays a any o e ho STAY IN T UCH WITH US IN BETWEEN STAYS! FOLLOW US ON TWITT R @HAMPTONFYI) AND LIKE S ON FACEBOOK (FACEBOOK.COM /HAMPTON). account no. date of charge folio /check no. 187897- A card member name authorization initial establishment no. and location establishment agrees to transmit to card holder for payment purchases services taxes tips mist. signature of card member total amount 0.00 C O N R A D not HOMEWOOD Hilton ions HOME F7- HHONORS wnLDORF HI1t017 OGanlenlnn (N scares 4SiORIA- DouxL[ raer: Grand Vacat HILTON WORLDWIDE REGISTRATION FORM Name: DOUGLAS A NEY Address: One Civic Square City Carmel State: Zip: 46032 Email: dhaney@carmel.in.gov Phone: 31 7- 571 -2472 Fax: 317- 571 -24,94 New Contact info. Please update my record. FULL -TIME REGISTRATION Early Bird 9/27 —10/14 After 10/14 Total ISBA Member $250 $300 $350 ISBA Member Licensed Less Than 5 years $140 $190 $240 ISBA Member Judge $150 $200 $250 ISBA Affiliate Member $95 $145 $195 ISBA Member Law Student $25 $50 $75 Non- Member $560 $610 $660 Full -time registration fee includes: President's Welcome Reception, Law Expo, Friday_ Breakfast, Thursday and Friday Break Stations, Law School Receptions, President's Reception on Thursday, Talent Show, Bowl -a -Thon and attendance at ANY CLE program. PART -TIME REGISTRATION Early Bird 9/27-10/14 After 10/14 Total ISBA Member Thursday Only $125 a $150 $175 12 ISBA Member Thursday includes CLE programming, Law Expo, President's Reception Talent Show. 4 =r. ISBA Member Friday Only $100 $125 $150 Eye ISBA Member Friday includes CLE programming, Law Expo Friday Breakfast. ISBA Member Single Program $40 $60 $75 40.0 m ISBA Member Single Program includes atten ance at one CLE Program of your choice. Please indicate the program you will be attending: Interlocal Agreements GUEST REGISTRATION Early Bird 9/27-10/14 After 10/14 Total Guest Registration $50 $65 $80 Guest Name: Guest Registration includes attendance at the President's Welcome Reception (Wed.), Law School Receptions, r President's Reception (Thurs.), Talent Show, Bowl -a -Thon, Friday Breakfast the Law Expo. SPECIAL EVENTS Early Bird 9/27-10/14 After 10/14 Total D y You must pre- register for the special events below. Walk -ins will be accepted on a space available basis. �rn1 Thursday October 20 r Z ISBA Awards Luncheon: $25 each $30 each $40 each D President's Reception O p: Talent Show: $15 each $20 each $30 each Z (President's Reception Talent Show are included in the full -time, Thursday single -day and Guest registrations.) Kimbrough Bar Association "Bar Fight" Bowl -a -Thon Registration No charge Sponsored by the Young Lawyers Section 1. 2. 3. 4. Teams of 4. If you do not have a team of 4, ISBA will assign you to a team. The Bowl -a -Thon will be held in Pluto's Alley, located on the lower level of French Lick Hotel. Friday, October 21 Assembly Luncheon: $25 each $30 each $40 each Randall T. Shepard Award Reception: No charge TOTAL: 165 .00 PRESCRIBED BY STATE BOARD OF ACCOUNTS MILEAGE V� (GOVERNMENTA UNIT) (OFFICE, BOARD, DtZARTMENT OR INSTITUTION) DATE FROM TO S 1 O le POINT POINT STAR O 1� 3„ 0 AUTO LICENSE NO. SPEEDOMETER READING columns are to be used only when distance between points cannot be deter Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing and that no part of the same has been paid. Date GENERAL FORM NO. 101 (1986) CLAIM TO X30 ON ACCOUNT OF APPROPRIATION NO. y FOR EEDOMETER EADING AUTO MILEAGE NATURE OF BUSINESS MILES Oa Sig x FINISH TRAVELED PER MILE 0 o io oo F 0 lo I %q Z2 7 _y TOTALS �g fZ pined by fixed mileage or official highway map. l account is just and correct, that the amount claimed is legall due, after allowing all just credits 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 Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10 -28 -11 Reimburse Douglas C. Haney for monies he personally $210.91 expended to attend the Indiana State Bar Association's Annual Meeting Uctober in French LicK, Indiana the attached Expense Report and receipt Total $210.91 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Douglas C. Haney IN SUM OF 13828 Smokey Ridge Drive Ca Indiana 46033 5 1 ON ACCOUNT OF APPROPRIATION FOR Department of Law 1180 430 -43002 External Training Travel Board Members FI PT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 1180 bill(s) is (are) true and correct and that the materials or services itemized thereon for DID which charge is made were ordered and received except 20 ianature Cost distribution ledger classification if Title claim paid motor vehicle highway fund PASSEX�l CU:Y t Feed in Ground Transportation First In Couiiter La Guardia Airport Del ta survati on No. 3031 A:� s%?, i g e r: Mr. HANEY Aduits: 1 ()iil-dren: 0 0 Up Time: 7:54 PM Pf +If S 14.15 ::ym)n t: Cash 1 No nation: Manhatt Hilton New York Yo Y' ,x s: 13:335 Sixth Av th St. Type: rVU_ Id ;!v en t M. Anwar e Agent: M. Anwar Time: 10123/2011 07:30 PM aills: Open n P rovided .I r o r t at -i c, is 9 p ro by: ,j t SuoerShuttlle M anh tan 4502 D-it _vd. 4502 Ditmars Blvd. Astoria. NY 111CS maintained vehicle Transported without unnecessary delays Informed about any delays, and Treated in a courteous and professional manner To help ensure a satisfactory transportation experience for yourself, please follow these guidelines: PLEASE WAIT for your name and reservation number to be announced by the uniformed agent at the counter. Stay close to the counter so you can hear the announcement. PLEASE IGNORE any other person who may approach you and offer you transportation. It is illegal to solicit fares in this manner. These illegal operators may ultimately overcharge you, even if they have promised you a lower price, they cannot be relied upon to take you to your destination safely or in a timely fashion, there is no way to communicate with them after your trip in case you leave any items on the vehicle, and they may not be properly insured. Should you need additional information or have any questions regarding the services provided through the Ground Transportation Information Counter, refer to the name of the transportation company listed on the front of this ticket. If you are not satisfied with its response or have any comments concerning the service provided by the agents at the Counter, please write to: The Port Authority of New York and New Jersey Aviation Department Office of Ground Transportation 225 Park Avenue South 9th Floor New York, NY 10003 THE P0ffrM"H0Hr1VWUWrBW Kennedy Newark Liberty LaGuardia �1V OF CA CITY OF CARMEL Expense Report (required for all travel expenses) /NDIPNp EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 10/23/11 TIME: 3:35 p.m. DEPARTMENT: Law Department RETURN DATE: 10/26/11 TIME: 2:32 p.m. REASON FOR TRAVEL: PLI Employment Law Seminar DESTINATION CITY: New York City, New York 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 Oct. 23- 26, 2011 $403.40 $55.15 $58.00 $1,255.93 .00 $2,002.48 $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 $403.40 $0.00 $55.15 $58.00 $1,255.93 $0.00 $0.00 $0.00 $0.00 $00.001 $0.00 DIRECTOR'S a hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signat Date: City of Carmel F Revision Date 10/28/2011 Page 1 Y Do to Book a flight Page 1 of 2 Your purchase is complete. Thank you for choosing Delta. Flight Confirmation Number: G9WMCA What's Next Now that you've finished booking your trip: Your eTicket receipt(s) and confirmation have been sent to dhaney @carmel.in.gov. Delta Messenger will send flight updates based on the contact preferences in your profile. Subscribe /edit your contact preferences now. Check in for your flight, choose your seats, purchase Economy Comfort seating and more by managing your itinerary online. Add Trip Protector to protect against trip cancellations and interruptions with Access America. If you have a smartphone, get the Delta app to check in, get alerts on flight and gate changes, and more. s�".__a w;: 4, -��m h.... ^*-:r• -ter s-xz .rF�� —,—E�- Get Notifications Add to Calendar Add Trip Services &Activities PRINT SAVE TRIP TO PROFILE Outbound Sun, 23 Oct 2011 Show Details 3:35pm IND 5.41pm LGA Nonstop 2 hr 06 min Delta 5989 Economy (L) Upgrade Requested Operated by: 'Shuttle America Delta Connection Return ho Wed, 26 Oct 2011 Show Details 12:10pm LGA 2:32pm IND Nonstop 2 hr 22 min Delta 5989 Economy (U) Upgrade Requested Operated by: 'Shuttle America Delta Connection W In- Flight services and amenities may vary and are subject to change. V Total balance due (including taxes): $403.40 (USD) Book with confidence. See Delta's Best Fare Guarantee Miles earned MQM earned view anc es ation olicies View chance cancellation oolkies View taogage oolicies This ticket is non refundable Seat Special Services Passenger From To Assignment (e.g. Wheelchair) Mr. Douglas C Haney Indianapolis, IN (IND) New York -La Guardia, NY (LGA) 108 Change Seats Add /Edit New York -La Guardia, NY (LGA) Indianapolis, IN (IND) 10C Change Seats Add /Edit 1335 Avenue of the Americas New York, NY 10019 Hilton Phone (212) 586 -7000 Fax (212) 261 -5946 Reservations Name Address New York www.hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 2145/Q1D 13828 SMOKEY RIDGE DR Arrival Date 10/23/2011 8:38:OOPM Departure Date 10/26/2011 CARMEL, IN 460339101 Adult/Child US Room Rate 359.00 RATE PLAN L -AA G J G HH# AL: BONUS AL: CAR: CONFIRMATION NUMBER: 3435968903 10/26/2011 PAGE 1 DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE 10/23/201 GUEST ROOM SROSA 18885648 $359.00 10/23/201 STATE ROOM TAX 8.875% SROSA 18885648 $31.86 TheHilt�onFamily 10/23/201 ROOM OCCUPANCY TAX SROSA 18885648 $21.09 5.875% 10/23/201 $2.00 CITY TAX SROSA 18885648 $2.00 10/23/201 JAVITS CTR FEE SROSA 18885648 $1.50 10/24/201 BUSINESS CNTR FAXES RREYNOS 18888796 $64.50 F� Hilton CABLE 10/24/201 STATE SALES TAX 8.875% RREYNOS 18888796 $5.72 10/24/201 GUEST ROOM SROSA 18891891 $359.00 CON 10/24/201 STATE ROOM TAX 8.875% SROSA 18891891 $31.86 10/24/201 1 ROOM OCCUPANCY TAX SROSA 18891891 $21.09 5.875% 10/24/201 $2.00 CITY TAX SROSA 18891891 $2.00 W) 10/24/201 JAVITS CTR FEE SROSA 18891891 $1.50 DoueLETREe 10/25/201 BUSINESS CNTR FAXES RREYNOS 18896720. $43.50' CABLE 10/25/201 STATE SALES TAX 8.875% RREYNOS 18896720 $3.86 10/25/201 GUEST ROOM SROSA 18898275 $359.00 10/25/201 1 STATE ROOM TAX 8.875% SROSA 18898275 $31.86 10/25/201 ROOM OCCUPANCY TAX SROSA 18898275 $21.09 5.875% 10/25/201 $2.00 CITY TAX SROSA 18898275 $2.00 10/25/201 JAVITS CTR FEE SROSA 18898275 $1.50 10/26/201 MC "0311 JHAY 18900799 $1,363.93 BALANCE $0.00 Garden Inn• HIIIDn Grand Vacations Club ACCOUNT NO. DATE OF CHARGE FOLIO NO. /CHECK NO. MC '0311 0/23/2011 3068973 A i®r HOMEROOD SUMES oum CARD MEMBER NAME AUTHORIZATION INITIAL HANEY, DOUGLAS 02319Z ESTABLISHMENT NO. LOCATION ISFABI.ISIIMENT AGW- TO'I'RANSMIT'N CARD DOI.DER FOR PAYMENT PURCHASES SERVICES V TAXES Official Sponsor TIPS MISC. TOTAL AdIOUNT MERCHANDISE AND /OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. PAYMENT DUE UPON RECEIPT Bass, Elaine A From: John Jabar Djabar @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 IN Order Summary for Douglas Haney (873092) Order Date:6/14/2011 Douglas Hane Do ug To: as Hane O rder umber: 1812951 D Dou l 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: �k `f LINE I fEM ID DESCRIPTION WL/BO. r ORIG PRICE QTkY EXT PRICE z DISC AMTS NET PRICE x TAX AMT i #cx,�� Y, �.�,b+•��.�..:.3- vr.�._.�'>. 3 �`��...c_...i,:� -.ate° a'� �a,.� h�u_ -i 3 fw_._ £e�u� �.:.mt��:i 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 Price: $4085.00 PAYMENT METHOD ACCT NUMB 4 AMOUNT �AMOt `.r_°� s%�e Discount: $4085.00 Tax- Sub Total: $0.00 Shipping: $0.00 Total: $0.00 Total Balance ®ue:$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 a -mail info(d 1 C Haney, Douglas C Is From: PLI Info [info @pli.edu] Sent: Thursday, July 21, 2011 1:16 PM To: PLI Info Onl Subject: IMPORTANT LOCATION CANCELLED for Annual Institute on Employment Law 2011 Lem 810 Seventh Avenue New York, New York 10019 Dear Registrant This is to inform you that the October 24 -25, 2011 Annual Institute on Employment Law 2011 at the Chicago Group cast (Gleacher Center) program location has been-Cancelled. We are having this program live in New York Also a live webcast on the same day. If you would like to register for the live webcast please let us know. We apologize for any inconvenience this may have caused you. PLI greatly values your business. If we may be of additional assistance with this or another matter please do not hesitate to contact us at 1- 800 260 -4754 Sincerely Customer Relations Practising Law Institute (800) 260 -4PLI info @pli.edu T T MI. -d6w� aney, Douglas C From: PLI Program Department [eacknowledgement @pli.edu] Sent: Thursday, July 21, 2011 1:43 PM To: Haney, Douglas C Subject: PLI Program Registration Confirmation 1846268) I Douglas Haney Customer 873092 i City of Carmel Dept of Law Phone: 3175712472 i 1 Civic Sq Fax: 3175712484 Carmel, IN 46032 -2584 E -mail: dhaneyCcDcarmel.in.gov 1 Thank you for registering for the program. Please take a moment to review your registration: PROGRAM: Annual Institute on Employment Law 2011 ITEM 29747 REGISTRATION #:336238 ORDER 1846268 I i DATE(S): i 10/24/2011 9:00 AM 5:00 PM 10/25/2011 9:00 AM 5:15 PM Add to Outlook calendar 1 Start and end times are subject to change, so please consult www.pli.edu to reconfirm. LOCATION: Practising Law Institute 810 Seventh Avenue, 21 st Floor New York, NY 10019 -5818 1 ACCOMMODATIONS TRAVEL: Those coming from out of town will be sent an email detailing recommended I travel methods, parking, dining, and discounted hotel rates. Travel arrangements are the registrant's responsibility. i CLE: This seminar has been approved for CLE credit by states with mandatory requirements. Please note that you must arrive on time for full CLE credit. So we can process your CLE credits properly, please be sure to bring your bar /registration number for all states in which you seek credit, and verify your account information and address here j If we can assist you further, please contact us at 800 260 -4754 or e-mail us at info pli.edu and one of our Customer Service Representatives will be happy to answer dny of your questions. We look forward to seeing you at the program. Copyright 0 2010 Practising Law Institute 1� 1 250530 Hilton New York O Date Name Group Rm Charge Master Credit Cash Room Master Acct CC# Exp. Date Quantity Description Unit Price Amount J)4 r 50 Y3_5_D Total Signature Tax S. P. Total Due _,0 GUEST- COPY 250507 Hilton. New York Date Name Group Rm Charge Master j Credit Cash Room Q' Master Acct CC# Exp. Date Quantity Description Unit Price Amount Total Signature Tax S P Total Due GUEST COPY Haney, Douglas C From: PLI Customer Service [info @pli.edu] Sent: Thursday, July 21, 2011 2:09 PM To: Haney, Douglas C Subject: Order #1846268 has been processed. Order Summary for Douglas Haney (873092) Order Date:7/21/2011 Bill T: DougasHaney Douglas T o Haney er N um b er 1846268 City of Carmel Dept of Law City of Carmel Dept of Law Business Location: NEWYORKCSR 1 Civic Sq 1 Civic Sq Warehouse: 5WHSE Carmel IN 460322584 Carmel IN 460322584 Customer PO: USA USA xLI1VE; *��,`�`�DESCRIPTION ORIG�PRICE *�QT�Y�,��EXT PRICE ,DISCxAMT'�'«NEtT,PRICE��TAXAMT 1 29747: Empl Law Inst 11 NY $1595.00 i 1 $1595.00 i $1595.00 $0.00 $0.00 Price: $1595.00 '�PAYMENT�METHOD AC�C�T NUM��AMOUNT AMOUNT�.USEDx�� Discount: $1595.00 Tax: Sub Total: Shipping: Total: $0.00 Total Balance ®ue:$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 info(a)pli.edu 1 j V II i I r�. ENN ,aney, Douglas C From: PLI Program Department [eacknowledgement @pli.edu] Sent: Thursday, July 21, 2011 1:43 PM To: Haney, Douglas C Subject: PLI Program Registration Confirmation 1846268) 1 Douglas Haney Customer 873092 j City of Carmel Dept of Law Phone: 3175712472 1 Civic Sq Fax: 3175712484 Carmel, IN 46032 -2584 E -mail: dhanevP- carmel.in gov Thank you for registering for the program. Please take a moment to review your registration: PROGRAM: Annual Institute on Employment Law 2011 ITEM 29747 REGISTRATION 336238 ORDER 1846268 I DATE(S): 10/24/20119 AM 5:00 PM j 10/25/2011 9:00 AM 5:15 PM Add to Outlook calendar j Start and end times are subject to change, so please consult www.pli.edu to reconfirm. j LOCATION: Practising Law Institute 810 Seventh Avenue, 21st Floor I New York, NY 10019 -5818 ACCOMMODATIONS TRAVEL: Those coming from out of town will be sent an email detailing recommended 1 travel methods, parking, dining, and discounted hotel rates. Travel arrangements are the registrant's responsibility. CLE: This seminar has been approved for CLE credit by states with mandatory requirements. Please note that you can process your CLE i must a rr iv at lo n number for for a I states in which you seek credit, and verify you r account p infomation and add ess here aar /registr If we can assist you further, please contact us at 800-260-4754 any of youalquestions� We forward to seeing you at Customer Service Representatives will be happy to answer the program. Copyright02010 Practising Law institute tuts �F J 1 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. Douglas C. Haney Payee Purchase Order No. mo ey Ridge Drive Terms Carmel, Indiana 46033 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10-28-11 eim urse Douglas G. Haney for monies he personally $108.00 expended expended or fax transmittais receive per the attaGhed r@Golpt TOTAL: Total $108.00 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. 20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Haney IN SUM OF Ridge Drive '03 $108.00 ON ACCOUNT OF APPROPRIATION FOR Department of Law 1180 430 -44500 Fax Line Toll Charges Board Members INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or DEPT. 1180 108.00 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 201/ o� D natur Title Cost distribution ledger classification if claim paid motor vehicle highway fund City f� INDIANA RETAIL TAX EXEMPT PAGE ®J�(r Carme CERTIFICATE N0. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 9 G� f�R�"Ir 35- 60000972 1,' ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P VOUCHER, DELIVERY MEMO, PACKING SLIPS, CARMEL, INDIANA 46032 -2584 SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION Io VENDOR SHIP TO INFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION y, I G y I v G i J A t 4V e (a .a, J Invoice To:' 1 PLEASE INVOICE IN DUPLICATE PROJECT PROJECT ACCOUNT AMOUNT DEPARTMENT ACCOUNT PAYMENT v1/ 6 OA 7 S s 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. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. RED BY x DE O RK g pEF \CE G\.,S�GN I r 4 VOUCHER NO. ALLOWED 20 IN THE SUM OF ON CC UU T OF AP OPRIATION FOR Board Members P.O INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the r� materials or services itemized thereon for which charge is made were ordered and t Y� received except.-.---- 20 U/ Title Cost distribution ledger classification if claim paid motor vehicle highway fund f' .M� `�zs�+ a" b jY` 5� s q.�'7 ''�P�i� L��d �f:?a+ g S y a� u�