HomeMy WebLinkAbout180825 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY
CARMEL, INDIANA 46032 C/0 DEPT OF LAW CHECK AMOUNT: $3,228.47
C/O DEPT OF LAW CHECK NUMBER: 180825
CHECK DATE: 12/30/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4128000 2,496.31 TUITION REIMBURSEMENT
1180 4343002 647.51 EXTERNAL TRAINING TRA
1180 4343002 34.65 MILEAGE
1180 4343002 50.00 TICKET CHANGE FEES
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CITY OF CARMEL Expense Report (required for all travel expenses)
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EMPLOYEE NAME: DOUGLAS C. HANEY DEPARTURE DATE: 10/17/09 10:30 a.m.
DEPARTMENT: Law Department RETURN DATE: 10/21/09 TIME: 5:45 p.m.
REASON FOR TRAVEL: IMLA's 74th Annual Conference DESTINATION CITY: Miami, Florida
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. 17-
21, 2009 $254.39 $254.39
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0.00
L Total $254.39 $0.00 $0.00 $0.00 $0.00 $0.00 $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.
Director Signature: Date: I re, 4)9
City of Carmel Form E Revision Date 12/15/2009 Page 1
IM!LA`S 2009 SEMINAR AND ANNUAL CONFERENCE
WASHINGTON, DC APRIL 19-21, 2009
MIAMI, FLORIDA OCTOBER 18 -21, 2009
BUNDLE DISCOUNT REGISTRATION FOR 2009 CONFERENCE SEMINAR
ATTENDEES ACT NOW AND SAVE!
INTERNATIONAL MUNICIPAL LAWYERS ASSOCIATION
7910 WOODMONT AVENUE, SUITE 1440
y BETHESDA, MARYLAND 20814
]REGISTRATION INFORMATION
Registrant Type Super Saver Expire 11/14/08 Early Bird Expire 1/15/09 Regular End 3/16/09
First Registrant $850 $950 $1,100
Additional Registrant $750 $825 $1,025
3 or More Same Office $675 each $750 each $850 each
Guest $200 $275 $375
Name: DOUGLAS C. HANEY
Badge Name:_ Douglas Haney
Title: City Attorney, Carmel, Indiana
Local Government Entity: City of Carmel. Indiana
City /State /Zip: Carmel, Indiana 46032
Phone: 317-5 71-24 7 Fax: 317 571 -2484
CLE Credits leasespecify each state(s): Indiana
Bar No: 11207 -49
Guest: (only if registering)
Payment Information Discount Rate Payment Due By Expiration Date or New Rate Will Apply
To receive this Bundle Discount you MUST send this form to IMLA.
v K Bill Me f i 8
Enclosed Visa or Master Card only
Amount q 5D. oo Name(on card)
Account Number: Exp.
Signature-
Registration Fee Includes: Admission to all sessions, "event packet materials," and all IMLA
social functions.
Guest Fee Includes: Attendance at the social functions.
Cancellation /Refund Policy: Cancellations must be received in writing by March 2, 2009 to
qualify for a refund. All cancellations are subject to a $50 administrative
processing fee. All refunds will be remitted within 90 days of the event. After March 2, 2009 those
not attending will receive the event materials in full consideration for registration fees paid.
Replacements are always welcomed. Send all cancellations in writing to 1MLA Events Department.
Phone: 202 466 -5424 Fax: 202 785 -0152 Email: info @imla.org Web site: imla.org
Electronic Facsimile Results Page 1 of 1
ET FACSIMILE AUDITOR 30JAN09 JATB ETKT 57
NORTHWEST AIRLINES INC AR 122175522384
NONREFUNDABLE /CFIANGE FEE MA INDAND SITI INTERNET SALES
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FOUR CODE EXCH DOC I MN US 2405899
HANEY /DOUGLAS.0 I JPNR NH2UM2
�IND- INDIANAPOLIS DL 11719JU117OCT 11048AIOKIUN14NAXF 1170CT 170CT
0 TL- ATLANTA DL 11995JU117OCTIO235P IOKIUN14NAXF 1170C T 170CT
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�IND- INDIANAPOLIS ORIG INFO
I ARE USD 197.20
AX XF 18.00 IND DL X/ATI. DL MIA98.60DL X/A'I'L DL IND98.60USD197.2
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CITY OF CARMEL Expense Report (required for all travel expenses)
JNOIANA
EMPLOYEE NAME: DOUGLAS C. HANEY DEPARTURE DATE: 10/28/09 3:00 p.m.
DEPARTMENT: Law Department RETURN DATE: 10/30/09 TIME: 5:30 p.m.
REASON FOR TRAVEL: PLI's Section 1983 Civil Rights Seminar DESTINATION CITY: New York City, New York
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Transportation Gas/Tolls/ Meals
Date Parkin Lodging Misc. Total
Air -fare Car Rental Other 9 Breakfast Lunch Dinner Snacks Per Diem
Oct. 28-
30, 2009 $369.20 $369.20
$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 $369.20 $0.00 $0.00 $0.00 $0.00 $0.001 $0.001 $0.00 $0.00 $0.00 $0.00
DIRECTOR'S STATEM 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:
v
City of Carmel Form ER0 Revision Date 12/15/2009 Page 1
r
77 Statement closing date 07/30/09
N u t/,SAA Previous balance
S Payments
SAVINGS
U BANK Purchases and Debits
TOTAL FINANCE CHARGES
Account number New balance
Credit limit
Available credit Minimum payment due
Questions? call Customer Service (800) 531 -2265 Payment due date 08124109
Lost or Stolen cards? (866) 550 -5678 TO AVOID ADDITIONAL FINANCE CHARGES ON
Or write us at: PURCHASES. PAY YOUR ENTIRE NEW BALANCE,
P.O. BOX 65020, SAN ANTONIO. TX 78265 -5020 EVEN IF YOU EXPECT TO RECEIVE A CREDIT, BY
THE DUE DATE SHOWN ABOVE. MAILED PAYMENTS
Remit payment lo: USAA CREDIT CARD SERVICES RECEIVED AFTER 12:00 P.M. CENTRAL TIME
10750 MCDERMOTT FWY ILL BE CREDITED THE NEXT BUSINES
SA
It us at www.usaa.com
Transactions
Trans Post Card Reference Number Oescri tlon Amount
OWN
07110 07/10 M 554173460GXYPKXVTM NWA AIR 01221820221625 800-2252525 MN 369.20
09/10/28 HANEY /DOUGLA
1 NWT NEW YORK NEW YORK
2 NW T NEW YORK INDIANAPOLIS
6
Haney, Douglas C
From: PLI Program Department [eacknowledgement @pli.edu]
Sent: Monday, August 03, 2009 9:45 AM
To: Haney, Douglas C
Subject: PLI Program Registration Confirmation 246746
C
Pro Acknowledgement
k. L
I
685 Market Street San FEaficitco, CA S4105 Phono: (410 :0!
I
i
Douglas Haney Customer 873092
Carmel City Attorney Phone: 3175712472
One Civic Square Fax: 3175712484
Carmel, IN 46032 -7569 E -mail: dhaneya)carmel.in.gov
Thank you for registering for the program. Please take a moment to review the registration
information below:
PROGRAM: 26th Annual Section 1983 Civil Rights Litigation
PROGRAM 18368 CONFIRMATION 246746
DATE(S): Add to Outlook calendar
10/29/2009 9:00 AM 5:00 PM
Start and end times are tentative and subject to change. Please consult the brochure, PLI website or call Customer
Service to reconfirm the location and exact times. Please plan to arrive sufficiently in advance of the conference Start
Time to register. A continental breakfast will be available upon your arrival.
LOCATION:
PLI New York Center
810 7th Ave Fl 21
New York, NY 10019 -5818
PAYMENT: Please note that all accounts must be settled before the date of the program. Payment for Privileged
Members is not required as it is covered under your PM contract.
ACCOMMODATIONS TRAVEL: A block of rooms will be held for a limited period of time at the hotel(s) listed
in the program brochure. Mention that you are attending this PLI seminar to receive the special rates. All dealings
relating to travel are the registrant's responsibility.
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.
If we can assist you further, please contact us at 800 260 -4754 or e -mail us at info(Q)[i.edu One of our Customer
Service Representatives will be happy to answer any of your questions. We look forward to seeing you at the
program.
Visit our website at www.pli.edu
Copyright 2007 Practising Law Institute
1
Practising Law Institute
NON- PROFIT
810 Seventh Avenue ORGANIZATION
New York;' N.Y. 10019 U.S. POSTAGE
PAID
PRACTISING LAW
New York City, October 29, 2009 INSTITUTE
Live Webcast, October 29, 2009 www.pli.edu
REGISTRATION /ORDER FORM When Registering, Please Refer to Priority Code: W WQ9
Make necessary corrections on mailing address.
YES, please register me for the following session:
26th Annual Section 1983 Civil Rights Litigation
18368 New York City Seminar,* October 29, 2009, PLI New York Center, $995
Live Webcast,* October 29, 2009 (Register online prior to first day of program #18370), $995
2 Privilegecl Member Fee: $0
18369 Two Volume Course Handbook only, $229 Priority Code: WWQ9 9A780
18372 Audio CDs,t available November 2009, $497.50
18373 DVDs,t available November 2009, $995
16913 Sinclair on Federal Civil Practice, 5th Ed.,' 2 looseleaf volumes, $215
653 Trial Handbook,l 1 looseleaf volume with CD -ROM, $295
X My Email address is: 17 ej a carene lease send me Email updates on PLI programs and services. Doug Haney
S V City Attorney
Includes Course Handbook. Webcast attendees FREE Shipping and Handling on all Audio CD/DVO and O Please check if you are a PLI Privileged Member. .City of'Ca.I1l l
will have access to a downloadable version of the Treatise purchases. PLI will pay shipping and handling Please send me information on PLI Membership. 1 7
Handbook one business day prior to the program. charges on a# prepaid Course Handbook orders in the 0 Please send me PLI's catalog of Publications. '�CiN is Sq
lAudio CDs and DVDs must be
repaid and are United States, U.S. Possessions and Canada. California, y r� IN
p p Florida, Illinois, Maryland, Massachusetts, New Jersey, Please send me PLI's catalog of Institutes and Programs. Carmel IN 4603 -2 -2584
non refundable, with the exception of defective New York, Ohio, Pennsylvania, Rhode Island, Texas,
or unopened products. Virginia and Washington, O.C. residents please add
IAII treatises require prepayment and can be applicable sales tax to price of publications and audio
returned within 30 days for a lull refund. CD and DVD products.
The information below
low is required to properly process your CLE certificate
State:J .ItiN ar ID j a g Q y� State: Bar 10# State: Bar 10#
1 9 qS 91 C)
enclosed (Payable to Practising Law Institute) Bill me PLI Privileged Member
Please Charge to: O Visa O MasterCard O American Express Diners Club
Credit Card No.: Exp. Date:
Signature Required: Phone No.:
PRIORITY CODE: WWO9
Ai
Ci INDIANA RETAIL TAX EXEMPT PAGE
ty -of C CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
N FEDERAL EXCISE TAX EXEMPT
35- 60000972 J
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 ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION
l 115/
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE ,EXTENSION
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Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
I-P CA PAYMENT y (p)' 5
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i; ��,C�2 i�
N UMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
C (G f VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS AP_P-ROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID. T'"
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. �.T'.F6j /J,�FI�i'
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 7
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DOCUMENT CONTROL NO. A P.v. COPY SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER VVAR
ALLOWED 20___
|N THE SUM OF$
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ON"�COUNTOFAPP=u,H|AT|ONFOR
Board Members
PO or hereby certify that the attached immio*(e),or
biU(s)iskana true and correct and that the
materials nr services itemized thereon for
which charge ie made were ordered and
received except
Title
Cost distribution ledger classification if
claim paid mom, vehicle highway fund
PRESCRIBED BY STATE BOARD OF ACCOUNTS
MILEAGE
O OAVW-'�
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(GOVERNMEN AL UNI
(OFFICE, BOARD, DEPAOtMERf OR INSTITUTION)
DA�T,E, -,gyp FROM TO
.4a POINT POINT STAR
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 5;; O g
GENERAL FORM NO. 101 (1986)
CLAIM C
TO
l! 4 30 L
ON ACCOUNT OF APPROPRIATION NO. 0 Sr FOR &2LX
EEDOMETER
?ADING AUTO MILEAGE
NATURE OF BUSINESS MILES @a �,j 0
FINISH TRAVELED PER MILE
3
TOTALS
pined by fixed mileage or official highway map.
account is just and correct, that the amount claimed is due, after allowing all just credits
INDIANA STATE BAIL ASSOCIATION
ATA i
Serving the legal profession and the public
i
I
SPEAKER RELEASE FORM
Indiana State Bar Association Program: ISBA Annual Meeting
Indiana State Bar Association Program Date: November 4 -6, 2009
I
As an author of materials to be presented at the program or event listed above, I grant
to the Indiana State Bar. Association (ISBA) the right to reproduce, adapt, publish, distribute,
I
and sell all or part of the written material's I submit for this program or event royalty free by
executing this release. I understand and, agree that reproduction may be an electronic media,
or in any other medium now known or later developed. j
I understand that-1 retain the ownership.of the copyright to the written materials of which I
am the author for my own use, but by submitting these materials. I am granting to the ISBA a
perpetual limited license to use them in the manner detailed in this release.
grant to the ISBA the right to use my name„ biographical information, and likeness in
connection with the program or event in any media, including for the purposes of publicity
and' promotion.
I also grant to the ISBA the right to record my person and presentation, including any
question -and- answer period, on videotape, audiotape, digital media or any other medium now
known or later developed. I further grant to the ISBA the right to reproduce, adapt, broadcast,
publish, distribute,, and sell all or part of such presentation in both print and electronic media,
and any other medium now known or later developed in any product of the ISBA. However, I
understand that the ISBA will not allow others to make commercial use of my materials
without my permission.
I understand that the ISBA expects its presenters to respect the proprietary. rights of
others, just as I expect my own rights to be respected. Accordingly, in submitting materials
for this program or event, I agree that I have created and own all of the materials I submit and
that they are free of any copyright claim by others, except for those portions that may be in
the public domain, or are the work of others for which I have permission to use and in which
have the authority to grant a license for their use (and will provide proof of this upon request),
and that the materials may be used for the purposes -set out in this release.
In the event that the program, or event involves multiple sessions, I understand and
agree that this release shall be effective for any and all sessions in which I participate and that
this single release will be sufficient to release my rights for each and every session as though I
signed a separate release for each session or program in which I participate or to which I
make a contribution. I understand that the ISBA is under no obligation to publish my materials
or to allow me to present them.
Date:
I
Ful'I' Name:
(Please Print) t
Signature:
Please sign and return this for by September 15 to
Ashley Higgins (317 -266 -2588 fax or ahiggins@inbar.org)
State and Local Government Law I Live Seminar NBI Page 1 of 2,
NATIONAL 800-930
BUSINESS
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Continuing Legal Education for Professionals
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1 Day Seminar #50838ER) Register Today!
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December 02, 2009 Indianapolis, IN Live Seminar
50838ER $345.00
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TIMES Agenda Content Covered: 50838CDRA $34E
Start: 9:00 am LEGISLATIVE, REGULATORY AND CURRENT CASE LAW DEVELOPMENTS
Adjourn: 4:30 m 9:00 9:30, Jan J. Kinzie
1 P Course Book (CD -RC
50838CDR $99.(
LOCATION: LABOR AND EMPLOYMENT LAW CURRENT ISSUES AND ANSWERS
9:30 10:30, Jan J. Kinzie
Capital Conference Center Aud CD Course 8
201 North Illinois Street a Handling Employee Grievances 50838CM $345.(
Indianapolis, IN Protecting Employee Privacy Rights
Facility Phone: a Exploration of Labor and Employment Law Issues Unique to Government
Entities Course Book (Hardcc
317 237 -2299 50838MO $99.0
HOT TOPICS IN LAND USE AND ZONING LAW
TUITION 10:45 11:30, Eric D. Kelly
QUESTIO;
$345 First Registrant s A Look at Eminent Domain Post Ke /o v. New London e Sem FA(
$335 Each Additional a Annexation, Subdivisions and Land Development a Cancel lation
$325 New Professionals Smart Growth Satisfaction
(3 or fewer years of e Urban Renewal Conta Us
professional work
experience) DISASTER RECOVERY PLANNING
11:30 12:00, Eric D. Kelly
STATE AND PUBLIC RECORDS LAW IN THE AGE OF TECHNOLOGY HOW TC
1:00 1:45, Jon Bailey
Web: Order Now
How Public Records Law Applies to Electronic Data Call: 800.930.6182 Fax: 715.835.1405
Interplay of Right to Public Access and the Right to Privacy
e When Does Email Become Public Record Mail: NBI
A Look at Today's Unique Challenges for Businesses Working With P.O. Box 3061
Government Entities Eau Claire, W
ETHICAL CONSIDERATIONS FOR GOVERNMENT ATTORNEYS
1:45 2:45, Douglas C. Haney
REGULATING TAXES
3:00 3:45, Douglas C. Haney
Exploring the Complexities of State and Local Taxation
What Taxation is Appropriate What's Not
o Building, Maintaining and Regulating the Government Tax Base
OTHER KEY ISSUES IN GOVERNMENT LAW
3:45 4:30, Jon Bailey
http: /www.nbi -sems. com/SemTeleDetails. aspx/State- and Local- Government- Law /Live -Se... 9/2/2009
State and Local Government Law I Live Seminar NBI Page 1 of 2,
Nf�T10\r1L 800-930
NBI BUSINESS
[NS I TITIT: rr.' Enter Product ID#
Continuing Legal Education for Professionals
You Are Here: HOME S
1 Day Seminar #50838ER) Register Today!
State and Local Government Law
December 02, 2009 Indianapolis, IN Live Seminar
50838ER $345.00
IMPORTANT DETAILS OVERVIEW'''' SPEAKERS CR EDIT Can't Attend? Purch;
Audio CD Course 8
TIMES Agenda Content Covered: 50838CDRA $34E
Start: 9:00 am LEGISLATIVE, REGULATORY AND CURRENT CASE LAW DEVELOPMENTS
Adjourn: 4:30 pm 9:00 9:30, Jan J. Kinzie Course Book (CD -RC
50838CDR $99.(
LOCATION: LABOR AND EMPLOYMENT LAW CURRENT ISSUES AND ANSWERS
9:30 10:30, Jan J. Kinzie
Capital Conference Center Audio CD Course B
201 North Illinois Street o Handling Employee Grievances 50838CM $345.(
Indianapolis, IN o Protecting Employee Privacy Rights
Facility Phone: Exploration of Labor and Employment Law Issues Unique to Government
Entities Course Book (Hardc
317 237 -2299 50838MO $99.0
HOT TOPICS IN LAND USE AND ZONING LAW
TUITION 10:45 11:30, Eric D. Kelly
QUEST10
$345 First Registrant A Look at Eminent Domain Post Kelo v. New London Sem FA(
$335 Each Additional o Annexation, Subdivisions and Land Development Cancellation
$325 New Professionals Smart Growth Satisfaction
(3 or fewer years of Urban Renewal Contact Us
professional work
experience) DISASTER RECOVERY PLANNING
11:30 12:00, Eric D. Kelly
STATE AND PUBLIC RECORDS LAW IN THE AGE OF TECHNOLOGY HOW TC
1:00 1:45, Jon Bailey
Web: Order Now
How Public Records Law Applies to Electronic Data Call: 800.930.6182 Fax: 715.835.1405
Interplay of Right to Public Access and the Right to Privacy
When Does Email Become Public Record Mail: NBI
o A Look at Today's Unique Challenges for Businesses Working With P.O. Box 306,
Government Entities Eau Claire, W
ETHICAL CONSIDERATIONS FOR GOVERNMENT ATTORNEYS
1:45 2:45, Douglas C. Haney
REGULATING TAXES
3:00 3:45, Douglas C. Haney
Exploring the Complexities of State and Local Taxation
What Taxation is Appropriate What's Not
Building, Maintaining and Regulating the Government Tax Base
OTHER KEY ISSUES IN GOVERNMENT LAW
3:45 4:30, Jon Bailey
http: /www.nbi -sems. com/SemTeleDetails. aspx/State- and Local- Government- Law /Live -Se... 9/2/2009
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Douglas C. Haney
Purchase Order No.
13828 Smokey Ridge Drive
Terms
r Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12 -15 -09 Reimburse Douglas C. Haney for monies he personally $23.92
expended while attending the ISBA Annual Conference
on and the NBI beminar on in Indianapolis,
recelpts
Total $23.92
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 Ri dge Dr
Carmel, Indiana 46033
$23.92
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
430 -57002 Training Fees (External)
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1180 $23.92 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 01
ign t re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
City Of Carmel
Tuition Reimbursement Application Form
Part I (to be completed by employee)
(Please print. Submit completed form to Department Head np �or to commencement of course.)
Employee Name D OUq/Ie4S I` >1 Q
Departmen c.J SSN � Hire Date o1--
P
Educational Institution* tya l (Ah 1A 1 1,. ,k 7s
Name of Course 6�Tb4 tc,5 A-e 9zW-A r 4-US71Gt Credit Hours
Starting Date of Course (month/day /year)
By signing below, I signify that I understand the following: 139 3
S Zfyq 9 9.1
The tuition reimbursement program is subject to the terms of Carmel City Code, Section 2 -58.
To receive reimbursement for tuition, I must submit evidence of payment for the course and a copy
of my final grade. To receive reimbursement for books, I must submit an original itemized receipt
or other proof of purchase that links these books to this particular course.
If I leave City of Carmel employment sooner than one (1) year after the end of this course, I will
repay the City in full for its tuition and book reimbursements for this course.
The tax status of reimbursement payments is subject to federal law, which may change from time to time.
Employee Signature 1 Date /.I /0 6
Part II (to be completed by Department Head)
(Submit to Human Resources)
By signing below, 1 certify that the applicant will have been employed full -time by the City for at least one (1)
year prior to the commencement of the course, and has not been subject to a disciplinary probation, suspension
or demotion within 90 days prior to the beginning of the course. The final claim will be paid from my
department's budget, subject to the terms of Section 2 -58 of Carmel City Code.
Department Head Signature Date z o oe1
Part III (to be com by Director of Human Resources)
Final Approval Date —1 "D O
If denied, reason for denial
The tuition reimbursement program covers only full- semester courses offered through a degree granting institution
accredited by the North Central Association of Colleges and Schools or an equivalent regional accreditor.
An application will not be considered complete unless a course description from the school's literature is attached.
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PPPA- 8000 -1 Success Strategies in the Online Learning
Environment W ALDEN U NWERSITY
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Syllabus View Gradebook Help
Calendar
Syllabus -II View Gradebook User Activity
r
Term Calendar
Course Introduction
Instructor My Gra ook: Do as Haney
Course Support Grade To 93% A 6.5 View Gradebook By: 'Nee;: I Item
Course Info
Class Cafe Points E
Ask the Instructor Week 1: Walden Vision, Mission, and Social Change Discussion 32/32 A
Walden Links Week 2: Success in Online Learning Discussion 28.80/32 A
Guidelines Week 3: Critical Reading Discussion 32/32 A
Turnitin Week 4: Scholarly Resources Application 11/12 A
Ask Walden Week 5: Walden Library I Discussion 28.80/32 A
1 Week 1 Week 5: Walden Library I Application 12/12
Week 6: Walden Library II Application 12/12 A
i Week 2
Week 7: APA Style Application 22/22 A
Week 3 Week 8: Scholarly Writing Application 10/12 B
P Week 4 Week 9: Critical Thinking Discussion 32/32 A
Week 10: Academic Integrity Recognition and Avoidance of Plagiarism Application 12/12 A
0 Week 5 Week 11: Academic Integrity Paraphrasing Application 12/12 A
p Week 6 Week 12: Residencies Discussion 32/32 A
Total 96.53
Week 7 Grade To Date:
Week 8
Gradebook Key
9 Week 9
Items not yet graded
Week 10 Exams not yet entered
Week 11 Extra Credit
Excluded from Course Grade
Week 12 Bold values indicate all items have not been graded.
To access grade details and comments click on the or on the grade.
The grade to date shown above includes only the items that have been graded
thus far —it does not take into account ungraded items.
a
E)dt Courw eCollege
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acalog ACMSTM:, course Information Page 1 of 1
School of Public Policy and Administration 2009 -2010 Catalog
PPPA,SooS Fou>l d- ations for Doctoral Study
2 Print this Page
(6 cr.) The purpose ofthis coupe is to intieducpa students to Walden Universitvand to the requirement- for successfial
part cipatioii in ati online cimictiltuil I t prot.'ides a fo uiidatio n for acaderrur- and pro fessional s uo:ess as a scim lar-
practitioner and social dvinge agent. Coim e assigiunents focus on practical application of and clitic:al thinldng
skills and promote professional and acaderryc eycellence. Major assignirients include the preparation of the Professional
Dewlopment Plan, ProgramofStudy, and asarn leI1 4LearningA�,meiiient. Arote:. 5'tz:ck.K- tsinseleta.ld'- 7ta•a?
programs and s ,pe.ializations are requi red to take t a's course i menta ate? upon enroOnenf, and nt:.st szicr�ssfztllt�
ao.VI&e it tee reprti-)cet u try K41 f or ccvrsework.
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Course Home Page Page 1 of 1
MMPA- 6405- 7 /NPMG- 6405- 7 /PPPA- 8405 -7 Ethics and Social
.Justice WALDEN UNIVERSITY
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v Course Home
Syllabus View Gradebook Help
is Syllabus -II
Term Calendar View Gradebook User Activity
Course Introduction
Instructor
Presenters My Gra ebook: Dou las Haney
Course Support Grade To ate: 98.10% View Gradebook By: `:,jE. I Item
Course Info Percentage of FinE
Class Cafe Points Earned to Date
Ask the Instructor Week 1: Philosophical Concepts Discussion 64/64 3.70%
Walden Links Week 2: Fundamental Concepts Discussion 64/64 3.70%
Guidelines Week 3: Ethical Decision Making Discussion 32/32 1.90%
D Week 1 Week 3: Ethical Decision Making Application 12/12 5.70%
Week 4: Human Rights— Concepts Discussion 32/32 1.90%
D Week 2
Week 4: Human Rights— Concepts Application 10/12 4.75%
0 Week 3 Week 5: Human Rights Applications Discussion 32/32 1.90%
D Week 4 Week 5: Human Rights Applications Application 10/12 4.75%
Week 6: Equality— Concepts Discussion 64/64 3.70%
D Week 5 Week 7: Equality and Equity Application Discussion 32/32 1.90%
D Week 6 Week 7: Equality and Equity Application Application 12/12 5.70%
Week 8: Liberty— Concepts Discussion 32/32 1.90%
0 Week 7 Week 8: Liberty— Concepts Application 12/12 5.70%
Week 8 Week 9: Liberty— Application Discussion 32/32 1.90%
Week 9: Liberty— Application Application 12/12 5.70%
D Week 9
Week 10: Justice Concepts Discussion 32!32 1.90%
D Week 10 Week 10: Justice Concepts Application 12/12 5.80%
Week 11 Week 11: Justice Applications Discussion 32/32 1.90%
Week 11: Justice Applications Final Project 16/16 30%
D Week 12 Week 12: Ethics, Social Justice, and Social Change Discussion 64/64 3.70%
Total 98.10% (of 100% Completed)
Grade To Date: 98.10%
Gradebook Key
Items not yet graded
Exams not yet entered
Extra Credit
Excluded from Course Grade
Bold values indicate all items have not been graded.
To access grade details and comments click on the or on the grade.
The grade to date shown above includes only the items that have been graded
thus far —it does not take into account ungraded items.
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FXit, courw' eColleae
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acalog ACMSTM:,course Information Page 1 of 1
School of Public Policy and Administration 2009 -2010 Catalog
PPPA 405 Ethics and Social .Justice
Print tl Fade
(S cr.) Ethics is a foundational element of leadership. Leaders facie increasinglycomplex social and political challenges as
theyseekto meet the needs ofdil�,wse constituents. This course exTlores ethics and social justice related to economic_
disparity, power and privilege. Students use dernographic data, curren social t -ends, and therries to understand, analyze,
and address ethical and sociallustice issues that impact service dehwi7in a global corrnnw ;t
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http://catalog.waldenu.edu/preview l &cold =1953 &print 12/10/2009
c soft IRU
Order Number: 9771310 Ship To: DOUGLAS HANEY
P.O. BOX 597 LLC Order Date: 8/14/09 13828 SMOKEY RIDGE DR
COLUMBIA, MO 65205 Order Time: 14:41:32 CARMEL IN 46033 -9101
317 571 -2472
317- 843 -2062
Internet Ordering for WALDEN UNIVERSITY ONLINE at
http: bookstore .mbsdirect.net /waldenonline.htm
ORDER SUI7MARY
MP
SHIP QTY CON ;:AUTHOR. T..1TLE m� F„,'EDITI;ON
1 N COOPER RESPONSIBLE ADMINISTRATOR 5TH 06 55.00
978 0 7879- 7651 4 CLASS -PPPA -8405
1 N WALDEN UNIV. WALDEN UNIVERSITY :FOUNDATIONS- DVD(5993D 08 10.00
MBS #000873850 CLASS -PPPA -8000
1 N WALDEN UNIV. MMPA 6405 /PPPA 8405:ETHICS +SOC.JUST -DVD 08 10.00
MBS #000909234 CLASS -PPPA -8405
1 N AM.PSYCH.ASSN. PUBLICATION MANUAL OF AM.PSYCH.ASSOC. 6TH 09 29.00
978 -1- 4338 0561 -5 CLASS -PPPA -8000
1 N WATKINS E- LEARNING COMPANION >CUSTOM< 2ND 09 24.75
978 -1- 4240 6465 -6 CLASS -PPPA -8000
5
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128.75 Uas GROUND 10.56 .00 139.31
WAL DEN UNIVERS
A higher degree. A higher purpose.
Bill Date: 08/31/2009
STUDENT SCHEDULE /BILL
2009 Fall Qtr 09/08 -11/30
P CRN SUBJ CRSE COURSE TITLE CREDS
1 11025 PPPA 8000 Found Doctoral Study 1.00
1 14542 PPPA 8405 Ethics and Social Justice 5.00
14267 WSRO 1000 Student Readiness Orientation 0.00
Course Credits: 6.00
CHARGES CREDITS /ANTICPATED CREDITS
*PhD in Public Policy Adm 2,580.00 .00
0'0 *PhD Pub Policy Admin 428.00
j
Reducti
*Walden Technology Fee 35 .00
00 *PhD Pub Policy Admin 170.00
Reducti
Designates CHARGE Not Yet Due, or CREDIT Not Affecting Amount Due.
This bill does not reflect pending financial aid.
Remit check payments to:
Walden University
15297 Collections Center Drive
Chicago, IL 60693
Questions regarding this invoice should be forward to:
bursar @waldenu.edu
Financial aid inquiries should be forward to:
finaid @waldenu.edu
Questions regarding this invoice should be forward to:
refund @waldenu.edu
If you wish to speak to a representative, please call: 1- 800 925 -3368.
Douglas Haney
Student ID: A00181768
Total Current Term Charges: 2,615.00
Total Current Term Credits: 258.00
Previous Balance: .00
Current Term Balance: .00
AMOUNT DUE: .00
Future Balance: 2,357.00
Return Bottom Portion With Payment------------
Douglas Haney Student ID: A00181768
13828 Smokey Ridge Drive em.: 201010
CTermPaid: OUNT DUE: .00
Carmel, IN 46033 OW
A i p�
04 DA ®Q
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))
12 -14 -09 Reimburse Douglas C. Haney for monies he personally
expended to attend Walden University's on -line courses,
"Foundations or Doctoral Study" an 'Ethics And Social Justice"
Total $2
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 Ri dge D rive
Carmel, Indiana 46033
$2,496.31
ON ACCOUNT OF APPROPRIATION FOR
Department of Law
410 -28000 Tuition Reimbursement
Board Members
INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 ,496.31 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
nat re
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
T i.nes Schedule Change for Trip 170CT #NH2UM2 Page 1 of 1
Northwest Airlines Schedule Change for Trip 170CT
#NH2U
From: My_NWA_Info @nwa.com
To: DTECK31 @EARTHLINK.NET
Subject: Northwest Airlines Schedule Change for Trip 170CT #NH2UM2
J Date: Sep 6, 2009 7:02 PM
aw
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Check in within 24 hours of your flight.
Schedule Change Advisory
Dear Douglas Haney:
A schedule change for your itinerary departing on October 17 has occurred. Your new flight schedule
follows:
Flight: DL 5960
From: Indianapolis, Indiana
To: Atlanta, Georgia
Departure Time: October 17, 10:30 am
Arrival Time: October 17, 12:09 pm
Flight: DL 1026
From: Atlanta, Georgia
To: Miami, Florida
Departure Time: October 17, 2:49 pm
Arrival Time: October 17, 4:39 pm
Flight: DL 0074
From: Miami, Florida
To: Atlanta, Georgia
Departure Time: October 21, 1:35 pm
Arrival Time: October 21, 3:40 pm
Flight: DL 1510
From: Atlanta, Georgia
To: Indianapolis, Indiana
Departure Time: October 21, 4:30 pm
Arrival Time: October 21, 6:15 pm
Confirmation number: NH2UM2
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.
0 Northwest Airlines 2007
2009 SEMINAR AND ANNUAL CONFERENCE
WASHINGTON, DC APRIL 1 2009
MIAMI, FLORIDA OCTOBER 1 8 2009
LE DISCOUNT REGISTRATION FOR 2009 CONFERENCE
p
ATTENDEES ACT NOW AND SAVE! SEMINAR
INTERNATIONAL MUNICIPAL- LAWYERS ASSOCIATION
79 WOODMONT AVENUE, SUITE 1 440
r BETHESDA, MARYLAND 20814
REGISTRATION INFORMATION
Registrant Type Super Saver Expire 11/14/08 Early Bird Expire 1/15/09 Regular g r End 3/16/09
First Registrant $850
$950 $1,100
Additional Registrant $750
3 or More Same Office $675 each $825 $750 each $1,025
Guest $200 $850 each
$275
Name: DOUGLAS C. HANEy $375
Badge Name:_ Dou Haney
Title City Attorney Carmel Indiana
Local Government Entity: CitY of Carmel Indiana
City /State /Zip: Carmel, Indiana 46032
Phone: 37 7 571 7G72 Fax:
31 7 571 -2484
CLE Credits leases 3ecifV each state Indiana
Bar No: 11207 49
Guest:
c oon (only "registering)
Payment Information Discount Rate Payment Due By Expiration Date or New Rate wil
To receive this Bundle D*
IMLA.
scount ou MUST send this form t l Apply
4- Bill Me S a.
Enclosed Visa or Master Card only
Amount
SD, D Name on card)
Account Number:
Exp.___ a
Signature:
Registration Fee Includes• Admission to all sessions, "event packet materials," and all 1ML f
social functions. A
Guest Fee Includes: Attendance at the social functions.
Cancellation /Refund Polic Cancellations must be received in writin g b
qualify for a refund. All cancellations are subject to a $50 administrative y March 2, 2009 to
Processing fee. All refunds will be remitted within 90 days of the event. After March 2
not attending will receive the event materials in full consideration for registratio n fees p
those
Replacements are always welcomed. Send all cancellations in writing to IMLA EDepartment.
vents
Phone: 202 466 -5424 Fax: 2 02- 785 -0152 Email- infnn" i,,,i.. 7 y-
iER NO. WARRANT NO.
ALLOWED 20
las C. Haney IN SUM OF
3 Smokey Ridge Drive
iel, Indiana 46033
$50.00
COUNT OF APPROPRIATION FOR
Department of Law
i
0 -57002 Training Fees (External)
Board Members
INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
$50.00 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
natur
st distribution ledger classification if Title
im paid motor vehicle highway fund
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x
O M F v� 0
U °W 00
0
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))
12 -18 -09 Reimburse Douglas C. Haney for monies he personally $50.00
expended to change flights to attend the IMLA Annual
C onference in Miami, FL, on per the attache
Total $50.00
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
1
with IC 5- 11- 10 -1.6.
v�
1 20 tix�
Clerk-Treasurer•
Summit Restaurant Management
NOW HIRING
Apply at www.hiringtowin.com /apply
Promo code- mcd06O87
37 "W 38TH ST
INDIANAPOLIS, IN 46208
THANK YOU
MCDOVALOS N TEL# (311)926 -8326
77 I -;S #14 S#I Dec.02'09(Wed)13:11
STORE:# 6067
1 QTR CHEESE ML. -LRG 4.79
1 LRG DIET COKE 1.00
1 DI::SIGN 1 0.00
SUB TOTAL 5.79
TAKE: OUT TAX 0.52
6.31
capitml��ei-- Garage
251 N. l!|inuia St
Indianapolis, IN 48204
Fee Computer Number:
Casxi*r� Neil ID #2
Transaction Number: 82
Entered: 12/02/08 13:25
E^ited� 12/02/08 17:15
Ticket 091237 Dispenser 01
Rate: Area
Tuta/ Fee: $6.00
Cash: *8.00
Thank you for choosing
Capital Center Garage
Have a nice day
GREAT STEAK AND 10 TA10
72 W. NEW YORK Sf.
317T222
Thank You
Come Again!
REG 12 -02 -2009 16:43
000112
DEPT01 T1 $4.99
DEPT13 T1 $1.99
TAX -AMT 1 '',lb.98
TAX 1 C' 63
TOTAL L .6 1
CASH $20.00
CHANGE $12.39
6940'
0 0 1'i:23
Area I
t nd i Rate
1.00
4.00
4.00"
4.00
9006 ®L1 ®5461
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HANEY/DOUGLASC
HANEY/bOUGLAS:
W SILVER/ELITE W SILVER/ELITE
N
NW061240012 W661249012
FLIGHT DATE FLIGHT DAT E DEPARTS
DL6155 210C IDL6155 21OCT 450P
DEPARTS Q G I N
45 0 P b N( (CINCINNATI
ARR?VES DESTINA DESTINATION
'INDIANAPOLIS
.5 4,15 P 1 N D I:
DEPARTURE GATE A26 OPERATED BY FREEDOM AIRLINES INC
'A DELTA CONNECTION CARRIER
YOUR SEAT WILL BE ASSIGNED AT THE GATE APPROXIMATELY 18 TO 45 MINUTES
BEFORE DEPARTURE WE APOLOGIZE FOR THIS INCONVENIENCE. PLEASE BE
DDEDAD[n T() DDECLUT TUTC rADn mucu rAl I rl) DV. TLJr PATE ArrkjT YTAaCj09i /ru
A. E L T A BOARDING PASS BOARDING PASS
BREEZEWAY BREEZEWAY
HANEY /DOUGLASC 812 2175522384 1 HANEY /DOUGLASC
NW SILVER /ELITE PNTRYP N4V SILVER /ELITE
NW061240012 SEAT ;NW061240012 SEAT
UN14NAXF
FLIGHT DATE CLASS OR GIN DEPARTS 1 2 Q FL'- ii DATE 1 2 D
DL1125 21OCT U MIAMI 109P DLII ya 21OC
OPERATED BY COACH DESTINATION ZONE 2 10RIGIN ZONE 2
DEL TA AIR LINES INC CINCINNATI MIAMI
DESTINATION
DEP._4RTURE GATE H11 **SUBJECT TO CHANGE* 'CINCINNATI
OPERATED BY DELTA AIR LINES INC
f
BAGS BAGS
MI
02
A. D E LTA PASSENGER RECEIPT of I SPECIAL SERVICE
21OCT09 0066 TICKET
DL /KI MIA FTO j THIS IS YOUR RECEIPT
HANEY /DOUGLASC
*NOT VALID FOR NOT VALID FOR TRAVEL
*TRANSPORTATION* PSGR TICKET 01221755223841
SAME DAY CONFIRMED
PNTRYP /DL
I
FROM j
'TO
NOT VALID FOR TRAVEL
05b 50.00 001.024
1
f
0 006 2921288382 1 i 0 006 2921288382 1
USD50.00 i