HomeMy WebLinkAbout177233 09/15/2009 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: $1,589.89
o Cr0 DEPT of LAW CHECK NUMBER: 177233
CHECK DATE: 9/15/2009
DEP ACCO PO NUMBER INVOICE NUMBER AMOUNT DES
1180 4343002 1,589.89 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel expenses)
JNDIAN?
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 08/27/09 TIME: 6:55 a.m.
DEPARTMENT: Law Department RETURN DATE: 08/30/09 TIME: 8:45 a.m.
REASON FOR TRAVEL: ALI -ABA Seminar DESTINATION CITY: San Diego, California
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM J
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
$0.00
August 27
30, 2009 $321.39 $254.32 $10.35 $211.00 $532.83 $260.00 $1,589.89
$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
Total $321.391 $254.32 $10.35 $211.00 $532.83 $0.00 $0.001 $0.00 $0.00 $260.00 $0.00
DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget.
Director Signature: Date:
City of Carmel Form ER06 Revision Date 9/1/2009 Page 1
Northwest Airlines nwa.com Travel Center Page 1 of 2
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Reservation Details g Send to Printer
*40FP0*
Below are the flight and E- Ticket details for your confirmed reservation.
NWA Confirmation Number:4OFPA7
Passenger Name E- Ticket Number Frequent Flyer Number
HANEY /DOUGLASC 0122171705683 NW061240012 Silver Elite
0122182601532 none
0122183338658 none
The following flights are co
Date: Thursday; August 27 Flight: NW 495
Departs: Indianapolis- Int'I, IN (IND) at 6:55AM
Arrives: Minneapolis /St. Paul- Int'I, MN (MSP) at 7:42AM
Class of Service: First Class (R) Seat: 03 -A Window
Flight Duration: 1 hour 47 minutes Approximate Miles: 502
Meal Service: None Aircraft: Airbus A319
Note: Operated by Northwest Airlines
Note: Check in with Northwest Delta Air Lines
Date: Thursday, August 27 Flight: NW 189
Departs: Minneapolis /St. Paul- Int'I, MN (MSP) at 9:10AM
Arrives: San Diego- Lindbergh Field, CA (SAN) at 11:01 AM
Class of Service: Economy Class (T) Seat: 19 -D Aisle
Flight Duration: 3 hours 51 minutes Approximate Miles: 1,531
Meal Service: Sandwich and Snacks for sale Aircraft: Boeing 757 -200
Note: Operated by Northwest Airlines
Date: Sunday, August 30 Flight: NW 670
Departs: San Diego- Lindbergh Field, CA (SAN) at 8:45AM
Arrives: Detroit -Wayne County Int'I, MI (DTW) at 4:15PM
Class of Service: Economy Class (V) Seat: 05 -A Window
Flight Duration: 4 hours 30 minutes Approximate Miles: 1,962
Meal Service: Sandwich and Snacks for sale Aircraft: Airbus A320
Note: Flight Status posted day before departure
Note: Operated by Northwest Airlines
Note: Check in with Northwest Delta Air Lines
Note: Departs from Terminal 2
Date: Sunday, August 30 Flight: NW 531
Departs: Detroit -Wayne County Int'I, MI (DTW) at 5:10PM
Arrives: Indianapolis- Int'I, IN (IND) at 6:25PM
Class of Service: Economy Class (V) Seat: 05 -E
Flight Duration: 1 hour 15 minutes Approximate Miles: 241
Meal Service: None Aircraft: McDonnell Douglas DC9 -30
Note: Flight Status posted day before departure
Note: Operated by Northwest Airlines
Notes:
-r-- h....r 111 T,n 0.,.. -.1 n.. +nh A;,I;.,l... Al..hh.. •i. r+
https: /www.nwa.com /cgi- bin /view_res. pro? param= 6532200000974C6BA5180595 SE72F... 8/26/2009
ALI -ABA WEB REGISTRATION /ORDER FORM
download this form
If you do not wish to register or order online, you may print out and complete this form, then send it with payment to:
ALI -ABA Customer Service Dept., 4025 Chestnut Street, Philadelphia, PA 19104 -3099. Orders charged to credit
cards may be faxed to (215) 243 -1664 or telephoned to (800) CLE -NEWS (253 -6397) or (215) 243 -1600.
Please register me for the Course of Study (title:) Land Use Institute, Planning. Re ulation Litigation
Course No. CR004 Date(s) 2 Tuition _93 75
Please register me for the Video Law Review Program (title:)
I plan to attend Viewing Site No. City State Program No. VF Tuition
I plan to view the live webcast on my office or home computer.
Webca- st FAQs: hftps://www.ali-aba.O[g/webcast/faa.asp Program No. VC Tuition
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s day before the program.
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Please enter my order for the following products (e.g.: books, tapes, course materials):
QtY. Order Code Title
Price Total
I
I
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Subtotal
Tax' 1
Tuition
DO GLAS C. U NEY TOTAL
Name
Firm
One Civic q_ De -artment-�Of -.:.Law_
Street address (No P.O. boxes for orders or webcast registrations.)
City State
(317) 571 -2472 Zlp +4
Telephone 317) 571 -2484 dhanev@carmel.in.gov
Fax E-mail
Payment must accompany orders. _e c}c made payable o�ALI ABA enclosed.
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Exp. Date Signature
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Promotion Code A560
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Page 2 of 2
COURSE REGISTRATION CONFIRMATION
(CRO04)
Douglas C. Haney Billing ID: 181343
City of Carmel, Indiana Attendee ID: 181343
l Civic Sq PO Number:
Carmel, IN 46032 -2584
You are registered for the following Program:
Land Use Institute: Planning, Regulation, Litigation, Eminent Domain, and Compensation
08/26/2009 08/29/2009
Registration Fee: $936.75
Payment: $936.75
Balance Due $0.00
PLEASE REMIT ANY BALANCE DUE WITH A COPY OF THIS LETTER TO:
ALI -ABA
ATTN: Accounting
4025 Chestnut Street
Philadelphia, PA 19104
IF YOU ARE REGISTERED but CANNOT ATTEND in person:
1) Consider transferring to a webcast registration and /or taking the online video or audio made available
to all registrants 4 -6 weeks after most ALI -ABA courses. Most states allow you to earn participatory or
self -study CLE credit through these internet formats. PDF versions of study materials are provided with
these options.
2) Or apply your tuition to one of the following:
a. DVD or mp3 CD -ROM (includes the study materials in PDF format that can be copied to your
computer or printed);
b. or another ALI -ABA course or product.
3) Or receive a refund less a $50 cancellation fee when you mail, fax (215- 243 1664), or e -mail
registrar o ali- aba.org a request and it is received at least two business days before the course.
Registrants who do not provide notice and do not attend can receive access to the archive online and the
study materials upon request
6/l/2009
10950 N. Torrey Pines Road La Jolla, CA 92037
Phone (858) 558 -1500 Fax (858) 450 -4584
Hil Reservations
Name Address La Jolla Torrey Pines www.billon.com or 1 800 HILTONS
HANEY, DOUGLAS Room 4043/K1
13828 SMOKEY RIDGE DR Arrival Date 8/27/2009 12:15:OOPM
Departure Date 8/30/2009
CARMEL, IN 460339101 Adult/Child 1/1
US Room Rate 139.92
RATE PLAN L -AA
HH# 864254159 DIAMOND
AL NW #061240012
BONUS AL CAR
Confirmation Number: 3331785426
8/30/2009 PAGE 1
DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE
8/27/2009 OUTGOING FAX MDAY 3217060 $15.00
8/27/2009 SELF PARKING JSKV 3217744 $20.00
8/27/2009 GUEST ROOM JSKV 3217745 $139.92
8/27/2009 ROOM OCCUPANCY TAX JSKV 3217745 $14.69
8/27/2009 CA TOURISM ASSESSMENT JSKV 3217745 $0.20
8/27/2009 SD TOURISM MARKETING JSKV 3217745 $2.80
PROGRAM
8/28/2009 BUSINESS CENTER FAX JMOO 3218037 $45.00
8/28/2009 SELF PARKING LBAR 3219160 $20.00
8/28/2009 GUEST ROOM LBAR 3219161 $139.92
8/28/2009 ROOM OCCUPANCY TAX LBAR 3219161 $14.69
8/28/2009 CA TOURISM ASSESSMENT LBAR 3219161 $0.20
8/28/2009 SD TOURISM MARKETING LBAR 3219161 $2.80
PR.OGRP.M
8/29/2009 SELF PARKING JSKV 3220364 $20.00
8/29/2009 GUEST ROOM JSKV 3220365 $139.92
8/29/2009 ROOM OCCUPANCY TAX JSKV 3220365 $14.69
8/29/2009 CA TOURISM ASSESSMENT .JSKV 3220365 $0.20
8/29/2009 SD TOURISM MARKETING JSKV 3220365 $2.80
PROGRAM
WILL BE SETTLED TO $592.83
COO fa
BALANCE OF $0.00
#53a, -�3
DATE OF CHARGE FOLIO NO. /CIIECK NO.
371529 A
Zip -Out Check -Out
Good Morning! We hope you enjoyed your stay. With Zip -Out Check -Out AUTHORIZATION INITIAL
there is no need to stop at the Front Desk to check out.
Please review this statement. It is a record of your charges as of late last PURCHASES SERVICES
evening.
For any charges after your account was prepared, you may: TAXES
pay at the time of purchase.
charge purchases to your account, then stop by the Front Desk for an
updated statement. TIPS MISC.
or request an updated statement be mailed to you within two business days.
Simply call the Front Desk from your room and tell us when you are ready to
TOTAL AMOUNT
depart. Your account will be automatically checked out and you may use this
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.
I
INDIANA RETAIL TAX EXEMPT PAGE
C i t y Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
o 11 FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. j DESCRIPTION
I h I
1
SHIP
VENDOR
f TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
0
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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Send Invoice To:
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
9
oal- PAYMENT 5 F7'
,a� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
,11 T y c„ >'6�at NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
r�',..,,iff`• f VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE I ''��"""t �,12.J1.�• /'"i:'r
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO A.P. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER WARRANT NO
ALLOWED 20___
|N THE SUM OF$
Or4 ACCOUNT {]F/\PPH��R|A T|ONFOR
w
Board Members
PO# or
INVOICE NO. ACCT#/TlTLE AMOUNT
hereby certify that the attached invoice(s), or
biU/a> is /ane> true and correct and that the
materials or services itemized thereon for
which charge ia made were ordered and
received except
I re
T Title
Cost distribution ledger olauomvonon if
claim paid momr vehicle highway fund
Cnwa. '`%J PA SSENGER RECEIPT
Depart Arrive Date Cabin Fare Code E- Ticket 0122183338658
Indianapolis, IN 'M1pl; /St. Paul, MN 27AUG09 COACH TA10AONJ Issue Date: 17A0009
Mpls /St. Paul, MN San Diego, CA 27AUG09 COACH TA10AONJ Name /Place of Issue: NWA.COM US E- TICKET TAR
San Diego, CA Detroit, MI 30AUG09 COACH VA07A0NJ
Detroit, MI Indianapolis, IN 30AUG09 COACH VA07AONI Endorsements /Restrictions:
NON REFUNDABLE NR 321.40 USD
PENALTY FOR CHANGES
HANEY /DOUGLAS C Transportation subject to terms of carriage
T Otal -are Thl S Ti cket USD 321.39 rinted inside ticket jaiker..
SSS444. SSS
FARE 259.53 Form of Payment:
DOM SEGMENT FEE 14.40 E- Ticket 0122183338658
OTHER 7AX 28.00 CO:lflr':TlatlOn 40FPA7
T07AL USD 327.39 4 Y��Mil:i;u1�1hr 1111
BAG TAG NW 073509 P;. cue of
NATIONAL
CAR RENTAL
RA 213853998 Inv 20011114384
RentnI 27 -AUG -2009 11:36 AM
SAN DIEGO AIRPORT
keturn 30 -AUG -2009 07:36 AM
SAN DIEGO AIRPORT
DOUGLAS HANEY
Vehicle 4 91256502
Model IMPALA LT
Class Driven FCAR Class Charged ICAR
License# 6FTL352 State /Province CA
M /Kms Driven 188
M /Kms Out 21495
M /Kms In 21683
Charges No Unit Price Amount
T M 3 Days 51.99 155.97"
UNLIM M /KM 0 M /Kms 0.00"
CDW /LOW 3 Days 14.99 44,97
TOURISM FEE 5.46
CUSTOMER FACILITY CHG 10.00 p
CONCESSION RECOUP FEE 22.32"
SALES TAX @8.750 X 15.60
Total Charges �254
Paid By 254.32
Amount Due USD 0.00
Taxable Items
Subject to Audit
Your Emerald Club Number is 888836362
Congratulations! Y u have just earned a
Free Day!
Free (lay is subject to program rules.
Custumer service Number 1- 800 468 -3334
SAN DIEGO, California
9`2.1016197
OS076000 W096
36090009 (800)275-8777 01:0!3:30 P14
Sales Receipt
P "Oduct Sale Uri i t. Fi ria I
Ile scri p t i of) Qt; Pri Pri
CARMEL IN 46032 Zone- $10.35
P1101 GO
Flat Rate Box
9 W 5.2 oz.
Wule PVJ: $10.3�
Taw: $10.35
Paid by;
Cash $20.
Change Out: .$9.65
am ho"s at UgS c,&Qwp ur c& I
USPS.uoi:i/clickn'ship
L:) prili shipping labels Oth ()�stai-)e.
For ctlzer information call I-8011 -ASK-USPS,
WIN 1350413450.
Oak: 15
1 sales tlac.i on stamps and pc Jaye
RaNmd. Or gildimnluiad services onk
irk ou for your husin�ss
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www.exxonmoblicard.com
Speedpa
Enroll online at
www.speedpass.com
or call toll free
1- 87- SPEEDPASS
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COMPL PARKI MANA NT RESTAURANTS,
HOTELS PRIVAT S A,. PARK „S EGO, CA.
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LICENSE
THIS`CONTRAC I OUR L IT
This is 'a license top only no "ilmen is createdrJn ace' t ng this
co7tract,;Holder agre s e zO a toe garage orlot at Hold es own
nsk.,fie owners and perator th pa in facility hereby cifjcally
disclaim any response lity „ezpr or i d, to rof gainst the
loss ofor damage to you icl r is conten s. employee or agent
may alter or enlarge our liabi i y er under orally or otherwise. Parking
in this.facility shall cronstitutea ac nowledgement aid`acceptance of
this condition on your right,. -u our parking facility, Operator's
attendant is on duty for collec n fees only. Notes iours -of operation
and rates are posted. Please ocky ur car and take your keys.
y
LOST TICKET
FULL CHARGE
ATTENDANT; NOT ALWAYS ON DUTY
NO IN AND"OUT PRIVILEGES'
REV. 10-05 aC GRAPHICS 1-800-742-1602
YOUR HAIR LOOKS REALLY,
REALLY C®®® TODAY.
L 0KE, REALLY GOOD.
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