207475 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
0 ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $2,025.56
CARMEL, INDIANA 46032 C/O DEPT OF LAW
C/O DEPT OF LAW CHECK NUMBER: 207475
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 2,010.02 EXTERNAL TRAINING TRA
1180 4343003 15.54 TRAVEL LODGING
0 of CAq,
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CITY OF CARMEL Expense Report (required for all travel expenses)
N61ANP
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 03/09/12 7:00 a.m.
DEPARTMENT: Law Department RETURN DATE: 03/11/12 TIME: 11:37 p.m.
REASON FOR TRAVEL: PLI Government Lawyers 2012 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 g Breakfast Lunch Dinner Snacks Per Diem
Mar. 9 -11,
2012 $425.60 $74.40 $54.00 $65.00 $619.00
$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
0.00
Total $425.60 $0.00 $74.40 L $54.001 $0.001 $0.00 $0.00 $0.001 $0.001 $65.001 $0.00 i 2
DIRECTOR'S STATEMENT: I h=b i 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 ER Revision Date 3120/2012 Page 1
Haney, Douglas C
From: Delta Air Lines [DeltaAirLines @e.deita.com)
Sent: Monday, February 20, 2012 5:07 PM
To: Haney, Douglas C
Subject: DOUGLAS C INDIANAPOLIS 09MAR12
D L dekaxorn M Trips E arn Miles
zm..ro, X11- 17.a"7 7^ S X7 „''"r"�� ^ro s'.*
YOUR ITINERARY AND RECEIPT
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Flight Confirmation 4 GN7YON d Ticket 00523685237162 i
Your Flight Information
Lv 7:00am INDIANAPOLIS AR 9 :02am NYC LAGUARDIA DELTA 5891*
ECONOMY (U)
Confirmed
Snacks For Sale
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Lv 9:05pm NYC- LAGUARDIA AR 11 :37pm INDIANAPOLIS DELTA 5991*
ECONOMY (U)
Confirmed
Snacks For Sale
*Operated by SHUTTLE AMERICA
*Operated by SHUTTLE AMERICA 1
1
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Your Flight Details Manage Trip
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fPassen gerDeta�ls:. 4' 3Fl ights 4 r Seat h.
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DOUGLAS C HANEY DELTA 5891 513
SkyMiles *013 Silver DELTA 5991 5B
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Billing Details
I
Passenger: Payment Method: Ticket Number:
DOUGLAS C HANEY 00623685237162
i
FARE: 375.82 USD
Tax: 49.78 i
Total: 425.60 USD
I
NON REF /PENALTY /APPLIES i
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require payment of a change fee and increased fare. Failure to appear for any flight without notice to
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1
axe` �i s,k K"emt 3 `N n m`°'� a.;,a r,;p Y Y r. `3
Total Tax: 49.78
Itemized Tax: 5.00 AY 9.00 XF 7.60 ZP 28.18 uS
IND DL NYC Q27.91 160.00UEI4AONQ DL IND Q27.91 160.00UEI4AONQ
USD375.82END �P INDLGA XF IND4.5LGA4 5
i
Tlcket �Detail
j
Passenger: Ticket Place of Issue: Issue Date: Expiration
Date:
DOUGLAS C HANEY 00623685237162 LAXWEB 20FEB12 20FEB13 j
Ba a e Fees
99 3 s' �F�rst/ Business
a§ ECOnOm �CIasS �z x 4 k d
(perf passenger "eachway) `EI i
Carry-on Baggage Carry-on Baggage Complimentary Complimentary
(one bag plus one
personal item) 1
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Bass, Elaine A
From: Cristina Konopka [ckonopka @pli.edu]
Sent: Tuesday, February 21, 2012 8:42 AM
To: Bass, Elaine A
Subject: Order #2039984
From: Jason Chan
Sent: Tuesday, February 21, 2012 8:40 AM
To: Cristina Konopka
Subject: Order #2039984
Order Summary for Douglas Haney (873092)
Order Date:2/21/2012
Bill s Ship To: �rraar H umber: 2039984
Doug Haney Douglas Haney n
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:
LINE ITEM ID DESCRIPTION WL /BO ORIG. PRICE QTY EXT. PRICE DISC. AMT, NET PRICE TAX AMT.
1 i 28671 Govt Lawyers 12 $395.00 1 $395.00 $395.00 $0.00 $0.00
PAYMENT METHOD ACCT. NUM. AMOUNT AMOUNT USED Price: $395.00
Discount: $395.00
Tax: $0.00
Sub Total: $0.00
Shipping: $0.00
Total: $0.00
Total Balance Due:$0.00
If you have questions, please call PLI's Customer Service Department at (800) 260 -4PL1 or (212) 824 -5710 between the hours of 9:00 am
6:00 pm est. or e-mail info a0pli.edu
1
TAX EXEMPT u lt of C arme l CE INDIANA RTTIFICA E 03120155 0 2 0 PAGE
PURCHASE ORDER NUMBER
y�- FEDERAL EXCISE TAX EXEMPT j
1`/ BUJ 35- 60000972 '�i� 9
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.
3 URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
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VENDOR SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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�I 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.
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 O 1 .�f
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
A CLERK TREASURER
DOCUMENT CONTROL NO. 4 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
A
O ACCOUNT OF A I'ROPRIATION FOR
4/00
Board Members
INVOICE NO. ACCT #MTLE AMOUNT
f -N I hereby certify that the attached invoice(s), or
p bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
--tore
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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CITY OF CARMEL Expense Report (required for all travel expenses)
N ItIANp
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 01/25/12 2:20 p.m.
DEPARTMENT: Law Department RETURN DATE: 01/29/12 TIME: 11:51 p.m.
REASON FOR TRAVEL: ALI -ABA Eminent Domain Seminar DESTINATION CITY: San Diego, CA
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
Jan. 25-
29, 2012 $404.80 $90.00 $603.72 $292.50 $1,393.02
$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
o.00
Total $404.801 $0.00 $2.00 $90.00 $603.72i $0.00 $0.00 $0.001 $0.00 $292.50 $0.00
Qqi
DIRECTOR'S STATEME�LT�I 7 that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. 11
Director Signature: Date:
City of Carmel Form ER06 Revision Date 2/27/2012 Page 1
1646 Front Street San Diego, CA 92101
Phone (619) 239 -6800 Fax (619) 238 -9461
DOUBLETREE For reservations across the nation
Name &Address BY HI LTON- www.doubletree.comor 1 -800- 222 -TREE
SAN DIEGO DOWNTOWN
HANEY, DOUGLAS Room 19091NK1
13828 SMOKEY RIDGE DR Arrival Date 1/25/2012 9:41:OOPM
Departure Date 1129/2012
CARMEL, IN 46033
US Adult /Child 2/0
Room Rate $134.10
RATE PLAN S -AAA
HH# 864254159 DIAMOND
AL DL #061240012
BONUS AL CAR
Confirmation: 83266444
1/29/2012 PAGE 1
DATE DFSCRIPTION ID REF NO CHARGFS CREDIT BALANCE
1/25/2012 1043309 GUEST ROOM $134.10
1/25/2012 1043309 OCCUPAN Y TAX $14.08
1/25/2012 1043309 CA TOURIS TAX $0.07
1/25/2012 1043309 SAN DIEGO TOURISM TAX $2.68
1/26/2012 1044109 GUEST ROOM $134.10
1/26/2012 1044109 OCCUPANCY TAX $14.08
1/26/2012 1044109 CA TOURIS TAX $0.07
1/26/2012 1044109 SAN DIEGO TOURISM T $2.68
1/27/2012 1045067 GUEST ROOM $134.10
1/27/2012 1045067 OCCUPANCY TAX $14.08
1/27/2012 1045067 CA TOURIS 0 TAX $0.07
1/27/2012 1045067 SAN DIEGO TOURISM T $2.68
1/28/2012 1045828 GUEST RO M $134.10
112812012 1045828 OCCUPAN Y TAX $14.08
1/28/2012 1045828 CA TOURIS TAX $0.07
1/28/2012 1045828 SAN DIEGO TOURISM T X $2.68
WILL BE SETTLED TO $603.72
EFFECTIVE BALANCE OF $0.00
You have earned approxima ely 9046 Hilton HHonors points and apprff( �yD e1� 7 `/O�6'
Air Lines for this stay. Visit Honors. com t check. yo r point balance fro says at any of e
EXPRESS CHECK -OUT DATE OF CHARGE FOLIO NO. /CHECK NO.
Good Morning We hope you enjoyed your stay. With Express Check -Out 339924
there is no need to stop at the Front Desk to check out.
AUTHORIZATION INITIAL
Please review this statement. It is a record of your charges as of late last
evening.
For any charges after your account was prepared, you may; PURCHASES SERVICES
pay at the time of purchase.
charge purchases to your account, then stop by the Front Desk for an TAXES
updated statement.
or request an updated statement be mailed to you within two business days. TIPS MISC. 0
Simply call the Front Desk from your room and tell us when you are ready to
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. TOTAL AMOUN6 0
Please call the Front Desk if you wish to extend your stay or if you have any
PAYYIFNT DUE UPON RECEIPT
questions about your account.
PAYMENT DUE UPON RECEIPT 1.5% PER MONTH INTEREST CHARGE WILL RE APPLIED TO ALI. PAST DUE INVOICES.
���I
Haney, Douglas C
From: DeltaElectronicTicketReceipt delta.com
Sent: Monday, December 05, 2011 5:12 PM
To: Haney, Douglas C
Subject: DOUGLAS C INDIANAPOLIS 25JAN12
(Scan this
Your Receipt and Itinerary r servation.� rcode at a Delta Self- Service Kiosk to access your
DOUGLAS C HANEY
13828 SMOKEY RIDGE DR
CARMEL IN 46033
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DELTA CONFIRMATION GCAG62
TICKET 00623643565915
Bkng Meals/ Seat/
Day Date Flight Status Class City Time Other Cabin
Wed 25JAN DELTA 1613 OK L LV INDIANAPOLIS 220P 13C
AR ATLANTA 356P COACH
Wed 25JAN DELTA 1567 OK L LV ATLANTA 7202 F 19C
AR SAN DIEGO 919P COACH
Sun 29JAN DELTA 2267 OK K LV SAN DIEGO 150P F 22C
AR ATLANTA 8542 COACH
Sun 29JAN DELTA 1898 OK K LV ATLANTA 1005P 12C
AR INDIANAPOLIS 1151P COACH
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US /Canada and D Dinner
First Checked Bag Complimentary I F -Food available for purchase
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Checked Baggage International I LV Departs
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DOUGLAS C HANEY
SkyMiles Number: "013
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Billing Details
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Fare Details: IND DL VATL DL SAN124.65LD14AONA DL X /ATL DL IND212.09KD14AOVA
USD336.74END ZP INDATLSANATL XF IND4.5ATL4.5SAN4.5ATL4.5
Fare: 336.74 USD Form of Payment
Tax: 68.06 TX
Total: 404.80 USD
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Detailed Tax Information
2
Total Tax: 68.06 USD
XF 18.00 ZP 14.80 AY 10.00 us 25.26
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4
Apu e
American Law Institute Arnerican B
C ontinuin g Pro
Please register me for the following ALI -ABA Course of Study /Webcast/Telephone Seminar:
z
Live COURSE /Program Title Eminent Domain and band Valuation Litigation
o
o a Live Course Location San Dieto CA
Z
6
Live Course /Program No. CT030 Date(s) Jan. 26 -28, 2012 Tuition $1 014.00
F_
Live WEBCAST (on your computer) Program Title
Live Webcast Program No. Date(s) Tuition
i would like to register for only segment(s) of this program: CIA B C D E F G H
Please check the WebcastFAQs and Webcast Test Page for important information.
For group viewing of the live webcast, please contact ciroupregistrationgali- aba.org For the group registration form, click here
E:> z Live TELEPHONE SEMINAR Program Title
w�
i—
Live Telephone Seminar Program No. Date(s) Tuition
Registrant's Name DOUGLAS C. HANEY
Firm Organization ,INDIANA
Street Address (no P.O. boxes) CTna ci vic Squares
City Carmel State IN Zip +4 46032
Phone 317 571 -2472 Fax( 571 -2484
E -mail Address: (required for webcastand telephone seminar registrants) dhaney@carinel.in.
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 incoming e-mail, please add ali- aba.org to your list of approved senders to ensure your receipt of future e- mails.
Payment must accompany registration City of Carmel Purchase Order No. 26021 attached
Amount enclosed 1,014. 00 Check made payable to ALI -ABA AMEX Mastercard Visa Discover
Card No. Exp. Date Signature
Name on card (if different than registrant)
How did you learn about this program? Please check all that apply:
E -mail promotion Printed publication Web search Colleague Advertisement of related course
Facebook Twitter 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.all- aba.org and navigate to the applicable course information page.
4025 Chestnut Street Philadelphia, PA 19104 -3099 1 (2 15) 213 -1600 1 vn,.Nnv.ah- aba.org
//-",1� Carmel INDIANA RETAIL TAX EXEMPT PAGE
1 CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
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,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
3 URCHASE ORDER DATE DATE REQUIRED I REQUISITION NO. VENDOR NO. DESCRIPTION
L:
VENDOR SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
rT "4
14Vy
j 4'.#
r�
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
��6� �G' �f3o• PAYMENT
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.
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. `,..�'i .�'[+•'I.dJ
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
LJ
q (6 CLERK- TREASURER
DOCUMENT CONTROL NO. 2 A .P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.� WARRANT NO.
ALLOWED 20
IN THE SUM OF
r
ON ACCOUNT OF APPROPRIATION FOR
Beard Members
PO# or
ln�voic rva. ACCT #frITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
22 materials or services itemized thereon for
which charge is made were ordered and
received except__
20
5igha re
7 Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
1, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that while
participating in the Indiana Association Of Cities Towns "Peer Networking" on January 10 -11, 2012, in
.Indianapolis, Indiana, on behalf of the City of Carmel:
1. I personally deposited Seven. Dollars ($7.00) of my own money into a parking meter; and
2. I personal purchased two (2) sodas costing Eight Dollars and Fifty -Four Cents ($8.54) with
my own money;
and for which 1 need to be reimbursed for a total of Fifteen Dollars and Fifty -Four Cents ($15.54).
r
Dated this day of February, 2012.
Dou aney
Subscribed and sworn to before me, the undersigned Notary Public, this day of February,
2012.
A. Elaine Bass NOTARY P Ulf Lic
N Resident of Marion County, Indiana
_My 'Coti mission Ex tres:
October 23', 2016'.,s
C
[eb:naword:z:khar d�afrdavits�haney affodivil wt parking niter. pop dw:2127 11
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1 995)
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.
13828 Smokey Ridge Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 -27 -12 Reimburse Douglas C. Haney for monies he personally $15.54
expended w i e attending e Indiana Associations of
Gifies Towns seminar held in Indianapolis jan. 10 1 1, 20 12
a hed affidavit
TOTAL: Total $15.54
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
Carmel, Indiana 46033
$15.54
ON ACCOUNT OF APPROPRIATION FOR
Department of Law 1180
430 -43003 Travel Lodging NonTraining
Board Members
or INVOICE NO. ACCT #/TITLE AMOUNT
D I hereby certify that the attached invoice(s), or
1180 15.54 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
pl 20
I tur
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund