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HomeMy WebLinkAbout216731 01/29/2013 w c�\4f CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1 ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $3,538.29 CARMEL, INDIANA 46032 C/O DEPT OF LAW • ;o��p C/O DEPT OF LAW CHECK NUMBER: 216731 CHECK DATE: 1/29/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 606 . 36 ATLANTA, GA 1180 4343002 2, 568 . 96 AUSTIN TX 1180 4343002 5 . 00 EXTERNAL TRAINING TRA 1180 4343004 357. 97 MILEAGE gt of C44* CITY OF CARMEL Expense Report (required for all travel expenses) NOIANA EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 11/27/12 12:30 p.m. DEPARTMENT: Law Department RETURN DATE: 11/29/12 TIME: 11:40 a.m. REASON FOR TRAVEL: PLI Trial by Jury 2012 Seminar DESTINATION CITY: Atlanta, GA EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Air-fare Car/Rental Other Parking ; Br kfast Lunch Dinner Snacks Per Diem Nov. 27 - / 29, 2012 $137.60 $ .00 $38.00 $262.2 $162.50 $610.36 $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 $137.60 $0.00 $10.00 $38.00 $262.26 $0.00 $0.00 $0.00 $0.00 $162.50 $0.00 • DIRECTOR'S STATEMENT: I ereb affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. V lJ V Director Signature: Date: City of Carmel Form#E O6 Revision Date 12/11/2012 Page 1 STATE OF INDIANA ) SS: COUNTY OF HAMILTON ) AFFIDAVIT I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that while on City business November 27 - 29, 2012, attending the Practicing Law Institute's "Trial By Jury 2012" Seminar in Atlanta, Georgia, I expended Six Dollars ( .0O of my own monies for subway transportation for which I need to be reimbursed. Dated this o1 �— day of January, 2013. ouglas C. hey Subscribed and sworn to before me, the undersigned Notary Public, this 2—day of January, 2013. A. Elaine Bass,NOTARY PUBL C Resident of Marion County, Indiana My Commission Expi es October 23, 20.16 . "n., v `J Q� [eb:m ord:z:\sharedtaffidavits\a(iadivit subway semis .dm:1/22/131 Haney, Douglas C From: Delta Messenger(DeltaMessenger @delta.com] Sent: Thursday, September 27, 2012 2:23 PM To: Haney, Douglas C Subject: Your Delta itinerary has changed Fnsure that you always receive the latest information from Delta Air Lines. Add the e-mail address, "Delta Messenger@ Delta.corn" to your address book or personal whitelist. A, D E L T A delta.com I Profile I Mileage Balance I Add to Address Book Dear Douglas C Haney, Our schedule has changed, and it impacts your upcoming trip. Please review the itinerary below for your flight numbers, departure and arrival times, and seat assignments (we have bolded the changes). We look forward to seeing you onboard soon. Updated Itinerary - Delta confirmation # HKI5AS Tuesday, November 27 Flight: Delta 1127 Departs: a-203Tom from Indianapolis, Indiana Arrives: 2:12 pm at Atlanta, Georgia 0 -1 Seats: 13C (A Cabin: Coach Class Thursday, November 29 L�� U Flight: Delta 1127 Departs: 9:59 am from Atlanta, Georgia Arrives: 1:4 am at Indianapolis, Indiana Seats: 13C Cabin: Coach Class We apologize for this change in your travel plans. Do you want to change your seat, or find out what movies will be shown on board? It's just a click away, and don't worry about reconfirming your flights - you're all set. Did you know you can sign up for notifications? It's easy, just visit delta.com and look for Delta Messenger. We'll keep you updated about flight changes, and the day before your trip we'll email your itinerary. Now you can stay in touch while on the go. If you have any questions, please contact Delta Reservations at 800-935-1503. Thank you for flying Delta. This e-mail message and its contents are copyrighted and are proprietary products of Delta Air Lines, Inc. Any 4` 1 My Delta: Receipts Page 1 of 2 YOUR ITINERARY AND RECEIPT Receipt Summary Passenger Information DOUGLAS C HANEY SkyMiles Number: Flight Information Date and Flight Status Class Meals/Other! IND P. ATL Tue 27Nov2012 DL 1127 FLWN T ATL ► IND Thu 29Nov2012 DL 1127 FLWN T Check your flight information online at delta.com or call the Delta Flightline at 800.325.1999. Baggage and check-in requirements vary by airport and airline, so please check with the operating carrier on your ticket. Please review Delta's check-in requirements and baggage guidelines for details. You must be checked in and at the gate at least 15 minutes before your scheduled departure time for travel inside the United States. You must be checked in and at the gate at least 45 minutes before your scheduled departure time for international travel. For tips on flying safely with laptops, cell phones, and other battery- powered devices, please visit http://SafeTravel.dot.gov Do you have comments about service? Please email us to share them. Key of Terms • # - Arrival date different than departure date • ** - Check-in required • ***- Multiple meals • *SS - Multiple seats • AR - Arrives • B - Breakfast • C - Bagels / Beverages • D - Dinner • F - Food available for purchase • L - Lunch • LV - Departs • M - Movie • R - Refreshments, complimentary • S - Snack • T - Cold meal • V - Snacks for sale Billing and Ticketing Information FARE DETAILS: IND DL ATL53.95TA21HTSA DL INDS3.95TA21HTSA USD107.90END ZP INDATL XF IND4.5A1 Fare: 107.90 USD Tax: 29.70 TX Total: 137.60 USD Paid with MasterCard ending 0311 Detailed Tax Information AY 5.00 https://www.delta.com/mydelta/receiptDetailsPage?ticketNumber=0062309252893&con£.. 11/30/2012 Haney, Douglas C From: PLI Program Department[eacknowledgement @confirmation.pli.edu] Sent: Monday, July 23, 2012 9:30 AM To: Haney, Douglas C Subject: PLI Program Registration Confirmation (#2194636) P L-L O G► p b it � o - � +� ® - ® - 4 •P Q O PRACRSING LAW INSTFLn E'' Douglas Haney Customer#: 873092 City of Carmel Dept of Law Phone: 3175712472 1 Civic Sq, City Hall Fax: 3175712484 Carmel, IN 46032-2584 Email: dhaneyCcbcarmel.in.gov Thank you for registering for the program. Please take a moment to review your registration: PROGRAM: Trial by Jury 2012 Atlanta Groupcast ITEM #: 39334 REGISTRATION #: 384350 ORDER #: 2194636 DATE(S): 11/28/2012 9:00 AM-5:00 PM Add to Outlook calendar Start and end times are subject to change, so please consult www.pli.edu to reconfirm. LOCATION: Atlanta Bar Association 229 Peachtree St NE 400 INTERNATIONAL TOWER Atlanta, GA 343-1602 ACCOMMODATIONS &TRAVEL: Those coming from out of town will be sent an email with information on recommended travel methods, parking, dining, and discounted hotel rates.Travel arrangements are the registrant's responsibility. CLE: PLI offers CLE credit in all jurisdictions that have mandatory CLE requirements. Please check this program's webpage for this program's credit details, eligibility and approval status for your particular jurisdiction(s). Please note that you must arrive on time for full CLE credit. So that 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 by logging in here. If we can assist you further, please contact us at(800)260-4754 or email us at info(a-)pli.edu, and one of our Customer Service Representatives will be happy to answer any of your questions.We look forward to seeing you at the program. 1 `r- , ��=M��MMII Hampton Inn Suites-Atlanta Downtown i 161 Spring Street NW•Atlanta,GA 30303 Phone(404)589-1111 Fax(404)589-89997CT s Official sponsor,,;-' If the debitkredit card you are using for check n is attached to a bank or checking±account b hold` HANEY,DOUGLAS name room number: 401/EXGL 4-` w , 13828 SMOKEY RIDGE DR address 11/27/2012 3:42:OOPM ^^Ilbeplacedonfheaaountforthefullannapated arrival date: 11/29/2012 dollar amount to,be'owed to the hotel including CARMEL, IN 46033 departure date: estimated incidentals,throughyour:&teofcheckLout us adult/child: 2/0 and such funds will not be released for 72 huslness ;, room rate: $113.05 hours from the date`of check out longer at the. discretion of your#mancifi itgtion RATE PLAN S-AAA HH# 864254159 DIAMOND AL DL #6061240013 BONUS AL CAR Rates subject to applicable sales,occupancy,or other taxes.Please do not leave any money or rtemz of val eunattended -,n Confirmation: 83845497 your room.A safety deposit box is available for you in the lobby.I'agree that my liabilityfor this'bill' not waived and !`11 agree .:. to be held personally liable in the event that the indicated person,company or association fails fo;pay for any part or the fuW" amount of these charges.'I have requested weekday delivery of USA TODAY.If refused a credit of$0.75 will be appl3ed,to=. 11/29/2012 PAGE 1 my account.In the event of an emergency,I,or someone in my parry,require special evacuation due to a physical daabdlty Please indicate yes by checking here: ❑ t signature: date �f`reference �I de'scrtption n !P amount �st - - �•tC v 11/27/2012 1528703 GUEST ROOM $113.05 11/27/2012 1528703 STATE TAX $9.04 11/27/2012 1528703 OCCUPANCY TAX $9.04 11/28/2012 1528924 GUEST ROOM $113.05 11/28/2012 1528924 STATE TAX $9.04 11/28/2012 1528924 OCCUPANCY TAX $9.04 WILL BE SETTLED TO $262.26 EFFECTIVE BALANCE OF $0.00 i+ T r f^ 4f. 'fit ESTIMATED CURRENCY TOTAL You have earned approximate) 3391 Hilton HHonors points and approximately 226 Miles with Delta Air Lines for this stay. Visit HHonors.com. to check your point balance from stays at any of the 3,700 hotels within the Hilton Worldwide por folio. Hampton hotels are all over the world. Find us in Canada, Costa Rica, Ecuador, Germany, India, Mexico, Poland, Turkey, United Kingdom,�l and United Sta s of America. oming soon in Italy and Romania. aS•t r �J t't~ t .{. 91 t for,reservations ca111'.800 hampton or vlsrt.us;onhn6>at hampton corn„ account no. date of charge folio/check no. ; 288374 A 'q. card member name authorization initial r ` L k w establishment no.and location establishment agrees to transmit to card holder for payment purchases&services ,..•.s,' ' taxes tips&mist. + signature of card member total amount )( 0.00 W� O N RA D rr Ni°" t7la^w M0A1E�`^'OOD HOME H3�� n_ H H O NO R S ' r WplDOpf Ca.,....•.,- ®furUcn Inn wrtf5 ....... Gran)Vacailons .:+' ns3oain Hilton tx�un�Taee T —•�^a� " HILTON WO RLQWIDE,;.- -f"� INDIANA RETAIL TAX EXEMPT PAGE City ® C armel 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION VENDOR '1?, ���r l. . SHIP TO CONFIRMATION B=UNIT PAYMENT TERMS FREIGHT QUANTITY DESCRIPTION UNIT PRICE EXTENSION / / e J J Au� Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT f AMOUNT PAYMENTllji� 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. t THIS.APPROrPRIA71ON'StIFFdGI T TO PAY FOR THE ABOVE ORDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. J •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE .�,�f AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 2 6 6 6 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._ - ALLOWED 20 IN THE SUM OF $ —4- u I---- $_ �`��ACCOUNT APPR O OPRiATION FOR — - Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received : I — - 20-1 ., - -- Title i Cost distribution ledger classification if claim paid motor vehicle highway fund Haney, Douglas C From: trina @imla.org Sent: Friday, April 13, 2012 5:09 PM To: Haney, Douglas C Subject: Confirmation of Registration DouglasHaney, This is your invoice/receipt and a confirmation of your registration for the 2012 Annual Conference. All outstanding balances are due upon receipt, the Discounted Registration Fees EXPIRE 15 DAYS after rate ends date, if payment is NOT received, the next rate will apply. There is a$50 cancellation/administrative processing fee($25 for Guest),after September 24, 2012 event materials will be provided in full consideration of fees paid. Please call 202-466-5424 with questions. The financial purchase confirmation number for this registration is: 18151470. It was sent to you under separate cover. The Event Registration Confirmation below confirms the details of your registration. Event Information: Event: 2012 Annual Conference Start Date/Time: Oct 21,2012 - 8:00am End Date/Time: Oct 24, 2012 - 11:45am Main Registrant Information:- Registration Date: Apr 13,2012 Registrant: Mr. Douglas C. Haney,Esq. Badge First Name: Douglas Badge Last Name: Haney Badge Name: Douglas Badge Organization: Carmel,Indiana Badge Title: City Attorney Badge City: Carmel Badge State: IN Badge Country: United States Special Instructions: Registrant Type: Board Member i For program.program updates and to register online go to:httpJ/www.imla.org i L 's Code Enforcement Program Registration Form - October 20-21, 2012 Hilton Austin Hotel ;.. REGISTRATION INFORMATION Name - itfl,LlS ( 'r Q0 Title Badge Name Local Government Entity Address_L1aP- ;1idiG 5613.(4 ` City _Gr(Y1.0 l State ��Iiy I Phone Al 2-L5-71-a4 70- Fax 31?"5:Zl 116q E-mail d 6140V (Q 06 T(Yl.e(. l 0 r V OV Please Indicate your registration typo and options listed below(drack ad that apply) NEW-Mobile Land Use Tour requires registration: By chad`d'g box a$25 per seat,please sign me w far � seags) OCLE Credits$25 each sate.please specify state(s) 10 Your Bar No's. 1 I of D-7- 9 Registration Fees include: Admission to Code sessions, electronic documents and welcome reception. Cancellation t Refund Policy: Cancellations must be received in writing by September A 2012 to qualify for a refund.AN cancellations are subject to a $60.00 admirdstradve processing fee. After September 24, 2012 those not attending wail receive the event electronic documents in full consideration of registration fees paid.Replacements are always weloomed.Ali refunds will be remittal go days after the event Send all cancellations In writing to the IMLA Events Department. Attrition Fees: To help defray attrition expenses from the contracted hotel,an additional$100 wiii be added to your registration fees if you do not stay at the Code meeting hotel(daily/drive In registrations excluded). Register online at www.imia.org MyIMLA BARD COPY POLICY: Registration fees include electronic documents. These materials will be available for registrants from IMLA's web site one to two weeks prior to the meeting If you require paper copies of speaker materials you must add an additional$120 to your registration fee and check here. ❑ FOUR EASY WAYS TO REGISTERI MAIL:IMLA,7910 woodmnt avenue Suite 1440 Bethesda,MD 20814 PHONE:202-466-5424 FAX:202-785-0152 E-MAIL:info(M nla.org Super Early Saver Bird Until Until After REGISTRATION PAYMENT INFORMATION R istration T 77/16112 1 2 8/15/12 8/I5112 Code Enforcement Program Only Oct.2001 and Oct 21" $250 $300 $360 Bill Me ❑ Check Enclosed ❑ Visa O MasterCard Code Enforcement Program& Make all checks payable to IMLA;U.S.currency only IMLA Annual Conference (rvgfsssr for fAU A conference Amount$ separafefyl $150 $200 $250 Oct 2001-Saturday Only Name Code Enforcement Program $150 $200 $250 CardNo, Oct 21'r-Sunday Only $125 $1T6 $225 Exp.Data code Fnfoa=ant Program(M)CLE Processing Fee Signature (Per state) S25 S2.5 $21 —t AAobge Lend Use Tour $26 $25 $25 Bass, Elaine A From: Trina Shropshire-Paschal[Trina @imla.org] Sent: Friday, April 13,2012 5:11 PM To: Bass, Elaine A Subject: FW: Purchase Confirmation No. 18151470(Mr. Douglas C. Haney, Esq.) Here is the invoice for Mr. Haney for the 2012 Seminar and Conference(Bundle Discount). Have a great weekend. Trina Trina Shropshire-Paschall Associate Director for Events International Municipal Lawyers Association 7910 Woodmont Avenue,Suite 1440 1 Bethesda,Maryland 20814 T 202.466.5424 x 7102 1 F 202.785.0152 future Events Teleconferences I visit www.imla.orit for listing 2012 Mid Year Seminar I Washington,DC I April 22-24 2012 Annual Conference I Austin,TX 1 Oct.21-24 From: trina(&imla.org fmailto:trina@lmla.o[g] Sent: Friday, April 13, 2012 5:09 PM To: dhaney carmel.ln.aov Cc: Trina Shropshire-Paschal Subject: Purchase Confirmation No. 18151470 (Mr. Douglas C. Haney, Esq.) Dear Mr. Douglas C. Haney,Esq., THANK YOU. This is your confirmation/invoice and receipt for your purchase. For your records, here is a summary of your purchase from The International Municipal Lawyers Association(Federal ID#53-0214-280). Please contact Trina or Brandi directly if you have a question regarding membership or events. TRINA SHROPSHIRE-PASCHAL: EVENTS trina@imla.org ; and BRANDI TEEL: MEMBERSHIP bteelnd,imla.org . Forward Check Payments to: International Municipal Lawyers Association, 7910 Woodmont Avenue, Suite 1440, Bethesda, Maryland 20814 Date/Time: 4/13/2012 5:08 PM Purchased By: Mr.Douglas C.Haney,Esq. Customer ID: 00025501 (Organization: Carmel,Indiana) (317)571-2472 dhaneyna.carmel.in.gov Your confirmation number is: 18151470 Please keep this number for any references. Shopping Cart Items Amount Quantity Total _. .,,.. _.._...__,__ _... ..._ .,.,.._. __ ._ ---------- _.......... .. _ .,,.,,-,.._.. _,.........._._. ...__.. _ 2012 Annual Conference �� Maim Reg,stration Badge Na!t DougOs $500.00 1 $500.00 Even 2012 Mid-Year Seminar Main Reolstration I Badge Name.Douglas $250.00 1 $250.00 E,er; 1 _.. . .. . ...._._._... SM u�btotal $750.00 .....�.. Taxes $0.00 Shipping $0.00 Invoice Total $750.00 Grand Total $750.00 Payment $0.00 Order Balance $750.00 Shipping& Biding Information Billing Address: Douglas C. Haney One Civic Square Carmel IN 46032 United States (317)571-2472 dhaneyC&carmel.in.p,ov Payment Information Payment Amount: $0.00 Payment Method: Bill Me [Printer Friendly Version] 2 4,,r OF 494, `1VU zz-& CITY OF CARMEL Expense Report (required for all travel expenses) NOIAMA EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 10/19/12 11:40 a.m. DEPARTMENT: Law Department RETURN DATE: 10/25/12 TIME: 9:00 p.m. REASON FOR TRAVEL: IMLA Legal Services Seminar DESTINATION CITY: Austin, Texas 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 Oct. 19- / 25, 2012 $399.61 ✓ $215.25 $126.00 $1,373.10 $455.00 $2,568.96 $0.00 $0.00 $0.00 $0.00 ; $0.00 $0.00 $0.00 $0.00 ✓, $0.00 $0.00 $0.00 l $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total $399.61 $0.00 $215.25 $126.00 $1,373.10 $0.00 $0.00 $0.00 $0.00 $455.00 $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 For ER06 Revision Date 12/11/2012 Page 1 FAN= NfW Package FedE Express US Airbill Numkberr 8 01,8 0 9 9 7 81,6 8 ID No 0200 11 _ 1 From Please print andpresshard 4 Express Package Service Teamleaetiero Packages up to150lbs. Sender'sFedEx NOT-service order has changed.Plaaaeseleelcerdulty. ForpecYegesorerr5g16s,amWrow Date ntNumber SEidD£R *°G€X AMi:OUAd'. &t Li¢�J&tER O'ity redcrcvnxrnrgMUSacere. 1; I Senders FedEx First Overnight FedEx 2Day AM. 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Limitations On Our Liability And Liabilities such items as artwork,jewelry,furs,precious metals,nego- C.O.D.Services C.O.D.SERVICE IS NOT AVAILABLE WITH Not Assumed '- - ... .. • tiable instruments,and other items listed in the current FedEx THIS AIRBILL.If C.O.D.Service is required,please use a FedEx °Unless a higher value is declared and paid for,our liability for Service Guide. C.O.D.Airbill. each package is limited to US$100.You may pay an additional charge for each additional US$100 of declared value.The °You may send more than one package on this Airbill and fill Air Transportation Tax Included A federal excise declared value does not constitute,nor do we provide,cargo in the total declared value for all packages,not to exceed tax when required by the Internal Revenue Code on the air • liability insurance. the US$500,US$1,000,or US$50,000 per package limit transportation portion of this service,if any,is paid by us. °In any event,we will not be liable for any damage,whether described above.(Example:5 packages can have a total Money-Back Guarantee In the event of untimely delivery, direct,incidental,special,or consequential,in excess of the declared value of up to US$250,000.)In that case,our liability FedEx will,at your request and with some limitations,refund declared value of s shipment,whether ti not FedEx s o is limited to the actual value of the package(s)lost or damaged, or credit all transportation charges.See the current FedEx • but may not exceed the maximum allowable declared value(s)or Service Guide for more information. knowledge that such damages might be incurred,including the total declared value,whichever is less.You are responsible but not limited to loss of income or profits. for proving the actual loss or damage. Part 1670011167002•Rm Date 1112 • STATE OF INDIANA ) SS: COUNTY OF HAMILTON ) AFFIDAVIT I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that while on City business October 19 - 25, 2012, attending and presenting at the International Municipal Lawyers Association's 77th Annual Conference in Austin, Texas, I expended One Hundred Eleven Dollars ($111.00) of my own monies to make copies of my presentation for the Conference and for which I need to be reimbursed. Dated this t day of December, 2012. Dou as- . Haney Subscribed and sworn to before me, the undersigned Notary Public, this day of December, 2012. A. Elaine Bass, NOTA PKIBLIC Resident of Marion County, Indiana i tyjCommi'ssion Expires: October'23;k2016 [eb:m ord:z:\shared\afTdavits\copies.doc:12/11/121 . . Haney, Douglas C From: reoen/ationa@suparnhuttle.net Sent: Wednesday, October 24. 20121O:41 PM To: Haney, Douglas C Subject: GuperShutt|e Reservation Confirmation T607568 Dear DOUGLAS HANEY, The following information summarizes your confirmed service with SuperShuttle. Address HILTON AUSTIN 500 E 4TH ST AUSTIN,TX 78701 (317)495-5279 Departure Itinerary (To the Airport) Confirmation 7697568 Pickup Date/Time: Thursday, October 25, 2012 10:51 AM -11:06 AM 0ur 15-minute pick-up window means that the van will normally arrive within 15 minutes of your scheduled pickup time. Please make sure that you are completely ready to go at the beginning of your scheduled pickup time window so that you will not keep otherpassengers waiting! Adults Children 0 SHARED RIDE VAN SERVICE (UP TO 10 1 Service Type PASSENGERS IN PARTY) lAirline DELTA AIR LINES Flight Date/Time Thursday, October 25, 2012 1:11 PM Fare $13.00 Tip $2.00 Fuel surcharge $1.30 2. Pilling Payment Method: PREPAID CREDIT CARD Card type: Card number XXXX-XXXX-XXXX- HILTON AUSTIN 500 East 4th Street Austin,Texas 78701 Hilton T: 512 482 8000 1 F: 512 469 0078 AUSTIN W:hilton.com NAME AND ADDRESS: 2533/K1 E HANEY,DOUGLAS Room: 13828 SMOKEY RIDGE DR Arrival Date: 10/19/2012 5:53:OOPM Departure Date: 10/25/2012 CARMEL, IN 46033-9101 Adult/Child: 2/0 US Room Rate: 199.00 RATE PLAN C-MLAMAS HH# 864254159 DIAMOND AL DL #061240012 BONUS AL CAR Confirmation Number: 3459466730 10/25/2012 PAGE 1 DATE DESCRIPTION ID REF.NO CHARGES CREDITS BALANCE 10/19/2012GUEST ROOM GWENE 7264099 $199.00 HILTON 10/19/2012CITY OCCUPANCY TAX GWENE 7264099 $17.91 HHONORS 10/19/2012STATE OCCUPANCY TAX GWENE 7264099 $11.94 10/20/2012GUEST ROOM AGAL 7266552 $199.00 10/20/2012CITY OCCUPANCY TAX AGAL 7266552 $17.91 % 10/20/2012STATE OCCUPANCY TAX AGAL 7266552 $11.94 —LDORF ASiOR IA' 10/21/2012GUESTROOM AGAL 7268705 $199.00 �••_., 10/21/2012CITY OCCUPANCY TAX AGAL 7268705 $17.91 10/21/2012STATE OCCUPANCY TAX AGAL 7268705 $11.94 CONRAD 10/22/2012GUEST ROOM AGAL 7270606 $199.00 10/22/2012CITY OCCUPANCY TAX AGAL 7270606 $17.91 10/22/2012STATE OCCUPANCY TAX AGAL 7270606 $11.94 10/23/2012GUEST ROOM GWENE 7272752 $199.00 H 10/23/2012CITY OCCUPANCY TAX GWENE 7272752 $17.91 Hilton 10/23/2012STATE OCCUPANCY TAX GWENE 7272752 $11.94 10/24/2012GUEST ROOM GWENE 7275360 $199.00 10/24/2012CITY OCCUPANCY TAX GWENE 7275360 $17.91 10/24/2012STATE OCCUPANCY TAX GWENE 7275360 $11.94 [xiunit.'rnrr. WILL BE SETTLED TO $1,373.10 EFFECTIVE BALANCE OF $0.00 �Ganle:n Inn c7l a+�F. DATE OF CHARGE FOLIO NO./CHECK NO. 1082294 A Zip-Out Check-Out® �. INITIAL aA+Ew000 w�hs Good Morning ! We hope you enjoyed your stay. With Zip-Out Check-Out AUTHORIZATION — — 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 HOME® +pay at the time of purchase. +charge purchases to your account,then stop by the Front Desk for an TIPS&MISC. updated statement. +or request an updated statement be mailed to you within two business days. If the statement meets with your approval, simply press the Zip-Out Check-Out TOTAL AMOUNT Hlhon button on your guest room telephone.Your account will be automatically checked out and you may use this statement as your receipt.Feel free to leave your key(S) PAYMENT DUE UPON RECEIPT 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 ', -1.Y. i . �. 1 . , Assn Dear Valued Guest: �Ve hope you have enjoyed your stay with us at Hilton Austin. For your convenience we have instituted a couple of methods to checkout that will expedite your departure. On the other side of this letter is }'Dill' final bill; excluding any other charges you may have incurred this morning, You can checkout automatically without stopping by fi•ont desl: by utilizing either of the following options: Telephone: Simply press the button marked "Zip-Out" on your room phone. i You can leave a message for our Front Desl; team and eve will settle the charges to the method of payment you provided at registration. � Television: Select the hotel services option via the in room entertainment system. You will notice there is an option to view your final charges anti then to checkout. If you have self parked a vehicle in our garage, please take your room ke}� with ou to I swipe at the exit gate. If you did not self ark with us then � y p }ou may leave your room keys in the room and our room attendants will collect them. �Ve have truly enjoyed having you with us alid thank you very much for your patronage. VVe very much look forward to a future opportunity to provide you with the high level of service and product you have come to expect irom 1-lilton! Best Re arils, �� r �� Babett Hirzel ` Assistant General Manager ., ®� Carmel INDIANA RETAIL TAX EXEMPT PAGE C i� CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT Pcp,4,,P-T1wLW 1 trF 35-60000972 �0�/[` 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION /"j-//gh 'a— VENDOR '��'� / SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE f, DESCRIPTION ] UNIT PRICE �y! EXTENSION ' (1r, g•C' t y. /1' 0 Send Invoice To: � PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 7tut) NO 0 " y,3v�� PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. c�-',(!�• fc'"/.n�[,LL;?. 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�PPROPRIATION'SUFF-IOLENT 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 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER bw MENT CONTROL NO- 2666 9 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. _WARRANT NO. ALLOWED 20 "^ IN THE SUM OF$ g& ON ACCOUNT OF A ROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT u I hereby certify that the attached invoice(s), or 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___—_ 20Z, -- ----- — — — Title' — - Cost distribution ledger classification if claim paid motor vehicle highway fund PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO.101(1986) MILEAGE CLAIM C TO— CA^ (GOVERNMENTAL UNIT) .-y/GL�%g ON ACCOUNT OF APPROPRIATION NO. 5.300�� FOR A�J (OFFICE,BQ D,-DEPARTMENT OR INSTITUTION) DATE FROM TO SPEEDOMETER READING + AUTO MILEAGE MILES POINT POINT START FINISH NATURE OF BUSINESS TRAVELED @ S S Q PER MILE S/D 3 g ;)- 412 7- 0 19 l S ` 5 O 03 8 / 9 Xl ;5 g D5- AUTO LICENSE NO. TOTALS /y S < ? 7 + SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. l Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits , and that no part of the same has been paid. Date Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: That it is in proper form. ' That it is duly authenticated as required by law . That it is based upon statutory authority. That it is apparently correct y�J incorrect On Account of Appropriation No-0005—"' o. 30o for Disbursing Officer o tr a m o mto Allowed 19_ k W a o ?; a ID M M in the sum of $ '° m co M G ta •• g m o y M a m p " a CD. o 0 o e (D (Board or Commission) 0 0 rt a FILED A. w y m y a t✓ .► 0 M rt y a M a Sr (Official Title) O a 0 �• O a G M A.E.BOYCE CO.,INC.MUNCIE,IN 01136 � � a ----------- ---------------- ----------------------- -- - Attomeys' Guide to Local Government Law I Live Seminar 60504ER Page 1 of 2 ®Contact Us ��. 800.930.6182 Live Chat ® Login to My Account I Access My Courses i BI IsI\I_titi Continuing Legal Education for Professionals Live Live Seminars Video Webcasts Live Online CDs,DVDs Teleconferences Learning &Books Unlimited CLE You Are Here:HOME»States:Indiana »Seminars Live Seminar I Attorneys'Guide to Local Government Law ® Date: Tuesday,December 04,2012 Time: 9:00 am-4:30 pm Location: Capital Conference Center $359.00 201 North Illinois Street,Suite 200 $349 Each Additional Indianapolis,IN Facility Phone: 317-237-2299 _ J Product ID#: 60504ER > Resister Now, r I ' - look Capital Center Garage OVERVIEW AGENDA CREDIT 251 N. Illinois St. Indianapolis, IN 46204 MICHAEL J.CORK is a partner in the law office of Bamberger,Foreman,Oswa concentrates his practice in the areas of employment-related matters,employmf constitutional litigation,and corporate legal matters.In addition,Mr.Cork has liti. VII Family and tMedical RLeave Act,the Equal Discrimination Employment uallPay Act the Fair Standards Act, Number:Fee Compute Income Security Act.He earned his B.A.degree,cum laude,from Carthage Coll rNumber: 1 Valparaiso University.Mr.Cork is a member of the Defense Trial Counsel of Ind Cashier: Karen I D #1 Institute;the State Bar of Texas;the Illinois State,Indiana State,and Indianapoli Transaction Number: Lawyers Association. 28 Entered: 12/04/12 10:39 Wisconsn Mad soN(B .A.),Butler University(M.A.)el the'tUniversity of Wisconsin I Exited 12/04/12 12:19 Law Center(L.LM.).Mr.Haney previously served in the U.S.Army,as a special Ticket #50620 private practitioner.He has a Dispenser #1 courts Court of Appeals,and is admitted to practice lice before the U.StlSupremerCtourtaM Rate: articles,is a frequent speaker at legal seminars,and is an adjunct professor at h Area 1 where he has received a"Best Instructor'award.He has served t chair of the I Total Fee: $5.00 Section,as a member of the IACT Legislative Committee,as chair of the Interna Cash: $5.00 Association's Litigation and Risk Management Section,and on(MLA's Board of Indiana attorney to have received IMLA's"Local Government Fellow'designatioi demonstrated excellence in the field of local government law. Thank YOU for choosing THOMAS D.PERKINS is counsel at Frost Brown Todd LLC,in the government: Capital Center Garage practice includes government services,business counseling,and litigation in sta Frost Brown Todd,LLC,Mr.Perkins was an assistant city attorney for the city of r Idvs " n•ce rt advised stakeholders on status of cases and potential resolutions,represented t conferences,drafted and edited pleadings,consulted with city leaders to resolve sensitive issues of public policy, and researched and drafted legal opinion letters to guide elected officials and department directors.Mr.Perkins also worked in the Indiana Office of the Attorney General in Indianapolis as a section chief for the Capital Eau Claire,WI 54702 Litigation/Habeas Corpus division and a contract attorney for the Criminal Appeals Division.He earned his B.A. degree at Indiana University-Bloomington and his J.D.degree at Indiana University School of Law. KRISTA TAGGART is corporation counsel for the city of Greenwood.She serves as head of the city's legal department and provides representation to the Mayor,the city's various departments,the Common Council,Board of Public Works&Safety,and various other boards and commissions.Prior to joining the city,Ms.Taggart worked in private practice in Indianapolis at Barnes&Thornburg LLP and Benesch Friedlander Coplan&Aronoff LLP.In 2012, she was named a Rising Star by Indiana Super Lawyer's Magazine.Ms.Taggart earned her undergraduate degree, magna cum laude,in government and economics from Franklin&Marshall College and her J.D.degree,summa cum laude,from Notre Dame University Law School.She has been published in Business Credit and the Uniform Commercial Code Law Journal.Ms.Taggart also has spoken at the Indiana Association of City and Towns Municipal Law Seminar and at the Indianapolis Bar Association's annual Leonard H.Opperman Bankruptcy Roundtable. ASHLEY M.ULBRICHT is assistant city attorney for the city of Carmel.She began her legal career as a deputy prosecuting attorney for Elkhart County,Indiana,where she served as a felony prosecutor in both Elkhart Superior Court No.4 and No.6.While a prosecutor,Ms.Ulbricht litigated more than twenty jury trials,as well as hundreds of bench trials.Prior to accepting her current position with the city of Carmel,she was the deputy city attorney for the city of Elkhart,and concentrated her practice in zoning and planning law,code enforcement litigation,public safety httn://www.nbi-sems.com/S emTel eDetails.aSDx/Attomevs-Guide-to-Local-Government-L... 8/28/2012 -- - - -------------------------------- ____ _ Attorneys' Guide to Local Government ----------- rnment Law Live Seminar 60504ER Page 2 of 2 discipline,employment law,contract negotiation,and prosecution of ordinance violations.Ms.Ulbricht is currently a member of the Indiana Municipal Lawyers Association and the International Municipal Lawyers Association.She earned her B.S.degree from Saint Mary's College,University of Notre Dame and her J.D.degree from the Valparaiso University School of Law. DAVID R.WARSHAUER is an of counsel member of the real estate and corporate departments in Barnes$ to real Thornburg LLP's Indianapolis,Indiana office.He has more than 25 years of legal and non-legal experience related executive vice dpres president and chief operating officer of with Development Compa y,Inc.H spoken on a number of topics related to real estate,planning,and zoning. a Mr'Warshauer served as Washington University in St.Louis with a degree in urban studies and earned his J.D.degree,magna cum laude, from Indiana University School of Law-Bloomington,where he was member of the Order of the Coif.He is admitted to practice in the state of Indiana.Mr.Warshauer is a member of the American College of Real Estate Lawyers, ranked in the first tier as a real estate lawyer in Chambers USA Directory,and is listed in The 8 America. est Lawyers in �i Related Topics Accounting More Like This Le al Draftin and Document Mana ement for Attorneys Government September 27,2012_Indianapolis,IN Ho Top Indiana S ecial Education Law Labor$Employment November 1,2012_Indianapolis,IN handling the Police Liabili Claim Land Use$Environmental November 13,2012 Legal Merrillville,IN Worker'srs Compensation Join Our Mailing List BROWSE NBI � Get exclusive offers HELP$SUPPORT be the first to about upcoming ear Live Seminar COMPANY&WEBSITE g events and more! Live Video Webcast Contact Us E-mail Address Live Teleconference Returns$Cancellations About NBI I On-Demand Seminar FAQ Join Mail List MP3 Download Video Replay FAQ NBI CLE Blog Learn more about ioining NBI Mailing List Audio CD Video Webcast FAQ Privacy Video DVD Teleconference FAQ Terms$Conditions Course Book On-Demand FAQ Institute for Paralegal Education MP3 Download FAQ \.l 1'I() CE CREDIT PDF Course Book D SPECIAL PACKAGES I M Download FAQ GES$OFFERS h1 Iti(,\( Y Account FAQ NBI Con Pro I\:�'I�(I 1 f l�f tinning Education Credit duct&Order Shipment Unlimited CLE MCLE Information drt FAQ P nt FAQ Custom CLE MY ACCOUNT In-House Training MY Account Log On Access My Courses ©2012 National Business Institute All Rights Reserved I tzhm A)M St%S.COlTdSt% P-leDetails.asp-ki kttorneys-Guide-to-Local-Government-L... 8/282012 Adilm 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)) 1-22-13 Reimburse Douglas C. Haney for monies he personally $5.00 expended for parking while attending and presenting at the National Business Institute's"Local Government Law" Seminar held December 4,2012 in Indianapolis, Indiana, per the attached receipt Total 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 _ \/ni IrHER NO. WARRANT NO. ALLOWED 20 ney IN SUM OF $ :ey Ridge Drive Carmel, Indiana 46033 $ $5.00 ON ACCOUNT OF APPROPRIATION FOR Department of Law - 1180 430-43002 External Training Travel Board Members PO#or D PT.# INVOICE NO. ACCT#(TITLE AMOUNT I hereby certify that the attached invoice(s), or 1180 $5.00 biil(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�3 Title a Cost distribution ledger classification if claim paid motor vehicle highway fund