HomeMy WebLinkAbout218074 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
` ONE CIVIC SQUARE DOUGLAS HANEY
�f 1, CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK AMOUNT: $2,253.95
C/O DEPT OF LAW CHECK NUMBER: 218074
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 1, 323 . 57 DC-2/6-2/8
1180 4343002 930 . 38 EXTERNAL TRAINING TRA
fs rt
CITY OF CARMIEiL Expense Report (required for all travel expenses)
"VOIANO'
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 02/06/13 1:20 p.m.
DEPARTMENT: Law Department RETURN DATE: 02/08/13 TIME: 7:30 p.m.
REASON FOR TRAVEL: ALI-CLE Environmental Law Seminai DESTINATION CITY: Washington, D.C.
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 Breakfast Lunch Dinner Snacks Per Diem
Feb. 6-8,
2013 $353.60 $20.95 $72.00 $682.02 $195.00 $1,323.57
/ $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 1 $353.601 $0.001 $20.95 $72.00 $682.021 $0.001 $0.001 $0.00 $0.00 $195.00 $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#ER Revision Date 3/6/2013 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 February 6-8, 2013, attending the ALI-CLE's "Environmental Law" Seminar in
Washington, D.C., I expended Twenty Dollars and Ninety-Five Cents ($20.95) of my own monies for
metro transportation for which I need to be reimbursed.
Dated this day of March, 2013.
ouglas C. Ha
Subscribed and sworn to before me, the undersigned Notary Public, this — day of March,
2013.
a -
N G A. Elaine Bass, NOTAA"PfJBLIC
' Resident of Marion County, Indiana
M,y Commission•Expires:
Get 6ber 2-3;-2016
............
[eb:m ord:z:\shwed\alFdavits\afTadivit metro semmn.doc:3/6/13]
_CJLJ.L_j
:d'
THE AMERICAN LAW INSTITUTE
Continuing Legal Education
Please register me for the following ALI CLE Course of StudyiWebcast/Telephone Seminar:
r—
Z Live COURSE/Program Title ENVIRONMENTAL LAW
tZ
ow
0 o Live Course Location Washington, DC
z
0
Live Course/Program No. CU026 Date(s) 2/6-8/2013 Tuition$ 874.00
.............................................................
Live WEBCAST(on your computer)Program Title
Live Webcast Program No. Date(s) Tuition$
1 would like to register for only a segment(s)of this program: ❑A ❑B ❑C ❑D ❑E ❑F ❑G ❑H
Please check the Webcast FAQs and Webcast Test Page for important information.
�— For group viewing of the live webcast,please contact groupreaistrationoali-cle.org. For the group registration form,click her
.............................................................
o Live TELEPHONE SEMINAR Program Title
w�
Live Telephone Seminar Program No. Date(s) Tuition$
Registrant's Name Douglas C. Haney
Firm/Organization City of Carmel, Indiana
Street Address(no P.O.boxes) One Civic Square
City Carmel State Indinnn Zip+4 46032
Phone( 317 ) 571-2472 Fax 31( 7 ) 571-2484
E-mail Address:(required for webcast and telephone seminar registrants) dhaney@carmel.in.gov
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-cle.org to your list of approved senders to ensure your receipt of future e-mails.
Payment must accompany registration
Amount enclosed$ ❑ Check made payable to ALI CLE ❑ 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 CLE 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 CLE program.Go to www.ali-cle.ora and navigate to the applicable course information page.
4025 Chestnut Street Philadelphia,PA 19104-3099 1 (215)243-1600 1 www.ali-cle.org
Envirorunental Law - CLE, Continuing Legal Education - ALI CLE.org Page 1 of 2
ALI CLE
Environmental Law
• Wednesday-Friday
• February 6-8,2013
• Washington Plaza
• Washington,DC
Register: Live Course Webcast I Webcast Segments I Group Rates
Order: Printed Coursebook I MP3 CD-ROM I DVD
Sign up here to be notified when the online version of this course is posted
Save The Date
NOTE: Details of this year's presentation of this course are not yet available; please check back about three to four months before
the course. If you wish to register now, see above, or call 800-CLE-NEWS and ask to be registered for Course#CU026.
Tuition for this course is $1,249.00.
Register online today and receive a $200.00 discount!
To register, simply choose one of the methods below:
Add to cart
Phone: 800-CLE-NEWS (800-253-6397) (Reference Course Code: CU026)
FAX: 215-243-1664 (Reference Course Code: CU026)
Attorneys practicing less than 5 years attend Environmental Law for only $874.00.
Special Price: $874.00 Add to cart
Full-time employees of federal, state, and local governments and government agencies attend
Environmental Law for only $874.00.
Special Price: $874.00 Add to cart
To view details of last year's presentation, or to purchase course materials and/or audio recordings (if available)from that
presentation, please click here.
Want to be notified when the full brochure is available?
Enter your email address:
'::Set°Reminders
2_
Tuition for this Live Course is$1,249.00.
Tuition for the live course includes admission to all sessions, a set of electronic course materials before the course, hard copy
course materials at the course and online access to the archived program after the course. In addition Continental breakfasts and
refreshment breaks are provided daily.
To register, simply choose one of the methods below:
http://www.ali-aba.org/index.cfm?fuseaction=courses.course&course code=CU026 7/30/2012
My Delta: Receipts Page 1 of 2
YOUR ITINERARY AND RECEIPT
Receipt Summary
Passenger Information
DOUGLAS CRAIG HANEY
SkyMiles Number: 6061240013
Flight Information
Date and Flight Status Class Meals/Other
IND ® ATL Wed 06Feb2013 DL 796 FLWN T
ATL > DCA Wed 06Feb2013 DL 2238 FLWN T
DCA P. ATL Sat 09Feb2013 DL 2039 FLWN T
ATL > IND Sat 09Feb2013 DL 1261 FLWN T
Check your flight information online at delta.com or call the Delta
Flightline at 800.325.1999.
Baggage and check-in requirements vary by airport and airline, so
please check with the operating carrier on your ticket.
Please review Delta's check-in requirements and baggage guidelines
for details.
You must be checked in and at the gate at least 15 minutes before
your scheduled departure time for travel inside the United States.
You must be checked in and at the gate at least 45 minutes before
your scheduled departure time for international travel.
For tips on flying safely with laptops, cell phones, and other battery-
powered devices, please visit http://SafeTravel.dot.gov
Do you have comments about service? Please email us to share them. Key of Terms
o # - Arrival date different than
departure date
o - Check-in required
® Multiple meals
o *S$ - Multiple seats
® AR - Arrives
® B - Breakfast
® C - Bagels / Beverages
o 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 ATL64.19TA10B3SA DL WAS84.65TD10133SA DL ATL84.65TD10B3SA DL IND54.88TA
INDATLDCAATL XF IND4.5ATL4.5DCA4.5ATL4.5
Fare: 288.37 USD
Tax: 65.23 TX
Total: 353.60 USD
https://www.delta.com/mydelta/receiptDetailsPage.action 2/15/2013
My Delta: Receipts Page 2 of 2
Paid with American Express ending 1002
Detailed Tax Information
AY 10.00
us 21.63
XF 18.00
ZP 15.60
Total: 65.23
NON-REFUNDABLE / CHANGE FEE
When using certain vouchers to purchase tickets, remaining credits may not be refunded. Additional charge
are displayed in the sections below.
This ticket is non-refundable unless issued at a fully refundable fare. Any change to your itinerary may req
increased fare. Failure to appear for any flight without notice to Delta will result in cancellation of your rem
Terms & Conditions
Air transportation on Delta and the Delta Connection° carriers is subject to Delta's conditions of carriage.
example:
• Limits on our liability for personal injury or death of passengers, and for loss, damage of delay of goods
• Claim restrictions including time periods within which you must file a claim or bring action against us.
• Our right to change terms of the contract.
• Check-in requirements and other rules established when we may refuse carriage.
• Our rights and limits of our liability for delay of failure to perform service, including schedule change, su
or aircraft, and rerouting.
• Our policy on overbooking flights, and your rights if we deny you boarding due to an oversold flight.
These terms are incorporated by reference into our contract with you. You may view these conditions of ci
requesting a copy from Delta.
You have received this email because you elected to receive your Electronic Ticket receipt sent to you via er
advantage of other Delta email programs featuring special fare, promotions, information and flight update!
delta.com/emailprograms or delta.com/notifications.
COPYRIGHT INFORMATION
This email message and its contents are copyrighted and are proprietary products of Delta Air Lines, Inc. D
GA 30320-6001. Any unauthorized used, reproduction, or transfer of this message or its contents, in any i
2012 Delta Air Lines, Inc. All rights reserved.
Enter in English
https://www.delta.com/mydelta/receiptDetailsPage.action 2/15/2013
Washington,D.C./Downtown
1250 22nd Street N.W.•Washington,DC 20037
(202)857-3388 • Fax:(202)293-3173
E M B A S S V S u r T E S For reservations across the nation
Name&Address H O T E L S• 1-800-EMBASSY or%titivay.embassysuitesdcmetro.com
HANEY,DOUGLAS Suite 829/KNGN
13828 SMOKEY RIDGE DR Arrival Date 2/6/2013 3:45:OOPM
Departure Date 2/9/2013
CARMEL, IN 460339101
US Adult/Child 2/0
Suite Rate $198.55
RATE PLAN S-AAA
HH# 864254159 DIAMOND
AL DL #6061240013
BONUS AL CAR
Confirmation: 81094571
219/2013 PAGE 1
DATE REFERENCE DESCRIPTION AMOUNT
2/6/2013 5851712 GUEST ROOM $198.55
2/6/2013 5851712 SUITE TAX $28.79
2/7/2013 5852939 GUEST ROOM $198.55
2/7/2013 5852939 SUITE TAX $28.79
2/8/2013 5853933 GUEST ROOM $198.55
2/8/2013 5853933 SUITE TAX $28.79
WILL BE SETTLED TO. _. .___ $682.02
EFFECTIVE BALANCE OF $0.00
I
ESTIMATE CURRENCY TOTAL
Hilton HHonors )stays are po ted within 72 hours of checkout. To check your earnings or book your next stay at more than 3,900 hotels a
resorts in 91 co ntries,please isit HHonors.com.
Thank you for s aying with us. Visit embassysuites.com for more information on hotel packages, subscribe to our E-nnouncements newsletter,
or plan your ne stay at closet 200 destinations.
EXPRESS CHECK-OUT DATE OF CHARGE FOLIO NO./CHECK NO.
661693 A
Good klorning ! We hope you enjoyed your stay. With Express 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
evening. PURCHASES&SERVICES
For any charges after your account was prepared,you may:
•pay at the time of purchase. TAXES
•charge purchases to your account,then stop by the Front Desk for an 0
updated statement.
i-or request an updated statement be mailed to you within two business days. 'rips&misc.
Simply call the Front Desk from your suite and tell us when you are ready to
depart. Your account will be automatically checked out and you may use this
TOTAL AMOUNT
statement as your receipt. Feel free to leave your key(s)in the suite. 0.00
Please call the Front Desk if you wish to extend your stay or if you have any
questiutts about your account.
0 INDIANA RETAIL TAX EXEMPT PAGE
C 1 ®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
Dt��1#/G�j T 0-F FEDERAL EXCISE TAX EXEMPT ^ & n r1 /
N 35-60000972 0{ / aj a�_
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
VENDOR �'� ' SHIP
TO
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
y 39
3 57
U/ � 4;�
� I
A� • •a a .,s °c
Send Invoice To: /^ _
PLEASE INVOICE IN DUPLICATE d, 3 0�3• �7
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
;. PAYMENT �j 30� ✓� . -5 7
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
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER y
DOCUMENT CONTROL NO. 6 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT
NO`____
ALLOWED 20___
|N THE SUM OF$
ONVACCOUNTOAPPROPR|AT|ON FOR
r�.
L/
'Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
/ 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 '
�
.
'
'i nature
. ' 000 � \ �
�Cost uwmuuuvn
claim paid mom,vehicle highway fund
Sheeks, Cindy L
From: Bass, Elaine A
Sent: Tuesday, March 12, 2013 12:25 PM
To: Sheeks, Cindy L
Subject: RE: Doug's Seminar to Pittsburgh
Hi Cindy,
Not, it is not an error. Doug was out east when the big blizzard struck. He had seven flight delays before he was re-
routed from Pittsburg to LaGuardia in New York. He arrived at LaGuardia Airport at midnight and was booked for the
first flight out which was the next morning. He was not permitted to sleep in the airport and could not access his
luggage. So he booked a room for a few hours' sleep before he had to leave at 5:00 a.m. for the flight back to Indiana.
Hope this helps but let me know if you need anything else.
Elaine Bass
Executive/Legal Secretary
City of Carmel - Department of Law
One Civic Square
Carmel, Indiana 46032
Phone: (317) 571-2472
Fax: (317) 571-2484
E-mail: ebass @carmel.in.gov
CONFIDENTIALITY NOTICE: This transmission (including any attachments) may contain information which is confidential,
attorney work-product and/or subject to the attorney-client privilege, and is intended solely for the receipient(s) named above.
If you are not a named recipient, any interception, copying, distribution, disclosure or use of this transmission or any
information contained in it is strictly prohibited, and may be subject to criminal and civil penalties. If you have received this
transmission in error, please immediately call us at(317) 571-2472, delete the transmission from all forms of electronic or
other storage, and destroy all hard copies. DO NOT forward this transmission. Thank You.
From: Sheeks, Cindy L
Sent: Tuesday, March 12, 2013 11:42 AM
To: Bass, Elaine A
Subject:
Doug's reimbursement for the trip to Philadelphia included a hotel
receipt from the Manhattan Times Square North. Was this included in
error?
Cindy S heeks
C1tV of Cartel
1
°`�Q c,..xatl
CITY OF CARMEL Expense Report (required for all travel expenses)
�NDIANp
i
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 02/10/13 12:35 p.m.
DEPARTMENT: Law Department RETURN DATE: 02/12/13 TIME: 12:00 p.m.
REASON FOR TRAVEL: PLI Wage & Hour Seminar DESTINATION CITY: Pittsburgh, PA
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
-
Feb. 10-
12, 2013 $208.70 $109.14 $40.00 $412.54 $160.00 $930.38
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 $208.70 $0.00 $109.14 $40.00 $412.54 $0.00 $0.00 $0.00 $0.00 $160.00 $0.00 � v/
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 3/6/2013 Page 1
GO AIRLINK NYC's Online Reservation System Page 1 of 1
G® AIRLINK NYC
WEB TICKET
PRINT THIS TICKET, IT IS REQUIRED WHEN BOARDING VEHICLE
See additional instructions below
S Olin A E I M
TICKET FROM Hampton Inn Manhattan TO LaGuardia Airport
Reservation Details
Name: Haney Douglas
Pick Up Date & Time: Tuesday, February 12, 2013 5:15 AM
Total Passengers: 1
Adults; Children(3 & under) A: 1; C: 0
Pick Up Location: Hampton Inn Manhattan
Pick Up Address: 851 8th Avenue 10019
Pick Up City, State Zip Manhattan NY
Drop Off Location: LaGuardia Airport
Drop Off Address:
Drop Off City, State Zip NY
Service Type: SHARE RIDE VAN
Total Fare: US$17.64, Paid by Credit Card a ,�
Booked via Web Profile: New Airlink Site
Reservation Number: SC4649828
Signature: x
INSTRUCTIONS
A vehicle will be dispatched to pick you up at the time indicated on this Web Ticket.
Please be ready, so we can get you to your destination safely & on time.
Should you have any trouble locating our vehicle after the scheduled pickup time,
please call our call center at 212-812-9000.
To make a change or cancel your reservation,please contact our customer service department at 212-812=9000.
Tickets must be canceled up to 48 hours prior to the scheduled pick up time for a full refund.
otherwise cancellation charges will apply.
IIII IIII I III II II III II III II III II III II III II III II III 1 IIII
For Company Use Only
Payment Method: Credit Card
Vehicle Number:
Driver Number:
Drivers Signature: X
https:Hairlinknyc7.hudsonitd.net/res?PID=MTM2MDYONjUwMS 1 kLWdvZGxaI2suYyN... 2/12/2013
Haney, Douglas C
From: oom on behalf ofGo Aidinh NYC [info@ooadinknvocon]
Sent: Tuesday, February 12. 2O1312:22AN1
To: Haney, Douglas C
Subject: GoAirhnh NYC Order Confirmation
An rfion' .
JFK~LaG uardia`Newark Order Confirmation
Ordered On 2/12/20.�
Download your voucher here!
Dear Douglas Haney, Uownloadl Novd;
Thank you for choosing Go Airlink NYC.
Click the"Download Now"button above to download your voucher. Please read and follow all instructions on
the voucher(s).
We look forward to serving you. Have a safe and pleasant travel.
Go Airlink NYC
Customer Information Douglas Haney
13828 Smokey Ridge Drive
Carmel,46033
Service: Shared Van
Pickup Date: Feb 12,2013
SC4649828 Pickup Time: 05:16 AM 1/0 $17.64
Pickup Location: Hampton Inn Manhattan
Address: 851 8th Avenue
Zip: 10019
Phone Number: 3174955279
ORDER TOTAL: $17.64
,pervice,representative Call,212 812
ONE
1
Haney, Douglas C
From: Delta Air Lines [DeltaAirLines @e.delta.com]
Sent: Thursday, December 20, 2012 5:29 PM
To: Haney, Douglas C
Subject: DOUGLAS C INDIANAPOLIS 10FEB13
. �. T delta.wrn My Trips Earn Miles
..•,,.,-'l:.-..�ir.,:n:r <.. ^,r,.. ..,- :.ado.,n ar ,_. x.r: r'N .y,.,- ..
YOUR ITINERARY AND RECEIPT
Please review this information before
your trip. If you need to contact Delta or
check your flight information, go to delta.com
or call 1-800-221-1212. For a complete list of
world wide phone numbers, please visit
To access your boarding pass at www.delta.com/contact_us.
the airport, print email now and
scan at a Delta self-service kiosk. You can exchange, reissue and refund eligible
electronic tickets at delta.com. Take control ]'
and make changes to your itineraries at `
E delta.com/itineraries.
r
You can check in for your flight up to 24 hours
prior to departure time. Check in online by
tm> clicking the link below or download the Fly
Delta app here. You can also use the app to
change seats, track your bag, view your flight '
status and so much more.
C � 6-cl axe- 7 61L - I `k
„Thanks for"choosing;Delta
.°
FligftConfirrnatiori'# Gt13DX$,I_,Ticket;#.'_00.6232040Q192i?'
Your Flight Information
.Sunr1 FEB`""'
B
° U 3
Lv 12:35pm INDIANAPOLIS AR 1:08pm MEMPHIS DELTA 4984*
ECONOMY(T)
Confirmed
Lv 2:16pm MEMPHIS AR 5:11pm PITTSBURGH DELTA 6152*
ECONOMY(T)
Confirmed
Snacks For Sale
1L Lv 6:45pm PITTSBURGH AR 8:09pm NYC-LAGUARDIA DELTA 6201*
�C ECONOMY(T)
Confirmed
1
Lv 9:25pm NYC-LAGUARDIA AR 11:52pm INDIANAPOLIS DELTA 5991*
ECONOMY(T)
Confirmed
- Snacks For Sale
*Flight 4984 Operated by EXPRESSJET AIRLINES
*Flight 6152 Operated by CHAUTAUQUA AIRLINES
*Flight 6201 Operated by GOJET AIRLINES
*Flight 5991 Operated by SHUTTLE AMERICA
Your Flight Details Manage Trip >
Passenger..Details �. w` lights : Seats `Free'Bags`
F
DOUGLAS C HANEY DELTA 4984 01C 0 PC
SkyMiles #*******013 Silver DELTA 6152 08A 0 PC
DELTA 6201 08B 0 PC
DELTA 5991 10B 0 PC
***Visit delta.com or use the Fly Delta app to view, select or change your seat
R2CeIpt;InfOCmatiOn
Billing Details
Passenger: Payment Method: Ticket Number:
DOUGLAS C HANEY 00623204001921
FARE: 158.14 USD
Taxes/Carrier-imposed Fees: 50.56
Total: 208.70 USD
NONREF/PENALTY/APPLIES
This ticket is non-refundable unless issued at a fully refundable fare. Some fares may not allow changes.
If allowed, any change to your itinerary may require payment of a change fee and increased fare. Failure
to appear for any flight without notice to Delta will result in cancellation of your remaining reservation.
Note: When using certain vouchers to purchase tickets, remaining credits may not be refunded.
Additional charges and/or credits may apply and are displayed in the sections below.
Details'Taxes Carrier=ihi s " ' `
posed Fees ` _ '"
Total: 50.56
Itemized: 10.00 AY 13.50 XF 15.20 ZP 11.86 US
IND DL X/MEM DL PIT79.07TA14AOSZ DL X/NYC DL IND79.07TA14AOSZ
USD158.14END ZP INDMEMPITLGA XF IND4.5PIT4.5LGA4.5
2
One Bigelow Square • Pittsburgh,PA 15219
Phone:(412)281-5800 • Fax:(412)642-2231
DOUBLE 1 T REE Reservations: 1 800 222 TREE or
Name&Address BY HILTON- www.pittsburghcitycenter.doubletree.com
HOTEL&SUITES PITTSBURGH DOWNTOWN
HANEY, DOUGLAS Room 1422/NK1S
13828 SMOKEY RIDGE DR Arrival Date 2/10/2013 6:35:OOPM
Departure Date 2/11/2013
CARMEL,IN 460339101
US Adult/Child 1/0
Room Rate $178.62
RATE PLAN S-AAA
HH#
AL
BONUS A CAR
Confirmation: 85991088
2/11/2013 PAGE 1
DATE REFERENCE DESCRIPTION AMOUNT
2/10/2013 1884208 GUEST ROOM $178.62 _H
2/10/2013 1884208 COUNTY OCCUPANCY TAX $12.50
2/90/2013 1884208 LOCAL TAX $1.79
2/10/2013 1884208 STATE OCCUPANCY TAX $10.72
WILL BE SETTLED TO $203.63
EFFECTIVE BALANCE OF $0.00
ESTIMATE CURRENCY TOTAL
Hilton HHonors(R)stays are posted within 72 hours of checkout. To check your earnings or book your next stay at more thi in 3,900 hotels a
resorts in 91 co ntries,please isit HHonors.com.
Thank you for choosing Double ree!Come back soon to enjoy our warm chocolate chip cookies is nd relaxed hospitality.Fo your next trip visit
us at doubletree com for our be t available rates!
EXPRESS CHECK-OUT DATE OF CHARGE FOLIO NO./CHECK NO.
Good Morning ! We hope you enjoyed your stay. With Express Check-Out 383834 A
there is no need to stop at the Front Desk to check out. AUTHORIZATION INITIAL JL
Please notify the Front Desk at the time of your departure.
° Please review this statement. It is a record of your charges as of late last
evening. PURCHASES&SERVICES
° For any charges after your account was prepared,you may:
+pay at the time of purchase.
+charge purchases to your account,then stop by the Front Desk for an TAXES
updated statement. 0
+or request an updated statement be emailed to you within two business days. TIPS&MISC.
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 AMOUNT
Please call the Front Desk if you wish to extend your stay or if you have any 0.00
questions about your account. PAYMENT DUE UPON RECEIPT
We want all our guests to leave happy.If you were to receive a survey and would rate your hotel experience as less than "extremely satisfied"
WE WANT TO KNOWABOUT IT!Please contact our Manager on Duty and share your experience. We hope you enjoyed your stay.
Manhattan Times Square North H
851 Eighth Avenue•New York, NY 10019 (USA
r
Phone(212)581-4100 • Fax(212)974-7502 �CW
offs-)soon...
If the debit/credit card you are using for check-in
is attached to a bank or checking account,a hold
HANEY, DOUGLAS name room number: 1101/KXTY
13828 SMOKEY RIDGE DR address arrival date: 2/11/2013 11:52:OOPM will be placed on the account for the full anticipated
2/12/2013 dollar amount to be owed to the hotel,including
departure date: esdmatedIncidentals,throu h r date of check-out
CARMEL, IN 460339101 9 YW
US adult/child: 1/0
and such funds will not be released for 72 business
room rate: $179.00 hours from the date of check-out or longer at the
discretion of your financial institution.
RATE PLAN LV1
HH#
AL r
BONUS AL CAR
Rates subject to applicable sales, occupancy, or other taxes. Please do not leave any money or items of value
Confirmation: 87215370 unattended in your room. A safety deposit box is available for you in the lobby.I agree that my liability for this bill is
not waived and agree to be held personally liable in the event that the indicated person,company or association fails
to pay for any part or the full amount of these charges In the event of an emergency, I,or someone In my parry require
2/12/2013 PAGE 1 special evacuation assistance due to a physical disability.Please indicate yes by checking here. ❑
signature:
date reference" de's'cr ,ion
p "amount'.`' '' ip1
2/11/2013 1894776 GUEST ROOM $179.00
2/11/2013 1894776 STATE TAX $15.89
2/11/2013 1894776 CITY TAX $10.52
2/11/2013 1894776 OCCUPANCY TAX $2.00
2/11/2013 1894776 UNIT TAX $1.50
WILL BE SETTLED TO, $208.91
EFFECTIVE BALANCE OF $0.00
ESTIMATED CURRENCY TOTAL
for reservations call-1.800.Fiampton or vlslt;us online.at-ham•ton.com �, _:;
p AhAhks
account no. date of charge folio/check no.
475082 A
card member name authorization initial
establishment no.and location establishment agrees to transmit to card holder for payment purchases&services
taxes
tips&mist.
signature of card member
total amount
X 0.00
('I ry 11hir - HOMEWOOD rr
CON R/�D ��,, HILTON
wntoO�v Hilton �r.,m,alo,,, JI n�a, SUITES HOME II,,I,,:, HHONORS
a510P1n' •• DOUPI.E,T0.1:1', �.�i�....
City /�° C����� INDIANA RETAIL TAX EXEMPT PAGE
®J11r CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
/f� FEDERAL EXCISE TAX EXEMPT
N--AjX7ffl47V-T A /"� �� 35-60000972 0?6 r� 15
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED j REQUISITION NO. VENDOR NO. DESCRIPTION
VENDOR '
/ SHIP
TO
7777 BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION -
X61
E •
.pit ( • � .5
a
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT 'F�ffe) , -_�:5g
l A A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
•SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. /!y� 1
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE L/�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. / X
CLERK-TREASURER y
DOCUMENT CONTROL No- 26723 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. -
ALLOWED 20
' _.. IN THE SUM OF$
$ 9 � �
Oy CCOUNT APPROPRIATION 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
`3� materials or services itemized thereon for
which charge is made were ordered and
received except _-_-_--
I
20
---------------- - - ---- --- --...-_--.- ---
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund