226332 11/19/2013 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $1,703.30
CARMEL, INDIANA 46032 C/O DEPT OF LAW
.off�a C/O DEPT OF LAW CHECK NUMBER: 226332
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 1, 558 . 30 EXTERNAL TRAINING TRA
1180 4355300 145 . 00 ORGANIZATION & MEMBER
4`1�or Cgq,,/f
`QAI rp.iG
CITY OF CARMEL Expense Report (required for all travel expenses)
/NDIANa
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 10/20/13 1:30 PM
DEPARTMENT: Law Department RETURN DATE: 10/22/13 11:39 PM
REASON FOR TRAVEL: PLI Employment Law Institute DESTINATION CITY: New York, NY
EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM
Date Transportation Gas/Tolls/ Lodging Meals Misc. Total
Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem
10/20/13-
10/22/13 $475.20 $212.88 $731.86 $130.00 $1,549.94
$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 $475.20 $0.00 $212.88 $0.00 $731.86 $0.00 $0.00 $0.00 $0.00 $130.00 $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: Kov.e yi&( -7i olo13
City of Carmel Form# Revision Date 11/7/2013 Page 1
Haney, Douglas C
From: Tammy Haney [tammyhaney @ymail.com]
Sent: Sunday, October 20, 2013 6:07 PM
To: Haney, Douglas C
Subject: Fwd: Uber Ride Receipt
r
Sent from my Whone
Begin forwarded message:
From: Uber<supportchicago@uber.com>
Date: October 20,2013 at 1:33:55 PM EDT `� e
To: tammyhaney@ymail.com rA
Subject: Uber Ride Receipt t
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Thanks for riding Uber!
<driver_xeycr1ph>"`
BILLED TO Kaleb
Tammy Haney <map_xeycrlph>
TRIP REQUEST DATE
October 20, 2013 at 11:33am
PICKUP LOCATION
17 East Monroe Street, Chicago, IL
DROPOFF LOCATION
1-99 Upper Level T2 St, Chicago
O'Hare International Airport (ORD),
Chicago, IL
CREDIT CARD
< Personal -
BILLED TO CARD
$40.00
Fare Breakdown Trip Statistics
CHARGES DISTANCE
Base Fare $3.15 19.28 miles
DURATION
Distance $31.31 52 minutes, 51 seconds
AVERAGE SPEED
1
Time $6.06 21.89 mph
Charge subtotal $40.52
DISCOUNTS
Rounding Down ($0.52)
Discount subtotal ($0.52)
TOTALS
Total Fare $40.00
Billed to Card ($40.00)
j Outstanding Balance $0.00
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Haney, Douglas C
From: Uber[suppodny@ubor.nnm]
Sent: ' Tuesday, October 22. 2O134:45PM
To: Haney, Douglas
Subject: UbarRide Receipt
Ru
00 z
DRIVER
Thanks for riding Uberl Spyros
BILLED TO
Douglas Haney L ti
|
| |
|
October 22, 2013 at 04:09pm
PICKUP LOCATION
1564 Broadway, New York, NY
DROPOFF LOCATION
Delta Departures Road, LaGuardia
Airport (LGA), Flushing, NY
CREDIT CARD
ism r
BILLED TO CARD
$48.00 0- 161
Fare Breakdown Trip Statistics
CHARGES DISTANCE
� DURATION |
Distance $28.26 27 minutes, 6 seconds
Time $8.86 AVERAGE SPEED
Queens Midtown Tunnel $5.33 22.35 mph
Eastbound Toll
Charge subtotal $48.45
DISCOUNTS
Rounding Down ($0.45)
Discount subtotal ($0.45)
TOTALS
Total Fare $48.00
|
�
Billed to Card ($48.00)
Outstanding Balance $0.00
GAVE$10.01),GETSM00
0 0 0
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Haney, Douglas C
From: Delta Air Lines [DeltaAirLines @e.delta.com]
Sent: Tuesday, September 03, 2013 12:56 PM
To: Haney, Douglas C
Subject: DOUGLAS C CHICAGO-OHARE 20OCT13
NUMN st, ii IT.
D E L T A delta.com My Trips Earn Miles
�:A__" •y r�1 r.^. r _
'.77 .o ., .7
YOUR ITINERARY AND RECEIPT
Please review before your trip: ;
Check in for your flight up to 24 hours prior to
departure at delta.com or with the
Fly Delta app -also check flights, change
To access your boarding pass at seats, reserve car and hotels, and much more.
the airport, print email now andaF
.4J scan at a Delta self-service kiosk.
Make changes to eligible electronic tickets
` through My Trips at delta.com. ar,'
'^
If you need to contact Delta for assistance
please call 1-800-221-1212 or visit ,: u
delta.com/help.
,t#' iT11116nks for-choosing.Delta.
Flight Confrmat'ion,#'GSU447 1 Ticket#: 00623398870054 . QWW
Your Flight Information
Sun'2Q0CT, �' :r . ;a;i,`�s' a , w;,' .; :�' G;,:r�•. t-
? Lv 1:30pm CHICAGO-OHARE AR 4:42pm NYC-LAGUARDIA DELTA 5946* '
ECONOMY (T)
Snacks For Sale
-_Tue°22OCT r,; -;:;�;Y+�4, •�.. �•---- . _ .rr .: ..��;,,;_;.�.
Lv 5:59pm NYC-LAGUARDIA AR 8:32pm ATLANTA DELTA 61
ECONOMY (X)
Snacks For Sale
Lv 10:01pm ATLANTA AR 11:39pm INDIANAPOLIS DELTA 1898
ECONOMY (X)
*Flight 5946 Operated by SHUTTLE AMERICA _
Please note that our New York-LaGuardia Airport(LGA)flights now depart from Terminal C, as well .
as.from Terminal D and the Marine Air Terminal. As gate and terminal information are subject to .
change;it's best to check within 4 hours of your flight's departure via Online Check-in, Flight Status ,
1
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DOUGLAS CRAIG HANEY DELTA 5946 See delta.com
DELTA 61 See delta.com
DELTA 1898 See delta.com
***Visit delta.com or use the Fly Delta app to view,select or change your seat
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Billing Details �k�
Passenger: Payment Method: Ticket Number:
DOUGLAS CRAIG HANEY ******** 00623398870054
FARE: 415.81 USD
Taxes/Carrier-imposed Fees: 59.39
Ticket Amount: 475.20 USD
NONREFUNDABLE/CHANGE FEE MAY APPLY/N
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.
"141",
,�56 5` `'it�:ctj�,gyr,#, .° "emu .R
Total: 59.39
Itemized: 7.50 AY 9.00 XF.11.70 ZP 3119 US
MEN WIN
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CHI DL NYC177.67T14SHPLN DL ATLI27.44XA14R2SA DL IND110.70XA14UTSA
USD415.81END ZP ORDLGAATL XF ORD4.5LGA4.5
[N `tKFS'arks 17 - '•� GY yt �tr �. a
Passenger: Ticket#: Place of Issue: Issue Date: Expiration
Date:
DOUGLAS CRAIG HANEY 00623398870054 LAXWEB 03SEP13 03SEP14
2
,� R°°m DOUBLETREE
HANEY, DOUGLAS "h'"` '
""-,�ArrivahDate 1907/NK1S
13828 SMOKEY RIDGE DR 2,' ;°- 1 BY HILTON-
Deptw)Date.y10/20/2013 5:28:OOPM
w..f,..' 10/22/2013
CARMEL,IN 460339101 1568 BROADWAY
US ";. .-Ad6IUChikl (47TH AT 7T}I AVENUE)
tlbaily7Ro6in�-,P,Q� 2/0
$359.10 NEW YORK CITY,NEW YORK 10036
]7.1 oints 212-719-1600
&` FAx 212 921-5212
.Miles=
Confirmation: 80573315
10/22/2013 PAGE 1 Should an emergency evacuation be
necessary,do you require special assistance
i7l,;>, - — - R, __ _ - because of a physical disability?
`�FiEFERENCE :��:IDEBCRIRTIO_N e.'.�::AMOI1fJTz4 '�
U Yes O No
10/20/2013 8414622 3UEST ROOM $269.10 Checkout time 12 noon on departure day.
10/20/2013 8414622 1 M-SALES TAX-STATE(8.875%) $23.88
10/20/2013 8414622 M-SALES TAX-CITY(5.875%) $15.81 Please note that checking out prior to you:
10/20/2013 8414622 M-OCC TAX-CITY $4.00 confined departure date will result in t
10/20/2013 8414622 M-OCC TAX-JAVITS $1.50 $100 administrative fee.
10/21/2013 8415890 UEST ROOM $359.10
10/21/2013 8415890 M-SALES TAX-STATE(8.875%) $31.87 A safe deposit box is provided for tht
10/21/2013 8415890 M-SALES TAX-CITY(5.875%) $21.10 deposit of valuables - the hotel cannot bt
10/21/2013 8415890 M-OCC TAX-CITY $4.00 responsible for valuables not left in the raft
10/21/2013 8415890 M-OCC TAX-JAVITS $1.50 deposit box.
WILLsB&/SETTTLED.JTO $731.86
EFFECTIVE BALANCE OF $0.00 Terms: due and payable upon
presentation.
i� 3` •1 t f ti' ¢ 1 agree that my liability for this bill is not
ESTIMATED CURRENCY T TAQived and I agree to be held personally
liable in'the event the indicated person,
Hilton HHonors( stays are posted within 72 hours of checkout. To check your earnings or boo k your next stay at mxu1#maeA5t 0!WWt hdi fails to pay for
resorts in 91 cour tries,please visit HHonors.com. any part or the full amount of these
charges.
Thank you for chc osing Doubletre !Come back soon to enjoy our warm chocolate chip cookies and relaxed hospit lity. For your next trip visit
us at doubletree.c om for our best a vailable rates!
X
Guest Signature
ACCT.NO. DATE OF CHARGE F%66%/f lHI ACK NO
CARD MEMBER NAME AUTHORIZATION 6 INITIAL
ESTABLISHMENT NO.&LOCATION ESTABLISHMENT AGREES TO TRANSMIT TO PURCHASES&SERVICES
CARD ISSUER FOR PAYMENT
TAXES
TIPS&MISC.
CARD MEMBER'S SIGNATURE TOTAL AMOUNT
X
MERCHANDISE AND'OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE
RESOLD OR RETURNED FOR A CASH REFUND
Haney, Douglas C
From: PLI Program Department[eacknowledgement @confirmation.pli.edu]
Sent: Thursday, May 23, 2013 1:50 PM
To: Haney, Douglas C
Subject: PLI Program Registration Confirmation (#2509840)
P L1.
PRACTISNN6 LAW(NSIRTLfTE'
Mwl . -«
Douglas Haney Customer#: 873092
City of Carmel Dept of Law Phone: 3175712472
1 Civic Sq Fax: 3175712484
Carmel, IN 46032-2584 Email: dhaney(carmel.in.gov
Thank you for registering for the program. Please take a moment to review your
registration:
PROGRAM: Employment Law Institute 2013
ITEM #: 42593 REGISTRATION #: 429555
ORDER #: 2509840
DATE(S):
10/21/2013 9:00 AM-5:00 PM
10/22/2013 9:00 AM-4:45 PM
Add to Outlook calendar
Start and end times are subject to change, so please consult www.pli.edu to reconfirm.
LOCATION:
Practising Law Institute
810 Seventh Avenue, 21st Floor
New York, NY 10019-5818
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
webpaae 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
Haney, Douglas C
From: PLI Customer Service [info@pli.eduj
Sent: Thursday, May 23, 2013 1:42 PM
To: Haney, Douglas C
Subject: Order#2509840 has been processed.
ill al
P U=I
f-Twef[_qJN&LA'N IRStRWE
Order Summary for Douglas Haney (873092)
Order Date:5/23/2013
Bill To: Ship To:
Douglas Haney Douglas Haney wrlder Number-, 2509840
City of Carmel Dept of Law City of Carmel Dept of Law Business Location: N....................................................EWYORKCSR
1 Civic Sq 1 Civic Sq Warehouse: 5 W H S E
Carmel IN 460322584 Carmel IN 460322584 ....................................................
Customer PO:
USAUSA .....................................................
---------------------------------- - - ---------- - ----------------------------- ----------- ---
LINE'# ITEM ID DESCRIPTION'',., WL/60', ORIG. PRICE•. QTY' EXT."PR16E� TAX AMT
1 s 42593 Empl Law Inst 13 NY $1695.00 1 $1695.00 $1695.00 $0.00 $0.00
.:PAYMENT M ACCT. USED Price: ............................$...1...6....9...5......0.
0
, Discount: $1695.00
Tax. .............
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)260-4PLI or(212)824-5710 between the hours of 9100 am-
6:00 pm est. or e-mail info(a-)pli.edu
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Reimburse Douglas C. Haney for monies he personally $1,549.94
expended during the PLI Employment Law Institute
on 10/20/13-10/22/13-per the attached Expense Report.
and attached receipts.
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas Q Haney IN SUM OF $
$ $1,549.94
ON ACCOUNT OF APPROPRIATION FOR
Department of Law - 1180
430-43002 -Travel Expenses
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
1180 43002 $1,549.94 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
2013
Ignature
4ty f Ae,V
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
STATE OF INDIANA )
SS:
COUNTY OF HAMILTON )
AFFIDAVIT
I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that on
January 18, 2013, while attending the Legislative Meeting in Indianapolis Indiana on behalf of the City of
Carmel, I personally expended Four Dollars and Thirty Six Cents ($4.36) for lunch at the McDonald's but
was not provided a receipt and for which I need to be reimbursed.
Dated this day of October, 2013.
Do aney
fh
Subscribed and sworn to before me, the undersigned Notary Public, this day of October,
2013.
AMANDA BENNETT
NOTARY PUBLIC,SEAL
STATE OF INDIANA
RESIDENT OF MARION COUNTY
COMMISSION NO.599586
MY COMMISSION EXPIRES:15-2017 Amanda Bennett, NOTARY PUBLIC
Resident of Marion County, Indiana
My Commission Expires:
January 5, 2017
(eham%wdAV—pjr I\—dat a 10/17/131
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.
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/25/13 43002 Reimburse Douglas C. Haney for monies he personally $8.36
expended during the 1/18/13 Legislative Meeting and
4/26/13 FDC Conference-per attached receipts and affidavit
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas C. Haney - IN SUM OF $
Carmel, Indiana 46033
$ $8.36
ON ACCOUNT OF APPROPRIATION FOR
Department of Law - 1180
430-43002 External Training Travel
Board Members
INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
1180 43002 $8.36 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
o��rn 7 20
i ure
—Ar rj
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
STATE OF INDIANA )
) SS:
COUNTY OF HAMILTON )
AFFIDAVIT
I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that on
September 30, 2013, I paid my annual attorney registration fee and IOLTA certification to the State of
Indiana Clerk of Courts with check#2854 drawn on my personal account in the amount of$145.00.
Dated this 12— day of November, 2013.
Douglas C. Haney
Subscribed and sworn to before me, the undersigned Notary Public, this tZ day of November,
20 3.
AMANDA BENNETT
NOTARY PUBLIC,SEAL
STATE OF INDIANA
RESIDENT OF MARION COUNTY
COMMISSION NO.599586
MYCOMMISSION EXPIRES: 7-5-2017 -"Amanda Bennett, NOTARY PUBLIC
Resident of Marion County, Indiana
My Commission Expires:
January 5, 2017
(rh:m enrd:\GssraFgsl Wser data-a<LiunUawislxircvRi ffidails\a(radi,ii-1013 mw-y rrgis mi—d-:l 1/12/131
Haney, Douglas C
From: Indiana Supreme Court [courts @subscriptions.in.gov]
Sent: Thursday, August 01, 2013 12:02 AM
To: Haney, Douglas C
Subject: Annual Attorney Registration Notification
101 11,
It SUP(?_ENIE COURT, COUIRT OF r PPE-ALS, ,NTD TAX COURT
Of 0 STA TE OF INDIANA
Kevin S. Smitti '21G S-i',vi-t-, E-10USE... IWAAtiAPO IAS, 1N +620.1•
Dear Mr. Douglas Haney,
The purpose of this message is to notify you that your annual attorney registration fee and IOLTA
certification are now due. The fee amount, which must be paid by midnight oriO:cto.be. 1toxaypid
a delinquency fee, is as follows:
• Active/Good Standing $145.00
• Inactive/Good Standing $72.50
Use the Clerk's Portal to pay your fees, review your Roll of Attorneys information, and complete
your annual IOLTA certification:
Sign into the Clerk's Portal
NCt Stir:; hOty to sign Ill?
If you don't already have an account or you forget your username and password, see our help
topic on Creating an Account and Signing In.
You may need your attorney number and PIN, which are:
• Attorney Number: 11207-49
• PIN Number: LECOEHLR
Need additional help?
If you have questions about using the Clerk's Portal, how to complete your annual registration, or
how to assign an account administrator to complete your registration on your behalf, see our
extensive help website with video tutorials.
i
i
Prescribed by State Board of Accounts City Form No.201(Rev.199T
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Douglas C. Haney
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/30/201 Reimburse Douglas C. Haney for monies he personally $145.00
expended for IOLTA certification - per attached check
#2854 and affidavit
Total
r.
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
rs with IC 5-11-10-1.6.
�,-<
20
Clerk-Treasurer
VAN
VOUCHER NO. WARRANT NO.
ALLOWED 2p�
Douglas C Haney IN SUM OF $
$ $145.00
ON ACCOUNT OF APPROPRIATION FOR
Department of Law - 1180
430-55300 Organization & Membership dues
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 55300 $145.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
1 20 1__3
gnature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund