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City of Port Arthur
Travel Expense and Reimbursement Report
Page_1_of_1 Pages
Name: Charlotte Moses Date of Report: 10/11/2016
Department/Division: Mayor/Council Date(s) of Trip: 10/4-7/2016
Destination and Purpose of Trip: Austin, TX, TML Conference
Expense Type Date Date Date Date Date Totals
10/4/2016 10/5/2016 10/6/2016 10/7/2016
Registration $ 295.00,"
Lodging $ 772.80
Air Fare
Mileage
Rental Car $ a a. , - t- t/
Per Diem $ 75.00 $ 75.00 $ 75.00 $ 75.00 $ 300.00 `/
Gas $ 37.00v $ 56.13 VI $ 93.13 '.
.
Contract per diem
Parking $ 34.64 $ 34.64 $ 34.64 _ $ 103.92 V
Tolls
Taxi
Telephone
Other:
1-19p. `71
Total Trip Cost _$ 7 �/
Receipts are required for all expenses except per diem.
Only actual expenses may be reported. Rounding and estimating are not allowed.
Mileage Record Subtract: Prepaid Registration $ 295.00 v
Odometer Beg. / End Prepaid Lodging $ 772.80
Total Miles X Prepaid Airfare
Rate City Billed Rental Car _ Q 7 ,7 ,D
Mileage Reimbursement: Prepaid Credit Card
I hereby certify that the above expenditures Subtract: Advanced Amount $ 300.00
represent c h spent for ligitimate city business Amount Due Councilmember 1 461 T7
only air' of inc d- ite�s6of a personal nature. Equals: if positive $
Signaur : 44J k, / LA Amount Due City _ 6.\1
Approv by Department Head if negative
Approved by City Manager
Notes and Explanation:
1
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