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HomeMy WebLinkAbout(A4) COUNCILMEMBER CHARLOTTE MOSES (I\4) City of Port Arthur Travel Expense and Reimbursement Report Page_1_of_1 Pages Name: Charlotte Moses Date of Report: 3/21/2017 Department/Division: Mayor/ Council Date(s) of Trip: 3/5-7/2017 Destination and Purpose of Trip: Austin, Texas for Golden Triangle Days Expense Type ( Date Date Date Date Date ` Totals {) 3/5/2017 3/6/2017 3/7/2017 t Registration $ 125.00 -- Lodging $ 607.20 --" Air Fare Mileage Per Diem $ 75.00 $ 75.00 $ 75.00 $ 225.00 v Total Trip Cost $ 957.20 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 $ 125.00 Odometer Beg. / End Prepaid Lodging $ 607.20 Total Miles X Prepaid Airfare Rate Shuttle Mileage Reimbursement: Prepaid Credit Card I hereby certify that the above expenditures Subtract: Advanced Amount $ 225.00 represent c.-h spent for ligitimate city business Amount Due Councilmember only and .. % incAlu� item, a ersonal nature. Equals: if positive Signatur-: , ` f Iii Amount Due City Approved . 3epartment Head if negative Approved by City Manager Notes and Explanation: CB9Arn CCICUN:51i= s__ C:\Users\rnayorsec\Documents\Charlotte Moses\ERGTDA17