HomeMy WebLinkAbout(A1) MAYOR CHARLOTTE MOSES ($2,065.18) (A1'
City of Port Arthur
Travel Expense and Reimbursement Report
Page_1_of_1_Pages
Name: Charlotte Moses Date of Report: 11/12/2025
Department/Division: Mayor/Council Date(s) of Trip: 10/28-31/2025
Destination and Purpose of Trip: Fort Worth, TX/Texas Municipal League Conference
Expense Type Date Date Date Date Date Totals
10/28/2025 10/31/2025
Registration $420.00
Lodging $832.56
Air Fare $456.56
Mileage
Rental Car
Breakfast
Lunch
Dinner
Tips $240
Contract per diem
Parking
Tolls
Taxi
Telephone
Other: Baggage 40.00 40.00 $80.00
Uber 36.06
. $36.06
Total Trip Cost $2,065.18
Receipts are required for all expenses except contract per diem and tips.
Only actual expenses may be reported. Rounding and estimating are not allowed.
Mileage Record From/To: Subtract: Prepaid Registration ($420.00)
Odometer Beg./End: Prepaid Lodging 832.56
Total Miles X Rate: Prepaid Airfare 456.56
Mileage Reimbursement: $0.00 Prepaid Credit Card
I hereby certify that the above expenditures Subtract: Advance Amount $240.00
represent cash spent for ligitimate city Equals: Amount Due Employee
business onl and do not include items of if positive $116.06
a personal r . Amount Due City
Signatur • nt ihtlii4V if negative
Approved by Department Head Approved by City Manager
Notes and Explanation:
Christe Whitley
From: Texas Municipal League <acct@tml.org>
Sent: Tuesday, July 29, 2025 10:14 AM
To: Charlotte Moses
Cc: Christe Whitley
Subject: [NON-CoPA] Registration Confirmed - Texas Municipal League Annual Conference 2025
TEXAS MUNICIPAL LEAGUE
1,11 " ilia
113th Annual Conference and Exhibition
October 29-31,2025
a� •
Dear Charlotte,
Your registration has been confirmed. Please save this email for future reference.
Event: Texas Municipal League Annual Conference 2025
Attending: Charlotte Moses
Total Registrants: 7
Time: 7:30 AM
Date: October 29, 2025
Confirmation Number: Z7NPVPP5P6G
Registration Information
Charlotte Moses
Full Conference Registration
Sessions
October 30, 2025
7:30 AM - 8:45 AM Thursday TML Risk Pool Breakfast
i
View or modify your registration
We look forward to seeing you there.
___ Add to
Apple Wallet
Sincerely,
Texas Municipal League
acct@tml.org
If you no longer want to receive emails from Texas Municipal League, please Opt-Out.
Your payment for the Texas Municipal League Annual Conference 2025 event has been successfully processed. Please
save this email for your records.
Transaction Information
Item Price Quantity Payment Amount
Full Conference Registration $420.00 1 $420.00
Payment Total $420.00
Registration Confirmation Number: Z7NPVPP5P6G
View your registration
If you have any questions about this transaction or email, please contact Texas Municipal League directly at
acct@tml.org.
powered by
event
2
Christe Whitley
From: Key Bookings - Official Housing for TML 2025 <info@cvent.com>
Sent: Monday, August 18, 2025 1:06 PM
To: Christe Whitley
Subject: [NON-CoPA] Moses, Charlotte - TML 2025 Modified Reservation Acknowledgement
Dear Charlotte,
Welcome to Fort Worth, TX for the 113th Annual TML Conference and Exhibition. Thank you for making your
hotel reservation on Jul 29, 2025 for 2025 TML Annual Conference being held in Fort Worth,TX, over the dates
of Oct 28, 2025 - Oct 31, 2025. This modification to your hotel reservation was made on Aug 18, 2025. All
reservation changes can be made at the event website by clicking here
https://book.passkey.com/entry?token=evJOeXAIOiJKV1QiLCJhbGciOiJIUzI 1NiJ9.eyJwYXIsb2FkljoiTFAwOVIGUS
9mTnVwMHpTaE52bEVOY2o0TVIvVWpDTkkzVFBHZUxnWTY5elBRbndyMEtXSzJJSUhyWllzelZ6cE1vR2hnYmErd
itmTUpwamd1aVhPSIVIROFYZHk5RUdwTWhgdDhMck5222c9In0.14-t xCd2-
rwXILEMMD60LrXO0mGDwZ7ug4mHMQh3ao&utm source=290&utm medium=email&utm campaign=2973
62482, or by emailing kbhousing@keybookings.org.
Changes/Cancellations
Cancellations starting September 10 will incur a $75 fee. Key Bookings will continue to take reservation
changes and cancellations until the end of day on October 7.
Sincerely,
Your Housing Team
Reservation Information
Passkey E6FW79D5
Acknowledgement Number:
1
Your hotel: Sheraton Fort Worth Downtown Hotel
Check-in: Oct 28, 2025
Check-out: Oct 31, 2025
I '
Room type: Standard Guest Room - One or Two Beds
Guests per room: 1
Guest name: Charlotte Moses
Share withs: There are no other guests sharing this room
Requests:
Guarantee method: Credit Card
Date Guests Status Rate
Nightly Rates: Oct 28, 2025 1 Confirmed 189.00
Oct 29, 2025 1 Confirmed 189.00
Oct 30, 2025 1 Confirmed 189.00
Additional GuestRate
Additional Person Charges: Second Guest 0.00
Third Guest 0.00
Fourth Guest 0.00
567.00
Total Room Charge:
Room rates are subject to state and local taxes, currently 17.3% per room, per night. Tax rates
are subject to change without notice.
USD 75.00 for cancellations made on or after 09/10/2025.
Cancellation Policy: All cancels starting Sept. 10 will incur a $75 fee from Key Bookings.
The hotel will charge a one night stay if the reservation is cancelled less than one week prior to
arrival.
Hotel Information
Hotel Name: Sheraton Fort Worth Downtown Hotel
Address: 1701 Commerce Street
Fort Worth, TX 76102
Weather: View the Weather Forecast
Please do not call your hotel "just to be sure" until after October 10. Conference hotels will not download TML Conference reservat
October 7. Rest assured that if you have received a confirmation number already from the Housing Bureau, the hotel will honor your
for your consideration.
After October 10, 2025, all reservation changes can be made by contacting the hotel directly at 817-335-7000. Passkey, its reservati
their agents act only in the capacity of agent for all customers in all matters pertaining to hotel reservations, and as such are not res
guaranteed hotel rooms, damages, expenses, inconveniences, or damage to any person or property from any cause whatsoever.
For changes and cancellations, contact Key Bookings at kbhousing@keyhookings.org.
2
change terms of the contract,5. Rules on reconfirmation of reservations,check-in times and refusal
to carry,6. Rights of the air carrier and limits on liability for delay or failure to perform service,
including schedule changes,substitution of alternate air carriers or aircraft and rerouting.
You can obtain additional information on items 1 through 6 above at any U.S.location where the
transporting air carrier's tickets are sold.You have the right to inspect the full text of each
transporting air carrier's terms at its airport and city ticket offices.You also have the right, upon
request,to receive(free of charge)the full text of the applicable terms incorporated by reference
from each of the transporting air carriers. Information on ordering the full text of each air carrier's
terms is available at any U.S. location where the air carrier's tickets are sold or you can click on the
Conditions of Carriage link below.
Air transportation on American Airlines and the American Eagle carriers®is subject to American's
conditions of carriage.
For more on Canada passenger protection regulations visit aa.com/CanadaPassengers.
Please do not reply to this email address as it is not monitored.This email was sent to
christe.whitley@portarthurtx.gov.
NOTICE:This email and any information,files or attachments are for the exclusive and confidential
use of the intended recipient.This message contains confidential and proprietary information of
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For all other questions about bookings or upcoming trips,visit our contact page. Contact American>
oneworld is a registered trademark of oneworld Alliance,LLC.
5
Christe Whitley
From: American Airlines <no-reply@info.email.aa.com>
Sent: Monday, August 18, 2025 2:54 PM
To: Christe Whitley
Subject: [NON-CoPA] Your trip confirmation (BPT - DFW)
American;
Issued:August 18, 2025
Your trip confirmation and
receipt
You can check in via the American app 24 hours before your flight and get your
mobile boarding pass.
Confirmation code: KHZFIS
Tuesday, October 28, 2025
BPT AA 4999
Beaumont Operated by SkyWest Airlines as American Eagle
2:31 PM
o DFW Seat: 14B,i0A,10D,16B
Class: Economy(N)
Dallas/Fort Worth Meals:
3:45 PM
Friday, October 31, 2025
DFW AA 4999
Dallas/Fort Worth Operated by SkyWest Airlines as American Eagle
12:30 PM
0
1
B PT Seat: 10C,13B,14C,15B
Class: Economy(N)
Beaumont Meals:
2:01 PM
Manage your trip
Limited Time: Earn up to 80,000
bonus miles*
citi nn17;a:37
Find the Citi®/AAdvantage® card that's right for u,;,)
you. Terms Apply Y "�° Cr. ,
Learn more
Your purchase
Charlotte Moses
Join the AAdvantage' Program
New ticket (0012267497489) $456.56
[$405.92 +Taxes&carrier-imposed fees
$50.64]
Donald Frank
New ticket(0012267497490) $456.56
[$405.92+Taxes &carrier-imposed fees
$50.64]
Willie Lewis
New ticket (0012267497491) $456.56
[$405.92+Taxes &carrier-imposed fees
$50.64]
Doneane Beckcom
New ticket (0012267497492) $456.56
[$405.92+Taxes &carrier-imposed fees
$50.64]
Total cost (all $1,826.24
passengers)
Your payment
2
MasterCard (ending 4185) $1,826.24
Total paid $1,826.24
Bag information
Checked Bag (Airport) Checked Bag (Online*)
1 st bag $40.00 1st bag $35.00
2nd bag $45.00 2nd bag $45.00
Taxes are included, when applicable.
Maximum dimensions: 62 inches or 158 centimeters calculated as (length +
width + height)
Maximum weight: 50 pounds or 23 kilograms
Bag fees apply at each Check-in location. Additional allowances and/or
discounts may apply. For information regarding American Airlines checked
baggage policies, please visit: Bag and optional fees
If your flight is operated by a partner airline, see the other airline's website
for carry-on and checked bag policies.
*Online payment available beginning 24 hours (and up to 2 hours) before
departure.
Carry-on bags (American Airlines operated flights)
Personal item A small purse, briefcase, laptop bag, or similar item that
must fit under the seat in front of you.
Carry-on Maximum dimensions must not to exceed: 22" long x 14"
wide x 9"tall (56 x 35 x 23 cm).
a
4
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3
You have up to 24 hours from the time of ticket purchase to receive a full refund if you booked at
least 2 days before departure.Once canceled,your refund will be processed automatically.
If you have purchased a NON-REFUNDABLE fare,the itinerary must be canceled before the ticketed
departure time of the first unused coupon or the ticket has NO VALUE. If the fare allows changes,a
fee may be assessed for changes and restrictions may apply.
Some American Airlines check-in counters do not accept cash as a form of payment. For more
information,visit our Airport Information page.
0
_Ithlum
a tcries %4plosives Aerosol rIammablc_ Oxidizers(1&I
—cxins
l ' 1 I=0•`�
Radioactive Corosives E cigarettes
Some everyday products,like e-cigarettes and aerosol spray starch,can be dangerous when
transported on the aircraft in carry-on and/or checked baggage.Changes in temperature or pressure
can cause some items to leak,generate toxic fumes or start a fire. Carriage of prohibited items may
result in fines or in certain cases imprisonment. Please ensure there are no forbidden hazardous
materials in your baggage like:
Some Lithium batteries(e.g. spares in checked baggage,batteries over a certain size),Explosives/
Fireworks,Strike anywhere matches/Lighter fluid,Compressed gases/Aerosols Oxygen bottles/
Liquid oxygen,Flammable liquids,Pesticides/Poison,Corrosive material.
There are special exceptions for small quantities (up to 70 ounces total) of medicinal and toilet
articles carried in your luggage,spare lithium batteries for most consumer electronic devices in carry-
on baggage,and certain smoking materials carried on your person.
Certain items are required to be carried with you onboard the aircraft. For example,spare lithium
batteries for portable electronic devices,cigarette lighters and e-cigarettes must be removed from
checked or gate-checked baggage and carried onboard the aircraft. However,e-cigarettes may not be
used on-board the aircraft.
Traveling with medical oxygen,liquid oxygen,mobility aids and other assistive devices may require
airline pre-approval or be restricted from carriage entirely. Passengers requiring these items should
contact the airline operator for information on use of such devices.
NOTICE OF INCORPORATED TERMS OF CONTRACT
Air Transportation,whether it is domestic or international(including domestic portions of
international journeys),is subject to the individual terms of the transporting air carriers,which are
herein incorporated by reference and made part of the contract of carriage. Other carriers on which
you may be ticketed may have different conditions of carriage. International air transportation,
including the carrier's liability, may also be governed by applicable tariffs on file with the U.S. and
other governments and by the Warsaw Convention,as amended,or by the Montreal Convention.
Incorporated terms may include,but are not restricted to:1. Rules and limits on liability for personal
injury or death,2. Rules and limits on liability for baggage,including fragile or perishable goods,and
availability of excess valuation charges,3. Claim restrictions,including time periods in which
passengers must file a claim or bring an action against the air carrier,4. Rights on the air carrier to
4
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10/8/25,1:20 PM' Mail-Brenda Mullin-Outlook
13 Outlook
FW: [NON-CoPA] Confirmed: Enterprise Rent-A-Car Reservation 1488991992 at Dallas-Ft. Worth
International Airport (DFW)
From Yolanda Scypion-Goudeaux <yolanda.goudeaux@portarthurtx.gov>
Date Wed 10/8/2025 1:15 PM
To Brenda Mullin <brenda.mullin@portarthurtx.gov>
Cc Latoya Lucas <latoya.lucas@portarthurtx.gov>
From: Enterprise Rent-A-Car<No-Reply@enterprise.com>
Sent:Wednesday, October 8, 2025 1:15 PM
To:Yolanda Scypion-Goudeaux<yolanda.goudeaux@portarthurtx.gov>
Subject: [NON-CoPA] Confirmed: Enterprise Rent-A-Car Reservation 1488991992 at Dallas-Ft. Worth International
Airport(DFW)
r,,,,,,z.,,,
terprise
YOUR RESERVATION IS CONFIRMED
Thank you for your reservation.
Your confirmation number is 1488991992.
Check in online so you can skip the paperwork and save time when
you arrive.
We'll contact you by email or text 24 hours prior to your rental to confirm your details.
Pick-Up Details
Location Dallas-Ft.Worth International Airport(DFW)
Date&Time Tuesday, October 28, 2025 @ 4:00 PM
https://outlook.office365.ccm/mail/inbox/id/AAQkAGESMjdjN2Q0LWJiZDQtNDM40C04YTE5LTRiZmU4Y2E.5N7AwMAnAPYAvYRu1 Fdr1,oi•)1:TA7
10/8/25,1:20 PM Mail-Brenda Mullin-Outlook
Address 2424 E 38th Street
Dallas, TX 75261
Phone +1 833-635-0439
Hours Tuesday: 6:00 AM - 11:00 PM
Return Details
Location Dallas-Ft. Worth International Airport(DFW)
Date&Time Friday,October 31, 2025 @ 1:00 PM
Address 2424 E 38th Street
Dallas, TX 75261
Phone +1 833-635-0439
Hours Friday: 6:00 AM - 11:00 PM
Renter Details
Name CHARLOTTE MOSES
E-mail Address y x@portarthurtx.gov
Phone 8105
Corporate Account Details
Contract Name CITY OF PORT ARTHUR
Billing Number
Billing Number ••••5765
https://outlook.office365.com/mail/inbox/id/AAQkAGE5MjdjN2Q0LWJiZDQtNDM40004YTE5LTRiZmU4Y2E5NzAwOQAQAPYAxXRX1FdCk%2BT47_ 7/a
10/8/25, 1:20 PM ' Mail-Brenda Mullin-Outlook
Additional Information
PO NUMBER 130
Pricing Details
Vehicle Class Volkswagen Jetta or Similar
Transmission Type Automatic
Estimated Total to be billed $203.61
Rates
Vehicle
TIME & DISTANCE 3 DAILY @ $48.87 $146.61
Extras
Unlimited Mileage Included
9 Additional Drivers Included
Damage Waiver Included
Taxes& Fees
CONCESSION RECOVERY FEE (11.11%) $14.92
https://outlook.off"ice365.com/mail/inbox/id/AAQkAGESMidiN2Q0LWJIZDQtNDM40C04YTE5LTRi7_m114Y2F5N7AwnnAnAPYAvxmoPrlr koi,9RTA7 zio
10/8/25,1:20 PM• Mail-Brenda Mullin-Outlook
EULESS SPORTS VENUE TAX 5 PCT (5.0%) $1.87
PER DIEM CONCESSION 3 Day(s) @ $7.50/
Day $22.50
VLF REC 3 Day(s) @ $1.79/ Day Included
TX MOTOR VEH RENTAL TAX (10.0%) $17.71
Estimated Total $203.61
Follow these directions to get to the counter
Upon arrival, proceed to the lower level from baggage claim and take the blue and white rental car
shuttle - the rental car center is 7-10 minutes from the terminal.
Toll Pass P,rfilable at Pick-Up
You may be renting or driving in an area with toll roads. We offer optional TollPass products and
services at participating locations that allow you to breeze through tolls without stopping to pay
cash. SOME' toll plazas are electronic only and do not offer a cash payment option.
Learn more ybout Toll Pass
Corporatt Account Verification
This reservation is being made with a Contract ID number (CID) assigned to a Corporate Account for
use exclusively by its eligible renters. Use of this CID by individuals other than eligible renters is
prohibited and may result in disciplinary action. Renters using this CID may be required to show proof
of employment or authorization (such as a business card, current email with company domain, work
order, etc.). Questions about acceptable proof of employment or authorization should be directed to
your Travel Manager.
Driver's License Information
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11/12/25,.7:26 AM. Mail-Brenda Mullin-Outlook
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1701 Commerce St, Fort a.no► p
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$14.06 - STV8887
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11/12/25, 1:07 PM Mail-Brenda Mullin-Outlook
Description
Purchase
AMERICAN 4000 E SKY HARBOR BL
BEAUMONT, 10- 28- 2025 @ 2 : 09 Trace
#: 10280209462312147 1030 Card endi
9822
Date
October 30, 2025
Effective Date
October 30, 2025
Transaction Amount
(-S40.00 )
New Balance
$ 280.17
https://outlook.office365.com/mail/inbox/id/AAQkAGESMjdjN2Q0LWJiZDQtNDM40C04YTE5LTRiZmU4Y2E5NzAwOQAQAIIm 136rGJJAppCRYNzdZlw... 2/3
11/12/25, 1:07 PM Mail-Brenda Mullin-Outlook
Reference Number
69264
Charlotte Moses,Realtor
Freeman Properties Group,LLC.
www.freeman-properties.com
800.374.0316—Office
409.549-3726—Cell
Charal517@gmail.com
"I Trust God"
http://freeman-properties.com/wp-contenUuploads/2023/05/information about brokerage services buyertenant 112015 ts05203.pdf
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SHERATON
EST 1937
Payment Authorization Request:
Please complete this payment authorization form to allow the third-party expenses outlined below to be charged to your credit/debit card.
Click here to open Marriott Privacy Center
Guest Information
Confirmation Number: E6FW79D5 Arrival Date: 10/28/2025 Departure Date: 10/31/202f
(M M/DD/YYYY)
Guest First Name: CHARLOTTE Last Name: MOSES
Company Name: CITY OF PORT ARTHUR
Phone Number: 409-983-8105
Address: 444 4TH STREET
City, State,Zip: PORT ARTHUR, TX 77640
Relation to Cardholder: ❑Relative ❑Friend ✓❑Business Associate ❑Other:
(if applicable)
Rate Information and Approved Charges:
❑All Charges ❑i Room&Tax ❑Telephone ❑Food &Beverage ❑Amenity
❑ Room Service ❑ Valety/Laundry E Parking ❑ HS Internet Access ❑ Movies
❑ Resort Fee ❑ Event/Catering/Banquet Charges
Other:
Currency type:
Charges must not exceed for the entire stay/event
Room Rate: Taxes: Total Daily Rate: Number of Nights:
Comments/Special Requests:
Payment Information:
�♦ naz
CITY COUNCIL
b
Fcrt arthut , TX, 77640
Cardholder Phone Number: 409-983-8105
Acceptance and eSignature:
✓ I authorize the hotel mentioned above to charge payment for all charges as indicated in the Rate Information and Approved
Charges section of this form by processing a charge to the credit/debit card listed above. I confirm that all guests listed above are age 18
or older. lam the authorized signer for the payment information attached.
Cardholder Signature: �renda c u/Lin Date: 10/14/2025
brenda.mullin@portarthurtx.gov
Doc ID: 20251014090044967
Sheraton Fort Worth Downtown
1701 Commerce Street
Fort Worth,TX 76102
United States S H E R A T O N
Tel:8173357000 Fax:8173353333
tsr :57
MRS CHARLOTTE MOSES Page Number 1
217 LIVE OAK LN Guest Number 1111999
PORT ARTHUR,TX,776421240 Folio ID A
United States Of America 28-OCT-25 18:17
TE4496-TX Municipal League Conference 31-OCT-25 08:59
1
308
8142
Sheraton Fort DFWDS 12-NOV-25 09:08 TALEX
Date Reference Description Charges(USD) Credits(USD)
28-OCT-25 DEPOSIT Deposit-MC-8336 -676.68
28-OCT-25 RT308 Room Chrg-Grp-Association 189.00
28-OCT-25 RT308 State Tax 11.57
28-OCT-25 RT308 City Tax 17.35
28-OCT-25 RT308 Venue Tax 3.86
28-OCT-25 RT308 FW Tourism Fee 3.78
29-OCT-25 70223 143406 MOSES 51.96
29-OCT-25 90938 143406 MOSES 51.96
29-OCT-25 RT308 Room Chrg-Grp-Association 189.00
29-OCT-25 RT308 State Tax 11.57
29-OCT-25 RT308 City Tax 17.35
29-OCT-25 RT308 Venue Tax 3.86
29-OCT-25 RT308 FW Tourism Fee 3.78
30-OCT-25 91265 143406 MOSES 51.96
30-OCT-25 RT308 Room Chrg-Grp-Association 189.00
30-OCT-25 RT308 State Tax 11.57
30-OCT-25 RT308 City Tax 17.35
30-OCT-25 RT308 Venue Tax 3.86
30-OCT-25 RT308 FW Tourism Fee 3.78
31-OCT-25 MC MasterCard/Euro-8336 -155.88
***For Authorization Purpose Only***
xxxxxx8336
Date Time Code Authorized
31-OCT-25 08:59 087392 88.77
31-OCT-25 08:59 022866 67.11
12-NOV-25 MC -0.00
**Total 832.56 -832.56
Continued on the next page
Sheraton Fort Worth Downtown
1701 Commerce Street
Fort Worth,TX 76102
United States S H E R A T O N
Tel:8173357000 Fax:8173353333
EST.)937
MRS CHARLOTTE MOSES Page Number 2
217 LIVE OAK LN Guest Number 1111999
PORT ARTHUR,TX,776421240 Folio ID A
United States Of America 28-OCT-25 18:17
TE4496-TX Municipal League Conference 31-OCT-25 08:59
1
308
8142
***Balance 0.00
I agreed to pay all room&incidental charges.
For your convenience,we have prepared this zero-balance folio indicating a$0 balance on your account. Please be advised that any charges not
reflected on this folio will be charged to the credit card on file with the hotel. While this folio reflects a$0 balance,your credit card may not
be charged until after your departure. You are ultimately responsible for paying all of your folio charges in full.
When you stay with us,we Go Beyond so you can too with thoughtful service,exceptional experiences and everything you seek when traveling. Book
your next stay at Sheraton.com
For billing questions please visit https://sheratonfortworthguest.com or call(817)420-7656. Tell us about your stay. www.sheraton.com/reviews
Bring the Sheraton sleep experience home with you. Visit SheratonStore.com.
„
SHERATON
"9 7
Payment Authorization Request:
Please complete this payment authorization form to allow the third-party expenses outlined below to be charged to your credit/debit card.
Click here to open Marriott Privacy Center
Guest Information
Confirmation Number: E6FW79D5 Arrival Date: 10/28/2025 Departure Date: 10/31/202f.
(M M/DD/YYYY)
Guest First Name: CHARLOTTE Last Name: MOSES
Company Name: CITY OF PORT ARTHUR
Phone Number: 409-983-8105
Address: 444 4TH STREET
City,State,Zip: PORT ARTHUR,TX 77640
Relation to Cardholder: ❑Relative ❑Friend ❑✓ Business Associate ❑Other:
Of applicable)
Rate Information and Approved Charges:
❑All Charges ❑i Room&Tax ❑Telephone ❑Food &Beverage ❑Amenity
❑ Room Service ❑Valety/Laundry Parking ❑ HS Internet Access ❑ Movies
El Resort Fee [] Event/Catering/Banquet Charges
Other:
Currency type:
Charges must not exceed for the entire stay/event
Room Rate: Taxes: Total Daily Rate: Number of Nights:
Comments/Special Requests:
Payment Information:
l. m itvTcIt
Cardholder Phone Number: 409-983-8105
Acceptance and eSignature:
✓ I authorize the hotel mentioned above to charge payment for all charges as indicated in the Rate Information and Approved
Charges section of this form by processing a charge to the credit/debit card listed above. I confirm that all guests listed above are age 18
or older. I am the authorized signer for the payment information attoched.
Signature: ”
g �Tren a
Cardholder Si u cn Date: 10/14/2025
brenda.mullin@portarthurtx.gov
Doc ID: 20251014090044967
11/12/25,7:26 AM Mail-Brenda Mullin-Outlook
X Ride Details
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Oct 28 8 :57PM
$22 .00 - VBH3505
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530 Throckmorton St, Fort
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Worth, TX 76102, us
1701 Commerce St, Fort
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11/12/25,7:26 AM Mail-Brenda Mullin-Outlook
4:08 . 1l 5G
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Oct 28 6 : 58PM
$14.06 - STV8887
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11/12/25,7:26 AM Mail-Brenda Mullin-Outlook
1701 Commerce St, Fort
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Worth , TX 76102, US
530 Throckmorton St, Fort
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Worth , TX 76102, US
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$5.00added
No rating
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0 AMERICAN AIRLINES
**/�meC��d� * REFUNDABLE ONLY WITH
PASSENGER RECEIPT 1
0CT25 45105115 US RELATED FLIGHT CPN
AMERICAN AIRLINES 31 /DALLAS FT WORTH RETAIN THIS RECEIPT
DFW OXW 6 THROUGHOUT YOUR
MOSES/CHARLOTTE JOURNEY
**NOT VALID FOR**
**TRANSPORTATION* PSGR TICKET 0012284959032 FOR CONDITIONS OF
CONTRACT - SEE
$ FBLAIVI
DFWBPT-AA PASSENGER TICKET AND
01 UPT050L8 23KG AND62Li 153LCM 40.00 OGO 1 1 BAGGAGE CHECK
NOT VALID FOR TRAVEL
USD 40 . 00 FP IKXXXXXXXXX00(9822 112377
NA
NA
NA 0 001 0278043761 6
JSD 40 _ 00