HomeMy WebLinkAboutFC-57 - Travel Advance and Expense ReimbursementCurrent Mailing Address:
Name, Title, Department/Division
Destination (From, To)
Purpose of Expense
Dates
*Registration
*Lodging
Total Expenses
*Explain fully with receipts.
Other Explanation:
Start of incident..no fuel avaialble..city Voyager did not work…paid with personal credit card
Daily Per Diem Rate for:
I certify that the foregoing statement is a correct statement of expenses incurred by me on official City business.
Signature (Claimant)
Type (Air, Auto)
*Fare
Bags/Fees
Taxi, Bus
Parking
**Mileage
Breakfast
Lunch
Dinner
*Telephone
Postage
Incidentals
Other
7/31/2016
0
82.22
82.22
Less Personal
Total Miles Driven
3358 Ryan Ave, Clovis CA 93611
GOOSE Incident
Out of County Response
Paid City American Express
0
Odometer
Readings
End
Start
Bart Burkhart
0
0
Boise ID
0
Date
0
Dates
0
x
Travel Days-75%
Approval:
**Mileage
Private Auto
0
0.535
0
Department Director
Chief Administrative Officer
0
Total Miles
¢ Per Mile
Mileage Cost
0
0
Summary
Travel
Lodging
Meals
Registration (conference fees and costs)
Miscellaneous
Total Expenses
Less: Cash Advance (Check No.
Less: Amount Paid by Credit Card
Total Reimbursable Expense
0
0
Controller
Council
Date
0
8/31/2016
Travel Advance
Expense Reimbursement
0
12345
Totals
0
0
0
0
0
0
0
0
0
0
0
0
0
82.22
82.22
)
0
0
0
0
82.22
82.22
125
1007.76
-1050.54
Current Mailing Address:
Name, Title, Department/Division
Destination (From, To)
Purpose of Expense
Dates
*Registration
*Lodging
Total Expenses
*Explain fully with receipts.
Other Explanation:
Daily Per Diem Rate for:
I certify that the foregoing statement is a correct statement of expenses incurred by me on official City business.
Signature (Claimant)
Type (Air, Auto)
*Fare
Bags/Fees
Taxi, Bus
Parking
**Mileage
Breakfast
Lunch
Dinner
*Telephone
Postage
Incidentals
Other
0
Less Personal
Total Miles Driven
0
Odometer
Readings
End
Start
0
0
0
Date
0
Dates
0
x
Travel Days-75%
Approval:
0
**Mileage
Private Auto
0
0.575
0
Department Director
Chief Administrative Officer
0
Total Miles
¢ Per Mile
Mileage Cost
0
0
Summary
Travel
Lodging
Meals
Registration (conference fees and costs)
Miscellaneous
Total Expenses
Less: Cash Advance (Check No.
Less: Amount Paid by Credit Card
Total Reimbursable Expense
0
0
Controller
Council
Date
0
Travel Advance
Expense Reimbursement
0
Totals
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
)
0
0
0
0
0
0
0