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<br />I <br />I <br />. <br />I <br />. <br />I <br /> <br /> <br />I <br /> <br />I <br />I <br />I <br /> <br />! <br />I <br /> <br /> <br />, <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br />I <br />I) <br />I <br /> <br />CITY of LA PORTE <br />TRAVEL IXPINIIl FORM <br />. P....NT.~ 8 <br /> <br /> <br />EMPLOVEE NAME: <br /> <br />DEPARTURE DATE: <br />Tt.M&: <br />aE1'URN DATI5: <br />11.: <br /> <br />DlaPARTMeNT: <br />DIVISION: <br />'"""$elDestlnation o'Ttiv.l: <br /> <br />...-.. <br /> <br />A. <br /> <br />_ ]. rS' ~~Item_l~ct~L1oN6tR~t~nt <br /> <br />;~~.',.'!(~'9t~~lYl: .., : . ",c, :. " <br />t'lj~~l,~LL" ........: '.. ...... "", , <br />,..-...__u,_.l~i~-:_-. <br /> <br />~ T <br /> <br /> <br />'.1 <br /> <br />Totals <br /> <br />.' .\tS' IrlU~i;~~I;~~.'.'" <br /> <br />o.a. L L' ,f' ,c 'q' ,I <br /> <br />"total <br /> <br />1_,._'(' <br /> <br />'.. ',&: ~, J. <br />uu... <br /> <br />6 <br /> <br />""J: <br />P'~ <br /> <br />!We . <br /> <br />@ <br /> <br />-r. <br />'total <br />I U <br /> <br />Oay$ <br /> <br />I. <br /> <br />L~]ll <br /> <br />.' .... " "', ' ..,.... ',' . I <br />(Atl Motel cha_ ,"",1'I.art 1t.em(t6cl blh) <br /> <br />@ <br /> <br />= <br /> <br />c. <br /> <br />Oa)'$ . . '., 'Rate .... . Total <br />(lf~ ~,~id QON~!~~~~' <br />LS (MONEY REOEIVEO A1PE~ diEM AATt bO$$ NOTA.J:QUIAl: Ri!6ejm) <br />Amount R~ on Requ(lSt <br /> <br />T~ <br /> <br />D. <br /> <br />__ <br /> <br />(If RegIstration was prepaid 00 NOT li$t amount) <br /> <br />To,*, <br /> <br />E. <br /> <br />0_ Phdn$ Q111$ <br /> <br />(Per$Onal phon$ cans ate limited to $$.00 '* day) <br />All others - Must IternizO and altBCh receipts <br /> <br />Total <br /> <br />t~1 <br /> <br />J - <br />GtoGS fotal: <br />AmOunt of Oath Advat1C6 <br />Balance due Employee If (Credit) <br />Balance due City of La Porte If Debit <br /> <br />THIS REPRESENTS THE TRUE AND ACTUAL TRAVEL EXPENSES OF THE AFOREMENTIONED <br />TRAVEL EXPENSE FORM. EmPlOyee ~"reqllWrd IOcomplIlte \Ills Fonn <br />EMPLOWe $IGNATURE <br /> <br />DATE: <br /> <br />DIRECTOR SIGNATURE <br /> <br />Revtsecl1-OO <br />