Laserfiche WebLink
<br />I <br />I <br />I <br /> <br /> <br />, <br /> <br />I <br />I <br /> <br />I <br />I <br /> <br /> <br />I <br /> <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br />I <br /> <br /> <br />I <br /> <br /> <br />I <br /> <br /> <br />, <br /> <br /> <br />I <br />I <br />I <br /> <br />I <br />I <br /> <br />CrN OF LA PORTI <br />TRAWL "'ltII" FORM <br />E <br /> <br /> <br />VliNbOR <br /> <br />n"- <br /> <br />~~:."~,!,il,,'..~':~:~:J':',,:~:,~,~:] <br /> <br />rrl11<~.'LJ_'" <br />c . ,'. <br /> <br />. ..JJj'" <br /> <br />T JI <br /> <br />r .1 <br /> <br />J <br /> <br />SMPLOYIiIi NAMS: <br />D&PAAfMiNT: <br />DIVISION: <br /> <br />OSPAMUR& DATa: <br />TlSI <br />rGTUIN bATi: <br />1tMG: <br /> <br />". r!:j';,O <br /> <br />- "1]" -- <br /> <br />.~-: r.o t 1 <br /> <br />PurpO$$/Deltlna.tJon of Tra": <br /> <br />t l~T <br /> <br />T. 0:1] ,'u:', j r <br /> <br />J ~ ~' .TI,., J. '. . .L -b.." . ':.r.1 <br /> <br />. . <br />-rH1S:ft5rt\4'itiao.1tdl<l)p s'RaWlN5ti:1 e1tfl~fim(l5lftt'tlll:'tffe:'t1.aelptftl.:." <br /> <br />J1 .. <br /> <br />H <br /> <br />II$TIMA TlD TRAWL COlT <br /> <br />Chfik box for MY Iltm tb_ "OllMl\ p,."'" and D() NOT 11$l tilt amount. <br />A 0 TRANSPORTATION Q,QO <br />8 0 LOoetNcJ .~S~ <br />C M&AL.$ ("R DIEM) .. . . Q.' p * <br />o 0 Ri.~TlON ....03' <br />E OTHSR J ibId <br />TOTAL. &S"I'IMATE <br />R6QU&$T&O: <br /> <br />peR DIEM CALCULATION: <br /> <br />o <br /> <br />AT <br /> <br />0.00 <br />"", <br /> <br />0.00 <br />, :'-"'1:~ <br /> <br />= <br /> <br />. ..g.p.o * <br /> <br />total MtllIl AmQllnt <br /> <br />.O/~ Pft~Rate <br />tHE TOtAL SHOULD BALANOE WITH MSAI.$ (PER DlfiM) LISTED A.aOVE. <br /> <br />*PLEA$fi NOTE: Meal money received 3t thePtr Oiem rate will not require rec;elpts to b& returned. <br />(AL'" OTMtilUTIiMS RSQUIRSREOEfPfS) <br /> <br />. ... ,<I <br /> <br />I have read and understand the Travel POUty. I Will compl.&m the Travel fixpense form within fiVe working daY$ <br />of my return, attach all required receipts and submit it to the Director of Finance. I will also refund to the City, <br />the amount remaining, if any, of the advance received. <br /> <br />If this report is not submitted as required, this authorizes the City to deduct the full amount of this <br />Travel Advance from my paycheck. <br /> <br />Date: <br /> <br />Employee Signature: <br /> <br />APPROVAL: <br /> <br />Department Director <br /> <br />City Manager (if required) <br /> <br />REVISED HO <br /> <br />Budgeted funds available: YES <br />Please check appropriate box. D NO <br />