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<br />CITY OF BAYTOWN
<br />TRAVEL AUTHORIZATION REQUEST
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<br />NO.
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<br />~ s:
<br />~ A. Name E. Purpose of the trip: ~
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<br />~ B. Department F. Account # ~
<br />~ C. Destination G. Social Security # ~
<br />~DI. Date and time of departure H. Othen going to the same destination for the same purpose: ~
<br />~ 02. Datund time of return ~
<br />S ~
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<br />TRAVEL ADVANCE REQUEST
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<br />~ Estimated cost ~
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<br />~ I. Penonal car ~
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<br />~ Z. Commercial transportation (type) ~
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<br />~ 3. Registration fees (enter amount in tolal column) ~
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<br />~ 4. Lodging days @ ~
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<br />~ 5. Meals (click button to go 10 schedule) ~
<br />~ Ci. Other ~
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<br />~ ~~~ ~
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<br />~ Registration Vendor ~
<br />~ I Name/Address for Prepaid Payment ] ~
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<br />~ ~~ ~
<br />~ - ~
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<br />S Account No. s:
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<br />~ Breakfast (before 6 a.m. 10 after 8 a.m.) $7.00 0 ~
<br />~ Luucb (before 12 DODD 10 after 2 p.m.) $9.00 0 ~
<br />~ Dinner (before 6 p,m. 10 after 8 p.m.) $18.00 0 ~
<br />~ Totals ~
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<br />~ I have read and understand the tra\'el policy. I hereb~' certify that the aho\'e estimated expenses are anticipated to be incurred hy me as Ilecessal1' traveling expenses in the performance of 01" official ~
<br />~ duties; attendance at a conference or con\'ention direcll" !'flates to the official duties of the department; any meals or lodging included in a reglstratio" fee have been deducted from this travel advance ~
<br />~ request. If the tra\'el advance exceeds actual travel expenses Incurred, I will refund the Cil)' of Bay town the remaining unexpended funds within 5 da,'s after completion of the tr:l\'el period. If this report ~
<br />~ and reimbursement is not submitted as required, III)' signatu!'f autho.izes the Cit~. to deduct the alllount of the travel ad\'a"ce from m)' pa)'check. ~
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<br />~ Traveler Date Department Head Date City Manager/ACM Date ~
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<br />Sr."""",,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,,"'''''''''''''''''''''''''''''''''''''''''''''''''''''''''''"""""""""""""""""""""""""""""""""""""""~
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<br /> Advanced to To be paid aRer Procurement Mail check Return check Date check
<br /> Total amount Prepaid employee trip Total allocated cant directly to requester needed
<br /> 0.00 (i) 0.00 0 0.00 0.00 0
<br />I 0.00 (i) 0.00 0 0.00 0 0.00 0.00 0 0 0
<br />I 0,00 (i) 0.00 0 0.00 0 0.00 0.00 0 0 0
<br /> 0.00 (i) 0.00 0 0.00 0 0.00 0.00 0 0 0
<br /> 0.00 0 0.00 (i) 0.00 0.00 0 0
<br />I 11.1111 0 0.00 0 0.00 0 0.00 0.00 0 0 0
<br /> 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0 0
<br /> 0.00 0 0.00 0 0.00 0 0.00 0.00 0 0 0
<br /> 0.00 0.00 0.00 0.00 0.00
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<br />50.365
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<br />miles@
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<br />Other
<br />Name/Address for Prepaid Payment
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<br />Day I Day 2 Day 3 Dav4 DayS Day6 Dav7 Day 8 Day 9 DavID Total
<br />0.00 0 0.00 0 0.00 0 0,00 0 0,00 0 0.00 0 0.00 0 0.00 0 0.00 0 0.00 0.00
<br />0.00 0 0.00 0 0.00 0 0,00 0 0.00 0 0,00 0 0,00 0 0.00 0 0.00 0 0.00 0.00
<br />0.00 0 0.00 0 0.00 0 0.00 0 0,00 0 0.00 0 0,00 0 0.00 0 0,00 0 0,00 0.00
<br />0,00 0.00 0.00 0,00 0.00 0,00 0.00 0.00 0.00 0,00 0.00
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<br />Vendor No.
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<br />No.
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<br />Account
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<br />Hotel/Motel Vendor
<br />Name/Address for Prepaid Payment
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<br />Vendor No.
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<br />No.
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<br />Accoul
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<br />Be Signed By The City Manager Or Asst. City Manager Before Any Disbursements Can Be Made.
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<br />Authorization Must
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<br />4:08 PM
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<br />9/17/2002
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