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Travel & Training Expense <br /> Eugene Public Works Authorization & Reconciliation <br /> Account codes and supervisor signature are required before travel can be booked <br /> Employee: Matt Rodrigues • Division: PWM <br /> Conference/Training/Trip: NACTO Designing Cities Conference Today's Date: October 4, 2018 <br /> Purpose:Transportation Design Conference—Learn and deploy best practices in Eugene Travel Dates: 10/29/17— 11/2/17 <br /> Location:Chicago, II <br /> ACCOUNT CODES: 131-9424-61711 <br /> Please attach event brochure/printed webpage with registration form. *recommended for POS,required for PWM <br /> Preferred Hotel Name: Swissotel Chicago (Event Hotel) <br /> Please indicate the items you need below by circling "Yes"or"No"in the"Needed"column. If you have already registered for your event, <br /> booked your flight,or arranged_lodging, please puta big"X"under"Made"for that item. <br /> Reservation Actual Costs and Method Of Payment <br /> Needed Made Description Estimated Check City P-card Reimburse <br /> Cost <br /> Yes No $820 <br /> Registration <br /> Yes No $609- <br /> Airfare <br /> $203=$406 <br /> Yes No $1,028 <br /> Hotel <br /> Yes No Checked bags 2x$25=$50 <br /> (1 each way) <br /> Yes No Rental Car <br /> Yes No Per Diem 4x$74+1x$55.5 <br /> *D-Order check in advance* <br /> =$351.50 <br /> Reimburse or Pcard CTA tickets <br /> Taxi/Shuttle =$24 <br /> Reimburse or Pcard Mileage—City vehicle preferred <br /> Reimburse or Pcard Parking <br /> TOTALS $2,679.50 <br /> ACTUAL TRIP EXPENSES <br /> If flying to your event, please complete the back side of this form (required to book a flight). We no longer book <br /> "Basic Economy" flights, so bear that in mind when preparing an estimate for your supervisor to approve. <br /> Many training venues now require emergency contact information to complete your registration: please provide <br /> that infor ation on the back. <br /> ¢ � v -� l°/' k)) � t4 j <br /> ti <br /> , ��-�, iib <br /> P:\TrafficOperations\MattR\Training\20171004-NACTO-Travel Authorization Form.docx Doc#1017 <br /> Last Revised 9/1/2017 <br />