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E (dC.~ <br /> - C" <br /> ~ "v~ <br /> Public Works Training/Travel Form <br /> T e of Form: Travel/Training Request Division: Administration <br /> Name: Christine Fusco Date: 7/11/08 <br /> TravellTraining Dates: 9/8-12, 2008 Event Title: VPCI - Laserfiche Conference <br /> Descri tion and Location of Event: <br /> This training is based on Laserfiche Version 8. The training provides workflow tools, scanning, searching, and all other tips for utilizing <br /> Laserfiche 8. <br /> If out of state, will it be available within the next 12 months: Yes No <br /> Benefits to the DivisionlCity: This will enable me to be one of the lead workers of the Laserfiche implementation projects and support for staff. <br /> DATE: <br /> ? Required for certification Direct Work Activity ~ Expand Professional Knowledge. At"~' <br /> ? Regulatory Requirement ? City Requirement ~ Networking with Peers <br /> (choose all that apply) <br /> Re istrationITuition: <br /> Cit Pays Tuition: ~ Yes No Estimated/Actual COSt: $700.00 <br /> Hotel Information: <br /> Hotel Name: Chinook Winds Phone: 888-244-6665 <br /> City: Lincoln City State: OR Zip: <br /> Cost per night: $74.00 x number of nights 5 Actual/Est. Cost $370.00 <br /> Airline Info_ rmation: _ _ _ Vehicle Information: <br /> Carrier: City Vehicle: ~ Yes Personal Vehicle: Yes <br /> Cost: <br /> Breakfast 5 @ $10.00 $50.00 (or approx. miles start to end) End <br /> Lunch 5 @ $11.00 $55.00 Total miles: 0 <br /> Dinner 5 @ $17.00 $85.00 Total Expense: $0.00 <br /> Incidentals - $5.00 - $0.00 Other-Ex eases: - <br /> Total $190.00 (Receipts Required) <br /> Other/Miscellaneous Expenses : Parking: Phone: <br /> Ta~d/Shuttle: Internet: <br /> Car Rental: Other: <br /> Total $0.00 <br /> City or Employee Time...... - _ <br /> ~ Required Training, City Time, City Pays Overtime When Required ? Voluntary Training on Employees/Rex Time <br /> -otal-Ex _eases: -$-1,26II.II0- I~eitr~bucsement~to~ layee^ $190.0Q _ <br /> `Travel. Ex eases 7o Be Paid Ullith: _ _ <br /> 4 MC Pe Cash ($125 max Account Codes Amounts <br /> - - _ ~.,-.~~,m-~., <br /> Personal CC Pre flaid-(POSfPWM) _ _ 535-8824-69 791 - - $1, 260.00 <br /> Per Diem $190.00 Travel Reimbursement: <br /> Advance Other. <br /> Do#_ <br /> Employee's Signature: ~ duV~~'` ~ _ - <br /> - - ervtsor'- ature~_ - - <br /> - ~ . <br /> Division Manag®r's Signature (Required if ut-o#--state travel <br /> **_See ~~P .r. = ~s1L1C~$+~.~t~~1.ILg~t~eit~~~#iCy**__ <br /> <br /> _ _ **1#emizesJ Qe~ei~~ ~equireslfor All Expendi#ures Except Per Diem** <br /> f~ <br /> - ~ ~ <br /> f ~5 <br /> <br />