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TRAVEL APWA POLICY AND TRAVEL <br /> <br /> AUTHORIZATION # DATE 4/24-28/2009 GUIDELINES APPY TO THE <br /> ALL ABOUT TRAVEL REIMBURSEMENT OF ALL EXPENSES I, <br /> ACCOUNT NUMBER AIRFARE ONLY REPORTED ON THIS FORM. The policy <br /> (XXX-XXX-XXX-XXX) (attach ticket stub) and guidelines appear on the back of this <br /> form in printed format or in the text ,i <br /> NAME: Kurt Corey document stored alongside,this i <br /> spreadsheet in electronic format. If this <br /> form was <br /> STAFF LIASON (if applicable) Anne Sullivan e-mailed to you and does not include the ~i <br /> policy /guidelines, please notify the <br /> MAKE CHECK PAYABLE TO: Kurt Corey sender. ii <br /> MAILING ADDRESS: 101 E. Broadway, Suite 400 <br /> i <br /> i <br /> CITY/STATE: Eugene, OR ZIP CODE: 97401-3174 <br /> TRIP FROM Eugene, OR TO Kansas City, MO O M~NYUHLJC 44'ONNS t90~[SAY,U' <br /> TRIP PURPOSE/ PROGRAM TITLE Finance Committee Meeting <br /> Project # Date Mileage Bus/Taxi .Room Meals Phone Tolls/Park Other Explanation <br /> (XXX) (Miles) (Including Tips). (Including Tips) (Misc./ Tips) (Enter Ref. <br /> Brkfst <br /> 04/24/09 Lunch $15.00 Baggage check fee <br /> Dinner <br /> 0 $0.00 $0.00 $0.00 Total $0:00 .$0.00 $15.00 <br /> Brkfst <br /> 04/26/09 $29.00 Lunch Airport shuttle <br /> Dinner <br /> 0 $29.00 $0.00 $0.00 Total $0.00 $0.00 $0.00 <br /> Brkfst <br /> 04/28/09 Lunch $15.00 Baggage check fee <br /> Dinner <br /> 0 $0.00 $0.00 $0.00 Total $0.00 $0.00 $15.00 <br /> Brkfst <br /> Lunch <br /> Dinner <br /> 0 $0.00 $0.00 $0.00 Total $0.00 $0.00 $0.00 <br /> Brkfst <br /> Lunch <br /> Dinner <br /> 0 $0.00 $0.00 $0.00 Total $0.00 $0.00 $0.00 <br /> TOTAL MILES 0 TOTAL <br /> RATE 0.485 EXPENSES <br /> TOTAL SU 00 S25.00 a0 G0 ~O.Of1 S0.00 50.00 530.00 $59.00 <br /> PLEASE NOTE: ALL EXPENSES IN EXCESS OF $5.00 MUST BE ACCOMPANIED BY AN ORIGINAL RECEIPT. (THIS INCLUDES MEALS) <br /> REIMBURSABLE AIRFARE <br /> TRAVELER SIGNATURE (PAID DIRECTLY BY INDIVIDUAL) $ 463.99 <br /> DATE LESS ADVANCE (APWA staff only) <br /> PROGRAM MGR: BALANCE DUE $ 522.99 <br /> DATE <br /> If the balance is due to APWA please attach your personal check to the <br /> DEP /EXEC DIRECTOR expense report and record your check # in this blank <br /> DATE Explanations/ Comments: <br /> 1. <br /> A HARD COPY OF THIS COMPLETED FORM WITH AIRLINE TICKET STUBS <br /> AND ALL ORIGINAL RECEIPTS MUST BE SENT TO THE FOLLOWING 2' <br /> ADDRESS BEFORE REIMBURSEMENT MAY BE PROCESSED: 3. <br /> APWA 4.: <br /> ATTN: Accounts Payable 5. <br /> 2345 Grand Blvd., Suite 700 6. <br /> Kansas City, MO 64108-2625 <br /> <br />