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Jan 2011 Travel Expense Non-Metro

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE BARKER

    Per Diem:

    ./; :1: ~ps @J i Jf ! I I t E 3 Days @:/'

    Total

    Roundtrip Mileage: Home to Capitol and Return154 miles @ $ 0.46 $ 70.84 2 WD Rate

    Payment Requested:

    Mileage: $ 70.84

    $ 150.00

    ' Total Requested:

    Please use this area for any comments or changes.

    Icertify that the statements in the above schedule are true and just in all respects; that payamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was perfonned by me on official State business and not for personal purposes; and thincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Payee: ~r:;MdwDate: I - 1 2 - Jcl/

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSIO N TR AVEL EXPENSE - NO N-M ETROJanuary 2011REPRESENTATIVE BAUMGARDNER

    Roundtrip Mileage: Home to Capitol and Return210 miles @ $ 0.46 $ 96.60 2 WD Rate

    Payment Requested: Totalv3.5 Trips @ $ 96.60ileage:Per Diem: J. 0v Days @ $ 150.00 $ 3000 .~-o

    Total Requested:

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that payamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    payee:tK ~.c.b'?:, D ~ s . 2Date: / ....,20- 1 /

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    S TA TE O F C OLO RA DOG EN ER AL A SS EM BLY

    41SESSION TRAVEL EXPENSE - NON-METROJanuary 2011

    REPRESENTATIVE BECKER'Roundtrip Mileage: Home to Capitol and Return167 miles @ $ 0.46 $ 76.82 2 WD Rate

    'Payment Requested: Total../J.6' Trips @ $ 76.82ileage:Days @ $ 150.00er Diem:

    Total Requested:

    Please use this area for any comments or changes.

    I .certify that the statements in the above schedule are true and just in all respects; that payment ofamounts claimed herein has not and will not be reimbursed to me from any other sources; that my scheduletravel was performed by me on official State business and not for personal purposes; and that I actuincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a milebasis.

    Payee:Date:

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    S TA TE O F C OLO RA DOG E NE R AL A SS E MB LYSESSION TRAVEL EXPENSE - NON-METROJanuary 2011

    REPRESENTATIVE BRADFORDRoundtrip Mileage: Home to Capitol and Return

    480 miles @ $ 0.46 $ 220.80 2 WO Rate100 miles @ $ 0.46 $ 46.00 Airport Round Trip Mileage

    Payment Requested:

    From To5S.:l.0b

    $irfare: Dates1Way - Grand Jet DenverRoundTrip", DJWJ ~FI- Q t l M S f Denver Grand Jct - 1 > a 3 ' 1 - 'Round Trip I - Denver Grand JetRound Trip - Denver Grand JctRoundTrip - Denver Grand Jct1Way - Denver Grand Jct

    Airfare .:l3.'t.~Tntal $To

    MileageTntal $Grand Jct < 1$ 46.00

    Misc. Expenses:Per Diem:Total Requested:

    Days @ $ 150.00 $ 3c:a::>. e x : : : : :$ 31 > 1 ' '& (X::)

    Please use this area for any comments or changes.

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    Gmail - Flight Confirmation.;. ..~

    Laura Bradford

  • 8/2/2019 Jan 2011 Travel Expense Non-Metro

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    Gmail - F l igh t Con f irma ti onf ,., P a g e

    Y our re turn flig ht fro m G ra nd J unc tion R egio nal (G ra nd J unc tion ) to R MM AlJ effc o A irp ort (D enve r) ab oardF a ir c hild M e tr o 23 ope rate d by the D enve r A ir C onne ction has be en confirm ed. This flight w ill de part M ond1/31/2011 at 8:15 AM from our te rm ina l a t 2828 W a lke r Fie ld D rive G rand Junc tion, C O.C o nfirm a tio n N u m be r: 35708

    P le ase che ck in at le ast 30 m inute s prior to y our de parture tim e. Y ou m ust bring a gove rnm ent issue d pho1 0 suc h a s a state c fr ive r's li~ nse o r U S p asspo rt. G ove rnm en t re gula tio ns re qu ire tha t a ll pa sse ng ersp ro vid e p ro pe r id en tific atio n p rio r to b oa rd in g a n a irc ra ft.

    If you m ust c anc el your re se rva tion, p le ase notify us a t one of the num be rs lis te d be low as soon as possib lC an ce lla tio ns m ad e le ss th an 24 hours prior to the de parture tim e w ill re su lt in a $50 c an ce lla tio n fe e .

    Charter Alliance Group303-925-1682866-373-8513 (T oll F re e )

    2 attachments- 20110120082702802.pdf- 488K- 201101200827058022.pdf- 109K

    [email protected] .com> Thu, Jan 20, 2011 a

    20110120082710005.pdf- 488K. 201101200827120365.pdf- 109K

    2 attachments

    mailto:[email protected]:[email protected]
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    .~ight Invoice.' Pa

    ~ ~"J ~ ~ ~ t :'

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    STATE O F C OLO RAD OG EN ER AL A SS EM BLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011

    REPRESENTATIVE BROWNRoundtrip Mileage: Home to Capitol and Return

    700 m ile s @ $ 0.46 $ 322.00 2 W D Rate

    Payment Requested:./Mi leage: 3 t 5" Trips @ $ 322.00 Total$ \ \ \.)..."),~

    Air fare: From To $ates1 W ay -R ou nd T rip -R ou nd T rip -R ou nd T rip -R ou nd T rip -1 W ay - Airfare

    Total SM is c. E xp en se s:

    2.0./ Days @ $ 150.00 $3!oc:;p.~$ 4,1~",CX;::

    P er D ie m:Total Requested:

    Please use this area for any com ments or changes.

    I ce rtify that the state me nts in the above sche dule are true and just in all re spe cts; that paym ent of tc la im ed he re in has not and will not be re imbursed to me from any othe r source s; that my schedule ope rformed by m e on offic ia l S tate business and not for pe rsonal purposes; and that I ac tually incuthe ope rating e xpe nse s of the m otor ve hic le for which re im burse me nt is c la im ed on a m ile age basis.

    Payee: ~1~Date: I f k 7 L !

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSIO N TRAVEL EXPEN SE - NO N-M ETR OJanuary 2011R EPRESEN TATIVE CO RAM

    Airfare: Dates From To $

    Roundtrip Mileage: Home to Capitol and Return530 miles @ $ 0.46 $ 243.80 2 WD Rate

    Payment Requested:Mileage: - 1 . STrips @ $ 243.80 Total$ ?$'~,3(j./

    1 Way -Round Trip -Round Trip -Round Trip -Round Trip -1 Way - Airfare

    Total SMisc. Expenses:Per Diem: Days @ $ 150.00 $ ?d'~d . ~ "

    $ if C ~ r 'otal Requested:Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that payment of tclaimed herein has not and will not be reimbursed to me any other sources; that my schedule operformed by me on official State business and n f pe sonal purposes; and that I actually incuthe operating expenses of the motor vehicle for w I ursement is claimed on a mileage basis.

    Payee:Date:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSIO N TRAVEL EXPENSE - NON -M ETROJanuary 2011REPRESENTATIVE DELGROSSO

    Roundtrip Mileage: Home to Capitol and Return1 1 4 m iles @ $ 0.46 $ 52.44 2 W D R ate

    Payment' Requested:Total

    >.5 IM ileage : Trips @ $ 52.44 $ 1~~:sL\-13 ' "e r D ie m : Days @ $ 150.00 $ ,,~~ ..~

    Total Requested:

    Ple ase use th is are a for any com m e nts or change s.

    I~ ertify th at the sta te m ents in the above sche dule are true and just in a ll re spe c ts; that paym ent of tc :ll= Iim edhere in has not and w ill not be re im bursed to m e from any othe r source s; that m y sc he dule ope rform ed by m e on offic ia l S ta te business and not for pe rsonal purpose s; and that I ac tua lly incuthe ope rating e xpe nse s of the m otor ve hic le for w hic h re im burse me nt is c la im ed on a m ile age basis.

    Date:Payee:

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    STATE OF COLORADOGENERAL ASSEMBLY

    46SESSIO N TRAVEL EXPEN SE - NO N-M ETR OJanuary 2011REPRESENTATIVE FISCHER

    Roundtrip Mileage: Home to Capitol and Return126 miles @ $ 0.46 $ 57.96 2 WD Rate

    Payment Requested:Total

    $ 57.96ileage: @-:/:3 Days @ $ 150.00 $ L4SD.~er Diem:

    Total Requested: $ 2, s . : z . tJ-Please use this area for any comments or changes.

    t:'7'C l/tIdJ ~ .Iff'S .{ Mt.k htJ!t/1I certify that the statements in the above schedule ~ nd just in all respects; that payment of tamounts claimed herein has not and will not be rein)bUrsed to e from any other sources; that my scheduletravel was performed by me on official State !>Usiness and not for personal purposes; and that Iactuaincurred or paid the operating expenses of th~/motor vehicl for which reimbursement is claimed on a mileagbaSis. /'

    I

    Payee:Date:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011

    REPRESENTATIVE BOB GARDNER

    Total

    Roundtrip Mileage: Home to Capitol and Return154 miles @ $ 0.46 $ 70.84 2 WD Rate

    Payment Requested:

    Mileage: /..3 .5 Trips @ $ 70.84Per Diem: J . . 0./ Days @ $ 150.00

    Total Requested:

    Please use this area for any comments or changes.

    I ce rtify that the statements in the above schedule are true and just in all respects; that paym ent of tc la im ed here in has not and w ill not be re im bursed to m e from any othe r sources; that m y schedule ope rform ed by me on offic ia l State business and not for pe rsonal purposes; and that I ac tually incuthe ope rating expenses of the motor vehic le for which re im bursement is c la im ed on a m ileage basis." R " ~ ~ " ' - TS. c : , . . . . . . \ 1 \ ~V

    Payee: ~ Date: , I } ; J I I

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011R EP RE SE NTA TIV E H AM NE R

    Per Diem: a i w Days @~C, 1S -'~

    $ 150.00

    Total~;1.3:2. , \$ 23JJK:2.,~c ..C$ 3,900 c : oI

    Roundtrip Mileage: Home to Capitol and Return144.58 miles @ $ 0.46 $ 66.51 2 WD Rate

    Payment Requested:

    Mileage: /? ,S Trips @ $ 66.51

    Total Requested:

    Please use this area for any comments or changes.

    Icertify that the statements in the above schedule are true and just in all respects; that paymamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thaincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Date:Payee:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE JOSHI

    Total

    Roundtrip Mileage: Home to Capitol and Return128 miles @ $ 0.46 $ 58.88 2 WD Rate

    Payment Requ~sted:~Mileage: :3.5 Trips @./'Per Diem: ~ 0 Days @

    $ 58.88

    $ 150.00

    Total Requested:

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that paymamounts claimed herein has not and will not be reimbursed to me from any other sources; that my str$vel was performed by me on official State business and not for personal purposes; and thaincurred or paid the operating expenses of the motor vehicle for which rei rsement is claimed obasis. - r : : : : : : 'Payee: ~.. 6~

    Date: \) \ ~ ( c : X . n 1 \

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE KEFALAS

    Total Requested:

    Roundtrip Mileage: Home to Capitol and Return130 miles @ $ 0.46 $ 59.80 2 WD Rate

    Payment Requested:Total

    ' S . 5 " ./Mileage: Trips @ $ 59.80 $ '::l c : : : F 1 .30lq ./ $:::21 '& 50.eer Diem: Days @ $ 150.00

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that paymal'nounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thaincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Payee:Date:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-M ETROJanuary 2011REPRESENTATIVE LEE

    Payment Requested:

    3.5 ~nps @ TotalRoundtrip Mileage: Home to Capitol and Return140 miles @ $ 0.46 $ 64.40 2 WD Rate

    Mileage: $ 64.40

    /)0'"er Diem: ~ Days @ $ 150.00Total Requested:

    Please use this area for any comments or changes.

    Icertify that the statements in the above schedule are true and just in all respects; that paymeamounts claimed herein has not and will not be reimbursed to me from any other sources; that my sctravel was performed by me on official State business and not for personal purposes; and thatincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed onbasis.

    Date:Payee:

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    STA TE O F C OLO RA DOG EN ER AL A SS EM BLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE LISTON

    Roundtrip Mileage: Home to Capitol and Return132 miles @ $ 0.46 $ 60.72 2 WD Rate

    Payment Requested:,t'3 J 5'''' Trips @ $ 60.72 $ileage:

    ~~ Days @ $ 150.00er Diem:

    Total Requested:

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that payamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Payee:Date:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011R EP RE SE NT AT IV E LO O PE R

    Roundtrip Mileage: Home to Capitol and Return180 miles @ $ 0.46 $ 82.80 2 WD Rate

    Payment Requested:Total

    ~./ - J b 6 , J ; / Jileage: Trips @ $ 82.80 $

    ) & ../ $ ~ I+co .er Diem: Days @ $ 150.00Total Requested: $ .2..,5(.,0 -G

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that payamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Payee:Date:

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    STA TE O F CO LO RAD OG EN ER AL A SS EM BLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE MASSEY

    Roundtrip Mileage: Home to Capitol and Return310 miles @ $ 0.46 $ 142.60 2 WD Rate

    Payment Requested:Total

    Mileage: 3.S;V Trips @ $ 142.60 $ iff. iPer Diem: ~O t/'Days @ $ 150.00 $ ~ DOO

    tTotal Requested: $ ~I Il'ifl.

    Please use this area for any comments or changes.

    , certify that the statements in the above schedule are true and just in all respects; that payamounts claimed herein has not and will not be reimbursed to me from any other sources; that my(ravel was performed by me on official State business and not for personal purposes; and thincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Payee:Date:

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    STATE O F C OLO RAD OG EN ER AL A SS EM BLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE MCKINLEY

    Roundtrip Mileage: Home to Capitol and Return600 miles @ $ 0.46 $ 276.00 2 WD Rate

    Payment Requested:./

    Mileage: ( 3 , 5 Trips @../Per Diem: '1 f) Days @

    $ 276.00Total

    $ 9b~,f)/~ tJd() ~t?316hJ

    $ 150.00

    Total Requested: $====Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that paymamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thaincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    payee:~~ d/f~Date: -A~ ! l.tJt(

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    STATE OF COLORADOGENERAL ASSEMBLY

    56SESSION TRAVEL EXPENSE - NON-METROJanuary 2011

    R EP RE SE NT AT IV E N IK K E LRoundtrip Mileage: Home to Capitol and Return

    115.8 miles @ $ 0.46 $ 53.27 2 WD Rate

    Payment Requested:Total/./

    Mileage: 5 . " ) Trips @/Per Diem: ~O Days @$ 53.27 $ \~L..:,.'-+5$ 150.00

    Total Requested:

    Please use this area for any comments or changes.

    Icertify that the statements in the above schedule are true and just in all respects; that payment of theamounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule otravel was performed by me on official State business and not for personal purposes; and that Iactuallyincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.

    Payee:Date:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-M ETROJanuary 2011R EP RESEN TATIVE PAC E

    Roundtrip Mileage: Home to Capitol and Return228 miles @ $ 0.46 $ 104.88 2 WD Rate

    Payment Requested:Total3/Trips @fl.::_ Days @Mileage: $ 104.88$ 150.00er Diem:

    Total Requested:

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that paymeamounts claimed herein has not and will not be reimbursed to me from any other sources; that myof travel was performed by me on official State business and not for personal purposes; and thatincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimmHeage basis. ~/,7

    Payee: ra e

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    S TA TE O F C OLO RAD OG EN ER AL A SS EM BL Y

    58SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE RIESBERG

    Roundtrip Mileage: Home to Capitol and Return112.2 miles @ $ 0.46 $ 51.61 2 WD Rate

    Payment Requested:Total3,5 """TriPs @

    ./2 D Days @Mileage: $ 51.61

    $ 150.00 $ 3,~.(:)Oer Diem:

    Total Requested:

    Please use this area for any comments or changes.

    I certi fy that the statements in the above schedule are true and just in all respec ts; that paym ent of theam ounts c la im ed he re in has not and will not be re im burse d to m e from any othe r source s; that m y sche dule oft ravel was pe rform ed by me on offic ia l S tate business and not for pe rsonal purposes; and that Iactuallyinc urre d or paid the ope rating e xpe nse s of the m otor ve hic le for w hic h re im burse me nt is c la im ed on a m ile agebasis.

    Payee:Date:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE SCOTT

    Roundtrip Mileage: Home to Capitol and Return496 miles @ $ 0.46 $ 228.16 2 WD Rate

    Payment Requested:Mileage: d'/LriPs @ $ 228.16Airfare: To $ates From

    1Way -Round Trip -RoundTrip -RoundTrip -RoundTrip -1Way -

    AirfareTotal SMisc. Expenses:Per Diem: dOVoays @Total Requested:

    $ 150.00 $3C()C). c$ 4,o:;2.(p.0:2..

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that payamounts claimed herein has not and will not be reimbursed t e from any other sources; that mytravel was performed by me on official State busines CInot for personal purposes; and thincurred or paid the operating expenses of the motor icle r hich reimbursement is claimed obasis. ./----"'~Payee: ""..---~- - - - ~ ~ ~ ~ ~ - - - - - - - - - - - - - -Date: I - I q - l (

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    , . PaRPRISE LEASING COMPANY OF DENVER, 777 BROADWAY, DENVER, CO 802033409 (303) 573-008f,

    L AGREEMENT REF#8VN1BQ

    TT, RAY

    & TIME OUT/2011 05:55 PM& TIME IN

    /2011 01: 50 PMING CYCLE

    #1 2010 CADI CTS lSD1G6DE5EG5A0132214198TWG

    S DRIVEN 96IM INFOP: RICKENBAUGH CADILLACNE: (303) 573-7773N: NORM

    SUMMARY OF CHARGESCharge Description Date Quantity Per

    01/13 - 01/18 5 DAY01/13 - 01/18 5 DAY01/13 - 01/18 5 DAY01/13 - 01/18

    Subtotal:

    01/13 - 01/18 5 DAY01/13 - 01/18

    TIME & DISTANCEDWPAlREFUELING CHARGE

    Rate$55.99$19.99$3.00

    $2.0013.35%

    Taxes & SurchargesCOLORADO ROAD SAFETYPROGRAM FEESALES TAX

    Total Charges:Total Amount DueP AY ME NT I NF OR MA TI ONAMOUNT PAID TYPE$455.62 American Express CREDIT CARD NUMBERr'lltr 1-

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE SONNENBERG

    Roundtrip Mileage: Home to Capitol and Return290 miles @ $ 0.46 $ 133.40 2 WD Rate

    Payment Requested:- - ' . c o . . /c : S - J Trips @

    Total$ 133.40ileage:

    2"{j VDays @ $ 150.00 $ 3,OCO.CDer Diem:Total Requested:

    Please use this area for any comments or changes.

    , certify that the statements in the above schedule are true and just in all respects; that payment ofamounts claimed herein has not and will not be reimbursed to me from any other sources; that my scheduletravel was performed by me on official State business and not for personal purposes; and that I actuaIncurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileabasis. ~ ;~ - -~ - ?&~~

    Date: /.- /9- II

    60

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-M ETROJanuary 2011REPRESENTATIVE STEPHENS

    Roundtrip Mileage: Home to Capitol and Return113 miles @ $ 0.46 $ 51.98 2 WD Rate

    Payment Requested:Total

    j _ t5 /Mileage: Trips @ $ 51.98 $ It\.Q5c lQ ./'Per Diem: Days @ $ 150.00 $ 3.DCb.

    Total Requested:

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that paymamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thaincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed onbasis.

    Payee:Date:

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    STATE O F CO LO RADOG EN ER AL A SS EM BLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011REPRESENTATIVE SWERDFEGER

    Roundtrip Mileage: Home to Capitol and Return236 miles @ $ 0.46 $ 108.56 2 WD Rate

    Payment Requested:Total

    /3~~ Trips @20/Oays @

    $ 108.56$ 150.00

    Mileage:Per Diem:

    Total Requested:

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that paymamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thaincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Payee:Date:

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    STATE OF COLORADOGENERAL ASSEMBLY

    SESSION TRAVEL EXPENSE - NON-METROJanuary 2011R EP RE SE NT ATIV E V IG IL

    Roundtrip Mileage: Home to Capitol and Return424 miles @ $ 0.46 $ 195.04 2 WD Rate

    Payment Requested:Total

    3 ,/ 6'-8'$, /Z--./ileage: Trips @ $ 195.04 $Per Diem: let/' Days @ $ 150.00 $ J _iS O ,tP ./

    Total Requested:

    Please use this area for any comments or changes.

    Icertify that the statements in the above schedule are true and just in all respects; that payment of theamounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule oftravel was performed by me on official State business and not for personal purposes; and that Iactuallyincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.

    Payee:Date:

    63

  • 8/2/2019 Jan 2011 Travel Expense Non-Metro

    30/30

    STATE OF COLORADOGENERAL ASSEMBLY

    SESSIO N TR AVEL EXPEN SE - NO N-M ETROJanuary 2011REPRESENTATIVE WALLER

    Roundtrip Mileage: Home to Capitol and Return143.6 miles @ $ 0.46 $ 66.06 2 WD Rate

    Payment Requested:Total

    Mileage: j.l) ~TriPs @ $ 66.06 $ J..~\.?-\Per Diem: n /' $ :t~O, c:ays @ $ 150.00

    Total Requested: $ 3,D1>\ .:l

    Please use this area for any comments or changes.

    I certify that the statements in the above schedule are true and just in all respects; that paymamounts claimed herein has not and will not be reimbursed to me from any other sources; that mytravel was performed by me on official State business and not for personal purposes; and thaincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed obasis.

    Payee: G J - - - - - - - - - - - -


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