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1/22
STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR BACONRoundtrip Mileage: Horne to Capitol and Return
130 miles @ $ 0.46 $ 59.80 2 WD Rate
Payment Requested:Total
Mileage: ~"TriPS @ $ 59.80 $ :;L~'1 ..\DPer Diem: ~DaYS @ $ 150.00 $ L-/35D.CO
Total Requested: $ I : L (,1'1L D
Please use this area for any comments or changes.
I qertify that the statements in the above sched ule 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 perfonned by me on official State business and not for personal purposes; and that I actuallyincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.
Payee:Date:
22
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STATE OF COLORADOGENERAL ASSEMBLY
23SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR BROPHY
Payment Requested :
lliloage: ~Total
.Roundbip Mileage: Home to Capitol and Return342 miles @ $ 0.46 $ 157.32 2 WD Rate
Per Diem:
Trips @/ z 7 Days @$ 157.32 $ 707.iLl$ 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 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 I actuallyincurred or paid the operat ing expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.
Payee:Date:
8/2/2019 Apr Sen 2011 Non-Metro
3/22
STATE OF COLORADOGENERAL ASSEMBLY
24SESSION TRAVEL EXPENSE - NON-METRO
April 2011SENA TOR CADMAN
. Payment Requested:
1.'? ~ri~ @PerDiem: 30; ; ' y s @
Total
Roundtrip Mileage: Home to Capitol and Return138 miles @ $ 0.46 $ 63.48 2 WD Rate
Mileage: $ 63.48
$ 150.00 $ Li5C().CO
Total Requested:
Please use this area for an y comments or changes.
I. certify 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 perfonned by me on official State business and not for personal purposes; and that I actually,incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.
Date:
8/2/2019 Apr Sen 2011 Non-Metro
4/22
STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR GIRON
25
Roundtrip Mileage: Home to Capitol and Return228 miles @ $ 0.46 $ 104.88 2 we Rate
Payment Requested:Total
Mileage: ~ ! :) t/Trips @,30/ Days @\ PA.'1 e__
$ 150.00< ( 1 ) (5::),00)$45"00.-/4'17 1,96 +!~llj I. '1,,/
$ 104.88 $
Per Diem:
; Total Requested:-
J 'certify 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 oftravet was performed by me on official State business and not for personal purposes; and that I actuallyincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.
Payee:Date: J . j . . L ~- I I
8/2/2019 Apr Sen 2011 Non-Metro
5/22
STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011SENATOR GRANTHAM
26
Roundtrip Mileage: Home to Capitol and Return232 miles @ $ 0.46 $ 106.72 2WD Rate
Payment Requested:
Mileage: L / f i ' "'TriPS @ $ 106.72Per Diem: : J J J . . : : Days @ $ 150.00
Total Requested:
Total
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 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 I actuallyincurred or paid the operating expenses of the motor hicle for . h ement is claimed on a mileagebasis.
Payee:Date:
8/2/2019 Apr Sen 2011 Non-Metro
6/22
STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR KEITH KINGRoundtrip Mileage: Home to Capitol and Return150 miles @ $ 0.46 $ 69.00 2 WD Rate
. Payment Requested: (,/ TotalMileage: t . . l Trips @ $ 69.00 $ "010 -.5:C::>/Per Diem: z L 6 Days @ $ 150.00 $ ~.2..~.~~
TotalRequested:
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 theamoun ts c la im ed herein has not and will not be reimbursed to me from any other sources; that my schedule ofbraveIwas performed by me on official State business and not for personal purposes; and that I actuallyincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.
Payee:Date:
27
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STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011SENATOR STEVE KING
28
i Roundtrip Mileage: Home to Capitol and Return508 miles @ $ 0.46 $ 233.68 2 WD Rate
, Payment Requested:i Mileage: $o
DenverDenverMileageTota l $
Dates $o1 W ay - G ra nd Jct DenverR o un d T rip - Denver G rand JetR o un d T rip - Denver G ra nd JetR o un d T rip - Denver G ra nd JetR o un d T rip - Denver G ra nd Jct1 W ay - Denver G ra nd JctAirfare
Total $: Misc. Expens8$:: Per Diem: dO /Days @ $ 1 t ' o o . o O
$ 55S/.5(b$ 150.00
: Total Requested:
Please use this area for any comments or changes.
ICertify that the sta tem ents in the above schedu le are true a nd jus t in a ll respec ts ; tha t pa ym ent o f the am oun tsc la im ed here in ha s not an d will not be re im bu rsed to m e from an y othe r so urces; tha t m y sched ule o f trave l w asperform ed by m e on offic ia l S ta te bus iness a nd no t fo r person al purposes ; a nd that I a ctua lly in cu rred o r pa idttje opera ting expenses of the m otor vehic le fo r which Im bursem ent is c d on a . age bas is .
Payee:Date:
8/2/2019 Apr Sen 2011 Non-Metro
8/22
STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011SENATOR LAMBERT
.Roundtrip Mileage: Home to Capitol and Return130 miles @ $ 0.46 $ 59.80 2WD Rate
Payment Requested: TotalV 2'1./0 ./ileage: 'f.5 Trips @ $ 59.80 $Per Diem; ?,./ @ $ 150.00 $ IfSrJO ,O O /_0 Days
.Total Requested: $ '1769. 10 v " "
Please use this area for any comments or changes.
I ~ify 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 perfonned by me on official State business and not for personal purposes; and that I actually.incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis;
Payee:Date:
29
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9/22
STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011SENATOR LUNDBERG
Roundtrip Mileage: Home to Capitol and Return100.2 miles @ $ 0.46 $ 46.09 2 WD Rate
Payment Requested:Total
Mileage: 1 r ~riPs @ $ 46.09 $ ol--O,. t .. f /Per Diem: ~~ Days @ $ 150.00 $ 'i ~CO.~
Total Requested:
Ptease use this area for any comments or changes.
J; ,
I certify 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.
Date:
30
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10/22
STATE OF COLORADOGENERAL ASSEMBLY
31SESSION TRAVEL EXPENSE - NON-METRO
April 2011SENATOR MORSE
Total
Roundtrip Mileage: Home to Capitol and Return154 miles @ $ 0.46 $ 70.84 2 WD Rate
Payment Requested:
Mtleage:v
~s- Trips @ $ 70.84Per Diem:
.,/$0 Days @ $ 150.00Total 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 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 I actuallyincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.
Payee:Date:
8/2/2019 Apr Sen 2011 Non-Metro
11/22
STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR RENFROERoundtrip Mileage: Home to Capitol and Return
132 miles @ $ 0.46 $ 60.72 2 WD Rate
Payment Requested: ,,/4 .) Trips @ $ 60.72 $ileage:
$ 150.00er Diem: Days @
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 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 I actuallyincurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileagebasis.
Payee:Date:
32
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.
STATE OF COLORADOGENERAL ASSEMBLY_ _ . ...-
SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR ROBERTSRoundtrip Mileage: Horne to Capitol and Return680 miles @ $ OA6 $ 312.80 2 WD Rate
Payment Requested:
Trips @ $ 312.80Total
$ ~i9-$ I L 131 ,O~ ./$ q{Q'CTO ..,/$ L t t:;DD -./
Mileage:Airfare: _ y . . . _ _ _Parking: :s-=--P er D ie m : 60 / Days @ $ 150.00
lotal Requested:
fcx-t.t'~ ~~'.' 1 /. - ~ ." C!eJ?/,.C,-1Z7 @qlq-~/Ib QSr
C } G , . /
Icertify tha t the sta tem ents in the above schedu le a re true and just in a ll respects ; tha t paym ent o f theam ou nts cla im ed here in has no t an d w ill n ot be re im bu rsed to m e from a ny o ther sou rces ; tha t m y schedu le oftravel was perform ed by m e on o ffic ia l S ta te bus iness and not fo r persona l purposes; and tha t I ac tua llyin ou rre d o r p aid the o pera tin g expe ns es o f the m oto r vehic le fo r w hic h re im bu rs em en t is c la im ed o n a m ilea gebasis.
Payee:Date:
33
8/2/2019 Apr Sen 2011 Non-Metro
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United Airlines
Ellen Roberts
From: UNITED-CONFIRMATION@UNITEDCOMSent: Wednesday, March 09, 2011 2:23 PMTo:Subject: Your United flight confirmation - April 1, 2011 - Denver to DurangoUNTED &'ft
till UnitedConfirmation # J53FFY
Flight infoFri, Apr 01, 2011Denver, CO(DEN) Durango, CO(ORO)FlightltD United 6294Operated by:UnitedExpress/skywestAirlines
DepartDEN 03:55 PMFrfApr 1, 2011
ArriveORO 04:58 PMF r l , Apr 1, 2011
CabinEconomy (0)
> Printreservation> Viewitinerary> EasyCheck-in Online
Seats100
Equipment: CRJ I Duration:1 h 3m I Non-stop I Fare code: OE73CNTraveled miles:251 I Award miles:238I No Meal Service
Sun, Apr 03, 2011Durango, CO (DRO) Denver, CO(DEN)Flight Depart ArriveI I J f United 6015 ORO 09:28 AM DEN 1029 AMOperated by: S u n , Apr 3, 2011 Sun, Apr 3,2011UnitedExpress/expressjetAirlines
CabinEconomy (Q)
Seats14C
Equipment: ER4 I Duration 1h 1m I Non-stop I Fare code OE73CNTraveled milesZ51 I Award miles 238 I No Meal Service
Check-in informationPlease note that valid, government-issued photo identification must be presented at check-in.Because you are a valued Mileage Plus Premier member, we have requested an Unlimited DomesticUpgrade on your behalf. Please check My Reservallons 48 hours before your scheduled departure to learn ifyour upgrade has been confi rmed.
ReviewName Frequent flyer Ticket Fare(s)ELLEN ROBERTS 03108512678 0162121763595 314.00USD~ Secure Flight data complete Review
Please review the fare rules for this itinerary
3 / 9 / 2 0 1 1
Additional Fare subtotaltaxes and fees (s)21.40 USO 335.40 USD
Fare total: 335.40 USD
Page 1 of 4
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United Airlines
Ellen RobertsFrom: [email protected]: Saturday, March 19,2011 3: 14 PMTo: ~g S S& ! I 3 Ii is I S i t i l ! . , , ! ISubject: Your United flight confirmation - April 8, 2011 - Denver to DurangoUNTEDm
{lJJ UnitedConfirmation # KZMQ94
Flight infoFri, Apr OB,2011 Denver, CO(DEN) Durango, CO~DRO)Flight1 1 1 1 United 6374Operated by:UnitedExpressfskywestAirlines
CabinEconomy ( V I / )
DepartDEN 06:25 PM'FrCApr 8, 2011
ArriveORO 07:25 PMFri, Apr 8. 2011
> Printreservation> Viewitinerary> EasyCheck-in Online
Seats090
Equipment: CRJ I Duration: 1h I Non-stop I Fare code: WA7CSTraveled m!les:251 I Award miles:238 I No Meal Service
Sun, Apr 1 0, 2 01 1 Durango, CO(DRO) Denver, CO(DEN)FlightIfU United 6853Operated byUnitedExpressfskywestAirlines
CabinEconomy ( V I / )
DepartORO 01:39 PMS u n , Apr 10, 2011
ArriveDEN 02:41 PMSun, Apr 10, 2011
Seats090
Equipment: CRJ I Duration:1 h 2m I Non-stop I Fare code: WA7CSTraveled miles:251 I Award miles:238 I No Meal Service
Check-in informationPlease note that val id, government-issued photo Identi ficat ion must be presented at check-In.Because you are a valued Mileage Plus Premier member, we have requested an Unlimited DomesticUpgrade on your behalf. Please check My Reservations 48 hours before your scheduled departure to learn ifyour upgrade has been confinmed.
ReviewName Frequent flyer Ticket Fare(s)ELLEN ROBERTS 03108512678 0162122299904 218.00USD$Secure Flight data complete ReviewPlease review the fare rules for this i tinerary.
4 / 1 9 / 2 0 1 1
Additional Fare subtotaltaxes and fees (s)21.40 USD 239.40 USD
Fare total: 239.40 USD
Page 1 of 4
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8APR11 O'ENT f l 58190 -6SPECIAL SERVICE TICKET
CUSTOMER RECEIPTA G E N T 1 0 " U 1 1 5 1 5 5COSTOMER: ROBERTS/ELLENTKT NBR: 016 2122299904 1 CPN: ORIGIN: OEN
ITEMS: SERVICE CHARGE BASE FEE . (7)
F O f tM O F P A Y M E N T , BAXXXXXXXXXXX 09485CA D D I T I O N A L REMARKS;FEE TO CONF I R M SAMEDA Y TVLF A R E USD75. 00T A X 1T A X 2T A X 3T O T A L USD75.00
016 4067684575
D ES T I N. t. .T !N: ORO
75.00
8/2/2019 Apr Sen 2011 Non-Metro
16/22
United Airlines
Ellen RobertsFrom:Sent:To:
[email protected], March 19, 2011 3:17 PM7& 2 @ S S S : d ! I i i 2 i
Subject: Your United flight confirmatron - April 22, 2011 - Denver to DurangoUNTEOm
1 1 1 1 UnitedConfirmation # KZP2P2 > Printreservation> Viewitinerary> EasyCheck-in Online
Flight infoFri, Apr 22, 2011Denver, CO (DEN) Durango, CO (DRO)Flightfill United 6294Operated by:UnitedExpresslskywestAirlines
DepartDEN 04:16 PMF r C A p r 22, 2011
ArriveDRO 05:16 PMF r i , Apr 22,2011
CabinEconomy (W)
Seats09D
Equipment: CR7 I Duration:1 h I Non-stop I Fare code: WA7CSTraveled miles:251 I Award miles:238I No Meal Service
Sun, Apr 24, 2011Durango, CO (DRO) Denver, CO (DEN)Flight Depart ArriveI I J I United 6853 ORO 0139 PM DEN 02:41 PMOperated by:Si.iii,Apr 24, 2011 Sun. Apr 24,2011UnitedExpressfskywestAirlines
CabinEconomy (W)
Seats09A
Equipment: CRJ I Duration: 1h 2m I Non-stop I Fare code: WA7eSTraveled mi les:251 I Award mi les:238 I No Meal Service
Checkin informationPlease note that val id, government-issued photo identi ficat ion must be presented at check-in.Because you are a valued Mileage Plus Premier member, we have requested an Unlimited DomesticUpgrade on your behalf. Please check My Reservations 48 hours before your scheduled departure to learn ifyour upgrade has been confirmed.
ReviewName Additional Fare subtotaltaxes and fees (s)requent flyer Ticket Fare(s)ELLEN ROBERTS 03108512678 21.40 USD 239.40 USD162122297391 21800USD~ Secure Flight data complete ReView
Please review the fare rules for this itinerary. Fare total: 239.40 USD
4119/2011
Page 1 of 4
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P a g e 1 o f3~ it ',
NlW' fw_ : > Ii ) ~, :(1)W.J~ . ~ : e l ; ~15 C I.: .. . I [email protected])' d .-h(Jjrr 239 4J- 8,20116:42 PM
C I I' ~25 f' .. ~ \. \..::i.f ~)l,;.:yNit.; 'I tfirmatlon from United KZP2P2CA.M-t~~
E-ticket receipt & revised travel itinerary Confirmation number: KZP2P2This e-mail address does not accommodate replies.Than~ you for cho.osin~ .United. Your electronic ticket has been exchanged. Please take a momentto review your revised Itinerary and receipt. Print a copy of your itinerary and place it inside yourchecked baggage fo r identif ication purposes while you are traveling.E-ticket receiptConfirmation no.: KZP2P2 Issued: 18 APR 11 Number in party: 1
Base fare:TaxfFee/Charge:
Per passenger304.18 USD
22.82 US16.90 XT (Federal excise taxes)
Mileage Plus no.:03108512678Miles Used
Name:ROBERTS/ELLEN S MSTicket no.:0162123850106
Total: 343.90 USD
Booking Code: Fare Basis WE03CSFC DEN UA DRO 202.79~~CS \laDEN 101.39WE03CS USD304.18END UA ZPDENDROXT5.00AY4.50XF DEN4. ~_C 254.50).. lSD SVC150.00USDNONREF-OVALUAFTDPT-CHGFEENON-REFUNDABLE 304.18 USD
Revised travel itinerary Confirmation number: KZP2P2
UNITED 6929 Depart* DENVER 8:18 PM
DENVER to DURANGO departing Thursday, April 21NONSTOPEquip: CRJAward Miles**:238
UNITED ECONOMYIn-Flight services:Meal:Arrive:THU 21 APRDURANGO 9:20 PMSeat(s): 10A
* OPERATED BY UNITED EXPRESS/SKYWEST AIRLINESPLEASE CHECK-IN AT UNITED AIRLlNESDURANGO to DENVER departing Sunday, April 24UNITED 6853 Depart: NONSTOP.. DURANGO 1:39 PM Equip: CRJ
UNITED ECONOMYIn-Flight services:
4118/2011
8/2/2019 Apr Sen 2011 Non-Metro
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,United Airlines
Ellen RobertsFrom: [email protected]: Saturday, March 19, 2011 3:22 PMTO_... .- 2 ..ubject: Your United flight confirmation - April 29, 2011 - Denver to DurangoUNTED ._
l1li UnitedConfirmation # KZWNKG
Flight infoFri, Apr 29, 2011Denver, CO (DEN) Durango, CO (ORO)Flightfill United 6294Operated by:UnitedExpress/skywestAirlines
ArriveORO 05:16 PMFrfApr 29, 2011
CabinEconomy ( V V )
DepartDEN 04:16 PMFifApr 29, 2011
> Printreservation> Viewitinerary> EasyCheck-in Online
Seats090
Equipment: CR7 ! Duration:1h ! Non-stop! Fare code: WA7CSTraveled miles:251 ! Award miles:238! No Meal ServiceSun, May 01, 2011Durango, CO (ORO) Denver, CO (DEN)FlightI l J J United 6784Operated by:UnitedExpresslskywestAirlines
ArriveDEN 02:41 PMS u n , May 1, 2011
CabinEconomy (Q)
OepartORO 01:39 PMS u f i ' , May 1, 2011
Seats100
Equipment: CRJ ! Duration:1h 2m ! Non-stop! Fare code: QE73CNTraveled miles:251 I Award miles:238I No Meal ServiceCheck-in informationPlease note that valid, government-issued photo identification must be presented at check-in.Because you are a valued Mileage Plus Premier member, we have requested an Unlimited DomesticUpgrade on your behalf. Please check My Reservations 48 hours before your scheduled departure to learn ifyour upgrade has been confirmed.
ReviewName Frequent flyer Ticket Fare(s)ELLEN ROBERTS 03108512678 0162122296219 265.99USOe Secure Flight data complete ReviewPlease review the fare rules for this itinerary.
4119/2011
Additional Fare subtotaltaxes and fees (5)2140 USQ 287.39 USD
Fare total: 287.39 USD
Page 1 of 4
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United Airlines Page 40f4
Purchase summaryProduct Credit card: Receipt Price~~Ntd'''~fl''~~''~~~a~M_.,... , . 'icket price Visa xxxxxxxxxx~
Ticket total: 287.39 USD
Itinerary total: Grand total: 287.39 USD
Billing I Delivery informationELLEN S S ROBERTSPOBOX 1923 DURANGO CO 81302-1923 USA
Book your hotelLocation Dates of stay Hotel Rating
Purgatory -Durango 04 /2 9 -0 5 /0 1 Ramada LimitedDurango
PriceAs low as USD47.99 per night1. ~ ~ J '9 w . , lAs low as USD89.99 per nightI , ~noW]As low as USD109.00 per night
I : _ w .~ Q o k ~ . .
Purgatory -Durango 04 /2 9 -0 5 /0 1 Econo Lodge Inn &Suites DurangoPurgatory -Durango 04 /2 9 -0 5 /0 1 Quality Inn Durango
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4119/2011
8/2/2019 Apr Sen 2011 Non-Metro
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STATE OF COLORADOGENERAL ASSEMBLY
SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR SCHWARTZRoundtrip Mileage: Home to Capitol and Return
394 miles @ $ 0.46 $ 181.24 SNMV472 mUes @ $ 0.46 $ 217.12 ALAMOSA402 miles @ $ 0.46 $ 184.92 GUNNISON~~Payment Requested:
I $ 181.24$217.12$ 184.92
Total$ IYJ~:J.Y./$
/ J C f lk/$s$ 3'10. : : :>. t:;::.C>
SNMV Mileage:. . A L AMOSA M ile age :GUNNISON Mileage:
Trips @Trips @I I' Trips @
Airfare:Airport Parking: _
Per Diem: Q_lb / Days @ $ 150.00
., Please use this area for any comments or changes.it
ld e rt if y t ha t the s ta tem en ts in th e a bo ve s ch ed ule a re tru e a nd ju st in a ll re sp ec ts ; th at p aymen t o f th e amou ntsc la im ed he re in ha s n ot a nd will not be re im bu rse d to m e fro m a ny o the r so urce s; tha t m y s che du le o f tra ve lw ~s p erfo rm ed by m e o n offic ia l S ta te bu sin es s a nd n ot fo r p ers on al p urp ose s; a nd tha t I a ctu ally in cu rre d o rp aid th e o pe ra tin g e xp en se s o f th e m o to r v eh ic le fo r w hic h re im b urs eme nt is c la im e d o n a m ile ag e b as is .
payee:?~ Oi.I7Date: 0 // j)_ (I
34
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STATE OF COLORADOGENERAL ASSEMBLY
35SESSION TRAVEL EXPENSE - NON-METROApril 2011
SENATOR WHITE:Roundtrip Mjleage: Home to Capitol and Return
360 miles @ $ 0.46 $ 165.60 2 WD Rate
.Payment Requested: /Mileage: ! / : .6 Trips @ $ 165.60 Total$ 7% - :26
Dates From To $1 Way ~Round Trip - - - -ound Trip - L--'Round T rip - >Round Trip - ~1Way ~~
Airfare TotalS
:Misc. Expenses:;Pe r D iem : gQI Days @ $ 150.00 $ ~5~CO
$ o,2L{S.?Ootal Requested:Please use this area for any comments or changes.
t certify 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 oftnlvel was performed by me on official State business and not for personal purposes; and that I actuallyincurred or paid the operating e motor vehicle for which reimbursement is claimed on a mileagebasis.
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