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L
Name:Business Unit:Expense Type:Trans Code:
Representative Rick
Berg
Legislative Council/160
207
Address: Employee
10:
Fiscal Month: Biennium:
P.O.
Box
3024,
Fargo,
NO
58108-30240236300
5
2010
HoJtr
'
Vllhiele
CflmmtAlr
Tald&Other
Dlllte
(Show
AM
or
PM}.Potrit$ Covered
byTmvel
Mites· Trans.
Air
Trans,
Misc.Exp.
Meals
Lodging
Depart
Arrive
....
..
..
f
2 3
10/21/2010 06:00AM 09:30PM Home -Bismarck, Bismarck -Home400 1Days
Per
Diem: 1
For
Office Use Only:
Per
Diem:$148.00Date Per Diem Paid:11/01/2010Date Check Paid: 10/22/2010Purpose
of
Travel and Explanation
of
Expenses:Committee: legislative Audit and Fiscal Review CommitteeMeeting: Regular MeetingMeeting Date: 10/21/10Comments:
~
L
,
\
.r
A
v:-~
tJ/-h
L
Date:
/o/~.Jo
ept. Approval:
-
/-::7'5!!!:
/I
-
/
~~t
AgenCY
Applt
...
·
.
~~-
PI'Ojec~
Gmnt
·
..
DescriptiOn
Obleot
ter .
. Qllject .
Type·
Fund
No;
Sufi.
Plla
11\Qex
'
Grant
MC
Amount
"
..
.··.
.
'
·.·
...
No
FY
Mileage In State 5210301000 200.00Mileage Out
of
State521090lodging
In
State521015
lodging
Out
of
State 521075Meals In State 521020Meals Out
of
State 521080IRS Meals Taxable 521035 10007.50IRS Meals Reportable 2141
other
Trans. In State 521025
other
Trans. Out
of
State 521085Air Trans. In State521010Air Trans. Out
of
State521070Misc. In State521065Misc. Out
of
State521065Per Diem In State 511045 1000148.00Per Diem Out of State511050Total Expenses and Per Diem:
$
355.50
Net
Expenses:
$
207.50
j
 
Name:Department/Number Expense Type:Trans Code:
Representative Rick Berg
Legislative Council/160
207
Address:Fiscal
Month Biennium:
P.O. Box 3024, Fargo,
NO,
58108-302452010
Comm'l
Taxi&
Hours
Vehicle
Air
Other
Air
Misc.
Date
(Show
AM/PM)
Points
Covered
by
Travel
Miles
Trans. Trans. Exp.Meals
LodgingDepart Arrive
1
2 3
\C
/:>-\
'4--
'=t:
lA"'-
~
' F ~ A , v - -
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~
<90d
v
lC.>f,.;).
\
6:30
~
'i~
8n'"t
~
~
Days
Per
Diem:
\
For
Office Use Only:
Per
Diem: Date Per Diem Paid: Date Check Paid:
Purpose
of
Travel
and Explanation
of
Expenses:
Committee:
Legislative Audit and Fiscal Review CommitteeMeeting: Regular Meeting
Meeting
Date: 10/21/10
Comments:
hereby certify that the within itemized statement representing a claim for payment or per diem, mileage, or travel expenses or a combination thereof,
ruthfully
aOO
'"'"'ately
'"':the
day-a
""age
'""'•'"'·
"'"
the
P"""""
theceof.
Signature~
___:::::::>
Date:
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....
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L
Name:Business Unit:t::xpense
1ype:
Trans Code:
Representative
Rick Berg
Legislative Council/160
207
Address:Employee
10:
Fiscal Month: Biennium:
P.O.
Box
3024,
Fargo,
NO
58108-3024
0236300
4
2010
Hour
Vebicle
Comm'IAir
Taxi&otber
Date (Show AM
or
PM) Points Covered
by
Travel MilesTrans.
Air
Trans.
Mlsc.Exp.
Meals
Lodging
Depart Arrive
1
2
3
10/01/2010
AM
PM
Home-Bismarck-Return Home
4001
Days Per Diem:
0.5
For
Office Use Only:Per Diem:
$74.00
Date
Per
Diem
Paid:
11/01/2010
Date Check
Paid:
10/04/2010
Purpose
of
Travel and Explanation
of
Expenses:Committee: Legislative Audit and Fiscal Review CommitteeMeeting: Regular MeetingMeeting Date:
10/1/10
Comments:
,...--....._
"
/
/
/
L
Dept. Approval:
\.._
....J.
j~
Date:
/.?>/~o
Ll
/ /
Objeit..
l/,_Cost
AgencyAppnStateProject
Grant
Description CenterObjectType FUnd No.
Sub
Pitaindex
Grant
MC
Amount
No.
FY
Mileage
In
State
521030 1000200.00
Mileage Out
of
State
521090
Lodging
In
State
521015
Lodging Out
of
State
521075
Meals
In
State
521020
Meals Out
of
State
521080
IRS
Meals Taxable
521035 10007.50
IRS
Meals Reportable
2141
Other Trans.
In
State
521025
Other Trans. Out
of
State
521085
Air Trans.
In
State
521010
Air Trans. Out
of
State
521070
Misc.
In
State
521065
Misc. Out
of
State
521065
Per Diem
In
State
511045 100074.00
Per Diem Out
of
State
511050
Total Expenses and Per Diem:
$
281.50
Net Expenses:
$
207.50
J
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