Name: Business Unit:Expense Type:Trans Code:
Representative Rick BergLegislative Council/160 207
Address:Employee 10: Fiscal Month: Biennium:
P.O. Box 3024, Fargo, ND 58108-3024 0236300 122008
Hour
Vehicle
Comm'IAir
Taxi&other
Date
(Show AM
or
PM) Points Covered
by
Travel Miles Trans.
Air
Trans.
Misc.Exp.
MealsLodgingDepart
Arrive
1
23
06/23/200905:30AM02:00PM Home-Bismarck-Return Home267.70 1Days Per Diem:1
For
Office Use Only:Per Diem:$108.00Date Per Diem Paid:07/01/2009Date Check Paid:06/29/2009Purpose
of
Travel and Explanation
of
Expenses:Committee: Budget SectionMeeting: Regular MeetingMeeting Date: 6/23/09Comments:
~
,....
/
I
/
,
4
/"
Dept. Approval:
~
~
JL__-
~
.,,~,/
Date:
?he-!::.
/
'l
I
l/
J'
Obj~
/cCo$t
Agency
Appn
State Project
Grant
Description Center Object Type
Fund
No.
Sub
Ph a
indexGrant
MC
Amount
No.
FY
Mileage
In
State 521030 1000Mileage Out of State 521090Lodging In State521015Lodging Out of State 521075Meals In State 521020Meals Out
of
State 521080
IRS
Meals Taxable 521035 10007.50IRS Meals Reportable
2141
Other Trans.
In
State 521025 1000267.70Other Trans. Out
of
State 521085Air Trans.
In
State521010Air Trans. Out
of
State521070Misc.
In
State 521065Misc. Out
of
State521065Per Diem
In
State 5110451000108.00Per Diem Out
of
State 511050Total Expenses and Per Diem:
$
383.20Net Expenses:
$
275.20
...
Mund, Karen
J.
From:
Sent:
To:
Berg,
Rick [Rick.Berg@goldmark.com]Thursday, June
25,
2009
10:36
AM
Mund,
Karen
J.
Subject:Attachments:
RE:
Travel voucher Budget Sectionimage002.gif
Just
back home
From:
Mund,
Karen
J.
[mailto:kmund@nd.gov]
Sent:
Wednesday, June
24,
2009
11:42
AM·
To:
Berg,
Rick
Subject:
Travel voucher Budget
Section
You
wrote
100
miles
coming
from
Fargo
to
Bismarck
but
then
placed an
*
by
100
Bismarck
to
Fargo indicating
"flew
personal plane back
to
Fargo". Did you
fly
both
ways
or
just
back
home
(indicating charging
only
for
return
trip
and
not trip
out)?
Please
clarify-
thanks.
Karen
J.
MundLegislative
Administrator
Legislative Council
701.328.2919Fax: 701.328.3615
kmund@nd.gov
1
Name: Department/NumberExpense Type: Trans Code:
Representative Rick Berg
Legislative Council/160
207
Address: Fiscal Month Biennium:
P.O. Box 3024, Fargo,
NO,
58108-3024 12 2008
Comm'l
Taxi&
Hours Vehicle
Air
Other
Air
Misc.Date (Show AM/PM) Points Covered by Travel Miles Trans.
rrafs.
Exp. Meals LodgingDepart Arrive
/
----
1
2 3
cP
Ia~
S~.lo.~~.
<a•.
~C>Ao~~
(::'~A~
I
~
rs
I
\00
~
'
-I,J
I'.OQ~
~:oo,p....
£\s
1
cF"AJ?.
\.
......
it"
\oo\
•
-¥
F(-ew
,pe.
..
so~
J>ta.-ve
~If
17\
too.c.-'<...
-+o
~0
q(/11!1P
8
u
Days Per Diem:
\
For
Office Use Only:Per Diem:Date Per Diem Paid: Date Check Paid:Purpose
of
Travel and Explanation
of
Expenses:Committee: Budget SectionMeeting: Regular MeetingMeeting Date: 6/23/09Comments:hereby certify that the within itemized statement representing a claim for payment or per diem, mileage, or travel expenses or a combination thereof,ruthfully and accurately states the days of service
and
the mileage traveled,
and
the purpose thereof.Signature:
c::?/
-;:_
Date:
ro(~a/oj
............
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