High Quality
Open the downloaded document, and select print from the file menu (PDF reader required).
73-174(8-97)
TRAVEL
VOUCHER
STATE
OF
TEXAS
Charge
To:
Rodney
Ellis
1.
Archive Reference Niunber
2. Agency Number
101
5.
ElfatTO
Dale
3
A^ncy
Name
6
DOC
Dat
10 Pay
to
Rodney
Ellis
440
Louisiana Street Suite
575
Houston
Texas 77002
1.1
Pnv«e
UenuaailK«
Numho
/ _
_
1
1
4.A«ency
Ihc
TEXAS SENATE
7
FVwAwj
101
„.
1-DT
nrf^Hti-
V
H*!*-
[it
-)
fiarent
Document Nuroher
„-
J-
3/a
Wlf
"\
£—.
State
Senator
(STflF*
1
2.
DesignatedHeadquaflen
Houston
7
Mr
01352008
GRANT
NUMBER
GRANT
YEAR
PHASE
PROJECT NO.PROJECT
PHASE
5 SFX
002
!i2SL
003
16.
Service Dale*
From:
••••*••••
REFDOC SFX
13001
REFDOC
SFX
R
APPN
1300
CON
KAiT
NUMBER
07/09/08
mmmmmmm
TC
INDEX
225
FUND NACUBO
0001
TC
1
INDEX
225
mmfmmmm
PCA AY
00135
2008
U8-FUND
GRAN
1
AGENCY
USE
1
7/«T
ft?
if—
fy^ci ~
I
NUMBER GRANT
YEAR/PHASE
PROJECT NO
PROJECT PHASE
1
1
,
'
PCA AY
00135 2008
FUND
1
NACUBO
SUB-FUND
GRAN
0001
|
MULTIPUHPOSE
CODE
AGENCY
USE
1
/*«A>
*rff&
ASTi5*
/
^
NUMBER GRANT
YEAR/PjHASE
PROJECTNO. I
1
'
7.
Dochpion
TO:
07/13/08
Traveled!
o New York via
Continental
Airlines
to
attend
the National Conference ofInsul
IS.
DISTRIBUTION
EXPENSE
ITEMIZATION
FOR IN-STATE
TRAVEL
Fares,
Public Trans (Attach
receipt).
Taxi
Personal
Car
MileagePersonal Plane Mileage
Personal
Plane Mileage
Miles®
Miles -
Single Engine
© $
1
.07
Airfare
Rental
Car
485
Miles -
Twin
Engine
(3!
$1.07
Interim
Miles
-
Turbine Eng.
(a).
$
1
.07
Session
Miles
-
Turbine
Eng.
@
$
1
.07
Weals
and/or
Lodging
Per
DiemOther Travel
Expenses
(Itemize)
(i.e.,
phone, gas, room tax)
EXPENSEFares.
Pub
ITEMIZATION
FOR
OUT-OF-STATE
TRAVEL
^
A
.
ic
Trans (Attach
receipt).
Taxi
PersonalCar
Mileage
Personal
Plane MileagePersonal Plane Mileage
Miles®
Miles - Single Engine
(®
$1
.07
Airfare
iS.
*t"
"t-
•"*
O
Rental
Car
0.485
Miles - Twin Engine
®,
$
1
.07Interim
Miles
-
Turbine Eng.
(a),
$
1
.07
Session Miles -
Turbine
Eng.
@
$1.07Meals
and/or
LodgingOther
Travel
Expenses (Itemize) (i.e.,
phone,
gas, room tax)
NY
Occupancy
tax
Sales
tax
Room
Occupancy
tax
$49.50$82.92
S21.00
TOTAL
19
I
CERTIFY THAT
THE
rOtfEMi
SIGN
HERE
(t^Q
AMOUNT
iUjTEfrJ
•^LA
*
l^J
^^f
C *
^
$990.00
$153.42
1
E
ACCOUNT SHOWN ABOVE
IS
TRUE CORRECT
AND
UNPAID
4jjJ"+"T~^^*^
\
T20.
CraUMa
name
~
^
^^^
Tracy
S.
Ortiz
^
22.
Approved:
~7\\
23.
Approved:
/"V
/
aT^,
C
7/18/08
~Z#>&uJ
SUPERVISOR
.
«*•«•»"
«^
SIGN
*
l(ffl<
*"
HERE
7/1
8/08
Phoneno. 21.
Prepared
iby
(512)
463-0773
Jean
Moffett
Dendy
Till*
SECRETARY
OF THE
SENATE
^^f^^\~
^^
'
J
Title
10
I
^"
•*
CHAIRMAN-
~\^~\
I
T^W^A^^w^
ADMINISTRATION COMMITTEE
Me
.
°ih*K
..
,
Y:\MSDocs\littlerock.xls
Pagel
Fm
"5-174
(B*ck)(ft«
3 90
(
TRAVEL
VOUCHER CONTINUATION
Name:
Rodney Ellis
IN-STATE
Meals & Lodging (Receipts Required) Member's
Actual
Expense
a.
LeaveHeadquartersDate
Hour
Min.
m.
b.
ArriveHeadquartersDate
Hour
Mia.
m.
.
Actual
meali
not 10
exceed
S36
a
Actual
lodging
oat
to
exceed
$85
TOTAL MEALS&LODGING
. TOTALant
to
'•
Meals
•met'.
Lodging
TOTAL ACTUAL EXPENSE
TOTAL
<««»!
k.
#REF!
Per Diem
$139.00perda)
L
Total
Per
Diem
OUT-OF-STATEMeals
&
Lodi
m.
LeaveHeadquarters
Date
07/09/08
.
-.
-
^
^"ft'oif
7'
/Z'<4
Hour
•
Min.m.
DATE
07/09/08
7«
/0-O&
1'
H
-Of
07/13/08
n.
ArriveHeadquarters
Date
Hour
I
,
1
7/s-<^
Min.
m.
o.
Actual
meOn-NTEFlat Rate
[ing
Receipt
Required
Member's
Actual
Expense
p. Actual
lodgmeNTE
FUt
RateTOTAL MEALS
£
LODGINGq. TOTAL
mi
Flat Rate
V
Meals
Lodging
$495.00$495.00
TOTAL ACTUAL EXPENSE
Y RECORD OF
TRANSPORTATION
AND DUTIES PERFORMED
Traveled
fromHoustonto NY viaContinental Airlinesto
attend
theNational
Conference
of
Insurance Legislators Meeting.
.
Returned
to the
district
via
Continental.
Ul-d-
TOTAL
495.00
495.00
990.00
u.
X.
MILEAGE
POINT TO POINT*
r:\MSDocs\littlerock.xls
Page 2
WCUIL
Rodney
ELLIS
INFORMATION
INVOICE
Folio
No:Room
Number: 0417Arrival
Date: 07/09/08
Departure
Date: 07/13/08
CRS Number:
87529367
Page
No: 2of2
07/13/08
•
(212) 344-0800
• FAX
(212) 344-3801
Add a Comment