May Sen Non-Metro 2012

STATE OF COLORADO GENERAL ASSEMBLY

22

SESSION TRAVEL EXPENSE - NON-METRO May 2012

SENATOR BACON
: Roundtrip Mileage: Home to Capitol and Return
130 miles

@

$

0.50

$ 65.00

: Payment Requested:
Total Mileage:

Per Diem:

+
/

/1

7 V'"

Trips

@

$ 65.00 $ 150.00

$

97,50

Days

@

.Total Requested:

Please use this area for any comments
i

or changes.

,

I certify that the statements in the above schedule are true and just in all respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage basis.

Payee:
Date:

5-1-(2.

STATE OF COLORADO GENERAL ASSEMBLY 22

SESSION TRAVEL EXPENSE - NON-METRO

Special Session 2012

SENATOR BACON
. Roundtrip Mileage: Home to Capitol and Return
130 miles

@

$

0.50

$ 65.00

Payment Requested:
Total Mileage:

Per Diem:

I ?

Trips

@ @

$ 65.00 $ 150.00

$ $

'5.00
l/50.~
5/..5, CJ::::::,

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage

basis.

Payee: Date:

3 -{(g

--

/2-

STATE OF COLORADO GENERAL ASSEMBLY

23 SESSION TRAVEL EXPENSE - NON-METRO

May 2012

SENATOR BROPHY
·Roundtrip Mileage: Home to Capitol and Return
342 miles @ $ 0.50 $171.00

.Payment Requested:
Mileage: Per Diem:

+a~
/TriPS @
@

/4S

Total $ 171.00 $ $

~~50 ~ 3S2cc::>

$ 150.00

Total Requested:
.:

$

1.(d2(P,j:;O

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 r 'mbursement is claimed on a mileage basis.

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY

23 SESSION TRAVEL EXPENSE - NON-METRO Special Session 2012

SENATOR BROPHY
Roundtrip Mileage: Home to Capitol and Return
@ $
0.50

342 mites

$ 171.00

Payment Requested:
Total Mileage: ~ Trips @

$ 171.00
$ 150.00

$ $

1

I7I OO
r

Per Diem:

~DayS

@

~?<:2~~

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage basis.

Payee: Date:

__ 5 -----"--. (l -(~

STATE OF COLORADO GENERAL ASSEMBLY
24

SESSION TRAVEL EXPENSE - NON-METRO May 2012

SENATOR CADMAN
Roundtrip Mileage: Home to Capitol and Return
138 miles @

$

0.50

$ 69.00

Payment Requested:

/'
Total

MHeag.:

~

Per Di .... :

~v:.:

Trips

@ @

$ 69.00
$ 150.00

$

103,50

Total Requested:

$

Z 953.0Q:)

/

,

.:;

Please use this area for any comments

or changes.

.1: certify that the statements in the above schedule are true and just in all respects; that payment of the
amounte claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of ttavelwasperforrned by me on official State business and not for personal purposes; and that I actually i~curred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage ~asis.

Payee:

Date:

STATE OF COLORADO GENERAL ASSEMBLY 24

SESSION TRAVEL EXPENSE ~ NON~METRO

Special Session 2012

SENATOR CADMAN
.Roundtrip Mileage: Home to Capitol and Return
138 miles

@

$

0.50

$ 69.00

:Payment Requested:
Total Mileage: ~MPS

.>

@ @

$ 69.00 $ 150.00

$ $

(;:, ex=:> 9. 71Jo,oo
6/5, D_(J

Per Diem:

~DayS

.Total Requested:

$

Please use this area for any comments

or changes.

that the statements in the above schedule are true and just in all respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of :'triavel was performed 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 mileage basis.

l~rtify

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY

25 SESSION TRAVEL EXPENSE - NON-METRO

May 2012

SENATOR GIRON
: Roundtrip Mileage: Home to Capitol and Return
228 miles @

$

0.50

$ 114.00

Payment Requested:

Mileage:

__l2_

//
Trips @

(.Total

$ 114.00 $ 150.00

$ $

m

171

PerDiem: ____j_~s

@

. Total Requested:

~L/ /;5;zj,aJ
$
or changes.

/3SD

V

Please use this area for any comments

I certify that the statements in the above schedule are true and just in all respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State business and not for personal purposes; and that I actually
incurred basis.

or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - NON-METRO

25

Special Session 2012

SENATOR GIRON
Roundtrip Mileage: Home to Capitol and Return
228 miles @

$

0.50

$ 114.00

'!PaymentRequested:

MUo.go:
Per Diem:

h>s
:3
Days

Total @ $ 114.00

$ $

lJ'1,-/

@

$ 150.00

.Total Requested:

$#fJ~
or changes.

y5D ~

Please use this area for any comments

l~ertify that the statements in the above schedule are true and just in all respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage

basis.

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY 26

SESSION TRAVEL EXPENSE - NON-METRO

May 2012

SENATOR GRANTHAM
: Roundtrip Mileage: Home to Capitol and Return
232 miles @ $ 0.50 $ 116.00

Payment Requested:

Mileage:

Per Diem:

<:
#

LJ

/"/

Total $ 116.00 $

Trips @

/'7'/ /

@

$

150.00

$/3SO

00/

.Total Requested:

$ IL5:;2'1°V

:, il

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State busin s and not for onal purposes; and that I actually incurred or paid the operating expenses of the mo vehicle r: ment is claimed on a mileage basis. ~ ..

Payee~/L Date:

~--~~~~--~~---------------

STATE OF COLORADO GENERAL ASSEMBLY 26

SESSION TRAVEL EXPENSE - NON-METRO

Special Session 2012

SENATOR GRANTHAM
. Roundtrip Mileage: Home to Capitol and Return
232 miles
@

$

0.50

$

116.00

Payment Requested:
Total Mileage: ~

Per Diem:

-: 5

Trips @

$

116.00

$~

Days @

$

150.00

. Total Requested:

$

S~GbD /

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State business and not for personal purposes; and that I actually incurred or paid the operating expenses of the mot vehicle for w . imbursement is claimed on a mileage basis.

Payee:~~~~~~~~~~ Date:

___

STATE OF COLORADO GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - NON-METRO May 2012

27

SENATOR KEITH KING
.Roundtrip Mileage~ Home to Capitol and Return
150 miles

@

$

0.50

$ 75.00

..Payment Requested:
Total Mileage:

l'£/rriPS

Per Diem:

qI

@ @

$ 75.00 $ 150.00

$//26{:;>
$L350.£b

Days

...

Total Requested:

$4ri9·~
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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage

basis.

Payee:
Date:

STATE OF COLORADO GENERAL ASSEMBLY

27

SESSION TRAVEL EXPENSE ~NON-METRO Special Session 2012

SENATOR KEITH KING
Roundtrip Mileage: Home to Capitol and Return
150 miles @

$

0.50

$ 75.00

Payment Requested:

Mileage:

/
~

Trips

@

$ 75.00 $ 150.00

$ $~.

hSOb

Total

Per 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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of •travel was performed 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 mileage basis. "

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY
28

SESSION TRAVEL EXPENSE - NON-METRO

May 2012

SENATOR STEVE KING
,

Roundtrip Mileage: Home to Capitol and Return
508 miles

@

$

0.50

$ 254.00

Payment Requested:
,
,

Mileage:

# Trips

From

1 Way
Round Trip

:

I I J 11.5

I@

1

@

$ 127.00 Grand Jet $ 254.00 [Grand Jet

:

To Denver Denver Mileage Total $ To Denver Grand Jet Grand Jet Grand Jet Grand Jet Grand Jct Airfare Total $

$

391. CO
$

,

Airfare:

Dates

1 Way
"

-

, ,
.:

Round Round Round Round 1 Way

Trip Trip Trip Trip

-

,
,

-

Grand Jct Denver Denver Denver Denver Denver

: i I: I·
I'

Misc. Expenses: Per Diem:

q

Days

@

$ 150.00

$ $

h3:i:J.CD

Total Requested:

Lt. 73ft CD

Please use this area for any comments

or changes.

in the above schedule are true and just in all respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of ,travel was performed by me on official State business and not for personal pu oses; and that I actually Incurred or paid the operating expenses of the rnotot-vehlcle for ~ich reimburs ent is claimed on a mileage basis. \ ~

I certify that the statements

Payee: Date:

/

STATE OF COLORADO GENERAL ASSEMBLY 28

SESSION TRAVEL EXPENSE - NON-METRO

Special Session 2012

SENATOR STEVE KING
Roundtrip Mileage: Home to Capitol and Return
508 miles @

$

0.50

$ 254.00

Payment Requested:
Mileage: To Denver Denver Mileage Total $ Dates

$

Airfare:

1 Way
Round Round Round Round 1 Way Trip Trip Trip Trip

-

-

-

-

-

Grand Jet Denver Denver Denver Denver Denver

To Denver Grand Jct Grand Jct Grand Jct Grand Jct Grand Jet Airfare Total $

$

Misc. Expenses:
Per Diem: Days @

$ 150.00

$

'tIc50. rJD
7CY/OO

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State businessd not for personal purposes; nd that I actually incurred or paid the operating expenses of the mo ,ve ·cle fo~eimb ment is aimed on a mileage basis. ..H_ --

STATE OF COLORADO GENERAL ASSEMBLY
29

SESSION TRAVEL EXPENSE ~ NON~METRO May 2012

SENATOR LAMBERT
Roundtrip Mileage: Home to Capitol and Return
130 miles
@

$

0.50

$ 65.00

Payment Requested:
Total Mileage: 1,5~riPs

Per Diem:

CJ

/

@

$ 65.00 $ 150.00

$

91,5D/

Days

@

$/350.()O~

,iTotal Requested: .,.
Please use this area for any comments
'f

or changes.

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

basis,

Payee:

Date:

STATE OF COLORADO GENERAL ASSEMBLY

29 SESSION TRAVEL EXPENSE· NON·METRO

Special Session 2012

SENATOR LAMBERT
.: Roundtrip Mileage: Home to Capitol and Return
. 130 miles @ $ 0.50 $ 65.00

:Payment Requested:
Mileage: Per Diem:

/ I

Total Trips @ @ $ 65.00 $ 150.00

$

05 V

3/D015

$_----

tj~o/

Please use this area for any comments or changes.

I bertify that the statements in the above schedule are true and just in aJl respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of tr,vel was performed by me on official State business and not for personal purposes; and that I actuaJly incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis.

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY 30

SESSION TRAVEL EXPENSE - NON-METRO

May 2012

SENATOR LUNDBERG
. Roundtrip Mileage: Home to Capitol and Return
100.2 miles @

$

0.50

$ 50.10

Payment Requested:
Total Mileage:

IrS/TriPS

@ @

$

50.10

$

75. /5

Per Diem:

qV<ays

$ 150.00

$~

$

Zf{Q.5.,.(5

/

Please use this area for any comments

or changes.

Ltertify that the statements in the above schedule are true and just in aU respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage oasis.

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY 30

SESSION TRAVEL EXPENSE ~NON~METRO

Special Session 2012

SENATOR LUNDBERG
.; Roundtrip Mileage: Home to Capitol and Return
100.2 miles @ $ 0.50 $ 50.10

Payment Requested:
Total Mileage: Per Diem~

:z .>

I/

Trips

@

$ 50.10 $ 150.00

$50;/0 $~O.~
$5D?,/0

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage basis.

Date:

STATE OF COLORADO GENERAL ASSEMBLY 31

SESSION TRAVEL EXPENSE - NON-METRO

May 2012

SENATOR MORSE
. Roundtrip Mileage: Home to Capitol and Return
154 miles @

$

0.50

$ 77.00

Payment Requested:
Total Mileage:

$ 77.00

$//55D

. Per Diem:

$ 150.00

. Total Requested:

Please use this area for any comments

or changes.

l<;ertify that the statements in the above schedule are true and just in all respects; that payment of the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage basis.

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY 31

SESSION TRAVEL EXPENSE - NON-METRO

Special Session 2012

SENATOR MORSE
Roundtrip Mileage: Home to Capitol and Return
154 miles

@

$

0.50

$ 77.00

Payment Requested:
Total Mileage:

I V""

Trips

@

$ 77.00

$

77CA?
~O.Q:::)

Per Diem:

3

,,/
Days

@

$ 150.00

$

Total Requested:
4

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage basis.

Payee: Date:

STATE OF COLORADO GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - NON-METRO May 2012

32

SENATOR RENFROE
Roundtrip Mileage: Home to Capitol and Return
132 miles @

$

0.50

$ 66.00

Payment Requested:
Total Mileage:

I·>../ Trips
Cf
v'
Days

@

$ 66.00

$ $

9't /'

Per Diem:

@

$ 150.00

,>50 /
l~¥~

Total Requested:
·1

$

/

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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage

basis.

Payee: Date:

...

STATE OF COLORADO GENERAL ASSEMBLY

32 SESSION TRAVEL EXPENSE - NON-METRO

Special Session 2012

SENATOR RENFROE
Roundtrip Mileage: Home to Capitol and Return
132 miles

@

$

0.50

$ 66.00

.Payment Requested:

Mileage:

17TriPS
_3.
Days

Total

@ @

$ 66.00 $ 150.00

$

,,~~,/

Per Diem:

$

tIf.5D -/

.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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of tr$vel was performed 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 mileage

basis.

Payee: Date:
5·!(.,'1l_.

....

--

-;

.~
STATE OF COLORADO GENERAL ASSEMBLY 33

SESSION TRAVEL EXPENSE - NON-METRO May 2012

SENATOR ROBERTS
Roundtrip Mileage: Home to Capitol and Return
680 miles @

$

0.50

$ 340.00

Payment Requested:

Per Diem:

t

,

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 the aniounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State business and not for personal purposes; and that I actually indurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis.

Payee: Date:

53'~- S;-2bl;
S-/p-t( ,.2_

DENVER

INTERNATIONAL AIRPORT 8500 Pena Blvd. Denver, CO 80249 Customer Service: 303-342-4083 Card Account:
Card Type: Authorization visa Code:

XXX.XXY.X)iXXxXa...
01258C

Cashier : 240 Seq # 24248 License Plate: NO-PLATE Ent : 14:03 04/20/12 Lane 12 Exit: 13:36 04/22/12 Lane 67

Rate Code: 50

Dur at; on:

1D(~) 23H( s) 33M(s)

CREDIT CARD

FEE AMOUNT TEND CASH

CHECK CHANGE CALC

$ $ $ $ $

$

42.00 42.00 0.00 42.00

42.00 0.00 0.00

$

PAID AT (T *** Thank
kd

You

***

Customer

Copy *"1<

f

.

CASH CREDIT CARD $ CHECK $ CHArlGE CALC $

AMOUNT TEND

FEE

$ $

$

0.00 52.00
0.00 0.00

52.00

52.00

PAID AT CT

k*~ Thank You

$

***

52.00

"kit

Cus tome!' Copy

"**

,

--

• eTicket Itinerary and Receipt

Page 1 of3

Ellen Roberts
From: Sent: To: Subject: eTicket Itinerary and Receipt for Confirrhation C22C9M United Airlines, Inc. [unitedairlines@united.coml Thursday, May 10, 20129:00 AM

UNITED
Issue Date: May 10, 2012

11.
eTicket Number 0162327142508 Frequent Flyer UA-SJ6SXXXX Premier Gold

Confirmation:

C22C9N
Check-In:
Seat

Traveler ROBERTS/ELLENSMS FLIGHT INFORMATION Flight UA60541 UA61372

1 *G

---1-'
M

Day, Date Fri, llMAY12 Sun, 13MAY12
1 2

Class E E

Departure City and Time DENVER, CO (DEN) 4:00 PM DURANGO, CO (DRO) 3:35 PM

Arrival City and Time DURANGO,CO (ORO) 5:05 PM DENVER, CO (DEN) 4:38 PM

Aircraft ERJ-145 ERJ-145

Flight operated Flight operated

by EXPRESSJET AIRLINES INC doing business as UNITED EXPRESS., by EXPRESSJET AIRLINES INC doing business as UNITED EXPRESS.

FARE INFORMATION Fare Breakdown Airfare: U.S. Federal Transportation Tax: September 11th Security Fee: U.S. Flight Se~ment Tax: U.S. Passenger Facility Charge: Per Person Total: eTicket Total: totals: Form of Payment: VISA Last Four Digits"

450.23 USD 33.77 5.00 7.60 9.00 505.60 USD

505.60 USD
450.23 USD

The airfare you paid on this itinerary The taxes, Fare Rules: fees, and surcharges Additional

paid total:

55.37 USD

charges may apply for changes in addition to any fare rules listed.

NONREF/OVALUAFTDPT/CHGFEE Cancel reservations before the scheduled departure Add Coffect:

time or TICKET HAS NO VALUE.

An additional amount for the difference in fare was charged to VISA VIXXXXXXXXXXX~c Thursday, May 10, 2012. $242.00 USD per ticket for an additional total of $242.00 USD was collected. Thu., May. 10, 2012/Visa" EDD 01629274668615 Thu., May. 3, 2012/Visa EDD 01629269762072 _ was charged 150.00 USD for the following: was charged 150.00 USD for the following: Change Penalty FE Change Penalty FeE

Additional Charges:

~heck-in L_J;cheduled condition

eTicket Reminders Requirement - Bags must be checked and boarding passes obtained at least 30 minutes prior t departure. Baggage witt not be accepted and advance seat assiqnments may be cancelled if this is not met.

5/1012012

~ . e:ricket Itinerary and Receipt

Page 1 of3

Ellen Roberts
From:
Sent: United Airlines, Inc. [unitedairlines@united.com] Monday, April 23, 2012 7:00 PM

To:
Subject:

I

[

eTicket Itinerary and Receipt for Confirmation C2YHM4

U NIT E D
Issue Date: April 24, 2012

II.

Confirmation:
A STA.RAWANCE MEMBER ,,~:,

C2YHM~
Check-In:

Traveler ROBERTS/ELLENSMS FLIGHT INFORMATION Day, Date Tue, 12JUN12 Fri, 15JUN12
1 2

eTicket Number 0162325380061

Frequent Flyer UA-SJ65XXXX Premier Gold / *G

Seat 3A/3

Flight Class Departure City and Time UA59311 T DURANGO,CO (ORO) 9:38 AM UA55942 Q DENVER,CO (DEN) 6:33 PM

Arrival City and Time DENVER,CO (DEN) 10:41 AM DURANGO,CO (ORO) 7:39 PM

Aircraft M ERJ-145 CRJ-200

Flight operated by EXPRESSJET AIRLINES INC doing business as UNITED EXPRESS. Flight operated by SKYWESTAIRLINES doing business as UNITED EXPRESS.

FARE INFORMATION Fare Breakdown Airfare: U.S. Federal Transportation Tax: September 11th Security Fee: U.S. Flight Segment Tax: U.S. Passenger FaCility Charge: Per Person Total: eTicket Total: Form of Payment: 246.52 USD VISA 18.48 Last Four Digit~&._ 5.00 7.60 9.00 286.60 USD 286.60 USD

The airfare you paid on this itinerary totals: 246.52 USD The taxes, fees, and surcharges Fare Rules: paid total: 40.08 USD

Additional charges may apply for changes in addition to any fare rules listed. NONREF/OVALUAFTOPT/CHGFEE Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE.

Additional Charges:

Mon., Apr. 23, 2012/Visa 0186 was charged 150.00 USD for the following: Change Penalty F€ EDD 01629262420343

eTicket Reminders ~heck-in Requirement - Bags must be checked and boarding passes obtained at least 30 minutes prior t ~_jscheduled departure. Baggage will not be accepted and advance seat assiqnments may be cancelled if this - condition is not met. EXCEPTION:when departing from Atlanta, Chicago, Cleveland, Denver, Houston, Kana, Las Vegas, Los Angel Newark, Orlando, Philadelphia, Reno, San Francisco, Seattle or Tampa, the check in requirement time for Passengers and Bags is 45 minutes MBoarding Requirement - Passengers must be prepared to board at the departure gate with their boardin l._::Jpass at least 15 minutes prior to scheduled departure. Failure to meet the Boarding Requirements may result in cancellation of reservations, denied boarding,

4/24/2012

e.

STATE OF COLORADO GENERAL ASSEMBLY

33 SESSION TRAVEL EXPENSE· NON-METRO Special Session 2012

SENATOR ROBERTS
'Roundtrip Mileage: Home to Capitol and Return
680 miles

@

$

0.50

$ 340.00

Payment Requested:
Total Mileage: Trips @

$ 340.00

$ $ $

Airfare:
Parking:

~;7,~ s6",

-a..5~=-:?--,-::e"l"':o::-

.?:? g: ;s:;sv

:.2CJ.OO

de;, .C?C?
L/:5000
7;;(15.80

Per Diem:

3

Days

@

$ 150.00

$

total Requested:

$

1
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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed 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 mileage basis.

Payee: Date:

~c>QI~~
r;;-/
llo \--z.---

I

DENVER INTERNATIONAL AIRPORT
8500 Pena Blvd. Denver, CO 80249 Customer Service: 303-342-4083

car d Type : Vi sa
Authorization

Card Account ; XXXXXXXXXXX~ Code: 03261C

Cashier: 253 Seq # 44132 L., cense Pl ate : tm-PLATE Ent : 13:55 05/11/12 Lane 12 Exit: 18: 14 05/13/12 Lane 74 Duration: 20(s) 4H(s) 19M(s) Rate Code: 50 Shift: 163
$ CREDIT CARD $

FEE AMOUNT TEND CASH

$ $ $ $

52.00 52.00

CHECK CHANGE CALC
wvw

0.00 52.00

0.00 0.00

PAID AT CT

Thank You

$

w*w

52.00

w*w

customer Copy

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,

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Page 1 of3

From:
Sent:

United Airlines, Inc. [unitedairlines@united.com] Thursday, May 10, 20129:00 AM

To:

EROBERTS@GOBRAINSTORM.NET

Subject: eTicket Itinerary and Receipt for Confirmation C22C9M

UNITED
Issue Date: May 10, 2012

ASTAR ALLiANce

MEMBER ..... ..:.

....

Confirmation:

C22C9N
Check-In:

Traveler ROBERTS/ELLENSMS FUGHT INFORMATION Day, Date Fri, llMAY12 Sun, 13MAY12
1

eTicket Number 0162327142508

Frequent Flyer UA-SJ65XXXX Premier Gold / *G

Flight Class Departure City and Time UA60541 E DENVER,CO (DEN) 4:00 PM UA61372
E

Arrival City and Time DURANGO,CO (DRO) 5:05 PM DENVER,CO (DEN) 4:38 PM

M Aircraft ERJ-14s ERJ-14s

DURANGO,CO (DRO) 3:35 PM

2

Flight operated by EXPRESSJET AIRLINES INC doing business as UNITED EXPRESS. Flight operated by EXPRESSJET AIRLINES INC doing business as UNITED EXPRESS.

FARE INFORMATION Fare Breakdown Airfare: U.S. Federal Transportation Tax: September 11th Security Fee: U.S. Flight Segment Tax: U.S. Passenger Facility Charge: Per Person Total: eTicket Total: Form of Payment: 450.23 USD VISA 33.77 Last Four Digits 0186 5.00 7.60 9.00 505.60 USD 505.60 USD

The airfare you paid on this Itinerary totals: 450.23 USD The taxes, fees, and surcharges Fare Rules: paid total: 55.37 USD

Additional charges may apply for changes in addition to any fare rules listed. NONREF/OVALUAFTDPT/CHGFEE Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE.

Add Collect:

An additional amount for the difference in fare was charged to VISA VIXXXXXXXXXXXX .... Thursday, May 10, 2012. $242.00 USD per ticket for an additional total of $242.00 USD was collected. Thu., May. 10, 2012jVisa _was EDD 01629274668615 Thu., May. 3, 2012/Vlsa'EDD 01629269762072 charged 150.00 USD for the following: Change Penalty FE

Additional Charges:

was charged 150.00 USD for the following: Change Penalty FeE

eTicket Reminders ~heck-in Requirement - Bags must be checked and boarding passes obtained at least 30 minutes prior t l__'":=__pcheduled departure. Baggage will not be accepted and advance seat asslqnments may be cancelled if this condition is not met.

5/10/2012

STATE OF COLORADO GENERAL ASSEMBLY SESSION TRAVEL EXPENSE ~NON~METRO May 2012
34

SENATOR SCHWARTZ Roundtrip Mileage: Home to Capitol and Return
394 472 402 458 miles miles miles miles @

$
$ $

@ @ @

$

0.50 0.50 0.50 0.50

$ 197.00 SNMV $ 236.00 ALAMOSA $ 201.00 GUNNISON $ 229.00 CRESTED BUTTE

Payment Requested:

:SNMV
:ALAMOSA

Mileage:
Mileage:

[.<

Total v"TriPS Trips Trips Trips @ @ @ @ $ 197.00 $ 236.00 $ 201.00 $ 229.00 $ $

;;)'75.50

•GUNNISON Mileage:

:CResTED ! BUTTE Mileage:
Airfare: Airport Parking: Per Diem:

t

$ IDayS @ $ 150.00 $

42IJ·oO

:·\Total Requested:

$~

tis 'iX:::>

Please use this area for any comments or changes.

I e:ertify that the statements in the above schedule are true and just in all respects; that payment of the arhounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of ~vel was performed by me on official State business and not for personal purposes; and that I actually lneurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage b~sis.

payee4~
Date:

s:=- 1-/2---

STATE OF COLORADO GENERAL ASSEMBLY 34

SESSION TRAVEL EXPENSE - NON-METRO Special Session 2012

SENATOR SCHWARTZ
iRoundtrip Mileage: Home to Capitol and Return
. 394 472 402 .J58 miles miles miles mil~ @ @ @ @ $

~I?Z-~ ,Payment Requested:

,V

e~ (3,5CJ' ttl./
__, Trips @ @

_!,

$ $

0.50 0.50 0.50 0.50

$ 197.00 $ 236.00 $ 201.00 $ 229.00

SNMV ALAMOSA GUNNISON CRES~D BUTTE

tJoWUl o:F~

Total
·;SNMV

SOJil\~
··~Q&A

Mileage: Mileage:

iGUNNISON Mileage: . iCRESTED 'BUTTE Mileage:

,

'JIll- " STrips

$ 197JO
$

~j'&r

$

-t tf/l270.

Trips Trips

@
@

$ 201,00
$ 229.00 $ $

Airfare: Airport Parking: Per Diem:

..2

Days

@

$ 150.00

$

lira

,/

·Total Requested:
.. :

$~6
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 the amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State business and not for personal purposes; and that I actually in~rred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis.

payee,~vDate:

~/6/ ;-z--

STATE OF COLORADO GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE· NON·METRO
May 2012

35

SENATOR WHITE
:Roundtrip Mileage: Home to Capitol and Return
360 miles
@

$

0.50

$

180.00

Payment Requested:
Total Mileage: ,Airfare: 1 Way Round Trip Round Trip Round Trip Round Trip 1 Way Dates $ 180.00 From To $

~70, Cl:.:)
$

-

-

Airfare Total
S

.Misc. Expenses: .Per Diem:

__q~.1

Days@

$

150.00

$ $

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

j!o20cD

4 ?tV.co

I Certify that the statements in the above schedule are true and just in all respects; that payment of the .'amounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State business and not for personal purposes; and that I actually incurred or paid the operating expens he motor vehicle for which reimbursement is claimed on a mileage basis.

STATE OF COLORADO GENERAL ASSEMBLY 35

SESSION TRAVEL EXPENSE· NON-METRO Special Session 2012

SENATOR WHITE
:Roundtrip Mileage: Home to Capitol and Return
360 miles @

$

0.50

$

180.00

.Payment Requested:
Mileage:

,

Trips

@

$

180.00
From To

$

lBL2co
$

Total

iAirlare: . 1 Way Round Trip Round Trip Round Trip Round Trip

Dates

-

-

-

-

1 Way

-

Airfare Total

S Misc. Expenses:

Per Diem:

Days

@

$

150.00

$~.fD

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

$C?~.DD

I certify that the statements in the above schedule are true and just in all respects; that payment of the altJounts claimed herein has not and will not be reimbursed to me from any other sources; that my schedule of tr.vel was performed by me on official State business and not for personal purposes; and that I actually . il'1purred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage

basis.

Date:

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