mar 2011 travel expense metro

39
STATE OF COLORADO GENERAL ASSEMBLY SESSION TRAVEL EXPENSE - METRO March 2011 REPRESENTATIVE ACREE Roundtrip Mileage~ Home to Capitol and Return 36 miles @ $ 0.46 $ 16.56 2 WD Rate Pay ment Req ues ted: ' r ? . / Mileage: Trips @ $ 16.56 , / . Per Diem: A ?~ Days @ $ 45.00 Total Requested: $ ===== lease use thi area for any comments 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 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 imbursement is laimed on a mileage basis. Payee: ~~ iplt! ate:

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Page 1: Mar 2011 Travel Expense Metro

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STATE OF COLORADO

GENERAL ASSEMBLY

01

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE ACREE

Roundtrip Mileage~ Home to Capitol and Return36 miles @ $ 0.46 $ 16.56 2 WD Rate

Payment Requested:

' r ?./

Mileage: Trips @ $ 16.56

,/.

Per Diem: A ? ~ Days @ $ 45.00

Total Requested: $=====

Please use this area for any comments 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

travel 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 mileage

basis.

Payee: ~~

i p l t !ate:

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STATE OF COLORADO

GENERAL ASSEMBLY

02

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE BALMER

Roundtrip Mileage: Home to Capitol and Return42 miles @ $ 0.46 $ 19.32 2 WD Rate

Payment Requested:

~ 3 v 'Total

Mileage: Trips @ $ 19.32 $ i/ t . ji-!::l-

Per Diem: 2_l !_ Days @ $ 45.00 $ I t 395. cc:»

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

basis. ~

Payee: Nc- - ~ ~ - - - - - - - - - - - - - - - - - - - -

Date: 3-3(- 1 /

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STATE OF COLORADO

GENERAL ASSEMBLY

04

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE CASSO

Payment Requested:

Total

Mileage:;r)/

Trips @ $ 13.80 $ 3C5_S.~~

P er D iem:tpl

Days @ $ 45.00 $ i ,~.t:X:::>

Roundtrip Mileage: Home to Capitol and Return30 miles @ $ 0.46 $ 13.80 2 WD Rate

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 a" 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 Iactually

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

basis.

Payee:

Date: 0 3 / G l . - l I L ,

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STATE OF COLORADO

GENERAL ASSEMBLY

05

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE CONTI

~.3

Mileage: ~ Trips @

Total

Roundtrip Mileage: Home to Capitol and Return27 miles @ $ 0.46 $ 12.42 2 WD Rate

Payment Requested:

$ 12.42

Per Diem: 0 < - . 1 0 Days @ $ 45.00 $ I,170.DC>

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:

Payee:

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STATE OF COLORADO

GENERAL ASSEMBLY

06

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE COURT

Payment Requested:Total

Mileage: Trips @ $ 2.30 $

Per Diem: Days @ $ 45.00 $

(:;Yotal Requested: $

Roundtrip Mileage: Home to Capitol and Return5 miles @ $ 0.46 $ 2.30 2 WD Rate

Please use this area for any comments or changes.

Icertify 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 oftravel 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:

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STATE OF COLORADO

GENERAL ASSEMBLY

07

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE DURAN

Roundtrip Mileage: Home to Capitol and Return12.5 miles @ $ 0.46 $ 5.75 2 WD Rate

Payment Requested:

f ) " ' Q . . / Trips @ 5.75ileage: $

____._ Days @

~ ~O~'f}JIr rf D . /

$ 45.00er Diem:

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:

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STATE OF COLORADO

GENERAL ASSEMBLY

08

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE FERRANDINO

Total Requested:

Roundtrip Mileage: Home to Capitol and Return2 miles @ $ 0.46 $ 0.92 2 WD Rate

Payment Requested:

'1 -) /Total

/

Mileage: Trips @ $ 0.92 $ " ; ; L L I~

Per Diem:) _ _ ~ /

Days @ $ 45.00 $ l,~.~

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

basis.

payee:~

Date: ~ ILl/I J

- - -

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STATE OF COLORADO

GENERAL ASSEMBLY

09

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE FIELDS

Roundtrip Mileage: Home to Capitol and Return19 miles @ $ 0.46 $ 8.74 2 WD Rate

Payment Requested:

I Total

Mileage: ~ Trips @ $ 8.74 $ 1'1:( .. . 2 8

Per Diem: .x: @ $ 45.00 $ I,~·~

Total Requested:

Please use this area for any comments or changes.

I c ertify th at 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 Iactually

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

basis.

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE DEB GARDNER

Roundtrip Mileage: Home to Capitol and Return73.6 miles @ $ 0.46 $ 33.86 2we Rate

Payment Requested:

()~ ./

Total

Mileage: Trips @ $ 33.86 $ lt~.1b' ./==

Per Diem:cl_~./

Days @ $ 45.00 $ iD~5 .06"",

Total Requested:

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 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.

10

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STATE OF COLORADO

GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE GEROU

Roundtrip Mileage: Home to Capitol and Return50 miles @ $ 0.46 $ 23.00 2 WD Rate

Payment Requested:

~Total

Mileage: Lb Trips @ $ 23.00 $ Sj_9,~

Per Diem: z_~ Days @ $ 45.00 $ I,03.5,~

Total Requested:

Please use this area for any comments or changes.

I eertify 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 Iactually

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

basis.

Date:

1 1

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STATE OF COLORADO

GENERAL ASSEMBLY

,SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTAT IVE HOLBERT

Roundtrip MUeage: Home to Capitol and Return36.8 miles @ $ 0.46 $ 16.93 2 WD Rate

Payment Requested:

.;Total

$1~. 3 c r ~V"

Mileage: J. .3 Trips @ $ 16.93

Per Diem:;)3 ~

Days @ $ 45.00 $1 , 035.OV/

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:

12

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STATE OF COLORADO

GENERAL ASSEMBLY

13

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE HULLINGHORST

Total Requested:

Roundtrip Mileage: Home to Capitol and Return66.68 miles @ $ 0.46 $ 30.67 2 WD Rate

Payment Requested:Total

Mileage: ~-/ Trips @ $ 30.67 s 76S.4(

Per Diem: :).31 Days @ $ 45.00 $ l1D3..5/"CO

$ J ,JYo. c . . J 1

Please use this area for any comments or changes .

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

basis.

Date:

Payee:

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STATE OF COLORADO

GENERAL ASSEMBLY

14

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE JONES

Roundtrip Mileage: Home to Capitol and Return45.6 miles @ $ 0.46 $ 20.98 2 WD Rate

Payment Requested: Total

/Mileage: 2=3 Trips @ $ 20.98 $ Iff 2 .5'1'/

./Per Diem: 2- 7 Days @ $ 45.00 $ [2}5'-/

)

1 , b C f 7 . ~ - L J VTotal Requested: $ ( . 1 . C e <JZ..sf

Please use this area for any comments or changes.

Icertify that the statements in the above schedule are true and just in all respects; that payment of the

am,ounts 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 Iactually

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

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY15

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE KAGAN

Roundtrip Mileage: Home to Capitol and Return26.2 miles @ $ 0.46 $ 12.05 2 WD Rate

Payment Requested:Total

1 8./ 90

Mileage: Trips @ $ 12.05 $21/'-./t/ (J'{)

Per Diem: IS Days @ $ 45.00 $8[0- v

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.

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STATE OF COLORADO

GENERAL ASSEMBLY16

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE A. KERR

Payment Requested:

- . /Mileage: LV Trips @ $ 10.12

I

Per Diem: bb Days @ $ 45.00

Total

Roundtrip Mileage: Home to Capitol and Return22 miles @ $ 0.46 $ 10.12 2 WD Rate

$ !2\ ..44

$ ',DO.ce?

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:

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STATE OF COLORADO

GENERAL ASSEMBLY

17

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE J. KERR

Payment Requested:Total

./

Mileage: ) . ' 7 Trips @ $ 13.80 $ ~\1 ..~D

,/

Per Diem: ')/7 Days @ $ 45.00 $ \ I~' q::::>

Totar Requested: $ \j35:2.ya

Roundtrip Mileage: Home to Capitol and Return30 miles @ $ 0.46 $ 13.80 2 WD Rate

Please use this area for ahy 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 Iactually

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

basis.

Date: ~ -1-/- '2..£;1/•

Payee:

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STATE OF COLORADO

GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE LABUDA

18

Roundtrip Mileage: Home to Capitol and Return24 miles @ $ 0.46 $ 11.04 2 WD Rate

Payment Requested:Total

Mileage:J_j_./

Trips @ $ 11.04 $ 2.5~l c z t :L.

Per Diem: d_~ Days @ $ 45.00 $ (IO~SI~

Total Requested:

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

travet 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:

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STATE OF COLORADO

GENERAL ASSEMBLY

19

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE LEVY

Total Requested:

Roundtrip Mileage: Home to Capitol and Return56 miles @ $ 0.46 $ 25.76 2 WD Rate

Payment Requested:Total

(1t/

'iS7·7~ileage: Trips @ $ 25.76 $

Per Diem: 11/ Days @ $ 45.00 $ /" .::2 /5. C ! C : : >

Please use this area for any comments or changes.

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

basis.

Payee:

Date:J

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STATE OF COLORADO

GENERAL ASSEMBLY

20SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE McCANN

Total

Roundtrip Mileage: Home to Capitol and Return5.18 miles @ $ 0.46 $ 2.38 2 WD Rate

Payment Requested:

Per Diem:

../23 Trips @

~S./

$ 2.38 $ 5'1. 7,-/ileage:

Days @ $ 45.00 $ (,D3S.~

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 Iactually

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

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY21

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE MCNULTY

Payment Requested:

Mileage:t~./

Trips @ $ 7.36

Per Diem: Z1/ Days @ $ 45.00

$

Total

1 1 o ' 1 · 2<6 . /

$ I J A]5 ./

Roundtrip Mileage: Home to Capitol and Return16 miles @ $ 0.46 $ 7.36 2 WD Rate

Total Requested:

Please use this area for any comments or changes.

lpertify 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 Iactually

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

basis.

Payee:

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Payment Requested:Total

Mileage:d - ~ V

Trips @ $ 8.29 $ ! r J . 3 J / '

Per Diem: 3d / Days @ $ 45.00 $ ~ J s v , C O . /

~ S -3 : J .sf./Total Requested: $

STATE OF COLORADO

GENERAL ASSEMBLY

22

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE MIKLOSI

Roundtrip Mileage: Home to Capitol and Return18.02 miles @ $ 0.46 $ 8.29 2 WD Rate

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 mileagebasis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY

24

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE PABON

Roundtrip Mileage: Home to Capitol and Return8 miles @ $ 0.46 $ 3.68 2 WD Rate

Payment Requested:

ITotal

Mileage: ~::? Trips @ $ 3.68 $ "b\ . .Ltc~

/Per Diem: a~ Days @ $ 45.00 $ 1 1110.00

Total Requested: $ I,:<5"" (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 reimbursement is claimed on a mileage

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - METRO

March 2011

25

REPRESENTAT IVE PEN ISTON

Roundbip Mileage: Horne to Capitol and Return26.2 miles @ $ 0.46 $ 12.05 2 WD Rate

Payment Requested:

Total

Mileage: ~v Trips @ $ 12.05 $ ;2.17../5

Per Diem: Col" Days @ s 45.00 s I.o:s.s . c : : : : : c : : : >

Total Requested: s \ I~ \:1. \S

Ptease 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 oftravel was performed by me on official State business and not for personal purposes; and that Iactually

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

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY26

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE PRIOLA

Total Requested:

litoundtrip Mileage: Home to Capitol and Return42 miles @ $ 0.46 $ 19.32 2 WD Rate

!PaymentRequested:Total

../ lj)..\436 vileage: ' 2 . 3 > Trips @ $ 19.32 $

./ 0°Per Diem: 2..9 Days @ $ 45.00 $ ) =-:'05 ./',

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: 2» "l . . \ J \ \

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STATE OF COLORADO

GENERAL ASSEMBLY

27

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE RAMIREZ

Roundtrip Mileage: Home to Capitol and Return37.8 miles @ $ 0.46 $ 17.39 2 WD Rate

Payment Requested:Total

/~qq . 97 /Mileage: ls Trips @ $ 17.39 $

Per Diem: J _ q ,/ Days @ $ 45.00 $ l~ v5·o) /

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

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY

28

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE RYDEN

Roundtrip Mileage: Home to Capitol and Return30 miles @ $ 0.46 $ 13.80 2 WD Rate

Payment Requested:Total

./

Mileage: ~.~ Trips @ $ 13.80 $ 3,l7. ' -10

v"

Per Diem: (f -) Days @ $ 45.00 $ IL O -:S 'S .L::b

Total Requested: $ I ( 35.:2. 'to

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:

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STATE OF COLORADO

GENERAL ASSEMBLY

29

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE SCHAFER

Roundtrip Mileage: Home to Capitol and Return12 miles @ $ 0.46 $ 5.52 2 WD Rate

Payment Requested:Total

Mileage: 1~/ Trips @ $ 5.52 $ 1 : 2 . 1 . '44

Per Diem:~(p./

Days @ $ 45.00 $ \.no.co

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 thatIactually

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

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY

30

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE SOLANO

Roundtrip Mileage: Home to Capitol and Return36.9 miles @ $ 0.46 $ 16.97 2 WD Rate

Payment Requested:Total

Mileage: ; 2 . . 3 v Trips @ $ 16.97 $

34D:~\

Per Diem:23/

Days @ $ 45.00 $ lID:s.s.~

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 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 mileage

basis.

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STATE OF COLORADO

GENERAL ASSEMBLY31

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE SOPER

RoundtripMileage: Home to Capitol and Return20 miles @ $ 0.46 $ 9.20 2 WD Rate

Payment Requested:Total

Mileage: 1-.3./ Trips @ $ 9.20 $ 2.\ \, laC

Per Diem: b3~ Days @ $ 45.00 $ 1 1 ~C!C:>

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:

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STATE OF COLORADO

GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE SUMMERS

32

Roundtrip Mileage: Home to Capitol and Return25.6 miles @ $ 0.46 $ 11.78 2 WD Rate

Payment Requested:Total

Mileage: 0(3./Trips @ $ 11.78 $ :1..,D.9Lf

/

perDiem:;;;'~ Days @ $ 45.00 $ , 11':2..5,~

Total Requested: $ [, 515. C " 1 ' : : f

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.

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STATE OF COLORADO

GENERAL ASSEMBLY

SESSION TRAVEL EXPENSE - METRO

March 2011

33

REPRESENTATIVE SWALM

Roundtrip Mileage: Home to Capitol and Return

36 miles @ $ 0.46 $ 16.56 2 WD Rate

Payment Requested:Total

) .e 3 j Trips @

j

?~ Days @

Mileage: $ 16.56

$ 45.00 $ I,035 J:::C;>•

Per Diem:

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 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

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY

34

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE SZABO

Roundbip Mileage: Home to Capitol and Return29 miles @ $ 0.46 $ 13.34 2 WD Rate

Payment Requested:

2 :3< r i P STotal

Mileage: @ $ 13.34 $ 300·~

Per Diem: ~S/ Days @ $ 45.00 $ L ~:tsC : X : J

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

basis. ..~

c__······,,······7;;;,>

Payee: ~-:::--.-...

Date: 2 2 3 f L t / I

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STATE OF COLORADO

GENERAL ASSEMBLY

35

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE TODD

Total Requested:

.Roundtrip Mileage: Home to Capitol and Return20 miles @ $ 0.46 $ 9.20 2 WD Rate

'Payment Requested:

/ Total

;23ileage: Trips @ $ 9.20 $ '2.\ t , ieD

I

Per Diem: ; ; , A , & ; Days @ $ 45.00 $',llO,~

$ \ ,i>l>\. (aD

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 Iactually

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

basis.

Payee:

Date:

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STATE OF COLORADO

GENERAL ASSEMBLY

36

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTAT IVE TYLER

Roundtrip Mileage: Home to Capitol and Return13 miles @ $ 0.46 $ 5.98 2 WD Rate

Payment Requested:Total

vr 3> l rSileage: z : ~ Trips @ $ 5.98 $

v '"

Per Diem: L ~ Days @ $ 45.00 $ ~5S.D::)

Total Requested: $ 992.5£

Please use this area for any comments 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

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:

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STATE OF COLORADO

GENERAL ASSEMBLY

37

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE VAAD

Roundtrip Mileage: Home to Capitol and Return74 miles @ $ 0.46 $ 34.04 2 WD Rate

Payment Requested:Total

Mileage: « z . / Trips @ $ 3 4 . 0 4 $ 7'b::t.'1::L

./ L ()~.cc::>er Diem: db Days @ $ 45.00 $•

Total Requested:

Please use this area for any comments or changes.

Icertify 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: d-:2) -/I

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\J

STATE OF COLORADO

GENERAL ASSEMBLY

38

SESSION TRAVEL EXPENSE - METRO

March 2011

REPRESENTATIVE A. WILLIAMS

Roundtrip Mileage: Home to Capitol and Return11Amiles @ $ 0.46 $ 5.24 2we Rate

Payment Requested:Total

e'"ileage: Trips @ $ 5.24 $

Per Diem: 01 b/DayS @ $ 45.00 $ /11a.~/

Total Requested:

Please use this area for any comments or changes.

I certify that the statem ents in the abo ve schedule are true and just in all respects; that payment o f the am ounts

claim ed herein has no t and will no t be reim bursed to m e fro m any o ther so urces; that m y schedule o f travel was

perfo rmed by me o n o fficial S tate business and no t fo r perso nal purpo ses; and that I actually incurred o r paid

the o perating expenses o f the m oto r vehicle fo r which reim bursem ent is claim ed o n a m ileage basis.