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MATE IT- Ot STATE OF COLORADO GENERAL ASSEMBLY 01 SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE K. BECKER Round Trip Mileage: Home to Capitol and Return 58 miles@ $ 048 Payment Requested: mueage: 24774 trips Per Diem: [ 4. Days. Total Requested: Please use this area for any comments or changes | certity that the statements in the above schedule are true and justin all espects; 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: ba Date: VEWIA per - OZ STATE OF COLORADO GENERAL ASSEMBLY 02 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE BECKMAN Round Trip Mileage: Home to Capitol and Return 24 miles@ $ 0.48 = Payment Requested: wieage: 1 Tips eriem: [C/ ays Total Requested: Please use this area for any comments or changes | certiy that the statements in the above schedule are true and justin ail 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: a een Date: )-{3 -QO\'7 bhuretT - 03 STATE OF COLORADO GENERAL ASSEMBLY 03 SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE BENAVIDEZ Round Trip Mileage: Home to Capitol and Return 10 miles@ $ 0.48 Payment Requested: Mileage: / Trips PerDiem: _ /5_ Days Total Requested: Please use this area for any comments or changes \ ceri 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 nt be reimbursed to me from any other sources; that my schedule of travel was performed by me on official State business and net for personal purposes; and that | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on mileage basis. Payee Signature: Heaweret7 - 4 STATE OF COLORADO GENERAL ASSEMBLY 04 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE BRIDGES Round Trip Mileage: Home to Capitol and Return 224 miles@ $ 0.48 Payment Requested: miteage: __)U/ Trips PerDiem: _ [U/ Days Total Requested: Please use this area for any comments or changes I centiy that the statements in the above schedule are true and justin 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: Yi Bae es Date: l [ty ZolG heetQ7- oS STATE OF COLORADO GENERAL ASSEMBLY 05 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE BUCKNER Round Trip Mileage: Home to Capitol and Return us miles@ $ 0.48 Payment Requested: Mileage: A Tips PerDiem: (2 Days Total Requested: Please use this area for any comments or changes | centty thet the statements in the above schedule are true and justin 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: ow Ufa lz peer [7 - O% STATE OF COLORADO GENERAL ASSEMBLY 06 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE COLEMAN Round Trip Mileage: Home to Capitol and Return 34 miles@ $ 0.48 - Payment Requested: Mileage: 4 Trips Por Diem: ie Days Total Requested: Please use this area for any comments or changes | certity 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage a eee Ss Ds Payee Signature: ~~ Date: | //5/'7 HunetT-O7 STATE OF COLORADO GENERAL ASSEMBLY 07 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE COVARRUBIAS Round Trip Mileage: Home to Capitol and Return 46 miles@ $ 0.48 = Ss 22.08 Payment Requested: Total Mileage: [H Trips @ $ 2208 3 304.'> Per Diem: __| U Days @ $ 45.00 $__©30,7° Total Requested: gee Please use this area for any comments or changes I certty 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. jon J {———— Payee Signature: iS O| Date: _[- 15- Mere - OB STATE OF COLORADO GENERAL ASSEMBLY 08 SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE DANIELSON Round Trip Mileage: Home to Capitol and Return 20 miles@ $ 048 = Payment Requested: Mileage: i Trips PerDiem: 2 | Days Total Requested: Please use this area for any comments or changes hake) cptiiealonded O | certify that the statements in the above Schedule are true and justin 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. / (/ adler Payee Signature: Bavetey7 - 04 STATE OF COLORADO GENERAL ASSEMBLY og SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE DURAN Round Trip Mileage: Home to Capitol and Return 125 miles@ $ 0.48 Payment Requested: Mileage: Per Diem: Total Requested: Please use this area for any comments or changes | certty that the statements in the above schedule are true and justin 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage Payee Signature: OA led a ee (wore -10 STATE OF COLORADO GENERAL ASSEMBLY 10 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE EVERETT Round Trip Mileage: Home to Capitol and Return 31.6 miles@ $ 0.48 Payment Requested: (4 see Per Diem: U Days Total Requested: Please use this area for any comments or changes Please prclude 2 Bers Flom Secombe — é all Jaws D8 Sra Act Yeeir5 Stalin ete re ees L atteded. —Zeenlcs! | certty 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. a Payee Signature: Date: anet7- Uh STATE OF COLORADO GENERAL ASSEMBLY 14 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE FOOTE Round Trip Mileage: Home to Capitol and Return 48 miles@ $ 048 = $ 2304 Payment Requested: Total Mileage: 4 Trips @ $s 2304 3 30a. SY Per Diem: __'4 Days @ $s 4500 s_ 39 ce Total Requested: Please use this area for any comments or changes | certty 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 net for personal purposes; and that | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: Date: eis pret (2. STATE OF COLORADO GENERAL ASSEMBLY 12 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE GARNETT Round Trip Mileage: Home to Capitol and Return 2 mils@ $ 0.48 = $ 0.96 Payment Requested: Total Mileage: 14 Trips @ s 0% ees 44” rerviom: VyZ0 vos = @ $500 4100, 00 Total Requested: Please use this area for any comments or changes | certity 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Ap Payee Signature: ( Date: AG. I fhe pewere (7-13 STATE OF COLORADO GENERAL ASSEMBLY 13 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE GRAY Round Trip Mileage: Home to Capitol and Return 33.8 miles@ $ 0.48 . $ 16.22 Payment Requested: Total @ 3 12 121.08” @ $s 45.00 + 67000" 00% Total Requested: 2 H ake en ee on ae Mowe r Le ‘(¢ ald a aan t at wale J certity 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 | actually incurred ot paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: protein = [4 STATE OF COLORADO GENERAL ASSEMBLY 14 SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE HANSEN Round Trip Mileage: Home to Capitol and Return 55 miles@ $ 0.48 Payment Requested: Mileage: __| + Trips Por Diem: Days Total Requested: Please use this area for any comments or changes | certiy 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 | actually Incurred or pad the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. 2 1 Payee Signature: “— Date: (ENE were 1S STATE OF COLORADO GENERAL ASSEMBLY 16 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE HEROD Round Trip Mileage: Home to Capitol and Return 8 miles@ $ 048 = Payment Requested: 4 Mileage: Trips PerDiom: 7 \ Days Total Requested: Please use this area for any comments or changes | certity 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; end that | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Revere T- le STATE OF COLORADO GENERAL ASSEMBLY 16 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE HOOTON Round Trip Mileage: Home to Capitol and Return 58 miles@ $ 0.48 = Payment Requested: meajes soe rs Per Di [6 Total Requested: Please use this area for any comments or changes | certity 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: (00 Lh02 Ire Date: LIB LIT PATRI T= 17 STATE OF COLORADO GENERAL ASSEMBLY 7 SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE JACKSON Round Trip Mileage: Home to Capitol and Return 22 miles@ $ 048 = $ 10.56 Payment Requested: Total mucage: _ [+f Tips @ $s 1056 s__147.4 Per Diem: x Days @ $s 4.00 ¢ BOL Total Requested: 457 ot 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis. Payee Signature: ( |Pint-y—~ Date: Jen /3 1 ame ere - 1B STATE OF COLORADO GENERAL ASSEMBLY 18 SESSION TRAVEL EXPENSE - METRO JANUARY 2017 REPRESENTATIVE KENNEDY Round Trip Mileage: Home to Capitol and Return 40.8 miles@ $ 048 = 6 BAB: Payment Requested: Total Mileage: __|4 Trips @ $s 5148 $0 fee 6L” v PerDiem: __Z- Days @ $ 4500 s_1M5.€ Total Requested: s_ lt ae Please use this area for any comments or changes | certiy that the statements in the above schedule are true and just in ail 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 | actually incurred or paid the operating expenses of the motor neta Which reimbursement is claimed on a mileage Payee Signature: Date: _—_@1//4/) warRiT - (4 STATE OF COLORADO GENERAL ASSEMBLY 19 SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE KRAFT-THARP Round Trip Mileage: Home to Capitol and Return 31.46 miles@ $ 0.48 = $15.10 Payment Requested: Total Mileage: A Trips @ $ 15.10 s_ 2u4° Per Diem: iS Days @ $ 4800 SOTO. Total Requested: Please use this area for any comments or changes | centty 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis Payee Signature: Wnacec Date: oye [7 HWrRit-20 STATE OF COLORADO GENERAL ASSEMBLY 20 SESSION TRAVEL EXPENSE - METRO. JANUARY 2017 REPRESENTATIVE LAWRENCE Round Trip Mileage: Home to Capitol and Return 56.6 miles@ $ 0.48 Payment Requested: Mileage: We Trips Per Diem: __| 7 Days Total Requested: Please use this area for any comments or changes | certity that the statements in the above schedule are true and justin 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 | actually incurred or paid the operating expenses of the motor vehicle for which reimbursement is claimed on a mileage basis

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