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Memoradum of Investigation.doc

REIMBURSEMENTS:
Gas + milage
Incidentals
Lunch w/ executives
certify that the expenses claimed are valid reimbursable travel expenses for approved County
travel. Failure to be truthful can lead to severe consequences, including termination, prosecution for
false claims, or personal liability for repayment.
Employee signatures Sindes Date_7/7/3
TREASURER USE ONLY:
Rec’d 7/8/3_Reviewer_KJW Appd Check 30041 Dt 7/1/3
-Will Pick-up, per email
МОО
CO
NTY – TREASURER
Ron Sanders
TRAVEL AND REIMBURSEMENT REQUEST FORM
Part 1
TRAVEL REQUEST
NAME
TITLE
DATE OF REQUEST
cos
7/7/YR-3
DEPARTMENT/DIVISION ACCOUNT CODE
METHOD OF TRAVEL
Exec
Activity
Amount Budgeted for Current Balance City vehicle
FYS
$
Personal vehicle
DEPARTURE
RETURN
Commercial Air
DATE(S) OF MEETING/
Date
Date
CONFERENCE
Other
a
.m. Time
.m. 7-6-YR-3
EXPLANATION OF TRAVEL REQUEST Attach a copy of the registration form, meeting notice, or other documentation
if applicable.
MEETING NAME (include copy of registration itinerary): Economic Development
Account
Time
10
2:30 L.m.
DESTINATION (city/state): ( confidential)
PURPOSE: Seeking Company to relocate to county
TOTAL ESTIMATED TRAVEL REQUEST IS
TRAVEL EXPENSE
D Denied
I BELIEVE THIS TRIP TO BE NECESSARY AND BENE-
FICIAL AND CERTIFY THAT SUFFICIENT FUNDS ARE
AVAILABLE IN MY BUDGET.
Approved
O Denied
Department Manager signature Date
Approved
Ú©Û’
R. Sanders
Dengiz $ 250 ali namingen
Signature:
for all travel over $250 and all overnight
travel.
Department Manager for all other travel
REIMBURSEMENTS:
overnight
the donderd 10473
travel.
Department Manager for all other travel
REIMBURSEMENTS:
Gas
milage
Lunch
meeting Rm fee
certify that the expenses claimed are valid reimbursable travel expenses for approved County
travel. Failure to be truthful can lead to severe consequences, including termination, prosecution for
false claims, or personal liability for repayment.
Employee signature
Con Sandra Date 10/a/4R-3
TREASURER USE ONLY:
Rec’d 10607) 3 Reviewer Botk_AppdU/Check 10998_D+
10/09 )3
Erec
MOORE COUNTY – TREASURER
TRAVEL AND REIMBURSEMENT REQUEST FORM
Part 1
TRAVEL REQUEST
NAME
TITLE
DATE OF REQUEST
cos
OCT. 9, YR-3
DEPARTMENT/DIVISION ACCOUNT CODE
METHOD OF TRAVEL
Activity
Account
Amount Budgeted for Current Balance City vehicle
FYS
$
Personal vehicle
DEPARTURE
RETURN
Commercial Air
DATE(S) OF MEETINGI
Date
Other
Date
CONFERENCE
Time
.m. OCT. I, YR-3
EXPLANATION OF TRAVEL REQUEST Attach a copy of the registration form, meeting notice, or other documentation
if applicable.
Ronald J. Sanders
County Exec.
_.m. Time 3:45 E.m.
6:15 a
DESTINATION (city/state):
PURPOSE:
I BELIEVE THIS TRIP TO BE NECESSARY AND BENE- TOTAL ESTIMATED TRAVEL REQUEST IS
FICIAL AND CERTIFY THAT SUFFICIENT FUNDS ARE TRAVEL EXPENSE
Approved
D Denied
AVAILABLE IN MY BUDGET.
* Approved
Denied
Signature:
Department Manager signature
Date
for all travel over $250 and all overnight
travel.
Department Manager for all other travel
MEETING NAME (include copy of registration itinerary): lnter ageng gov.l1915 ON
Meeting
GOV’T Business
Cool Sander
10/9/3
$ 350.- City Manager

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