travel expenses report

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					                                                                                Cleveland City Council
                                                                              TRAVEL EXPENSES REPORT
                                                                                                                                                 M-9


NAME:                                                                          DATE OF SUBMISSION:

                                                                               PURPOSE OF TRAVEL:
                                                                               LOCATION:


                    EXPENSES DETAIL                                 Date          Date       Date        Date           Date   Date       Date         TOTAL
MONTHS AND DATES COVERED
LODGING & HOTEL ROOM TAX (EXCLUDING MEALS)
BREAKFAST
LUNCH
DINNER
SUBTOTAL MEALS
REGISTRATION
AIRFARE
CAR RENTAL
TAXI, BUS, TRAIN, TOLLS, ETC…
NUMBER OF MILES DRIVEN
MILEAGE REIMBURSEMENT RATE
MILEAGE REIMBURSEMENT                                                                                                                 -
TELEPHONE AND POSTAGE
OTHER EXPENSES (GAS)
                                                     TOTALS

I certify that the statements made hereon are true, that the mileage listed              ATTACH ALL ORIGINALS RECEIPTS TO THIS FORM
was actually driven on City business, and that the expenses incurred                     TRAVELERS CERTIFICATE
were for Council business for a proper public purpose.



Councilman Signature                                         DATE                        Approved by Clerk of Council                        DATE

				
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posted:7/30/2012
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