PERSONAL PENSE STATEMENT Pa 1 of I (a»ç 1120001 DEBORAH FLINT ADMIN YES NO g WASHINGTON, DC INT'L AVIATION CLUB FROM 7/12/2016 TO 7/13/2016 112000) 16/17 MISC. P. ' LAX IAD IA LAX (Extra leg room seats 40 ea.; charged to 975.2(1' 80.00/ 1, 055.20 PerSe'sva Traveler's credit card.) Jul 12 Washington, DC IAD: Uber Airport to 1st hotel; to 2nd hotel (error p hotel, 51.75 166.70'7 218.45 accommodations necessitated traveler to rebook lodging in MD.) j/l). 37j 51. i3 Jul 13 Washington, DC Taxi from Washington Club to IAD 51.75 68.03" 119.78 10.1 awl (15) SUBS 103.50 975.20 314.73 1,393.43 (16 CLAIM, this page 1,393.43 (31) Accounting Notes (17) FROM PAGE 1 1,393.43 CI,u41.ci O %Rtnprl Cred,} Cam(. (18) FROM PAGE 2 )4 til 443 4I "2Z (19) PENSES 1,393.43 (20) LESS OTHER PENSES PAID BY CITY (21) CASH ADVANCE (22) PAID BY CITY (23) OTHER PENSES PAID BY CITY /1/Z(7..7) (24) ( DUE TO THE CITY) / DUE TO EMPLOYEE ' 975.20 418.231 I HEREBY CERTIFY that the above is a true statement of the travel expenses incurred by me in accordance with travel policies and procedures in the service oft the CITY OF LOS ANGELES. I further certify that the above expenses were necessary in connection with the performance of my duties. (25) LAI 'S SI NATURE (26) DATE (mm /dd /yy) 29 ) émar s / Comments: (LIU( (27) SIGNATURE OF PROVING AUTH (28) A mm /dd /yy) //
Paae 2 of 2 (1) TRAVEL AUTH RITY (TL) NO. STZENTER Í3Ó) 1652855 1120001 424 646 6250 istration YES n DATE DEMAND NO 0 Washington, DC. FROM 7/12/2016 TO 7/13/2016 1120001 (9) LOCATION 9 DESCRIPTION MEALS AND ENTALS Airfare MISC. P. (14) Jul 12 Hotel and Resort Fee 322.14 19.08 341.22 Jul 13 Hotel and Resort Fee charged to Travel Card (322.14) (19.08) (341.22) `5 (15) SUBS (16) CLAIM., this page
PERSONAL PENSE STATEMENT i & ; g 11200e 6 Las Vegas, NV (SWAAE Keynote Speaker) FROM 7/26/2016 TO 7/26/2016 (8) DATE (MM /DD) Jul 26 LAX LAS LAS LAX f11//;.25.96 f Posed 1ca t Cad ( S'.z49 / Account No. )2000) Receipt No. Receipt Date Page 1 of I YES NO MISC. P. 29.9& 408.08. 9 Y0.2/ 438.04 <2710 75 7 <l.io. 2 7 L's }, r au,5 n o 4 413 lo Posid ia Travel rautot g poi?? (31) Accounting Notes akatrel }a tata6 Cit d 1740,2"9 (.70g) Y c4 çt.fit,.lrap 6;1;0 (15) SUBS 29.96 408.08 7 I'Ç 438.04 (16) CLAIM, this page 438.04 (17) FROM PAGE 1 438.04 (18) FROM PAGE 2 (19) PENSES 438.04 (20) LESS OTHER PENSES PAID BY CITY (21) CASH ADVANCE 4, (22) PAID BY CITY 408.08 l (23) OTHER PENSES PAID BY CITY 0 (24) ( DUE TO THE CITY) / DUE TO EMPLOYEE 1ge 9.2.996' I HEREBY CERTIFY that the above is a true statement of the travel expenses incurred by me in accordance with travel policies and procedures in the service o lip the CITY OF LOS ANGELES. I further certify that the above expenses were necessary in connection with the performance of my duties. (25 CLAIM 'S SIG ATURE (26) DATEm /dd /yy) (27) SIGNATURE OF APPROVING AUTHORITY (28) DATE (m /d Tyy) i 1O (2 Re_mar s / Comments:
PERSONAL PENSE STATEMENT No. Receipt Date d "3 112000 I YES NO Las Vegas, NV Future Travel Experience Account No. Receipt FROM 9/7/2016 TO 9/8/2016 11 ZFxjd I 0 MISC. P. Sep 7 LAX LAS LAS LAX.I'/ I d PSeit.4 1.cß row w1 658.96 " 658.96 (y rj. p Sep 7 Las Vegas, NV Mandalay Bay Hotel Paid by (Traveler. 2L 1.4 P Sep 7 Las Vegas, NV Taxi: airport to hotel 21.08 (25.18, less 4.11 tip). Payment via Travel Card. Sep 7 Las Vegas, NV Taxi: hotel to dinner 13.33 (16.32, less 3 tip). Paid by Traveler. (31) Accounting Notes 174 P _2.13.(Kr 194.72 I51.Zov o2..5i Y1'..216 25.19 16,1g og5 13.33 16.33 Li8 C b''' 658.96 X151. 1. (16) CLAIM, µ f2,344 I' 89520 this page gp0.19 (17) FROM PAGE 1.895720 (18) FROM PAGE 2 (19) PENSES (20) LESS OTHER PENSES PAID BY CITY (21) CASH ADVANCE 1031 998.35 (22) PAID BY CITY 658.96 (23) OTHER PENSES PAID BY CITY 65.26 2_ (24) ( DUE TO THE CITY) / DUE TO EMPLOYEE 0,Z74:13 I HEREBY CERTIFY that the above is a true statement of the travel expenses incurred by me in accordance with travel policies and procedures in the service of 1/ the CITY OF LOS ANGELES. I further certify that the above expenses were necessary in connection with the performance of my duties. (25) CLAIMANT'S.1 E 26) DAT (mm/ d /yy) (29) Remarks / Co ets: \u9ç, (27) SIGNATURE OF APPROVING AUTHORITY /% (28) DATE (mm /dd /yy)
uy (1)7RAVEL AUTHORITY (TL) NO. 0 / 10 52963 1120001 YES NO U Las Vegas, NV Future Travel Experience FROM 9/7/2016 TO 9/8/2016 //2000) MISC. P. Sep 8 Las Vegas, NV Taxis: To Venue 13.57 (16.57 less 3 tip) and Venue to._8,â }61.49 @T Airport: 18.0r23.49 less 5.42 tip) Paid by Travel Card. JA liid,d, Sep 8 Las Vegas, NV Paid by Traveler. ía31(78 ß3O8" v < 0,015. (40. 60.gte Ti io u.e/rj _four T.G. <0'5» 1 % (15) SUBS 1.0 1<5Ur 311!a1 5' 103.15 (16) CLAIM, this page 103.15
PERSONAL PENSE STATEMENT Paae 1 of /(4).5161 LI 11200V 1 [ YES NO Washington, DC RTCA Drone Advisory Committee FROM 9/15/2016 TO 9/16/2016 I I Z0619) MISC. P. Sep 15 LAX DCA LAX 1,290.01' 1,290.01,' \.. op Sfi k.t 02060 4:eQ 45 (01.0 ID. Pwi evrricumi C.ol Sep 15 Washington, DC Hotel;. vha), 044/21.' Paid via Travel 447.70'?46fl.31alt r 78ff. Card) Tarrt00 estu.o}ed Pct 2 LlY'90 Sep 15 Washington, DC Taxi: airport to hotel 23.16 (26.63less 3.50 3:47 tip) Paid via Travel Card 5)3S.2&16 263' c264,3 7f ;g" Sep 16 Washington, DC Taxi: hotel to venue 9.95 (13.98less 4 tip); 961T 2& 1 38.14 venue to airport 19.16 (24.16less 5 tip). Paid via Travel Card. /4f (15) SUBS 447.70 61 36:47 1,290.01 8' (16) CLAIM, this page )8"501. v3 (31) Accounting Notes (17) FROM PAGE 1 (18) FROM PAGE 2 (19) PENSES (20) LESS OTHER PENSES PAID BY CITY (23) OTHER PENSES PAID BY CITY (24) (21) CASH ADVANCE PAID BY CITY 1,290.01/,27140718" 2406" 2,164.18 826.17 ( DUE TO THE CITY) / DUE TO EMPLOYEE 01All I HEREBY CERTIFY that the above is a true statement of the travel expenses incurred by me in accordance with travel policies and procedures in the service cas the TY e F LOS ANGELES. I further certify that the above expenses were necessary in connection with the performance of my duties. S. /(/í, /z6 5) L,.n S NATURE (26) ATE ( m /dd/yy) (27) SIGNATURE OF APPROVING AUTHORITY (28) DATE (mm/d /yy) ( ì 1419 G : arks / Comments:
Pa 2 of 2 0 I 57)I 11200101 L YES NO Washington, DC RTCA Drone Advisory Committee FROM 9/15/2016 TO 9/16/2016 11W6()) (8) DATE (MM /DD) MISC. P. Sep 16 Washington, DC :«a. 2e00 1.7.5 I10 Fii P c4 9 1401 ß ve e l? l e wa No 56 N e (Liy7.76 ) )3,? 16,7.6_ > 676) X 0.76 v4 q ka l, <),p 00/Yí garkr` h POS 61 in T 1 Td c, Ì J e e d rte Poses 44? 6 (.6, 3 7 rizi.; 4i.ii, K.6/. JO _;?d U,z.)3 97 (15) SUBS] zj.o0.l? 2ettgi g _(l(. J7.0 po5.;_ Mil (16) CLAIM, this page 2.:f