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Expense Report 0000001990
James Allen
Phon« Department ID: 1060 EmpllD: 000640
Report Date: 05/13/2010 10:50:13AM Status: Staged
Description: Inter-City Visit Fairfax, VA,
Business Purpose: GENERAL TRAVEL AND EXPENSE
‘Comment: No Travel Authorization ereated for City Manager Russell
Allen trip o Fairfax, VA . Tp was paid by a non-City grant
but didnot cover these unanticipated expenses.
Date Expense. ‘Merchant Location ‘Amount Currency
oaravzo10 MODENTALS Waonegon OC Novo NeaMO. 2500089
| ce0120:0 NCIDENTALS Miashrgen OC Neto Wea 2800 USD
osroioro PER DEM RATES Wiashingon OC Met Nea MO 8 uso
| pa J
Employee Expenses 3200 USD Toll Bue Employee 68 USO
NonReimburable Expenses: 000 USD. Teale Vendor 000 uso
Prepaid Expenses 0.00 so
Employee Cred: 0.00 so
Vero reds 000 uso
Cash Advances Applied: 0.00 USD
| certify thatthe information provided above Is an accurate record of expenses incurred.
Employee Signature Date
Approved by HR Supervisor Date
Approved by Expense Manager Date
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