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HomeMy WebLinkAbout*Other - GRISJuly 23, 2019 RA... NT 848 E. Plum Street Moses Lake, VSA 98887 INTEGRATED SERVICES Phone. (589) 785*9239 Fac: lr%8 } 7A CM 8 Grant County Commissioners Grant County Courthouse Ephrata, WA Honorable Commissioners, day of 20L41.Dated this jZ�� Board of County Commissioners Grant County, Washington stein Arove Ah Disa rove 't#1 Dist #1 Dist 41 Des t#2 Dist #2 Dist # is ' # 3 Dist #3 Dist #3 Dist A recent audit of the Grant Integrated Services Advanced Travel Account found check number 3155 was issued to an employee on Nov. 1, 2017 in the amount of $110.25 but was not submitted for reimbursement. Attached to this letter is the documentation corresponding to check number 3155. Therefore, I am requesting the reimbursement for check number 3155 at this time. Your approval would be greatly appreciated. Sincerely, (afZA-C.'-'4 A t6 Karen Hand Accounting Technician 1 840 E. Plum St. Moses Lake, WA 98837 (509) 765-9239 RECEIVED :UG — 8 2019 GRANT COUNTY OOWI ISSIONERS Located In: Moses Lake I Quincy I Ephrata I Grand Coulee I Mattawa I Royal City N V X,\\ Q RATED'SERVICMTRAVELEXPENSE VOUCHER Name Courtney Armstrong Employee Signature: Date: I 11/1 /2017 Supervisor Signature Authorization Department GrIS Month and Year of Travel I Nov -17 List meals provided I Breakfast and Lunch 11-3-17 Purpose of Travel and Other Expense— Prevention Summit Travel Status Travel Status Mode of Travel Day Begin End From/To (PC or CC) Miles Federal Mileage Location (see Meals Per Breakfast Per Federal Lunch Federal Dinner Other Expenses Allowance Lodging list below) Diem Diem Per Diem Per Diem Meals Provided Claimed Total 0001 2359 Moses Lake -Yakima CC 5 XM "I 2 0001 2359 Yakima CC 5 3 0001 1800 Yakima -Moses Lake CC 5 4 'N' 5 ;>�;vvv�,vy��v\ v����\�wv��w� A X -1-- 10 NO\ 6 RK 7 8 11111111\\N' 11\111\ 9 0"WR "N �0 MW 10 N RN M'� \ N R\ �21\ N \01 12 ONE X\\' 5---pg\\gg" vp 13 14 am Z M 15 16 17 18 19 20 21 22 23 24 25 NO 26 27 28 29 N 30 31, IN g7 Location Codes: PC Personal Car al Amount Charged On County Credit Car I - $74 King, Clallam, Jefferson (Seattle, Port Angeles/port Townsend) CC County Car Enter Travel Advance (blank if none) $ 2 - $69 Skagit, Island, Thurston, Grays Harbor (Ocean Shores, Olympia, turnwater, Lacey) Due t( Employee 3-$64 Spokane, Pierce, Clark, Cowlitz, Skamania,Snohomish (Tacoma, Vancouver, Everett, lynnwood) Due to County 4 - $59 Benton/Franklin (Richland and Pasco) 5 - $51 All Others (Winthrop, Yakima...... 10/19/2017- rg October 2017- Sept. 2018 and per policy we gave incidentals http://www.gsa.gov/portal/categorV/10012 ------------------------------------- ---- -- --- -- • � i1 TRAVEL CHECKLIST Employee Courtney Armstrong Date 10/26/2017 Name of Training Prevention Summit Location of Training Yakima, WA Training Date(s) 11/2-11/3/17 Departing Date Wed 11/1/17 Depart Time 5:00 PM Returning Date Fri 11/3/17 Return Time 6:00 PM Hotel Oxford Suites Arrive Wed 11/1/17 Depart Fri 11/3/17 Parking? Yes, parking is free. Confirmation # C12DL7RH Credit Card Aut h. Completed 10/26/17 w Registration for C Ir � (1 Training Registered 10/26/17 Out of State Travel? No. Reyna will complete your Advance Travel. Please make sure you take your County Badge with you to your hotel to prove you are a Government employee. Given to Reyna for Advance Travel 10/26/2017 am", -A6-6 ww-q%vlq'"v"'W III# ob jjtAVjC*-A24,u4 "MV q. 1 10/26/2017 HOTEL DETAILS 11/1/2017 Hotel Name Oxford Suites Yakima Hotel Address 1701 E Yakima Avenue Hotel Phone 1-509-457-9000 Toll Free to Hotel 800-404-7848 Fax 1-509-576-9757 Reservation Email resei-vations-yko@oxfordsuites.com oxfordsuites.com RESERVATION DETAILS Itinerary Number 17623BO210919 Confirmation NumberCl2DL7RH Reservation Confirmation -- Printable Version Arrival Date 11/1/2017 Departure Date 11/3/2017 Package Total 1 Number of Guests Guests Summary City Tax - OCC 1 Adult Number of Rooms 1 Room Type Studio King Suite Booked Rate Government Discount Policies by 4PM, 1 day before arrival: penalty 1 nts Igreenwalt@granteountywa.gov grantcountywa.gov Credit Card guarantee required for booking. PRICE DETAILS Name Room Total USD 256.00 Package Total Billing Address Local Tax - OCC USD 7.68 City Tax - OCC USD 4.35 State Tax - OCC USD 16.64 Misc TID - OCC USD 4.00 Itinerary Total USD 288.67 Personal Information Name Courtney Armstrong Company Naive Grant County Billing Address PO Box 37 City Ephrata State/Province Washington Country United States Postal Code 98823 Mobile Phone 5097659239 Email Address Igreenwalt@granteountywa.gov grantcountywa.gov Payment Information Cardholder Name Grant County Card Type VISA Card Number XXXXXXXXXXXX5123 Expiration Date https://gc.synxis.com/Popups/PrintPopup.aspx?hotel=38815&hotelgroup=17623&lang=1 &view=154&template=ecef9c08-0069-4d49-b672-774e5568a2... 1/1 Unze Greenwalt From: Linze Greenwalt Sent: Thursday, October 26, 2017 11:41 AM To: 'reservations-yko@oxfordsuites.com' Subject: CC Authorization - Armstrong, Alcott, Vincent, Goodman Attachments: GRIS-UCC@grantcountywa.gov_20171026_112521.pdf Hello, Please see attached credit card authorization for the following reservations: Courtney Armstrong - C12DL7RH Megan Alcott - C12DL7VZ Maddison Vincent — C12DL7Y1 Kellan Goodman - C12DL805 Please confirm receipt. Thanks! L tn��& (� raamv aW Administrative Assistant to Senior Leadership Group R 'A I N 840 E. Plum P.O. Box 1057 Moses Lake, WA 98837 509.765.9239 x5470 Office Igreenwalt@grantcountuwa.gov 1 N i14 1 N UVWK.1 AUTHORIZATION On this 2—Lt-"" day of OC7h , I hereby authorize Oxford Suites Yakima to charge my credit card as indicated below. By doing so, I guarantee full payment of the account described. C Un-N r m 6% -Ho n-*-' Guest Name Arrival date Departure date 1 l I3 Bill to include: room and tax )< bill all charges Incidental charges only other Type of credit card: V I S -C-A Credit card number 5123 exp date 1� 1 Card holders: Name (Print) L.- i n7,Z �,`(".P-EI(1, ja- �'± Name (signatur Address:�S7 1 Y CA S $� Phone:7LD5—C123G Fax: K FJ -4't D Please photo copy the front and back of the credit card and the card holder's driver's license and fax them with this completed form to 509-576-9757. Thank you! The Management of the Oxford Suites Yakima Registration I WA Prevention Summit Page 1 of 2 9 HomeV Yci,-� Sc he%dula V Awards PadUcipa0rV Spcinsors- 4 Exhib4mV Regisbration TI -ave -11 1'r-17,10 i r ti Online registration is open! .. . ....... . . -7-7- Adult Program Registration Registration Fee: $250 Team Adult Advisor/Chaperone and Youth Program Registration Team Adult Advisor/Chaperone Rate: $200 Youth Rate: $100 Adult Program Registration Click here to register! Team Adult Advisor/Chaperone and Youth Program Registration Teams will be able to register online until October 27, 2017. All teams must register and arrange for payment (Purchase Order, credit card, check) within this time period to attend the Prevention Summit. Click here to register Your team! All youth teams must also bring completed and signed youth permission forms to the Summit. Am" Forms Team Adult Advisor/Chaperone Guidelines Youth Checklist and Permission Packet Washington Prevention Provider Meeting 2017 Thursday, November 2, 2017 9:30 am — 4:30 pm — The Washington Prevention Provider Meeting 2017 is open to everyone. This meeting is a requirement for Community Prevention and Wellness Initiative (CPWI) ESD staff, County Prevention staff (if applicable) / Community Coalition Coordinator or their designee. Registration for this event is separate frorn the Prevention Summit Conference. To register for this meeting only, please click here. Payments Payments can be made by credit card, check, or purchase order using the online registration system. For checks and purchase orders, please make them payable to 'Board of Regents' and reference the participant(s). Please mail payment to the address below, Mailing Address University of Nevada, Reno ATTN: Prevention Summit UNR/MS 0024 http://preventionsummit.org/registration/ 10/25/2017 Registration I WA Prevention Summit Page 2 of 2 1664 N. Virginia St. Reno, NV 89557 A-1— E�] Form UNR—IP19—Form -University of Nevada, Reno/Board of Regents/NSHE w9 Form Cancellation, Substitution, and Refund Policy Cancellations must be received in writing by October 20, 2017. Please send a request in writing to contactus@preventionsummit.org with "Cancellation" in the Subject line. After October 20, 2017, substitutions will be accepted, but refunds will not be provided. No-shows will be billed the full registration fee, 1, - _U ') . _f_'I, T) tho T-�v 1)1�) 1 -7 *t'2017 http://preventionsummit.org/registration/ 10/25/2017 Receipt Page 1 of 2 Selection Adult Non -Chaperone: Courtney Armstrong Sub Total. - Adult Non -Chaperone: Megan Alcott Sub Total. - Adult Non -Chaperone: Maddison Vincent Sub Total.• Adult Non -Chaperone: Kellan Goodman Sub rotal.- Receipt Reference Number 28288031 Date Registered 10/26/2017 Statement Date 10/26/2017 Event Prevention Summit - All Event Details 10 North 8th Street Yakima WA 98901 Event Date 11/03-11/04/2017 Total Billed To Billing Company Grant Integrated Services Name Grant County Address Line 1 PO Box 37 City Ephrata US State WA Billing Zip/Postal Code 98823 Country United States Email Address cearmstrong@grantcountywa.gov Date Transaction Type 10/26/2017 Transaction Amount 10/26/2017 Online Credit Card Payment(xxxxxxxxxxxx5123) Balance Payment Instructions Payment Instructions: Please make all checks payable to "Board of Regents" and mail checks along with invoice to: University of Nevada, Reno ATTN: Prevention Summit UNR/COB MS 0024 1664 N. Virginia St. Reno, NV 89557 Cost $250.00 $250.00 $250.00 $250.00 $250.00 $250.00 $250.00 $250.00 $1,000.00 $1,000.00 $-1,000.00 $0.00 https://www.eiseverywhere.com/ereg/invoice.php?id=6b22277067859e34dda25a95 81 b23 ... 10/26/2017 r Receipt Please not our mailing address has changed. Payments can be made by credit card via the online registration system or by calling 877-922-6635 If you need the W-9 form for this event, please click here. Page 2 of 2 Cancellation Policy Cancellation Policy If you are unable to attend the conference, please send a written cancellation notice to UNR/COB no later than 5:00 p.m. on Friday, October 20, 2017*, for a full refund. If your cancellation notice is received after the deadline a refund will not be possible. Please write contactus@preventionsummit.org with "Cancellation" in the Subject line. No "Substitutions" are allowed past this deadline as well. No Shows will be billed the full conference registration fee. **Due to the nature of funding, it is the registrant's responsibility to follow up with UNR/COB within two (2) months after the conference in the event a refund is not received. If a registrant does not follow up on a refund and it is not received, no refund will be possible following this deadline. If in need of assistance, please call 877-922-6635. https://www.eiseverywhere.com/ereg/invoice.php?id=6b22277067859e34dda25a9581b23... 10/26/2017 STAFF NAME: Courtney Armstrong TRAINING REQUEST FORM DATE: 10/23/2017 NAME OF TRAINING: Washington Prevention Summit All Provider Meeting LOCATION OF TRAINING: Yakima, WA LOCATED IN WA STATE? 0 Yes ❑ No DATES OF TRAINING: 11/2/2017 through 11/3/2017 DEPARTING DATE &TIME: 11/ 2017 RETURNING DATE &TIME: 11/3/2017 6:00pm HOTEL NEEDED? 0 Yes ❑ No AIRFARE NEEDED? ❑ Yes N No WHO WILL BE IMPACTED BY THIS TRAINING: 0 Employee ❑Team Members ❑ Other Agency Staff ❑AII Agency staff WHAT WILL YOU BE ABLE TO BRING BACK TO THE AGENCY? (What can you then train your team, other teams, agency leadership, and other groups on?) Required Meeting/training per contract MANAGER APPROVES (CIRCLE ONEj-s.-yES;"end form to Leadership for further approval NO, Training is denied Manager Initials ESTIMATED COST: LEADERSHIP APPROVES (CIRLCE ONE): YES NO INITALS Date 5/30/17