HomeMy WebLinkAbout*Other - AccountingDa.te,-. SuIv-30--.201 9
To--, Board of Countym
-.�Comi'ssioners..
'From-,"Em.11.1'. Wash.
Re: . Ge'Aeral. Ctai'm xPense. er
The attactledVoExim
-Lichers vi''lates ur Travel
aining Re mbuts.etneiit� polcy#.
'Tr " `
pse iI
'If you Wish -to approve this. ex diture as."'s, please d so hy $.P.P ..i Aim as ffie:
pQn,. arate-Mc...
ount 1* s notiffieltided Nvitl-i the totals -approved by the Accountil ig.. office,
Ify
o4.on .s plbaw do not he�sft*atet b- ash,q
CO,
Einili Wa,sh
------------------- ........ .
G- kh Dept: 'Veter'' S IceS
ric
Claimant* Jerry Ing aiman't s e,*rv.
-- ------------------------
ip* e.
Purpose Of Claim. Tra:- Ve I Destin-aition.- m t I
. ..........
--- - - ----- -- ------------ - - --- - ------ - ----
MEALS :MILEAGt
OATE BF L D, IE TOTAL
.$0.00:
.............
$ `27
$0.00,
$0.0.0
;$0-0-0
..... ........
TOTAL $10.27'
H...OTELS Creceipt�xequireq).-
DATE
FROM (cam -ST)
TO (my,.
-MILES IU -T -.E
TOTAL
V9/2019
Epbr;4--ta WA
IN W
Electric.C—` 'A
-112. $0.58
-6.4,96
.7
A.
ich! nd,
$116M
$0x00
TOTAL
C'HECK-I'N DATE CHECK-OUT DAM ..HOTEL.KAIVIE LOCATION (COLINTY.'n)
T' TAL
OTHER,creeeie
lirs r qulmd)
CER.-TIFIC-ATION. Auffio.r.izati.on required. ;for Eniplovees.:
the tinderisi6:h-d d6 hereby certify under penalty of "ate
perjury
E.LECTED OFFICIAL., DEPARTMENT HEAD, OR. DE SIGNEE
claim is :a just, du -e and. unp�iid: obligatibn �gn the 'Colinty, and that: I
f N
arn authonized to cerdify- tos.aid Claim
laimah.t. Sighature, ti ign.cature.-
............
v
Date., Date-..
VCI. SCYVtCeS — 191.23
ia�{1�6-- s�szo�f�c,n
Atith-orizaticii.required for Comat "s s-orElected Gfficials
C
Z y Commi, sionet c 0 FtION T,
AUDITOR:.
Naffie(prin'te- d).-:
Signature;
Date: