i

cHECK No. 424895DATE ACCOUNT PO INVOICE AMOUNT

09/ 15/ 2015' 001- 0101- 410. 49- 10 T15620 9/ 9- AUSTIN 249. 31-

VENDOR NAME SELF, KEITH A ( COUNTY JUDGE) 20568 249. 31

CHECK NO. 424,895COUNTY OF COLLINSTATE OF TEXAS 88- 151 / 11192300 BLOOMDALE ROAD SUITE 3100McKINNEY, TEXAS 75071

AMERICAN NATIONAL BANK OF TEXAS/ DEPOSITORY/ ALLEN, TEXAS APPROVED BY COMMISSIONERS COURT

20568 09/ 15/ 2015 424895 249. 31

PAY TWO HUNDRED FORTY NINE AND 31 100 DOLLARS **************************** .

TO THE

COPY 0001ORDER SELF, KEITH A ( COUNTY GE)OF

C/ H DEPT 0101

MCKINNEY TX 75069

VOID

i s

TRAVEL VOUCHERI a

Dept. W

Name

Reason for travel:

e.cW'Did use a ompany? O Yes

Da e ^ 1 ' 6' ' p ace h

Mode o ravel O Air

Personal VehicleMILEA

County Vehicie O Other _ ; `'T-

ceals: m

Hote: 3. 3J

Tips: r";

Registration FeeU

Other

SEP 1015

ADVANCE? O Yes ^-,. L.I N̂^COUN'Tl'V 1 1

y L

SUMNARY OF PAYMENT-FOR AUDITOR' S USE ONLYTranspoAatlon ..—Allowane

Rslmbursable

Tofaln

Leas

AdvancementTotalAmount Du tCOMPUTED BY

AUDITED BY

I.... . .`. -•••

p....................................

sjdo hBreby ce/ ry e P/ d vs are due andpeyab/e.Paymenf or / o e e tia 1 not b en rece/ved/ romany county r o n urce

Slgned

Date 7

DEPARTMENT NEAD APPROYAL1 hereby authorize payment ol tAs above travel expsnsss clelmed.aron• a

D t

Y-3/Tnv l Vouch n/Pure aslnp! lbv. A/ ta/s7

ADDITIONAL COMMENTS:

Will'•dcive Cou°ntyVehicle::,fo Austin. . :. .

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M. tini,p4! 3:' A.

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249 - 3 1 -

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ESTIMATED EXPENDITURES FOR TRAVEL6 ° ".. ..

Name Keitfi A':'Self 3` M DEPARTMENT County. fudge` r

d.

TODAY'S DATE: 9-3-15 : " DATES OF TRAVEL: Beginning ¢: Sept. c1' 0 20 1;5::

DESTINATION: Austin T:: Endmg , Sept,,,1 20x1:5K Y :

ACCOUNT NUMBER: 001- 0101- 4:10- 49,' REQUISITION NUMBER(s) N/ A :

au

REASON FOR TRAVEL E ISED.- estify at Transportation.Committee Hearing;.

Will all or a portion of travel cotssbe reimbursed by an outside source? Yes X No

If yes, approximately what amount or percent will be reimbursed?

1. REGISTRATION FEES: PROCUREMENT CARD YES NO X

2. HOTEL FEES:*" PROCUREMENT CARD YES NO X

ESTIMATED COST PER DAY 145. 00 X 1 DAYS

IS A DEPOSIT REQUIRED? Yes No How much?

TOTAL HOTEL COSTS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . i g'. 1..45.00

3. TRANSPORTATION COSTS:

AIRLINE TICKET must use ARTA travel for reservation)

CAR RENTAL PROCURE CARD YES NO_ X_

SHUTTLE FEE

BUS

T a , 3PERSONAL VEHICLE:

Miles

0.57.5 ( mileage rate)

Total

Q=OTHER list)

Tr.

TOTAL TRANSPORTATION COSTS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `_:`: ._;: 0wr) -°

4:1JIAEAL f ER DIEM:

M"`_ srmu° abe calculated using the per diem rates provided by the County Auditor. The first and last day are 75% of a

full . t d per diem can be claimed if a meal is provided by an outside party. Per Diem meals cannot be claimed forthe ate o

r'eparture if travel begins after 7: pm. O '

TOTAL MEAL PER DIEM: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .'.,,,. ,

a. 5. SUPPLIES:"" ( ist)

15.006. PARKING:**. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . :::

7. TOLL FEES: . . . . . . . . . . . . . . . . i,

8. OTHER:*" ( st) y.

x ..

TOTAL ESTIMATED TRAVEL COSTS: . . . . . . . . . . . . . . . . . . . . . . . . t 180.00

Will an affidavit for advance be submitted for this travel? Yes X No

PREPARED BY Teresa Mercec extension X4631; AUDITOR' S OFFICE MUST BENOTIFIED IF TRIP IS CANCELED.

These costs should normally be requisitioned before travel takes place.These costs will not need to be requisitioned unless they are paid directly by the County.

NOTE: Any cost paid directly by County must be requisitioned before travel takes place. All other costs should not beincluded on a requisition; however, all costs should be included on this form. Purchase orders cannot be issued until thisform is approved by the County Auditor. r „

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09/ 10/ 15 12: 49 PM NiteVision 2014 R1 SP1

o

LA QUINTA INN AUSTIN CAPITOL

r 300 EAST 11TH STREETLAQU I N TA, AUSTIN, TX 78701

I N N S a S U I T E S 512- 476- 1166

SELF, KEITH Folio#: 0907321400

2300 Bloomdale Rd. Room: 21

Suite 4192 Arrival: / 09/ 15

McKinney, TX 75071 Departure: 09/ 10/ 15

Company: GOVERNMENT:RATE Returns Club No : `

Voucher/Ship/ PO:

Trans# Date Description Charges Payments Balance

458647 9/ 9/ 201'S Rm: 212 GOV- Governmenf - 126.00 0.00 126.00

458648 9/ 9/ 201' 7'AX- OCCUPANCY- CiTI' , 1134 0.00 13734

458649 9/ 9/ 2015 TAX- OCCUPANCY- STATE' 7. 56 ' ` $ 0.00 144. 90

458927 9/ 10/ 2015 PARKING-TX SALES TAX INC. 18. 41 0.00 16331

459028 9/ 10/ 2015 CC P1VIT= MASTER CARD,... 9750 0. 00 163. 31 0. 00

0. 00

Signature:

THANK YOU

WE APPRECIATE YOUR BUSINESS

GM200I13 COLLIN COUNTY 9/ 04/ 15

Fiscal Year 2015 Account Balance Inquiry 08 43 26

Account number . . . : 1- 0101- 410. 49- 10

Fund . . . . . . . . = 001 GENERAL FUND Project Req' dDepartment . . . . . Ol COMN ISSIONERS COURTDivision . . . . . . Ol COUNTY JUDGE - ADMIN

Activity basic . . . : 41 GENERAL ADMINISTRA'CIONSub activity . . . . 0 LEGISLATIVE

Element . . . . . . : 49 TRAINING & TRAVELOb_iect . . . . . . _ 10 EDUCATION & CONFERENCE

Original budget . . . . . . . . 6, 000

Actual expenditures - current . UO

Actual expenditures - ytd . . . 7, 364. 51

Unposted expenditures . _ . . . 1, 639. 65

Cncumbered amount . . . . . . . 1, 869. 00Unposted encumbrances . . . . . 1, 869. 00-

Pre- encumbrance amount . . . . . 00

Total expenditures & encumbrances 9, 00. 16 150. 1. %

Unencumbered balance . . . . . : 3, 004. 16- 50. 1- %

FS=Encumbrances F7=Project data F8=Misc inquiryF10=Detail trans F11=Acct activity list F12=Cance1 F24=More keys

GM200I13 COLLIN COUNTY 9/ 04/ 15

Fiscal Year 2015 Account Balance Inquiry 08=43=38

nccount number . . . : 1- 0101- 10. 49- 01

Fund . . . . . . . . : 001 GENERAL FUND . Project Req' dDepartment . . . . . : Ol COMMISSIONERS COURTDivision . . . . . . O1 COUNTY JUDGE - AD IN

Activity basic . . . 41 GENERAL ADMINISTRATION

Sub activity . . . . = 0 LEGISLATIVE

Element . . . . . . 19 TRAINING & TRAVELObject . . . . . . . O1 TREIVEL REIMBURSEMENT

Original budget . . . . . . . . 6, 000

Actual expenditures - current . 00Actual expenditures - ytd . . . 69. 00

Unposted expenditures . . . . . 00Encumbered amount . . . . . . . : 00

Unposted encumbrances . . . . . 00

Prc- encumbrance amount . . . . . 00Total expenditures & encumbrances 69. 00 1. 2 %

Unencumbered balance . . . . 5, 931. 00 98. 9 %F5=Encumbrances F7=Project data F8=Misc inquiryF10=Detail trans F11=Acct activity list F12=Cancel F24=More keys