Club of Rome: Eco-nomics for an Ecological Civilization
9.9.14 check 406405 austin tx
1. CHECK NO. 40640
DATE ACCOUNT PO INVOICE ,, AMOUNT
09/ 08/ 2014 001- 0101- 410. 49- 01 8/ 27- DALLAS 12. 00
09/ 09/ 2014 001- 0101- 410. 49- 10 T14543 9/ 4- AUSTIN 488. 84
VENDOR NAME SELF, KEITH A ( COUNTY J[JDGE) 20568 500. 84
CHECK NO.
4 64 5
co
COUNTY OF COLLIN
STATE OF TEXAS 88- 151 / 1119
2300 BLOOMDALE ROAD SUITE 3100
McKINNEY, TEXAS 75071
AMERICAN NATIONAL BANK OF TEXAS/ DEPOSITORY/ ALLEN, TEXAS APPROVED BY COMMISSIONERS COURT
20568 09/ 09/ 2014 406405 500. 84
PAY FIVE HUNDRED AND 84 1-00 DOLLARS **************************************
TO THE
py_000ORDER SELF, KEITH A ( COUNTjJUDGE)
OF
C/ H DEPT 0101
MCKINNEY TX 75069
VOID
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TRAVEL VOUCHER
Dept.. w k. c
Name e 1 Se-'
Reason tor travel: Q e n.r.l Te Gc. s
irrtiv s(Jpr-F-k, i o Co r,.r, s s:, a., /"` esz i`
Did spouse accompany? O Yes 1 No
Date - Z1- ('' Place 4- S - D
Mode of Travel O Air
O Personal Vehicle
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County Vehicle O Other ;` n
N -
Meals: rnv z
Hotel: c, ""<
Tips: sn
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Registration Fee a
other Pa-Yk Kq - l2. o
da:
ADVANCE? O Yes No n
t e fi',
SUMNARY OF PAYMEPIT- FORr
I GR' S QNLY
TranspoAetlon
Allowance '- r, t '
Relmbursable
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C OFess
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Advancement
Total
Amount Due c (
COMPUTED BY
AUDITEO BY
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do hereby cert!!
y Mat th ! exp/8/ne abov are due andpayabls.
Payment or c dl / or eD trevs ot b en rece/ved Irom
any county r n- ty rce.
Signed L
Date
DEPARTMENT MEAD APPROVAL
I Ae eby authorize peyment ol the above trevel expenses claimed.
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3. f=i;i; Computer Nui ber: Zp
Cashier: McGregoi' Id a] 09
iransaction Number: l# 00 1
f_ nterecl:
08/ 2//201d 11: 33
Exitetl: 08/ 2//2014 15: 5Ei
ficket q3G70 Dispenser q3
Lol:
Lot 15
Ar ea:
Area 1
Rate: UarRate 1
F' arking Fee: 12. 00
Total Fee: —
12 pUCash: Z0. 00
Total Paid: 20. U0
Ci iange Due g, p
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TRAVEL VOUCHER I S 3
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Name e
Reason for travel: 7.. 5' cQ.e
Coa,,. M- iwy
Did spouse
accompany? O Yes No
Date f"5 Place 5 N-
Mode of Travel O r
Personal Vehicle - T b ° C• S` Z 5 7 O
YILEAaE
O County Vehicle O Othe / f
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Meals: p
Hotel: 3. Z g
Tips:
Registration Fee 3—'
Other GL1f' I Z, c T'
o 4 s.
ADVANCE? O Yes No
AYOUfR
SUMIIIARY OF PAYMENT-FOR AUqITOR'S USE ONLYTranspoAatbn
Allowane i/
Relmbursable /_
Tota 1( / .
Amount 7 0 d
Less
Advancement
Total p
Amount Due J
COMPUTED BY A EO BY
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do Aereby certlly Mat fh g1" ,a/ aie s arid ! s.
Paymant or c ! / or e f ' " not b en re d m
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DEPARTMENT MEAD AP OVAL
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1 hereby authorize payment ol the above t avel expeoass Naimed.
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6. ESTIMATED EXPENDITURES FOR TRAVEL
Name k Keith A e''' ,,, _
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DEPARTMENT County.J[idg '.`:
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TODAY'S DATE 9-3- 14``, a.. c,,`
DATES OF TRAVEL: innin # SBpt' 4 2 4k " .
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DESTINATION: Ausbn` TX`` .-_-,
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Ending ' Septa5; 2 14r
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ACCOUNT NUMBER: OQ1-0,101- 4"10-498?'- REQUISITION NUMBER(S) '. ,'" r ,;
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REASON FOR TRAVEL ;: UPDATED P[ opvs i0n 1; 3takeholtler°s; `"' ' „ ''
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Cd'mmitte Nlestin Y , i ,`' ;
Will all or a portion of travel costs be reimbursed by an outside source? ' Yes X, ;:! No
n:
If yes,
approximately what amount or percent will be reimbursed? ,, k'.
1. REGISTRATION FEES: PROCUREMENT CARD YES NO X ' " t 0;'
2. HOTEL FEES:** PROCUREMENT CARD YES NO X
ESTIMATED COST PER DAY .>;,~" 200.00 X ; 5 1' DAYS
IS A DEPOSIT REQUIRED '_ Yes "' No How much ', ;,;
TOTAL HOTEL COSTS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `, w r200 00.
3. TRANSPORTATION COSTS:
AIRLINE TICKET _,.., ;. ; ( must use ARTA travel for reservation)
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CAR RENTAL __,;:...............::K;.;, PROCURE CARD YES NO X
SHUTTLE FEE .;,.;; r ::;}
BUS "`;,
a"
T _
y _
3 =
PERSONAL VEHICLE:
u',' 0;; Miles
0:56:;;:: (mileage rate)
Total 257...60.:;
OTHER ` _... ;
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a x.:
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TOTAL TRANSPORTATION COSTS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .;,; 257.60
4. MEAL PER DIEM:
Meals must be calculated using the per diem rates provided by the County Auditor. The first and last day are 75% of a
full day. No per diem can be claimed if a meal is provided by an outside party. Per Diem meals cannot be cl
the date of departure if travel begins after 7: pm. c,>
TOTAL MEAL PER DIEM
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5. SUPPLIES:•* ist r `'`. '
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a f a`.t._ . i3'`:' h Y. .' r, ... R' X, xs.,..:= r+.R D. „ i
6. PARKING:*•. . . . . . . . . . . . . . .
t,:
k. . , ,
R10 0:;.,
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7. TOLL FEES: r b83 ' ,
U 0
s p.
8. OTHER:** ( List) : '
t x
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TOTAL ESTIMATED TRAVEL COSTS: . . . . . . . . F.,
z,,:, „
5, 7;60,.
Will an affidavit for advance be submitted for this travel? , r g Yes : X No
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PREPARED BY Teresa Me cer. .'... ° ,:., extension : X4631 A. . AUDITOR' S OFFICE MUST BE
NOTIFIED 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 be
included on a requisition; however, all costs should be included on this form. Purchase orders cannot be issued until this
form is approved by the County Auditor.
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7. ADDITIONAL COMMENTS:
Judge Seff v ntl dr ve$person""al vehicie toand"fromAustin ' - °, "
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8. COLLIN COUNTY
TRAVEL EXPENSE WORKSHEET
NAME: TODAY'S DATE:
TRAVEL DATES: From / / To / / DESTINATION:
HOTEULODGING Sunday Monday Tuesday Wednesday Thursday Friday Saturday zoo orwRiTe mT s a Ea",
Daily Charges) I l l I l l l l I l l E Co nty Auditor,UsebiO.n_ty; a
V ' '' '
4.. h • .
V, l~'`w .
1'J:>'`'"-%
r`i°'!°'i:r ,.,x,; a,.,
4` r f :`
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r ? ti .:
MEALS Sunday Monday Tuesday Wednesday Thursday Friday Saturday v' ' r' p. f''.,',`.^
includinggraWities) v`,
Breakfast r r; `,, ':^
cYrr:';`;?;
Lunch
3..CN.. ... ..:.. ........................ ........................ ::, .,w. ^: n:.:r t ; r'
n
Dinner
K .:.
Other Gratuities
f ' ` `
r r-' x'
AIRFARE
r# "
L,..
C' s.
RENTAL CAR t xr::
r r Rx. Ir.; r,:
GAS hyyy'v;, y,` .: ,.. ::;;;;i:
Sunday Monday Tuesday Wednesday Thursday Friday Saturday <; , '`'; 3 b
l l I I I l l l l l l I l l r:'
PARKING( Per Day) C! C'
r. .,:>.,
TAXI, SHUTTLE
ti•:•::
TOLLS, FEES r=: ;.
usx,.;;:::, .
PERSONAL VEHICLE
MILEAGE t%k ' y a',
Normal Commute r"- .
From To Distance:
From To
5' ;:;;;:
From To Reimbursement Rate
From To 0.55 K:;: .:. sx::• '.
r::..,,•,+' ..i,'
y
At : .
OTHER EXPENSES
TOTAL EXPENSES '`:` 4'_, ' '
ADVANCED AMOUNT *::*%<
r=::,s..... r}=.: ;., 1 . , .,
Please complete this worksheet by hand or computer, make a copy, and return with travel voucher.
3„;;,
A'„ITEM$SREQUIRED;FOR PROCESSING AND REIMBURSEMENT,OF,,TRAVEL^EXPENSES;"°.
Itemized Hotel Receipt
p
Must show daily rates with associated fees and taxes.
Itemized Meal Receipts
Receipt must provide itemized listing of food and beverage purchased.
Please include reasonable tips or gratuities with cost of the meal- do not separate.
Credit card receipts alone will not be accepted for reimbursement.
Airfare Receipts
Receipts must display the name of traveler, fare, travel dates, end p8yme lts m8de( Boarding documents are not receipts)
Rental Car Receipts
Receipts must include the rate, options, 8f1d Bddlll0f181 f@8S Ch8f98d( i.e., LDW Insurance, Retumed Requiring Fuel, etc.).
All other necessary receipts to verify expenses.
Please note:
The county will not pay for snacks unless you are substituting this for a meal.
You are allowed three( 3) meal receipts per day. Anything in excess of three will not be reimbursed.
Do not include any charges made to/6y a County procurement card on this travel voucher form.
When using personal vehicle, internet mileage sheet must be submitted showing distance from starting' point to destination. Additionalmiles to/ from a hotel, conference location, and for meals will be allowed. Miles for sight seeing or personal travel will nof,be allowed.
9. 2300 Bloomdale Rd, McKinney, TX 75071 to 125 E 1 lth St, Austin, TX 78701 - Google Maps Page 1 of 1
i Directions to 125 E 11th St, Austin, TX 78701
CjQ t 230 mi- about 3 hours 32 mins
2300 Bloomdale Rd, McKinney, TX 75071 .
1. Head northwest on Bloomdale Rd toward Community Ave go 476 ft
total 476 ft
2. Tum left onto Community,Ave go 0. 1 mi 9
total 0. 2 mi
3. Take the 1 st left onto James M Pitts Dr go 0. 9 mi
About 2 mins total 1. 0 mi
Wilmeth Rd 0 0. 1 mi4: Tum left onto 9
L total 1. 1 mi
y
5. Take the 1st right onto N Central Expy
ix
go 0. 1 mi'
total 1. 3 mi
g--- g .- _. g
i
75 6: Sli ht' left to mer e onto TX- 121 S/ US- 75 S' , 0 32.9 mi I
Continue ta follow US75 S total 34.2 mi'
Abouf 33 mins
7. Take exit 284A for Interstate 30 go 0. 5 mi
total 34. 7 mi
I 8. Keep right at the fo K; follow signs#or 1- 30 W and merge,;onto 1- 30 W r
go 1. 4
mii
I_ About 2 mins total 36. 1 mi e
a ----- s
9. Take exit 446 on the left for Interstate 35E S toward Waco go 0. 5 mi
total 36. 6 mi
i 10: Merge onto 1- 35E S go 4 3 mi„
About 4 mins _ total 40 8 mi"
11. Keep left to stay on I- 35E S, follow signs for Waco go 52. 7 mi
About 46 mins total 93. 5 mi
T---- T . _
12 Continue onto 1 35 S go 77 7 mi
J About 1 hour 8 mms ; totaf 171 mi
13. Keep left to stay on I- 35 S
c i `
go 58. 0 mi
About 51 mins total 229 mi
r- ---- -
14. Take exit 234C toward 12th - 11th Sts/State Capitof go 0 2 mi{
totaf 229 mi;i
15. Merge onto N Interstate 35 Frontage Rd
c c -
go 0. 1 mi
total 230 mi
16'. Turn ri ht onto E 11th Stg go 0.4 mi,
About_1 min , total' 230 mil
g 125 E 11th St, Austin, TX 78701-
These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to
differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route.
Map data 02014 Google
Directions weren't right? Please find your route on ma s.google.com and click" Re ort a problem" at the bottom left.
https:// maps.google. com/ maps? fid&source= s_ d& saddr= 2300+ B1oomdale+ Road,+ McKinney,+TX& daddr= 125+ E+ 11 th... 8/ 28/ 2014
10. 09/ C5/ 14 1,: 43 PM, `
NiteVision 2014 R1
I_A QUINTA INN AUSTIN CAPITOL
300 AST I 1 TH STREET
n LJ 1: N TA AUSTIN, TX g o
INNS a SUITES 512-476- 1166
SELF, K I'C1 I
Folio#: 0907284912
2300 Bloomdalc Kcl. Room: 438
i1 Icl inncy,' l' 7 071 Arrivalt 09/ 04/ 14
Co npany: GOVl: l2' IEN1' I2AT Departure: 09/ OS/ 14
Returns Club No :
Voucher/Ship/PO:
I' rans# D. icc llcscription Charges Payments Balance
278970 9/!/ 2014 Rm: 438 GOV- Government 115. 00 0.00 115. 00
273971 9/-/ 2014 7' n- OCCUPANCY- CITY 10. 35 0.00 125. 35
273972 9/=!/ 2014 TnX- OCCUPANCY- STATE 6. 90 0.00 132. 25
279035 9// 2014 Pi RKi TG- TX SALES TAX INC. 12. 99 0.00 14524
279104 9// 2014 CC PMT- MASTER CARD ... 4144 0.00 145. 24 0. 00
Balance: 0.00
Signature:
THANK YOU
WE APPRECIATE YOUR BUSINESS
11. L Quinta Inn and Suites Reservation: Confirmation Page 1 of 2
Thank you for choosing La Quinta Inn and Suites. Your reservation details are listed
below.
CONFIRMATION NUMBER( S): LA I. N T/
3180313328
iNr s . suiT s
Hotel Reservation Information
HOTEL La Quinta Inn Austin Capitol
La Quinta Inn
Austin Capitol ri-.. c7 c r
300 East 11th St
r `,
o `" y' ( f;sth'Sr t3'
Austin, TX 78701
S,
S o ti Q, F ank Erwin
rr; , m;..J
Fjs1 Center
1- 512- 476- 1166 o- Qfi- a; u u h,Sl ,,, rr p
o° o 3, m /`
M E D 1'L' O 1
Drivinq Directions fiy., j' l" .,`
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4rti s
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Texas'` ) ;
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EDirections:• s Caprtol 1 (
H / r
L- n - o.I- 35 N- bound: exit 234C(6th- 12th Streets), "
irys ,; ` l 7 Umversity' t
290
m
tu r n left o n 1 1th Street, Hotel is located 3 tli,-S1J Qv
Medical Cente c-
lblocks down on the right.
7 / % F Brackenndge /
Srh st l
w
rh s V f rh:S't l
ir
r
I- 35 S- bound: exit 11th/ 12th Streets, turn ` '`
py >> ' rh`' ~ i
9rh, t S a y / j r -rCt
ri ht on 1 TStreet, Hotel is located 3 blocks t,- Sr. ,( -_
down on the right.
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7/ S 1
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From ABIA: Exit airport via 71 W. Take 71 W i.V ' yy,
h`
Sr
j '
s
to I- 35N, Take Exit 234C(6th- 12th Streets). ,'' , '
r
61/,/ v
t:., f `„
If
Turn left on 11th Street, Hotel is located 3 ;
7
St "'' "/
4- ' h'Sr- , J `' ro`
blocks down on the right.
y ' s '`
ad3 `c:'.rLIIN_ I~ I ? r.., rh:jyla Report a map error
NOTE: Valet parking only at this hotel.
A valet charge will apply. Please contact
the hotel for more information.*'
TRAVEL DATES
Check- in: 09/ 04/ 2014
Check-out: 09/ 05/2014
Nights: 1
ROOM INFORMATION
Number of Rooms: 1
Number of Adults: 1
Room Type: One King Bed
Rate Type: US Federal Government Rate or
US Military Limit 2 rooms per valid ID
Rate Description: Commissionable
Room Rate: 115. 00 USD
Subtotal: 115.00 USD
Estimated Tax: 17. 25 USD
Estimated Total with Tax: 132. 25 USD
Taxes are estimated, subject to change
prior to arrival, and do not include additional
fees required by the selected hotel.
Customer Information
Name: Keith Self
Address: 2300 Bloomdale Rd.
City, ST ZIR: McKinney, TX 75071
Phone Number: 972- 548-4623
Email Address:
keith. self@collincountytx. gov
BILLING INFORMATION
Credit Card Type: MasterCard
Credit Card Number: '**""•*•*« 3318
Expiration Date:
http:// www. lq.com/ lq/reservations/ respath/ confirmation rint.jsp 9/ 3/ 2014
12. L' Quinta Inn and Suites Reservation: Confirmation Page 2 of 2a
ROOM DESCRIPTION
One King Bed
NEW! Samsung Flat-panel TV with 30 channels of HD programming
Plug- and- Play" TV feature makes it simple to connect electronics
Free High- Speed Internet Access
Free Bright Side Breakfast0
Bright Morning Pillow Top Beds
Convenient Work Desk
Coffee Maker
Hairdryer
Iron w/Ironing Board
Free Local Calls
Alarm Clock
DEPOSITIGUARANTEEICANCELLATION POLICY
DEP CREDIT CARDS: AX CB DC DS MC VS VI CA CANCEL BY 6PM 04SEP14 LOCAL PROPERTY TIME TO AVOID
PENALTIES. For reservations cancelled within the stated cancellation policy period that include free night(s) redeemed with La
Quinta Returns points, you must contact the Returns Service Center at 1- 800-642-4258 to have your points restored to your
account.
http:// www.
lq.com/ Iq/ reservations/ respath/ confirmation rint.jsp 9/ 3/ 2014