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6.D.- Page 7of10 <br />R Mod <br />V Call(arnle <br />IUIIIII Founded N17 <br />CITY OF REDWOOD CITY <br />SCHEDULE A <br />STATEMENT OF EXPENSES <br />Attach all receipts where practical <br />NAME: <br />Amount: <br />VENDOR NO.: <br />DEPARTMENT: <br />Account Code: <br />VOUCHER NO.: <br />DATE BRKFST LUNCH <br />DINNER HOTEL OTHER <br />OTHER DAILY <br />CODE* TOTAL PURPOSE <br />* Code for OTHER EXPENSES <br />A - Taxi, Bus fare, Car rental <br />B - Telephone, Fax <br />C - Parking fees, Bridge Tolls <br />D - Plane or train fare <br />E - Registration fees <br />F - Miscellaneous <br />Total - Schedule A <br />Total - Schedule B <br />Sub -Total <br />Less Cash Advance <br />TOTAL REIMBURSEMENT <br />Account Code: <br />Amount: <br />Account Code: <br />Amount: <br />Account Code: <br />Amount: <br />Account Code: <br />Amount: <br />TOTAL REIMBURSEMENT: <br />I certify that this claim is a true record of expenses incurred on official business of the City of Redwood City <br />during the above period. <br />Date <br />Department Head Approval: <br />City Manager Approval: <br />Finance Department Audit: <br />Signature: <br />125 <br />