Expense+Reports


 * EMPLOYEE NUMBER: ||  ||||||   ||   |||||||||| FOR OFFICE USE ONLY ||   || CLAIM MONTH: ||||||   ||   ||   ||   ||   ||
 * ||  ||   ||||||   ||   ||||||||||^   ||   ||   |||||||| MM/YY (ONE DEMAND PER MONTH) ||   ||   ||   ||
 * EMPLOYEE NAME: ||  ||||||^   ||   ||   || DEPARTMENT: ||||||^   ||   ||||||||||^   ||   ||   ||   ||
 * ||  ||   |||||| (Last Name, First Name) ||   ||||||||||^   ||   ||   ||||||   ||   ||   ||   ||   ||
 * EMP LOCATION ADDRESS: |||||| 333 "C" STREET, MARTINEZ, CA ||  ||||||||||^   ||   || EMP PHONE #: ||||||^   ||   ||   ||   ||   ||
 * TRAVEL DEMAND BY PRIVATE AUTO ||  |||||||| EXPENSE REIMBURSEMENT ||   ||   |||||| FOR AUDITOR'S USE ONLY ||   ||   ||   ||
 * DATE |||||| FROM/TO |||||| PURPOSE || MILES ||  || DATE |||| ITEM OF EXPENSE || AMOUNT ||   ||   || PD TAX || REIM TAX || NO TAX ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   || TOTAL || TOTAL || TOTAL ||   ||   ||   ||
 * ||  ||   ||   ||   ||   || TOTAL ||^   ||   ||   ||   || TOTAL ||^   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||| EXPENSE CODE 1: MILEAGE DISTRIBUTION ||  ||   ||   |||||||| EXPENSE CODE 2: EXPENSE DISTRIBUTION ||   ||   ||   ||   ||   ||   ||   ||   ||
 * || ORG |||| TASK || OPT |||| ACTIVITY || MILES ||  || DATE |||| DESCRIPTION || ORG |||| ACCT || TASK || OPT || ACTIVITY || AMOUNT ||   ||   ||
 * The undersigned under the penalty of perjury states: That this claim and the items as therein set out are true and correct; That no part thereof has been heretofore paid; ||  ||   ||   ||   ||   ||
 * and That the amount therein is justly due; and that the same is presented within one year after the last item thereof has accrued. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * EMPLOYEE'S SIGNATURE ||  || DATE ||   ||   |||||||| SUPERVISOR'S SIGNATURE || DATE ||   |||||||||| DEPARTMENT HEAD OR DEPUTY || DATE ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   |||||| SEE INSTRUCTIONS BELOW ||   ||   ||   ||
 * |||||||||||||||||||||||| All claims against Contra Costa County must be itemized, giving dates and the character of expenses ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| incurred. Receipts are required for lodging, public transportation (other than local), registration fees, and ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| items bought for others, such as meals and incidentals. Purchases for others must be identified according ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||| to person or party and relationship to County business. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| Travel by private auto -- indicate from where and why. Only actual miles driven in the course of duties ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| are to be claimed. If more than one trip to the same location is made in one day, the number of trips ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||| must be specified so the number of miles will not appear exaggerated. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| Items of Expense -- claims for meals must specify the location or occasion. When a meal allowance is ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| claimed for overtime worked, the explanation should be "meal allowance-overtime worked" and the ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||| number of hours. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||| Cell Phones -- Employee's are required to keep records of business and personal calls. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| The verification statement on this form must be signed by the claimant. Each claim is to be approved by ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| the Department Head or an authorized deputy of the Department Head before filing with the County ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||| Auditor-Controller for allowance. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||| Note: Use M8154 form on the General Services Web Site. No altered form will be accepted. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| For further information, refer to Administrative Information Memo No. 9.3 and your Department Manual. ||  ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| County Auditor-Controller ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||| Finance Building ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| Martinez, California ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   || TOTAL || TOTAL || TOTAL ||   ||   ||   ||
 * ||  ||   ||   ||   ||   || TOTAL ||^   ||   ||   ||   || TOTAL ||^   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||| EXPENSE CODE 1: MILEAGE DISTRIBUTION ||  ||   ||   |||||||| EXPENSE CODE 2: EXPENSE DISTRIBUTION ||   ||   ||   ||   ||   ||   ||   ||   ||
 * || ORG |||| TASK || OPT |||| ACTIVITY || MILES ||  || DATE |||| DESCRIPTION || ORG |||| ACCT || TASK || OPT || ACTIVITY || AMOUNT ||   ||   ||
 * The undersigned under the penalty of perjury states: That this claim and the items as therein set out are true and correct; That no part thereof has been heretofore paid; ||  ||   ||   ||   ||   ||
 * and That the amount therein is justly due; and that the same is presented within one year after the last item thereof has accrued. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * EMPLOYEE'S SIGNATURE ||  || DATE ||   ||   |||||||| SUPERVISOR'S SIGNATURE || DATE ||   |||||||||| DEPARTMENT HEAD OR DEPUTY || DATE ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   |||||| SEE INSTRUCTIONS BELOW ||   ||   ||   ||
 * |||||||||||||||||||||||| All claims against Contra Costa County must be itemized, giving dates and the character of expenses ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| incurred. Receipts are required for lodging, public transportation (other than local), registration fees, and ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| items bought for others, such as meals and incidentals. Purchases for others must be identified according ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||| to person or party and relationship to County business. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| Travel by private auto -- indicate from where and why. Only actual miles driven in the course of duties ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| are to be claimed. If more than one trip to the same location is made in one day, the number of trips ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||| must be specified so the number of miles will not appear exaggerated. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| Items of Expense -- claims for meals must specify the location or occasion. When a meal allowance is ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| claimed for overtime worked, the explanation should be "meal allowance-overtime worked" and the ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||| number of hours. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||| Cell Phones -- Employee's are required to keep records of business and personal calls. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| The verification statement on this form must be signed by the claimant. Each claim is to be approved by ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| the Department Head or an authorized deputy of the Department Head before filing with the County ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||| Auditor-Controller for allowance. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||| Note: Use M8154 form on the General Services Web Site. No altered form will be accepted. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| For further information, refer to Administrative Information Memo No. 9.3 and your Department Manual. ||  ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| County Auditor-Controller ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||| Finance Building ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| Martinez, California ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| incurred. Receipts are required for lodging, public transportation (other than local), registration fees, and ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| items bought for others, such as meals and incidentals. Purchases for others must be identified according ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||| to person or party and relationship to County business. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| Travel by private auto -- indicate from where and why. Only actual miles driven in the course of duties ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| are to be claimed. If more than one trip to the same location is made in one day, the number of trips ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||| must be specified so the number of miles will not appear exaggerated. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| Items of Expense -- claims for meals must specify the location or occasion. When a meal allowance is ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| claimed for overtime worked, the explanation should be "meal allowance-overtime worked" and the ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||| number of hours. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||| Cell Phones -- Employee's are required to keep records of business and personal calls. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| The verification statement on this form must be signed by the claimant. Each claim is to be approved by ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| the Department Head or an authorized deputy of the Department Head before filing with the County ||  ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||| Auditor-Controller for allowance. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||| Note: Use M8154 form on the General Services Web Site. No altered form will be accepted. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| For further information, refer to Administrative Information Memo No. 9.3 and your Department Manual. ||  ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| County Auditor-Controller ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||| Finance Building ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| Martinez, California ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||| Note: Use M8154 form on the General Services Web Site. No altered form will be accepted. ||  ||   ||   ||   ||   ||   ||   ||   ||   ||
 * |||||||||||||||||||||||| For further information, refer to Administrative Information Memo No. 9.3 and your Department Manual. ||  ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| County Auditor-Controller ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||| Finance Building ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| Martinez, California ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||| Finance Building ||   ||   ||   ||   ||   ||   ||   ||   ||   ||   ||
 * ||  ||   ||   ||   ||   ||   ||   |||||||| Martinez, California ||   ||   ||   ||   ||   ||   ||   ||   ||   ||