Legislative Liaison/Policy Analyst Albuquerque Public Schools Position Description Job Code: 1201 Exemption Status: Exempt Immediate Supervisor Title: Executive Director of Board Services Salary Schedule: Location: Work Year: MSE6 99 Full SUMMARY: To serve as the policy analyst for the Board of Education Services office and represent the district as a member of the government affairs team in district-related legislative, congressional, city, county and other government official issues. ESSENTIAL FUNCTIONS: Incumbent must achieve the following outcomes with or without reasonable accommodation: • Serves on the government affairs team including coordinating meetings and responses to government officials. • Represents the district on district-related legislative, congressional, city, county, and other governmental issues as a member of the government affairs team. • Reviews and analyzes legislative action and advises the superintendent and government affairs team. • Meets with various community groups to promote district legislative needs and policy decisions. • Advises and assists members of the Board of Education, superintendent and other employees on matters regarding government officials and/or information. • Researches, writes or supervises the researching and writing of speeches, position papers and other materials necessary for completion and presentation of the district’s policies. • Represents the district on various community-based committees and work groups that provide associated services to the district. • Attends interim-committee meetings for the legislature and other government agencies. • Researches, develops, maintains and communicates district policies and procedural directives. • Organizes and collaborates with staff and the Board of Education on the development of polices, procedural directives and other official responses and requests for the district administration. • Assists with special events for the Board of Education, superintendent and government affairs team • Serves as general support to the APS Board of Education Services offices, including attending and staffing board committee and general meetings. • Plans, creates and interprets district strategies and positions with key audiences at the local, state and national level. • Provides strategic counsel to the Board of Education, superintendent and leadership team on identifying, designing and implementing internal and external strategies to support and advance all system-wide initiatives and major programs. • Assists in planning and identifying relevant trends and helps coordinate appropriate action plans to prevent or resolve issues that impact the district and/or the Board of Education. • Assists the government affairs team, superintendent, Board of Education Services Office and Board of Education in all areas as assigned. DUTIES: In addition to the essential functions of this job, the incumbent must perform the following duties: • Complies with state-approved Code of Ethics of the education profession and upholds and enforces rules, administrative directives and regulations, school board policies, and local, state and federal regulations. • Articulates and facilitates the implementation of the mission and values of the Albuquerque Public Schools. • Safeguards confidentiality of privileged information. • Prepares and maintains accurate and complete records and reports as required by law, state directives, district policy and administrative regulations. • Shares the responsibility for the supervision and care of district inventory, proper and safe use of facilities, equipment and supplies, and reports safety hazards promptly. • Maintains professional relationships and works cooperatively with employees, the community and other professionals. • Maintains professional competence through individual and staff training, in-service educational activities and self-selected professional growth activities. • Attends and/or conducts staff meetings and participates on committees within area of responsibility. • Performs other tasks related to area of responsibilities as requested or assigned by an immediate supervisor. REQUIRED APS PRE-EMPLOYMENT AND OTHER EMPLOYMENT CONDITIONS: • Satisfactory completion of criminal background verification. MINIMUM REQUIRED EDUCATION, LICENSES, CERTIFICATIONS, EXPERIENCE AND SKILLS: • Bachelor’s degree in education, communication, political science or related field. • Six years experience in working with boards, legislative work and education. PREFERRED KNOWLEDGE, SKILLS, ABILITIES, EXPERIENCE AND EDUCATION: • Master’s degree in public administration, education, communication, political science or related field. • Effective communication skills, both verbal and written. • Flexibility, organization, decision-making and problem-solving skills. • Interpersonal skills with diverse populations in person and on the telephone. • Ability to meet deadlines, work on multiple projects and coordinate the work of others. • Knowledge of word processing, database, desktop publishing and spreadsheet software. • Knowledge of educational policies and procedures. • Demonstrated leadership skills in working with various constituencies. • • Knowledge of legislative/governmental processes and procedures. Creative, initiative, good judgment and research skills. WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an incumbent encounters while performing the essential functions of this job: • The incumbent will work with APS staff members in a team environment which may include the administrative staff, state department personnel, APS legal counsel, parents, students, advocates and others outside the district. • Frequent interactions with people in person and on the phone will be necessary. • Travel from location to location may be necessary. • Functions are primarily performed in a normal office environment. PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by the incumbent to successfully perform the essential functions of this job with or without reasonable accommodation: • The employee must occasionally lift and move up to 25 pounds in supplies which requires bending, stooping and lifting. • The employee must use hands and arms to manipulate objects. • The employee must use keyboards, tools and other controls. • The employee must sit and stand for long periods of time. • The employee must have normal vision and hearing with or without aid. • The employee must be able to move about assigned location unaided during the day. This position description indicates the general nature and level of work to be performed. It is not intended to be a comprehensive listing of all functions, duties, skills, knowledge and abilities. This position description is designed to illustrate the minimum requirements and expectations of the job. Position descriptions should be reviewed on a regular basis by incumbent and incumbent’s immediate supervisor and revised when necessary. Position descriptions must be reviewed for accuracy prior to advertising vacated or new positions and used as guidance in writing position advertisements. Requested revisions and final approval of all position descriptions are made by the Human Resources Compensation Unit. The “official version” of position descriptions for all jobs in the Albuquerque Public Schools is housed in the Compensation Unit of the Human Resources Department and is updated periodically. Copies are available on request. By signatures below, the incumbent and the incumbent’s immediate supervisor have reviewed this position description. SUPERVISORS ARE RESPONSIBLE FOR RETAINING SIGNED COPY which may be used to accompany performance evaluations and other related employee documentation. Incumbent Date Immediate Supervisor’s Name and Title Date Location Name Location Number Rigo F. Chavez DIRECTOR Dr. Brad Winter SUPERINTENDENT ALBUQUERQUE PUBLIC SCHOOLS Communications Accelerate PrOjrerr/?or 5W Sandra Fish. data journalist New Mexico In Depth 3760 Lakebriar Dr. Boulder. CO 80304 Sen! via e-mui/ US. Mail- May 13. 2015 Dear Ms. Fish: This letter is a follow up to my letter of April 29. 2015. and your e-mail of April 30. 2015. regarding your request for information under the NM Inspection of Public Records Act about Albuquerque Public Schools payments and contracts for lobbying services. With regard to your request for "all contract and payments related to state and federal lobbying on the district's behalf in 2014 and 2015. including but not limited to contracts and payments to Arthur Melendres and Carrie Menapace for lobbying and any other services provided to Albuquerque Public Schools in 2014 and 2015. as well as information on any other expenses related to lobbying the legislature or federal government (for instance, if you have a governmental affairs staff member who performs lobbying duties. the name. title and annual salary of that individual)." 1 have received documents responsive to your request from the APS Board of Education Of?ce. the APS Procurement Department. the APS Payroll Of?ce and the APS Accounts Payable Of?ce. Attached to the e-mail version of this letter is copy of Ms. Menapace?s (Brunder) job description. which contains herjob title. Her annual salary is $80.000.13. With regard to your request for contracts for lobbying. the APS Procurement Department has provided a c0py of contract with the Modrall. Sperling. Roehl. Harris Sisk, P.A. law ?mt. which is the ?rm for whom Mr. Melendres works. A copy ofthe contract totals 19 pages. The district charges $.50 (50 cents) per page for documents provided under the Act. so the cost would be $9.50. Let me know if you would like to make an appointment to come and inspect these documents or if you would like for me to mail them to you along with an invoice. With regard to your request for payments for lobbying. 1 am still waiting on documents from the APS Accounts Payable Of?ce regarding payments to the Modrall ?rm. I expect to receive them by May 19. 2015. Also. with regard to your request for payments for lobbying. have received documents from the APS Payroll Of?ce documenting payments to Ms. Menapace (Brunder). Copies of the documents total 12 pages. As 1 stated before. the district charges $.50 (50 cents) per page for documents provided under the Act. so the cost would be Let me know if you would like to make an appointment to come and inspect these documents or if you would like for me to mail them to you along with an invoice. PO. Box 25704 Albuquerque, NM 87125-0704 505.881.8421 505.872.8864 lax Request for information on lobbying 2 With regard to your request for other payments to Ms. Menapace for lobbying, the APS Accounts Payable Of?ce has provided copies of documents responsive to this request. Copies of these documents total 223 pages. As I stated before. the district charges $.50 (50 cents) per page for documents provided under the Act, so the cost would be $111.50. Let me know if you would like to make an appointment to come and inspect these documents or if you would like for me to mail them to you along with an invoice. lfyou have any additional questions, you may contact me at 505-880?3730. Sincerely, . . Chavez, director, Communications/Web Of?ce ustodian of Records Cc: Brad Winter, APS Superintendent; Brenda Yager, APS Board of Education Of?ce; Carrie Brunder, APS Board of Education Of?ce; Mark Heckart, APS Procurement: Patricia Lea], APS Accounts Payable: Don Moya. APS Finance: Art Melendres, Modrall Law Firm; file APS COMMUNICATIONS OFFICE INVOICE June 2, 2015 To: Sandra Fish, data journalist New Mexico In Depth 3760 Lakebriar Dr. Boulder, CO 80304 DESCRIPTION AMOUNT TOTAL 223 pages of records requested at $111.50 $111.50 50 cents each regarding lobbying expenses incurred by Ms. Menapace 17 pages of records requested at 8.50 8.50 50 cents each for a copy of the contract with Modrall, Sperling, Roehl, Harris Sisk, P.A. law firm Total Due: $120.00 MAKE CHECKS PAYABLE TO: Albuquerque Public Schools Communications Department P. O. Box 25704 Albuquerque, NM 87125?0704 SEW ALBUQUERQUE PRICE AGREEMENT No. 353 . PAL 1 PUBLICSEHOOIS AMENDMENT NO. ALBUQUERQUE PUBLIC SCHOOLS PROCUREMENT DIVISION PO Box 25704 ALBUQUERQUE, NM 87125 PHONE {505) 88184155 FAX (505) 330-1151 SHIP TO Modrall, Sperling, Roehl, Harris Sisk, PA. Chief Operations Of?ce 500 4th Street NW, Suite 1000 6400 Uptown Blvd. NE 610B 0 Albuquerque, NM 87102 Albuquerque, NM 871 10 ATTENTION OF Brad Winter DATE VENDOR NO. 5/ 1 13 The Procurement Code, Sections 13-1-28 through 13-1-199 NMSA 1m. imposes Civil and criminal penalties for its violation. In addition. the New Mexico Criminaislatutes Impose felony penalties Ior illegal bribes. gratuities and kickbacks. PLEASE SHOW CONTRACT NUMBER ON ALL INVOICES, SHIPPING PAPERS, PACKAGES, CORRESPONDENCE, ETC. INVOICE IN DUPLICATE. ITEMS, TERMS CONDITIONS PRICE AGREEMENT March 22, 2013 March 2, 2014 With Optitm to extend for three (3) additional years, one at a time Legal Services Per terms and conditions of RF NO. and General Form of Contract 'General Form of Contract attached Plus New Mexico Gross Receipts Tax foradded to invoice at current rate Payment will be made based on documentation All original terms and conditions remain unchanged CONTACT: Arthur Melendres TELEPHONE: (505)848-1805 FAX: (505)848-9710 EMAIL: arneiendres?nmdrailcom ii. NOTE: THIS is NOT AN ORDER BUT NOTIFICATION THAT THE BOARD OF AUTH SIGNATURE EDUCATION HA5 ENTERED INTO AN AGREEMENT TO RECEIVE THE ABOVE 5? l3; PRODUCTS AS REQUESTED.5) {35/ km Iii"? H, L73 12h I . ?32 QUERQUE PRICE AGREEMENT NO. 13531 ECHO 0L5 air-Est Thaw! AMENDMENT NO. 2 ALBUQUERQUE puauc SCHOOLS PROCUREMENT DIVISION PO BOX 25704 ALBUQUERQUE, NM 87125 PHONE (505) 881-8415 FAX (505) 830-1161 SHIP TO Modrall, Sperling, Roehl, Harris Sisk, RA. Chief Operations Of?ce 500 4th Street NW, Suite 1000 6400 Uptown Blvd. NE 610E Albuquerque, NM 87102 Albuquerque, NM 871 10 . ATTENTION OF Rueben Hendrickson DATE VENDOR NO. . 490 1 5 6 and criminaI penalties for its violation. In addition, the New Mexico ITEMS, TERMS 8: CONDITIONS PRICE AGREEMENT March 22, 2015 - March 21, 2016 With Option to extend for one (1) additional year AMENDMENT 2 Legal Services Per terms and conditions N0. and General Form of Contract Plus New Mexico Gross Receipts Tax for Legal Services Reason for Amendment: Renewal Of contract for one (1) additional year All original terms and conditions remain unchanged CONTACT: Arthur Melendres TELEPHONE: (505) 848-1805 FAX: (505) 848?9710 EMAIL: amelendres@modrall.com NOTE: THIS IS NOT AN ORDER BUT NOTIFICATION THAT THE BOARD OF 0C REMENT-DIVISION EDUCATION HAS ENTERED INTO AN AGREEMENT TO RECEIVE THE ABOVE .. SERVICES PRODUCTS AS REQUESTED. 3: i K. ii Sandra 5. Sanchez GENERAL FORM OF CONTRACT RFP NO. LEGAL THIS AGREEMENT is made and entered into this 22nd day of March, 2013, by and between the Albuquerque Public Schools, a New Mexico public school district, (hereinafter referred to as the and Modrall, Sperling, Roehl, Harris Sisk, PA, (hereinafter referred to as the ?Contractor"), whose address is 500 4th StreetNW, Suite 1000, Albuquerque, NM 87l02. RECITALS: WHEREAS, APS issued a Request for Proposals for Legal Services, REP No. titled ?Legal Services", dated November 2, 2012, and by this reference made a part of this Agreement; and WHEREAS, the Contractor submitted its proposal, dated November 29, 2012, in response to REP No. and by this reference made a part of this Agreement; and WHEREAS, APS desires to engage the Contractor to render certain services in connection therewith, and the Contractor is willing to provide such services. NOW, THEREFORE, in consideration of the premises and mutual obligations herein, the parties hereto do mutually agree as follows: . 1. Scope of Services: The Contractor shall perform the following services (hereinafter the ?Services?) in a satisfactory and proper manner, as determined Provide legal services, in accordance with REP No. and Contractor?s; proposal - - - Evaluate, advise and/or provide opinions on legal matters, either verbal and/or written, for various departments and schools; - - Act as counsel to the Board of Education and advise on various open-meeting matters; - Participate and advise APS on employee, State Department of Education, State School Board, and department, and school and educational issues, and unrelated issues in a wide variety of areas; 0 Appear before legislative committees, lobbying or involvement with other legislative and intergovernmental relations may be required. 0 Evaluation, advice, and recommendations ofpolicies and procedures change(s) as needed; 0 Provide other support services which will enhance communication access for Office for the ChiefOperations Of?cer, various departments andi?or SChools. - Provide a defense for litigation on lawsuits and other court related areas of concern brought against the Albuquerque Public Schools. 2_ Technical Specifications: \Nork shall include a minimum of the activities set forth below: 2.1.1. The successful firms(s) must be available and prepared to be contacted daily on a signi?cant number of unrelated issues in a wide variety of areas. APS is a demanding client. A prompt and timely reSponse whether verbal or by written opinion is essential. Counsel will be expected to advise apprOpriate APS personnel as to potential problem areas, the impact of new legislation or any similar issue that may require attention. In its capacity as counsel to the Board of Education, the successful firm(s) will advise on various open-meeting mattersPublic Board meetings are regularly scheduled on the first and third Wednesday of each month with other meetings held as necessary. Attendance may or may not be required. Such issues as the superintendent?s contract negotiations, matters involving the State Department of Education and the Public Education Commission are typical._Appearances before legislative committees, lobbying 0r involvement with other legislative and intergovernmental relations may also be required. It is preferred that at least one attorney within the ?rm be assigned as the primary contact. Other attorneys may be involved as back up or representing specific expertise as necessary, but at least one person will be the primary contact with overall knowledge of the status of all APS matters. In the event that multiple awards-are made, it will be imperative that the various firms interface as necessary with no con?ict of interest._ In addition to school and/or educational issues, the following summary of administrative support functions is provided as general background information. The list is not represented as complete, but is intended to call out various Operational aspects of the district organization. Athletics: This department provides administrative, organizational and financial support f0r comprehensive high school and limited middle school athletic programs. It also provides specifications for approved athletic equipment meeting state and federal guidelines. Memberships in organizations such as NMAA have in the past become controversial. Community Relations: This department is reSponsible for dealing with public requests for information such as subtends or employee records. It also informs the public of district activities. and policies via press releases, television and radio interviews, prepared statements, etc. Employee Benefits: This department reports to Human Resources and is reSponsible for the administration ofthe group health, dental, vision, long term disability, 403(b) annuities, college savings plans and life insurance plans. Department also coordinates final retirement paperwork and sick leave bank. Equal Opportunity Services Department: This department is responsible for practices that reflect equal job Opportunity without regard for race, color, sex, sexualorientation, national origin, religion, age, and similar. Interaction with the Of?ce of Civil Rights regarding student issues as well as the Equal Employment Opportunity Commission and/or State Human Rights Department for employee matters in common. This office also manages requests for accommodations under Section 504 and the Americans with Disabilities Act. Facilities Master Plan: The administration of the Facilities Master Plan allows for facility improvements to be made on an equitable basis across the district. Long range planning includes interaction with other goverrunental agencies on issues relating to the capital program. Legal services are required in connection with election law, mill levy procedures, and general obligation bonds. A separate inter-office mail service offers daily pickup and delivery at all APS locations. Printing servrces, operations of the District imaging and Archive Center are also included. Facilities Design and Construction: This department is responsible for all major capital improvements typically done through a design?bid?build process. General contractors participate together with numerous outside architectural and engineering ?rms. Internal staff includes architects, engineers, asbestos control, ADA and interior facility Specialists, plus accounting functions and project management. Finance: This area includes accounts payable/receivable, bond sales, building usage, capital outlay, external audits, fixed assets, grants, investments, payroll, and related functions. The APS annual budget is approximately $1.2 billion from all sources. PrOper expenditure of all funds is monitored with appropriate financial reporting. Board of Education elections are also included. Food Services: APS operates the largest food service organization in New Mexico. Together 40,000 lunches are served daily. Food Services also contracts with outside entities such as Bernalillo County Parks and Recreation and parochial schools for various lunch programs. Approximately half of the annual bud get is derived from federal funds. Worker are represented by the Communications Workers of America (CWA) union. Human Resources: This department is responsible for the recruitment, hiring, assignment and pertinent records of all APS employees as Well as overseeing various other departments. Labor Relations is reSponsible for bargaining and administering negotiated agreements with union contracts represent cafeteria, clerical, maintenance workers, police, and teaches and educational assistants. The Compensation Unit develops job evaluations systems, conducts job audits and maintainsjob descriptions. See also Employee Benefits for additional discussion. Internal Audit: This is an independent department reporting directly to the Superintendent and/or designee and the Board of Education on district financial conditions, legal and procedural compliance and internal controls. KANW FM Radio and KNME-TV Channel 5: The radio station provides instructional and regular programming in the general Albuquerque area. The school district operates -.KNME public television jointly with the University of New Mexico. a Maintenance and Operations: The district physical plant provides maintenance/repair for facilities plus related grounds and equipment as well as portable building moves, small facility renovation, custodial services, telephone systems and fleet maintenance. Various crafts are represented electrical, plumbing, roofing, masonry, painting, etc, h-?Iaterials Management: This department warehouse commonly used items and provides scheduled delivery of the same. U) commencement of settlement negotiations, stipulations to liability, waiver of jury trial or bifurcation ofa case for trial. or quarterly meeting will be held with the assigned law ?rm for the purpose of reviewing and updating all pending legal actions. The estimate of trial expenses must be realistic so as to allow the school district to provide for anticipated expenses, aCCurately evaluate settlement offers and likely verdict amounts. Counsel shall provide copies of all correspondence and pleadings to APS or its designated representatives and will keep APS fully advised of the progress in each case. Evaluations will be prepared as deemed necessary to disclose any changes in applicable statutes or case law, increase or decrease in costs and the potential liability and settlement value of the case. Within ninety (90) days following the termination of each lawsuit or other course of action such as arbitration or mediation, APS will review each ?le to determine compliance within these guidelines, strategy and budget development of the case. If appropriate, a meeting will be arranged to discuss perceived problems and/or ways to improve the defense claims. Counsel shall not settle any lawsuit or make any settlement offer in any amount without prior authorization of APS. All settlement offers will be communicated to APS whether the offers offers are verbal or Written. At the conclusion of all trials or legal action of consequence, a' br'iefsummary trial report shall be directed outlining the trial results as well as any appellate activity that might be anticipated from the plaintiff or considered advisable on the part of APS. Original closing papers and final billing should be attached. -- - 3. Time of Performance: Services ofthe Contractor shall commence on the date of final execution of this Agreement and shall be performed throughout the term of the Agreement until March 21, 2014, and thereafter during any renewal period. 4. Compensation and Method of Payment: Each installment is to be paid within forty five (45) days of receipt of an invoice from Contractor in which Contractor will state that all services required by this contract have been performed or are timely being performed subject to 4.4.5 herein. Modrall Sperling will handle all ofthe district?s legal work, set forth in Section 4.4.1 ofthe RFP and our Response thereto, except for worker?s compensation and matters where a con?ict of interest prevents us from representing APS, for the ?at fee of $1,360,000 per year (12 month period from the beginning date ofthe agreement) payable in 12 equal installments plus gross receipts tax and costs in accordance with Appendix Alternative 1 of the firm?s cost proposal. This flat fee proposal will comply with Sections 4.4.3 herein and 4.5.9.1.5 of the RFP concerning disbursements. This flat fee excludes workers compensation cases. APS will not separately pay for such costs including but not limited to of?ce supplies, computer hard-stare or software, group outings/hospitality, in-town travel, sending- or receiving faxes, file creation or organization, indexing/summarization of dispositions, clerical functions or staff time, courier or express package delivery. Markups for Lexis, Westlaw or other computer assisted research and telephone charges will not be reimbursed above actual cost. 2.1.3 Litigation Management: During the course of any particular case, Counsel shall be selected by Modrall Sperling in consultation with APS based upon but not limitEd 10 the following criteria, none of which are necessarily given greater or lesser weight. 0 The nature and complexity of the case 0 The eXperience and ability of the attorney 0 Any preference expressed by the school or department 0 Venue, including the judge assigned and any prior experience 0 Jurisdiction 0 Economy of services to be provided 0 Any potential con?ict of interest for the attorney or firm assigned 0 Prior handling of other files on behalf of APS 2.1.4 Case, Analysis, Strategy and Budget: Within thirty (30) days following receipt of a case, counsel shall prepare a comprehensive initial report for APS and/or its designated representative to contain a comprehensive written analysis. This analysis shall provide the initial evaluationof the case, including a brief. synopsis of the facts to include any exposure in the case, identification of and weaknesses, damages, plaintiffs injuries and similar. Counsel shall also provide an initial impression of liability and identify the pertinent statutes and the case law expected to affect the outcome of the litigation including any precedent setting issue. Counsel shall identify any additional information or- documentation needed to disprove the plaintiff claims or to establish defense. Depending upon the nature of the case, such information gathering shall be done by the Staff and/or their designated claim representative whenever possible. Counsel shall identify the anticipated course of action and the prospect for success including the timing of discovery, filing of motions, negotiations or other objections. APS must be cognizant of the facts or elements that must be proven or disproved and the advantage to be gained by use of such tactics. APS or its designated representatives will be consulted prior to the engagement of any eXpert witness or authority. Reimbursement for fees and costs of such experts is subject to APS prior approval. Information concerning the expert(s) to be retained will include the name of the expert(s), the area of expertise, proof of credentials or expertise and rationale for selection. Fee schedule or hourly rates will be provided. Depositions and hearings will be scheduled to permit the attendance of an APS designee or its representative as appropriate. APS or its legal representative will be consulted with and approvals obtained prior to ?ling of any appeals, cross or counterclaim, joinder of other parties, Police: The APS police personnel are certi?ed and commissioned officers providing law enforcement servrces for the district. This includes campus safety measures, burglary and vandalism reports as well as employee investigations involving criminal or other misconduct. Procurement: This department has sole authority for the purchase, rent, or lease of tangible personal property, services and construction for the district. APS is bound by the New Mexico Public Purchases Act as well as various federal statutes, rules and rules and regulations. Contracts, bids, protest actions, tax issues, Subcontractors Fair Practices Act are common issues. Real Estate: This department handles various property transactions including land purchases, disposnions, appraisals, condemnations procedures, leases, licenses, joint-use agreements, easements and portable building assignments. Research, Development and Accountability: School accountability is supported in the interpreting of assessment data and the application of this information to improve instruction. Classroom, formative and summative assessments are develOped. Evaluation and original research is conducted in support of instructional programs. I Risk Management: This department manages the district liability and property insurance programs. It also oversees an occupational health clinic (current contract is with Concentra) and workers' compensation programs in addition to loss control and safety services. Special Education: The primary function is to provide support and technical assistance to . schools regarding Special education students and programs including district responses to legal, regulatory and budgetary matters. The department contracts with outside therapists, etc. in addition to district staff. Common issues are due process hearings, court actions and federal and state mandates for these students. . Technology Services: This department maintains and supports all district technology including administrative student information, finance and payroll systems, computers, multi-media items, software, instructional support, networks, interim, and satellite systems. Transportation: This department is reSponsible for transporting 44,000 students to and from school on a daily basis. School buses are privately contracted and not owned by However, APS is responsible for providing auto liability insurance for school bus contractors.- The following information is provided to establish district expectations insofar as relationships with legal counsel. 2.1.2 Unless otherwise agreed, one twelfth ofthe annual contract amount 0f$l ,360,000 will be billed together with applicable costs and tax. At time of initial contact by an authorized agent of APS, one attorney will be assigned and mutually agreed upon. The firm represents that this individual possesses suf?cient eXperience and expertise to successfully bring the matter to timely conclusion. 4.4.1 Bond Counsel Services: APS reserves the right to either negotiate a set fee for the bond counsel services or use a schedule agreed upon, whichever is the most advantageous for bond counsel services. APS will not allow charges for travel expenses. 4.4.2 Legislative Lobbying Services: APS reserves the right to either negotiate a set fee for the legislative session or use a schedule agreed upon, whichever is the most advantageous for legislative lobbing services. APS will not allow charges for travel expenses. Law Firm agrees to make office space available to APS employees and board members during the legislative session at no cost to APS. I 4.4.3 Disbursements Local travel will not be reimbursed. Out of town travel will be reimbursed at the rate reimbursed to APS employees for travel. APS will not reimburse Contractor for courier services and postage.- Photocopies will be billed at $0.10 cents per page. APS reserves the right to duplicate large documents on a case by case basis at its own facility. Long distance telefax will be billed at actual cost. Other costs not mentioned in the agreement will be usual and customary Costs or as otherwise negotiated by APS Procurement Department and the law firm. 4.4.4. Method ofPayment: Each installment is to be paid within forty ?ve (45) days of receipt of an invoice from Contractor in which Contractor will state that all services required by this contract have been performed or are timely being performed. 4.4.5 Appropriations: Notwithstanding any other provisions in this Agreement, the terms of this Agreement are contingent upon the apprOpriation of funds necessary for the performance of this Agreement. If sufficient appropriations and authorizations are not made by, this Agreement may be terminated at the end of then current fiscal year upon written notice given by APS to the Contractor. Such event shall not constitute an event of default. All payment-obligations of APS and of its interest in this Agreement will cease upon the date oftermination, except for amounts due, as provided in paragraph 19 herein. decision as to whether suf?cient appropriations are available shall be accepted by the Contractor and shall be final. 5. Independent Contractor: Neither the Contractor nor its employees are considered to be employees of APS for any purpose whatsoever. The Contractor is considered as an independent contractor at all times in the performance of the services. The Contractor further agrees that neither it nor its employees are entitled to any benefits from APS under the provisions of the Workers? Compensation Act of the State of New Mexico= or to any ofthe benefits granted to employees of APS. 6. Personnel: 6.1.1. The Contractor represents that it has, or will secure at its own expense, all personnel required in performing all of the Services required under this Agreement. Such personnel shall not be employees of or have any contractual relationships with APS. 6.1.2. All the Services required hereunder will be performed by the Contractor or under its supervision and all personnel engaged in the work shall be fully qualified and shall be authorized or permitted under state and local law to perform such Services. I 6.1.3. The Contractor shall designate a local, primary contact person(s) to act on its behalf and to coordinate activities with APS. The contact person will not be changed without the approval of APS. 6.1.4. None of the work or Services covered by this Agreement shall be subcontracted without the prior written approvalof APS. Any work or Services subcontracted hereunder shall be speci?ed by written contract or agreement and shall be subject to each provision of this Agreement. 7. - Indemnity: The Contractor agrees to defend, indemnify, and hold harmless APS, and their officials, agents, and employees from and against any and all claims, actions, suits, or proceedings of any kind brought against said parties for or on account of any matter arising from the services performed by'the'Contractor under this Agreement. Such indemnification does not extend to the underlying claim administered by Contractor, except to'the extent such claim is aggravated as a result of any claims administration by Contractor. The indemnity required herein shall not be limited by reason of the Specification of any particular insurance coverage in this Agreement. 8. Insurance: The Contractor shall not commence any work under this Agreement until the insurance required in No. has been obtained and the prOper certificates (or policies) have been submitted to APS. 9. Discrimination Prohibited: In performing the Services required hereunder, the Contractor shall not discriminate against any person on the basis of race, color, religion, sex, national origin or ancestry, age, physical handicap or disability, as defined in the Americans with Disabilities Act of 1990, as currently enacted or hereafter amended. 10. ADA Compliancez'ln performing the Services required hereunder, the Contractor agrees to meet all the requirements of the Americans with Disabilities Act of 1990 (the which are imposed directly on the contractor or which would be imposed on APS as a public entity. The Contractor agrees to be responsible for knowing all applicable rules and requirements ofthe ADA and to defend, indemnify and hold harmless APS, its of?cials, agents and employees from and against any and all claims, actions, suits or proceedings of any kind brought against said parties as a result of any acts or omissions of the Contractor or its agents in violation ofthe ADA. 11. Reports and Information: At such times and in such forms as APS may require, there shall be furnished to APS such statements, records. reports, data and information, as APS may request pertaining to matters covered by this Agreement. Unless authorized by APS, the Contractor will not release any information concerning the work product including any reports or other documents prepared pursuant to this Agreement until the ?nal product is submitted to APS. 12. Establishment and Maintenance of Records: Records shall be maintained by the Contractor in accordance with applicable law and requirements prescribed by APS with respect to all matters covered by this Agreement. Except as otherwise authorized by APS, such records shall be maintained for a period of six (6) years after receipt of ?nal payment under this Agreement. Before destroying or otherwise diSposing of any such records, Contractor shall offer the records to APS. No records shall be destroyed without giving APS at least thirty (3 0) days written notice of Contractor's intention to destroy or otherwise dispose of records. 13. Audits and InSpections: At any time during normal business hours and as often as APS may deem necessary, there shall be made available to APS for examination all of the Contractor?s records with reSpect to all matters covered by this Agreement. The Contractor shall permit APS to audit, examine, and make excerpts or transcripts from such records, and to make audits of all contracts, invoices, subcontracts (if prOperly authorized by APS), materials, records of personnel, conditions of employment and other data relating to all matters covered by this Agreement. The Contractor may be required to provide such information and records and appear as a witness in hearings associated with any audit or inspection. 14. Publication, Reproduction and Use of Material: No material produced in whole or in part under this Agreement shall be subject to COpyright in the United States or in any other country. APS shall have unrestricted authority to publish, disclose, distribute and otherwise use, in whole or in part, any reports, data or other materials prepared under this Agreement. 15. Compliance with Laws: in providing the Scope of Services outlined herein, the Contractor shall comply with all applicable laws, ordinances, and codes of the Federal, State, and local governments. 16. Changes: APS may, from time to time, request changes in the Scope of Services of the Contractor to be performed hereunder, as may be permitted by applicable law and regulation. Such changes, including any increase or decrease in the amount ofthe Contractor's compensation, which are mutually agreed upon by and between APS and the Contractor, shall be incorporated in written amendments to this Agreement. 17. Assignability: The Contractor shall not assign any interest in this Agreement and shall not transfer any interest in this Agreement (whether by assignment or novation), without the prior written consent thereto. 18. Termination for Cause: 1f, through any cause, the Contractor shall fail to fulfill in a timely and proper manner its obligation under this Agreement or ifthe Contractor shall violate any ofthe covenants, agreements, or stipulations of this Agreement, APS shall thereupon have the right to terminate this Agreement by giving written notice to the Contractor of such terminallon and Specifying the effective date thereof at least five (5) days before the email?? dale 0f termination. In such event, all ?nished or un?nished documents, data, and reports prepared by the Contractor under this Agreement shall, at the option of APS, become the property 0f APSs and the Contractor shall be entitled to receive just and equitable compensation for any work satisfactorily completed hereunder. Notwithstanding the above, the Contractor shall not be relieved of liability to APS for damages sustained by APS by virtue of any breach of this Agreement by the Contractor, and APS may withhold any payments to the Contractor for the purposes of set-off until ?me as the exam amount of damages due APS from the Contractor is detemiined. l9. Termination for Convenience by APS: APS may terminate this Agreement at any time giving at least fifteen (15) days? notice in writing to the Contractor. lfthe Contractor is terminated by APS as provided herein, the Contractor will be paid an amount which bears the same ratio to the total compensation as the Services actually performed .bear to. the total Services of the Contractor covered by this Agreement, less payments of compensation previously made. if this Agreement is terminated due to the fault ofthe Contractor, the preceding Section hereofrelative to termination shall apply. 20. Construction and Severability: If any part of'this Agreement is held to be invalid or unenforceable, such holding will not affect the'validity or enforceability of any other part of this Agreement so long as the remainderof the Agreement is reasonably capable ofcompletion. 2i. Enforcement: The Contractor agrees to pay to APS all costs and eXpenses including . reasonable attorney?s fees incurred by APS in exercising any of its rights or remedies in connection with the enforcement of this Agreement. 22. Entire Agreement: This Agreement contains the entire agreement of the parties and supersedes any and all other agreements or understandings, oral or written, whether previous to the execution hereofor contemporaneous herewith. 23. Applicable Law: This Agreement shall be governed by and construed and enforced in accordance with the laws of the State of New Mexico, and any applicable rules and regulations of APS. - 24. Approval Required: This Agreement shall not become effective or binding until approved and signed by the Executive Director of Procnrement. IN WITNESS WHEREOF, APS and the Contractor have executed this Agreement as of the date ?rst above written. ALBUQUERQUE. PUBLIC SCHOOLS ?290]? (000% 51/170; (bar?? Chief Operating Of?cer gym. W13 Procurement Mana er I (Date) . - 5"/th3 i (bate) Executive Dire?tet of Procurement CONTRACTOR By: - a Titlez??zm. . Datezc ?Au/Elf xi 7 Fed. Tax {as-0233491 State Tax 01132230006 Statement Federal identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: January 14. 2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque. NM 87125-0704 Re: Legislative issues MATTERS Client: 1 1301 Matter: 0216 Invoice 175200 For Professional Services Rendered Through December 31. 2013 Legislative Issues for December. 2013 Total Disbursements Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque. NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe. NM 87504-9318 Tel: 505.983.2020 Page: 1 $5500.00 $0.00 $385.00 $5385.00 $5,885.00 Statement Federal Identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: February 13. 2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque. NM 87125~0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 11301 Matter: 0216 Invoice 176147 For Professional Services Rendered Through January 31. 2014 Legislative Issues for January, 2014 Total Disbursements Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque. NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5500.00 $0.00 $385.00 $5,885.00 $5,885.00 Statement Federal Identi?cation Number 850283491 A I Please Remit Payment To: Albuquerque Date: March 14, 2014 Modrall Sperling To: Albuquerque Public Schools Roehl Hams 8? S'sk? P. O. Box 25704 Post Of?ce Box 2168 Albuquerque. NM 87125-0704 Albuquerque. NM 87103-2168 Tel: 505.848.1800 Re: Legislative Issues ADMINISTRATIVE MATTERS Post Of?ce Box 9318 Santa Fe. NM 87504-9318 Tel: 505.983.2020 Client: 1 1301 Matter: 0216 Invoice 176962 For Professional Services Rendered Through February 28. 2014 Page: 1 Legislative Issues for February, 2014 $5,500.00 Total Disbursements $0.00 Gross Receipts Tax $385.00 Total Current Charges $5,885.00 Total Amount Due $5,885.00 Statement Federal Identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: April 14,2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 177749 For Professional Services Rendered Through March 31, 2014 Legislative Issues for March, 2014 Gross Receipts Tax Total Current Charges MODRALL SPERLING Modrall Sperling Roehl Harris 8. Sisk, P.A. Post Of?ce Box 2168 Albuquerque. NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504?9318 Tel: 505.983.2020 Page: 1 $5,500.00 $385.00 $5,385.00 Statement Federal Identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: May 12, 2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 178494 For Professional Services Rendered Through April 30, 2014 Legislative Issues for April, 2014 Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $385.00 $5,885.00 $5,885.00 Statement Federal Identi?cation Number 850283491 Please Remit Payment To: Albuquerque Date: June17, 2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 179691 For Professional Services Rendered Through May 30. 2014 Legislative Issues for May, 2014 Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrali Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2188 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe. NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $385.00 $5,335.00 $5385.00 Statement Please Remit Payment To: Albuquerque Federal Identi?cation Number 85-0283491 Date: July 15, 2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque. NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 180393 For Professional Services Rendered Through June 30. 2014 Legislative Issues for June. 2014 Total Disbursements Gross Receipts Tax Total Current Charges MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $0.00 $385.00 $5,885.00 Statement Federal Identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: August 15, 2014 To: Albuquerque Public Schools P. 0. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 11301 Matter: 0216 Invoice 181274 For Professional Services Rendered Through July 31, 2014 Legislative Issues for July. 2014 Total Disbursements Gross Receipts Tax Total Current Charges IX MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe. NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $0.00 $385.00 $5.885.00 Statement Please Remit Payment To: Albuquerque Federal Identi?cation Number 85-0283491 Date: September10,2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 182004 For Professional Services Rendered Through August 31. 2014 Legislative Issues for August. 2014 Total Disbursements Gross Receipts Tax Total Current Charges MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $0.00 $385.00 $5,885.00 Statement Federal Identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: October 15, 2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 183479 For Professional Services Rendered Through September 30. 2014 Description of Services Legislative Issues for September, 2014 Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Speriing Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque. NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5500.00 $385.00 $5,885.00 $5,885.00 Statement Please Remit Payment To: Albuquerque Federal Identi?cation Number 85-0283491 Date: November17,2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque. NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 184590 For Professional Services Rendered Through October 31, 2014 Legislative Issues for October, 2014 Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe. NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $385.00 $5,885.00 $5,885.00 Statement Federal Identi?cation Number 850283491 Please Remit Payment To: Albuquerque Date: December12.2014 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 11301 Matter: 0216 Invoice 185459 For Professional Services Rendered Through November 30, 2014 Legislative Issues for November. 2014. Total Disbursements Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $0.00 $385.00 $5,885.00 $5,885.00 Statement Federal Identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: January 14, 2015 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 185956 For Professional Services Rendered Through December 31, 2014 Legislative Issues for December, 2014 Total Disbursements Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $0.00 $385.00 $5,885.00 $5,885.00 Statement Federal Identi?cation Number 850283491 Please Remit Payment To: Albuquerque Date: February 16, 2015 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 186886 For Professional Services Rendered Through January 31, 2015 Legislative Issues for January. 2015 Total Disbursements Gross Receipts Tax Total Current Charges MODRALL SPERLING Modrall Sperling Roeh! Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe. NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $0.00 $385.00 $5,885.00 Statement Federal Identi?cation Number 85-0283491 Please Remit Payment To: Albuquerque Date: March 17,2015 To: Albuquerque Public Schools P. O. Box 25704 Albuquerque, NM 87125-0704 Re: Legislative Issues ADMINISTRATIVE MATTERS Client: 1 1301 Matter: 0216 Invoice 187690 For Professional Services Rendered Through February 27, 2015 Legislative Issues for February, 2015 Total Disbursements Gross Receipts Tax Total Current Charges Total Amount Due MODRALL SPERLING Modrall Sperling Roehl Harris Sisk, P.A. Post Of?ce Box 2168 Albuquerque, NM 87103-2168 Tel: 505.848.1800 Post Of?ce Box 9318 Santa Fe, NM 87504-9318 Tel: 505.983.2020 Page: 1 $5,500.00 $0.00 $385.00 $5,885.00 $5385.00 . MEUQUERQUE PRICE AGREEMENT No. 13531 PUBLIC SCHOOLS "l NO. 1 .. -, w?zruv: .. if - ALBUQUERQUE PUBLIC SCHOOLS - PROCUREMENT DIVISION PO BOX 25704 ALBUQUERQUE, NM 87125 PHONE [505) 881-8415 FAX (505) 830-1151 SHIP To Modrall, Sperling, Roehl, Harris Sisk, P.A. Chief Operations Of?ce 500 4th Street NW, Suite 1000 6400 Uptown Blvd. NE 610E Albuquerque, NM 87102 Albuquerque, NM 87110 ATTENTION 0F Rueben Hendrickson DATE VENDOR NOThe Procurement Code, Sections 13-1-28 through 13?1-1199 NMSA 1978, imposes civil and criminal penalties for its violation. In addition, the New Mexico Criminal statutes impose felony penalties for illegal bribes. gratuities and kickbacks. PLEASE SHOW CONTRACT NUMBER ON ALL INVOICES, SHIPPING PAPERS, PACKAGES, CORRESPONDENCE, ETC. INVOICE IN DUPLICATE. ITEMS, TERMS 81 CONDITIONS PRICE AGREEMENT i March 22, 2014 A March 21, 2015 With Option to extend for two (2) additional years, one at a time AMENDMENT 1 Legal Services Per terms and conditions of RF No. and General Form of Contract Plus New Mexico Gross Receipts Tax for Legal Services Reason for Amendment: Renewal of contract for one (l)_additional year All original terms and conditions remain unchanged CONTACT: Arthur Melendres TELEPHONE: (505)848-1805 FAX: (505) 848?9710 EMAIL: amelendres@modrall.com fl NOTE: THIS IS NOT AN ORDER BUT NOTIFICATION THAT THE BOARD OF MURET EDUCATION HAS ENTERED INTO AN AGREEMENT TO RECEIVE THE ABOVE SERVICES PRODUCTS As REQUESTED. ., ?qu 5.4 . ll "fjjaJCt-?ftel -.- Cit?, Sandra 3. Sanchez Procurement Manager ALBUQUERQUE PUBLIC SCHOOLS MENAPACE, CARRIE Roam-_ ALBUQUERQUE NM mus No. 783655 um: 2mm (Sum mum $55: ALBUQUERQUE PUBLIC SCHOOLS District #12 0 Box 25704 mm. Number D-wnuhn mum an. mm mm mum muunl immune: sun rs uz/nflu 5555,57 snvuu TOTALS: $569 67 $0 00 556557 ALBUQUERQUE. NEW MEXICO 87125-0704 (33441) RETURN SERVICE REQUESTED MENAPACE CARRIE WW ALBUQUERQUE NM 87106 - 7W - 4 fiqe {tiff Travel Number ALBUQUERQUE PUBLIC SCHOOLS EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Nameffl I tkmwaEmployee -ate 2% L2 H: Employee's Work Loct (233 Day Phone" i i CellPhone l1 253'3 55 Travel Destination Date/HourolDapanure Alli! Mm Date/Hourulnatumfiw Per Dletn days'a V. per day Total: 3' 7 (In State $35.00, Dill ol stale $115.00; special areas out cl slate: $13500) Please note: Per Diem includes and meals. PER DIEM REIMBURSEMENT Total Tbt'al Meals Days day (cannot exceed $45.00/day or 339,00 p67 day in state) T__axi and othev lransp alien {Receipts only if er' . slime/mm . Personal auto milaa Mmiles Sass/mile Inn-P5 Total$ 93.x (Cannot exceed man carrler must emnomlcal tare) other Total 8 7, APS Travel Technician's Initials Qe . .2 Pl 5/ CastAccounl: Co lull) Account 553/30 otdl$ I do swear that the ebo've account and the itamlzed itatemem are lust and true In all respects, and payment thereof has not been recelved by me nor has Albuquerque Publlc Schools peld tor my of the above expenses. APPROVAL: Employee %fi Page 1 an 7/1/09 me 75: amino: nu 5mm 7: Inn 07501 I SEVEN sus cunw 10.CDDKIES IV In: HEN - 2201 a mu vu Is rz 2.00 HEN - IISJ w: nun 25 "n In .Ia 11.15 I cunufis .00 mm. mmaEw BF IYEKS suLu 3 uzu/H I 33 PH om uses 537 In" ror nhunln: Uhull Fuudl "mm nemnuv \lamq hmfi was wnfiu: FOODS 5.92 a min - 16773 - NM Yin IE F1 2.90 1 - ItsvanMIL 9.01 I wanna .oo mmasw uF mans - 3 wax/M 12-" PH 011nm um SM hunk sir-l fur aha-un- wufiu: r0003 75: BERRILLBS in 5mm FE . NH ITEDI I snLnun [va1 IWL 5'95 - Haiku '5 Fl 1 on - 1545 Wu Karma 15 F1 15: RD 5mm FE NH 515m 'cz LB 9 8 ~19 mu m=5= v2 Iln Faun HR 3 as a IVEH 95502 Isa: uvu vs Fl 2 DO-T HEN - was: a '5 r2 2 on IYEH - us: av luv CDDKIES IV YHE LI 60 - 3220Ramona-Hun 1: usszus ENRHEE an 1mm NWBER 3; ITEMS saw 3 2/03" 12 52 PH 2340 '3 am am hunk gnu inr- may-Mn! who]! Fund: mm Hm 913M wfixzos wnfiu: r0005 Gm 153 EERRILLUS RD Wm FE NH I '201 NM SDUP 1'95 ouxupsuun mm: IN EmmiIzzm - samn SHKD >112 PSI 1 no lax 33 ML 3,11 RuMuru-Hnn I ENHMEE no mm NLMBER {was sow 3 205/11 12: PH uzw wave 537 mm gnu Iharvms firm mn- "0pr - mmharlzalion Numbel fl n. *1 Dale Submiueu 5 l5 ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTRIQT TRAVEL. FILL OUT COMP ET LY AVOID DELAY Nameufllaveler my 049 ame Home Address cuy Dude Employee 1; Day Phana Cell Phone at 233' 3 15 Ems address Travel Made 0! Tiavel 04d!) 1 alrpIane. Ilain, privale Eula Gr Dmclal) Dale A Houral Depanure Dale a hour at velurn PURPOSE OF TRIP (Please exalain (he In! [his and elaharale exlapag necessary) um I expecled henemln [he District Miami SEQTION A: PREPAID EXPENSES FLEASE WHICH METHOD OF PAYMENT FOR EACH EXPENSE: Vendorfl Fae' Vandal Name ACCDUM CoslAcel. Co, Unll _Naed Check: Mail 0r Up; circle one (OR) Pald wiih Pcard oi card 593nm perday (not to exceed $215.00 per day Inuludin taxes) Vendnr NBWW F4 Venuurw Acct Co Unl 5 godfa- Paid PCard (lam digils all:er A ?0917 3'0 __Meed Check: Mill 0r Flak Up; like]. on: (GR) SECT. SECTION B: PER EXPENSES EXPENSES TO BE REIMBURSED TO Choose one: DIEM a! Acmal (ORIGINAL ITEMIZED RECE REIMBURSEMENT VOUCHER) MUST BE ATTACHED TO Par Diem Dayags per day (INCLUDES LDDGING AND MEALS) Tma| (In Hale 535 00' ouiolslale $115700l Ipecial areas 3135 no) on Caste (Provide the heel asirmale al was it reimbursemenl based on 'awlual cosIs') . Daya@ er day (nut in men sziioo per day includlng iaxes) roial: Muls: :30 Days@ a'per day (no! to exceed 545 on perday pm or aisle. 530 no in slalaflatal' GEE Taxi. other lranipcnallon parking (Receipll required ilovev sa oolday ar 330 normal Talal. 5 Personal aum mileage MINES @s.505/mrla - (Carmel cxceed Gammon caniar mas! eoonamioal fare) omer halal-5105394 Casi Acwunb" Ca. um Uni! 313E iafie Account "22559 SUB-TOTAL SECT. ECTION 0: AIRFAREICAR RENTAL EXPENSES Tam. Tolilv 5 Au Fare plus agenl lee cl Auta lentai plus agent re: (i1 I355 expens'lve lranspunauon is not available) _Paid with (In! 4 aligns la! and Cask Acwunm Co Amount SUBJOTAL SEGT. '3 TOTAL TRAVEL REQUEST (Idd uctinns NB. 5 TOTAL 3 6 'qq 7/1/09 APS TRAVEL AUTHORIZATION STATEMENT: Wu understand the travel guidelines and will adhere only to the items identi?ed Printed: Employee {Travelers Narh'e I as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation (3.9.. onginal itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form. Q-?ritmws. Signature: Employee Traveling - r_ tEcer?ve Signature: S'iHdeini?strator - I 3 2013'. ACCQUNTS PAYABLE Signature: Next Level Administrator". ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL VI YES NO. ?Signatures also authorize the Albuquerque Public School Accounts Payable department to charg'eit'he edst to. the cost account indicated for expenses included in Section C. upon receipt of billing from the District Travel Agent. . . . .a Page - 2- - of 3 a 7ftf09 ALBUQUERQUE PUBLIC SCHOOLS NO. 739958 um: 315m MENAPACE, cum: ONLY. ALBUQUERQUE NM mas mm mm. mm mum \ma'a SNI- mw mm nmuuen 5mm mm nun/u $255 :7 sum $255 57/ TOTALS: $255 57 mm: 5255,57 ALBUQUERQUE SCHOOLS Datum m2 a Box 257m ALBUQUERQUE, NEW MEXVCD 571250704 (334") RETURN SERVICE REQUESTED ONLY ALBUQUERQUE NM 57106 Travel Authorization Numbemm ALBUQUERQUE PUBLIC SCHOOLS 14V EMPLOYEE TRAVELHEIMBURSEMENT VOUCHER 5 gqlf/ Employee Nememm Employee -Date a a i! IEI Employee's Work Lac. 0391 Day Phanett 2305351 Cell Phone #233555 Travel DestinationMW--W Date/HourotDepanurel Mm Date/Hourotfieturnww FER DIEM REIMBURSEMENT Per Diem days perday Total: 5 (ln State $85.00; out or state $115.00, special areas out at state - $135.00) Please note: Per Diem includes lodging and meals, FEE 272014 AGCDUNTS PAYABLE I ACTUAL REIMBERSEMENT (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR COSTS REIMBURSEMENT) Actual Costs' Lodging Days per do ll prepaid record $0.00 (Cannot exceed $215.00 perday Total 3 Meals Days oe ay (cannot exceed $45 oo/day or $3030 per day in state) Total 5m Taxi and other transportation (Receipts only it over SSW/day or . same/mp) Total 3 I 6 Personal auto mileagemmttes sass/mate MS momma Qg (Cannot exceed common carrier most economlcal (are) 4,7 OLhet' Total 9.05 CostAcceunt: Co MM) Account i do solemnly swearthat the above account and the within itemized statement arejust and true In all respects, and payment Iheveoi has not been received by me nor has Albuquerque PubIIc Schools paid tar any of the above expenses. APPROVAL: I Employeesignature C: Stte'Administramr WH6LE FOODS MARKET 151 anTR FE . MI 51551 YEN '6 Fl - \Is555 Saul)"ch 55 I 4.55 5 HEN - 1511,50 IIEH - 52201 9" .51 7.90 Iumaruflnm I 055514 EMRNGE .00 1mm NHHBER or suLu - 3 2/05/11 55 0340 '3 nan 5M Inn fur IhnIMns "Ml! Fund! 15! mums fin Sm" FE . NH 57501 nLaacanE DDELBES99 2201 - .15 H35 mutual-lunar. I 055095 21155455 ,uu me n; HEHS 3 ann/H 12.50 H1 0310 v! 0159 SH flunk you For Immu- "hall Fundl "Irkl' CurrHloI WH6LE r0005 15! In sumsuntnr'srme mm 5.59 nu; 15 F1 2,00 I Iznz v09") Dale E. Hourol Depanure I mummizalmn Number St Tum?! PURPOSE OF TRIP (Please expiain the purpose ALBUQUERQUE PUBLIC 5 REQUEST FOR eheurpi'fizla (his navel Ma page i! necessary) gain Seminar/Confarence Fae VandarName Cost Acct Co, Unii Accoun fi--x. __Nud Check Mall oi- Pick Up; eircie una (OR) wim Pom [ityi- Lndging: 394:5"st Vendor it _Need check: Maii Or ick Up; cimla an: (OR) EXPENSES TO BE REIMEURSED TO Choou fine: Per Dlam a! Acmal (ORIGINAL ITEMIZED RECEIPT Mil REIMBURSEMENT VOUCHER) Per Diem Days@$ Days@ Meals: CosKAch'Ca. up uni 5 [In state 585 00. out 0! state 5115 00' special areas 5135,00) OR Aciuai Costs. (Provide the heal llhmalfl of costs reimbulszmenl based on may inpiuifin Hans: 0011 a Pam wiin Pam: (last per day (no! In exceed $215 00 per day (INCLUDES LODGING AND MEALS) perday ("om exceed perdayi mm@ in F'pe: day (ml to exceed 545% pemay ou Taxi. other transportation parking (Receipts required i! ever 56 Gamay oi 530 mm Persuna1 auto miieage (Cannot exceed common camel mcsleconomical lam) other COEQACCOUHHF CO Um! Air Fare pins agent lee ei Auto rental pins ageni tea Cast Accounw Co (if iess expensive Iiansponzlion is not availahla) __Paid will: ['0an (ml diglls 0! are i Unii miles @s.505/mile - Skips SLL mnunk TOTAL YRAVEL REQUEST (and sonuons ma. Ii l? .s APs TRAVEL AUTHORIZATION understand the travel guidelines and will adh?re- only- to- the items identi?ed Printed: Employee IT-riauelers Narhe. . . as estimated. charges on the Request For District Travel Form, I also understand that no reimbursement will be issued until the Employee Travel Re?imbursementVoucl-ler- is submitted with all required documentation original itemized receipts and that actual reimburSement may not exceed estimated costs on the Request for District Travel Form. Signature: EmployeeTraveling ACCOQNTS meats Sig-natural S??dministrator NOV 1 3 2313 Signatore: Next Level ARE AVAILABLE FOR THE ABOVE TRAVEL YES "Signatures also authorize the Albuquerque Public School Accounts Payable department to. charge the cost to the cost- account indicated for expenses included in Section C. upon receipt of billing from the-District Travel Agent. Page . 2 . of} mammal-en: ALBUQUERQUE PUBLIC scnoms No. 172351 DI Nm' mamas: CARRIE Roam' -- omv' ALBUQUERQUE NM mos mm) mm mum mum:- un- Grounmuum nmunu n7/2s/n $6,215 sa'an ss'u SANTA FE 03/31/11 564'91 SILW mum's ms cxucss mom: 59 so sum $5.30 TOTALS: 5m 73 $000 $51.73 ALBUQUERQUE Puach SCHOOLS 0mm #12 0. BOX 25704 ALBUQUERQUE. NEW MEXICO 67115-0704 (33441) RETURN SERVICE REQUESTED W5 ONLV ALBUQUERQUE NM "106 Travel Authorization Number 1% ALBUQUERQUE PUBLIC SCHOOLS 57% I EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Employ" Employee tI--nlem Emplayaa': Won: Loci [83 Day Phaneflm Cell Phone em Travel Dentlnelion 52$ (a Date/Hour of Departure Watemnur at Return 2'83 gem PER DIEM REIMBURSEMENT Per Diem per day Total 5 (In Sh!- $85.00: out of Ilals 5115,00} areas out of iiete $13500) Flute nah: Per Diem Includel lodging and male. ACTUAL REIMBURSEM 4P 784 (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR ACTUAL COSTS Actunl Cam: Lodging Deya per nay: "prepaid record 30,00 (Cannot exceed 5215400 per day) Total 3 Buy. a per my exceed or sauna per day in state) Total 5 Text and other (Receipt: only It aver $6.00Idiy ur $30.00Mp) II 5 Fenanal auto milsagalkaua. $.505Imlle Total 5% (Cannot exceed common carrier most eeonumll tare) Total 5 TOTAL PER DIEM on APs NF Travel Technicilni Initl .fl, ,3 CMtADDcunl: CaMUnithcwum 235;: V0 '21 I do solemnly tw- that the am Account and the within itemized mum-m Jun and true In all rupee" nd p- I unreal he: not been received by me nor in: Albuquerque Public Genuolu paid for Iny onhu Ibo" exp-Mu. APPROVAL: Employee Signnture Site Administratan Page 1 of 2 UPDATED 7/1/09 Travel a nun suhmimm ALBUQUERQUE PUBLIC scnoou ""fisauss'r F0 DISTR ck RAVEL LYTD I . . Ann 935 Mademeval an 9.134;) airplane. aln lime aulo mammal) Dale a. How amenaan Dale 3 neurolramm PURPOSE OF explam ma purpose (01 ml: travel and elaborate on In- exfiac benefilm Digllictl Mulch extrapagallneaesury) I 2 SECTION DEXPENSES PLEASE WHICH METHOD OF PAYMENT FOR EACH EXPENSE: Flo. Vendor Name Vendor 1f Conference dais: Cost Cay UM Amount 5 _Need Check: 0' Pick Up; :Ircll on. (OR) __Plld (Inn dlglu cl clld__) Lodging: naysg per day (no! no mm $215.00 per day Includlnn lam) Vendor N-me Vendor 1 cm Acct Co. UM AlxaunL Tm: _maa Cluck: Mall 01 Pick um elm. one (on) Paw (Inst alqu a: card-J SUB-TOTAL SE01 A 3 SECTION ER DIEMIACTUAL EXPENSES TO BE REIMBURSED TD EMPLOVEE: anom- one: Pu or Ann-I (ORIGINAL ITEMIZED RECEIPTS MUST BE ATTACHED 10 REIMBURSEMENT VOUCHER) Fe! Dlem Days(R)$ pal day LODGING Am: Tom: (M slate $55 no, out a! "are :1 151m, special arias $35.00) 0R Actual Calls. me but "Wham a! If reimbursamam based on "actual Lodging: Daysu per way (not no axcaea $215.00 per day inclumng lam) rolal: Mula: 3 Days@ ample: day (no! lo excaad :45 on perday ol slale, sauna in slamlulal- Taxi. ulnar (nae-um mqulmu ll oval sum>> or 530 DD/Ilip) Tom 3 Personal amo mlleagemlmlu @s 505/mile (Carma! exceed common carrier meal aqunnmiullnre) 4 35 09'" Touts - CaslAceounl-x Co, 22E Unit suaquL sects: .5 RENTAL EXPENSES AlrFam plus agenuee o! Teal, 5 Auto rental plus agent (as (.1 lass expensiva lranipoflalinn I: no! available) Ynml: __Pala mm mm (luu alqu chard Cos! Awoumfl Co Unil Account SUB-TOTAL sEcr. TOTAL TRAVEL REQUEST (add salmon: C) TOTAL 3 5 ha:- 7/1/09 APS TRAVEL AUTHORIZATION STATEMENT: I WG?demtan-d the travel guidelines and will adhere only to tne'ltem's identi?ed 1' Printed: Emptoyee I Travelers Name . . as estimated charges on the Request For Form. I also understand that. no reimbursement trill be Issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original Itemized recelptS: and that actual reimbursement may not exceed estimated costs on the Request. for District Travel Form. (?49me Si'g'nature: Emploube Traveling Signature: Si?te??dfninistrator Signature: Next'Leuel Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL )1 YES NO ?Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section 0. upon receipt of billing from the District Travel Agent. ALBUDUERQUE PUBLIC SCHOOLS No. 713592 Dan: 1m MEMAPACE, CARRIE ALBUQUERQUE NM mus (53441) mm Numhu mum" mum on. Eml- unmunumuunl MAmwnw-m "slum-all cam/u $10.21 Show sin :3 TOTALS: 510,23 so on SW 23 ALBUQUERQUE PUBLIC SCHOOLS 1:12 0. BOX 25704 ALBUQUERQUE, NEW MEXICO 871250704 (33441) RETURN SERVICE REQUESTED MENAFACE, CARRIE -- ONLY ALBUQUERQUE NM Travel Amharizauun Number [95 035 ALBUQUERQUE PUBLIC SCHOOLS EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER . 3W Emplayee -Dale 313;] 91 Home Address__ Olly/W Zip Code_'llD_Y (a Employee's Work Lac' 033 Day Cell Phone FER DIEM REIMBURS ENT Per Diem _days a finer day Total: 3 (In State $85.00; out 01 slats $115.00; special areas am - slate $13500) Flu-u note: Per Diem Includol and mell UAL REIMBURSEMENT (ORIGINAL ITEMIZED RECEIPTs HE Annual casts: Lodging_ Days IRED FOR ACTUAL COSTS REIMBURSEMENT) per day: if plspald record $0.00 [CannUI exceed 15.00 per day) Total 3 Meals ays a per day (cannot exceed $45.00/day nr $30.00 per day In slate) Total 5 5- 23 Taxi. other transportation, parking Total Personal autn mileage miles Total 5 (Cannot Exceed common Carrie! most economical lure) Olhev Total TOTAL PER DIEM on 3 19,93 APS AA: Travel lniIials CoslAcmunl: Co 190 Unitilflaqllagg Account 553131) lg I do solemnly sweat that the above account and {he wlthin Ilamiud are [un and nun In all respects, and p-yment thereof hl! no! bun recelved by me nor has Albuquerque Publlc Schools pald for any a! the above APPROVAL: Employee Slgnatule CE sue Page 1on 10/1/2013 03/21/14 17:11:14 Farranut N. NE Uashln ton DC FOR TONER SERVICE CALL 202-962-5719 1000 Conn. Ave' MM HEZZAMNE 4 HACHINE 34 0543+ NO: 3088142 AUTH NO: 015178 CREDIT PURCHAH- OUANIITV COST IS 3100 PER 30881. 81268 076428427] LOTAL AMOUNT: ?5 ,00 STARBUCKS Store "760 1001 Ava Hashingiun, DC (202) 45?sz CHK 717794 03/23/2014 10:55 M1 1011595 Drawer: 1 Her 1 Gr LIME 3,55 Vanilla 0.50 Soy 0.50 Visa 5'13 Subtotal ".15 Tax 101 $0.49 Total U513 Change Due $0 . 00 Check Claseu 03/23/2014 10:55 AM Make a purchase hefur: WM 5 yan remain after 11PM Mar 20 Sun Mar 23 Get a FREE Grand! Iced Sofie: Select us stores. Dads: 785 Tm: [0,33 Travel Authorization Number 0 onlacl Nammwn Date Submlnedllagltk; ALBUQUERDUE PUBLIC SCHOOLS FD TRAVEL -- i L. I Zip Code Day Phone 4: Cell Phone mam mu Made cl Traval vaul Destinailon WM gm imlane. > Depanura 3% 52 [0 Damn hourul man FUR POSE OF TRIP (Please explain me purpose Inr this travel and alumina uni a expemad banaliI In me Disirici. Mach I A emu page ll necessary} SEQEON A: PREPAID PLEASE WHICH METHO OF VMENT FOR EACH EXPEZSE: If Conlelanc StmInu/Con ronceFao: dorName iAch:Co.l (SD Acaaun _Nled Check. Or Up; clml. an! (OR) _Plid (lalt4 cl an Lodging: '1 Daysatm'fpei daylnol Ioexceadseliflfl per day Including lam) Vendor l1an Venng ii Cast Am: col )5 3: WI 3 904m 3519 Acmuangf'i-Vfl: . _Need Check: Mail 0! Up; circle an! (OR) with Wild (In! 4 digit: of card IEMIACTU FEMS EXPENSES TO BE HEIMBURSED TD EMFLOVEE: Choose Far Actull (ORIGINAL ITEMIZED RECEIPTS MUST BE A REIMBURSEMENY VOUCHER) Tank 5 Per Diem Danes per my (INCLUDES LODGING AND MEALS) (In $55.00, out cl {Illa $115.00, special If": $135.00) 0R ale of com ll veimhurlamlm bland on "Ian-l cash") Actual Colin: (valfls the belt I Days(R) per day (no! lo exceed 32mm per day including taxes) Total: Dayse 152w day (nm In excaad sum) per day nut 01 slam, $30.00 in slaielToial Taxi, ainer parkan 'roialz Personal MAO mileage Miles 6 (Gannon axcued comman navlier masi amnomical Iare) Dinar cmmanoum Un Accountm SUB--TOTAL seem as RE TI PENSES Alr Fare plus ngani lee ol - Auto rental plus agent lee lit lass iranaponaiian is no! availab|el _P.id um 4 digit: a! can! Cusl Amount>> Go. Lon Un'n elflog'] a Aman SUB-TOTAL 5m. :25 "9 TOTAL TRAVEL REQUEST (Idd APS TRAVEL AUTHORIZATION STATEMENT: understand the travel guidelines and will adhere only to the items identified Printed: Employee {Travelers Name as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbur?dement may not exceed estimated costs on the Request for District Travel Form and that requests 'for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income. per lFiS regulations. Camomeng Signature: Employee Traveling WW. (I 1 Signature: Signature! NeintILeyvel AdminIitrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL YES NO "Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the. cost to the cost. account indicated for expenses included in Section C. upon receipt of billing from the District Travel Agent. Page - 2 - of 3 REVISEDIUPDATED: 10/010013 devices? 2014 R1361Stimulus: 3 7/ Mr. Ms. Mrs. Dr. To register online, go to New Addicts: (PLEASE PamLilLlen ~l Gourds 36h DistElct [Organization 90 36704 . . NW1 City State I Zip 6g: 539880- 9575 Janr??gineumammso?w REGISTRATION Fess Complete this registration form for meager; and mail Checks should be made payable to the Council of'the Great City Schools. Please have invoice number, registrant name and conference name listed on check. Full registration payment is .due by February 28, 2014. A5100 late fee is applied for registrations received after Feerary 27. 2014. On-site registration only after March 18th, AND CANCELLATION POLICY: Refund requests, cancellations or substitutions must be made in writing and faxed to 202?393-2at00. You will receive a full refund if cancellation is received on or before February 14, 20.14 and a 50% refund if received from February 15, 2014 -- February 2014. Cancellations made after February 27, 201-4 or loo?shows on March 22, 2014 will not receive a refirnd and will be billed the full amount. Purchase order numbers will not be accepted for those registering on-site. An additional. $200 fee will be charged for those registering cit?site. -- - 'ived .o (No Proxies). Fee is mitted prior to the conference. lso wai?e for sponsors who haVe been identi?ed throug r. mewi WAIVED Superintendent/Board Representative! Sponsor Contact Deheckm $100 additional late fee (registering between February 2? and March 18) After March 18 must register on-site $150 forS'pouse Name: (Spouse Will receive Name badge for meal events only) $175 for Council School District member DPurchase 0rde a Expiration date: $175 for Council College of Education member $375 for Non-member school districts and Education Famed Name" .. . . Signature: Assoclatlons [j $675 Additional person from sponsor company (per person) 3-Digit Security it on the back of the card: $1000 for companies Sponsoring (?memo?) I Please check. if you prefer vegetarian meals Bill my_ organization [please print complete address With. Information needed fora correct count of meals telephone number) if different from above address. materials. All Payments are. due before February 28 Food Allergies Arrival date a. time: i Arm Departure date time: i Southwest. Airlines - Pricing and Restrictions Search Select Flights Price Pumhase confirmed Page 1 of 2 gainer scum; Sign .Up 'n Save Help 'Espehol Albuquerque, NM to BaltimoreNVashington. MD Air Total Price: $557.00 1 ITINERARY 5 . . - DEPART 11:40 RM Depart Albuquerque. NM an I ?ight 4 man :1 Southwest Airlines 3:12:55 PM Arrive In Denver, CO ?Wall: 31v i 03:50 PM Change {gt to Southwest Airlines In 4 I Travel Time? 35 Denver. CO i #111 a (1 stop, Includes 1 plane change) I I Wanna Get Away 5 "09:15 An'Ive in Baltimore/Washington. 1? win available - PM Hi: (own . i - i i RETURN Depart; laltlniprel-Weshlnuton. Flle ii nuns an (own on Southwest. mriines new - i l1 Stupor: Little Rock, AR i and: - i 02:05 PM Arrive in Dallas (Love Field}, Tx (DAL) 4? W1 available a 25' a? . Travel Time 7 29 . i - 03.25 PM Change 39' to Airlines In Six; 3% I (2 stops, Includes 1 plane change) I 1 Dallas (Love Field), Tx (DAL) i i Wanna Get Avila-r i ems PM Arrive In Alhuquarqua, HM Meg) i I 3 win a?eliuble I What you need-to know to travel: Don't-forget to check in for your 24 hours before iIrour trip on southwest.com or your triolalle,Iieirlct;r S'outliliiest Alrilnestloes not have assigned seats, so yeti can thdose Volar seal: when you board the plane. You will be assigned a boarding poelti'bn based on your checkln time. The earlier you check in, 24 hours of your ?ight, the earlier you get to bnard. PRICE: ADULT Trip Routing Fare Type I Fora Rules Fer'e ?clails Quantity Total oppllonhlo [are mm at Den-lit Wanna Get ?my a [Reusable Fund: 3 I sari-0.00 emotion [minim-1mm - no new mumml' I Monument? Llileu with wih PoE'u-l I lilo Chang-E1?. Wanna Away {mum ?m ?Wk? - eturn I em: on i 1-87.00 a - Value name?? - no name men eh?m?l' urilln omen-m M?l Point" Enroll In Iopld Rewards-and earn It Intestine: Points per person for Subt?a' $55,410 this trip. Already a Manner? Log In to ensure you are potting the points you deserve. 'i'ou can't find this great fare on any other website. Souhwmt- fares are only on Soullwestmm. Modify Trlp- av clicking tonal-we: you agree beamept the ?re rules and-wanton oon?nue with this purciuse 1-st and 2nd Checked Bags Fly Free. Weight and size limits apply. ?re Broilluilown Bap Charge Air Total: $557. 00 1 $0.00 Purchase your shopping .n -- .- ?you no. Ticket Price: $557.00 Credit Card Btalemorit: -81 00.130 Total Credit: ?Shad h?ttp ?disc=sdc%3Al 3 9093 3 22. .. Add a Hotel Quick Air Links Check In Change Flight Check riignt Status Account Lugln Enroll Howl errnilme Password {Case Sensitive] 1 I Remember .Me Need help logging In? Menage Travel Shopping Cari an Depart Ht 393! 211 A law: 9:15 PM Miriam 11:40 AM Adm-Airfarepa'persri Warm-Gamevfere 4. Mi is? "iia'Ei'rF?t' $370.00- AM it: 15 PM limit-Airheme women-mm $187.00 Cost ara'a'itdown' Adult $557.00 in 1 $55730 Gum. ?xes it Fees We?ll menu: the flight upon purchase completion. Trip 12313] $551.00 I Not ready to- book tet? save this trip and book later. ngOF-light: . Chockoui . . . . Rapid Rewards ECGIEUME JAN 2 2014 It}; AccouriT-e no 1/28/2014 PUBLIC scuoms No. 175170 a. mom MENAFACE, REIMBURSEMENY ALBUQUERQUE NM ENDS (nufl Inwa mm mm." mm mn- em..mm Nu sum .1 oo/za/u 5113.74 $0.110 $143.7: TOTALS: W174 so on ma PUBLIC SCHOOLS Dmrimmz 0 BOX 25704 NEW MEXICO 87125-0704 (33441) RETURN SERVICE REQUESTED MENAPACE CARRIE -- ONLY NM "106 Travel Authorization Number 1&5 223 ALBUQUERQUE PUBLIC SCHOOLS 4 EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Employee - Belem Home Address WW Zip Code 8 'l '0'0 Employee's Work Loo. (83 Day Fhanelr 1 Cell Phone II 232- 51:3 Travel Destinationm Fe Wm Date/HourolDapanure 80!" '42; Date/Homo! Return :l :8 PER DIEM REIMBURSEMENT Per Diem days a per day Total: 5 (In State St? out ol state $115.00: special areas out ol stats - $35.00) Please note: Per Diem lncludu lodging and mull. ECGEEIJWIE APR 28 I 3 ms PAYABLE TotalS ACTUAL REIMBURSE NT (ORIGINAL RECEIPTS REQUIRED FOR ACTU 00513 REIMBURS Actual Lodging Days a per day: il paid record sotoo (Cannot exceed $215.00 per day) Meals Days per day nnot exceed $45,00/uay or $30110 per day in slate) Total Taxi. othartransportalion. park! 9 Tolal 3 Personal auto mileage 9 . lies 50$ Total 5 3.7 4 (Cannot exceed comman ca ler most economical fare) Other Total 3 TOTAL PER DIEM on um APS Traval Technician's Initia 0 NJ Cost Account: Go Account 5 53 I I do solemnly lwear Hill the above Iccount and the with!" Itemized statement are lust and true In all relpectt, Ind payment thereof Ins not been recall/ad by me nor has Albuquerque School: p-id tar any 01 the above expenses. APPROVAL: Employee Signature 0" - Site Administrator flap Pug: of 2 UPDATED 10/ 1/ 2013 . I T'reval Authorization Number ewecgntact Namemflmom Dale Summer: fl fl ALBUQUERQUE FUBIJC SCHOOLS REQUEST FOR DISTRICT TRAVEL AV Fl Name el Imvelel Title Locatiun Name 53 Home Address City Zip Code E7509 Employee ll Day Phnne or ttene L953: 3 23 Ema addlass kyum: Travel Deslinauun A I 1 55g Mode al Travelw (airplane. trarn, private euro er omelet) Date a Haul el Deparlure 4 Date a. ham 0! return PURPOSE OF TRIP (Please Explain the purpuse icr INS travel and slsbovals on the ewemsd benefit to the Dislr'lcl. Altach extra page II necessary). - - :jmgdoim SECTION PAI EXPEN ES PLEASE WHICN METHOD OF PAVMENT FOR EACN EXPENSE: Sam'nrlr/Cnnferanca Fee: Vendor Name Vandal Conlerencs dams Cost Acct: Cox UM Accoun! Total: 5 'Nlcd Check: OI Up; circle one (OR) _Pald (I Lodging: _Days@ __per day (not to excaed $21500 per day Including taxes) Vendor Name Vandor Cos! Acct: Co, UniL Aecnunt Total: 5 ?Need ctteclr: or Pick Up; ene (on) _Puld with (lust digits elem EXPENSES TO BE REIMBURSEU TO EMFLOVEE: than" Dug: __Per off ActuII (ORIGINAL ITEMIZED RECEIPTS MU REIMBURSEMENT VOUCHER) Per Diem DaysOS per day (INCLUDES LODGING AND MEALS) Tnhl: (In mm 585,00. nu! (II "at: 511511", lpeciul urea! $135.00) OH Acmll Com: (Provid: the but OI c051: iI reimburumunl hlsefl on "lulu-I :Dfll") Ladging: nayse per day (not In exceed $215.00 per day lneludrng taxes) Total: 5 Meals: _.;LDaysfi . er day (not to exceed $45.00 per day out of state. 530,00 in slalel'rntal: 3L3: Taxi. etner pavking Total: 5 Personal amo mileage Marilee a Tonal: (Canrvm exceed cernrnon earner economical late) other Total: 3 eastAccounlu Co, 1125!) UNL EWSED Account 5' Q1150 SUB-TOTAL seats 5 $5234 An Ech TAL EN Air Fare plus egent tee a! Total: 5 Ame rental clue agenllea (if less lransponallnn is not available) Total: 5 (Ian 4 d'lglu ol cere__l Cost Account>> Ce. Account fl SUB-TOTAL SECT. 3 TOTAL TRAVEL REQUEST (add auctions AB, It 0) TOTAL 5 Page . 7 e13 [0/01/2013 APS TRAVEL AUTHORIZATION STATEMENT: - . understand the travel guidelines-and will adhere onlyto the items identified as estimated charges on the Flequest For District Travel Forrn. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income, per regulations. a? Signature: Employee Traveling Signature: was Signature: Neil-?Level Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL ?l YES also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section 0., upon receipt of billing from the District Travel Agent. Page - '2 of 3 13 ALBUQUERQUE PUBLIC scHooLs No. 780529 om: mom MEIAPACE. cum: RUBIN--RE EMENT ALBUQUERQUE NM an as (32m) Im mm a. npflun mm. amnmm mm SANTA FE 06/)5/14 $16! A1 Sn an 5169' TOTALS: s13: 47 mm' 5159 41 ALBUQUERQUE PUBLIC SCHOOLS 0mm #12 0 BOX 25704 ALBUQUERQUE. NEW Mscho 57125-0704 (33441) RETURN SERVICE REQUESTED MENAPACE CARRIE Wow ALBUQUERQUE NM 87106 7 Travel Authorization Number 9?3? ALBUQUERQUE PUBLIC SCHOOLS EMPLOVEE TRAVEL REIMBURSEMENT VOUCHER Employee - DaleJellfilJH-- Home Address am a (EU NE cal/Wm Code 8] 0g Employee's Work Lac. LDay Phomm Cell Phone at 32331: 3 Travel Destination Sam Fe. Wm; Wm Date/HaurolDepartura La Date/Homo! Return In 13 59m PER DIEM REIMBURSEMENT Par Dlem days per day Total: 3 (In State $35.0 But at state 51 15,00: special areas out at state $135.00) Please note: Per Diem lnnluflu and meals. ACTUAL REIMBURSEMENT (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR ACTUAL COSTS REIMEUR 4' Actual Costa: Lodging Days per day; lt prepaid vacord $0.00 (Cannot exneed $21500 per day) Meals Days @__psr day (cannot a 45.00/day or $30.00 pet day in state) Total 3&3 Taxi, other transportation, 1) Total Pevsonal auto mileage miles -5IJT Total (Cannot exceed com on carrier most economical Iare) Othat Total 5_ TOTAL PER DIEM on /s 1943.5 2' AFS Travel Tachnician's MUM by "6 Cost Account: Go 99 WW Account ii: so I I do Iolamnly swear that the above mean nt and the ltumld stntamont jult and true In all Inputs, and payment thereot has not been recelved by me nor has Albuquarqua Public Schools paid for any ml the above upon-as. APPROVAL: Employee Signature (r'fz' Site Administrator 10/4/2013 Page 1 of2 WH6LE 4 wnfiu: 10005" FOODS - 15! EERRILLDS RIL mm F: 15: CERRILLDS 1111. Sam! rs. 1111 mm ana--saz-nuo "Ha-1m 1- ans 111m vucr mums 1.19 .m {mums 1115 1.15 - 11x 111 11111 11m 3111. us I 11:11 - mm muss: 2.99 . spmcu mama 1195 VF new 11 51 I 11111 "1111 11151111111211 2. I mu:ng anssn vF Deb" A 22 52:1 1 4m 1 um 65 3111 /11,51 hummus" 11 Su 1 1212 mm m- 111x .110 nL I.zz I mm 1111115511 or IYEHS SDLD - 4 mmqu .on sin/M 12:15 03101211211 53: mm or HEHS soLn - 4 Thank gnu im- mam" 6/13/14 12>>11 P11 11340 13 0433 519 um: Funds - TraVafAnlhurizalIun Numbailgf 2?77 Contact Nameflw Wont; Submitted I I4 . ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL TiIIaL-fi ocalian Name - City zl madam CellPhona iladdvess . . . 4L: . In; . 5c Travel Desiinatiunm Mode of Travel Ilpl 9' (rain. pn'vute auto DaIs 5 Hour 01 Dapanure a! urn Dale a item oi retuth PURPOSE OF TRIP [Please exp in (he mimosa let this travel and elaborate an me a paste baneIil to me Disirtct. Anach axtra page ii nacessary). - 4%umnu mm QIM LE SECTION PREPAID ES PLEASE CNODSEIMARK WHICH METHOD OF PAYMENT FOR EACH EXPENS Semimr/Coniemnn Fun Venom Name Vendor OI CnnIemncs dates CosIAcci: 00 Unit Total: 3 #Naed ck: at plat Up, (In! 4 digit. cl nm_) Lodging: _Days@ .Jaiday (noun axcead $215.00 per day including taxes) Venflw Name 'Vendoi ii Cost Acct: 00. unit Accoum Toial: _Nsed Check: Mall at up; clmla an. (ca) _Paid Pc-rd (Int 4 Iilglta urd_) SUB-TOTAL SECT. A 5 ECTI 3' PER DIEMIAC EXPEN EXPENSES TO BE REIMBURSED TD EMFLOVEE: Chaos: one: Pu! Dlam or Actual (ORIGINAL ITEMIZED RECEIPTS MUST BE AT 1 REIMBURSEM ENT VOUCHER) Per Dlam DIYQGS per dly (INCLUDES LODGING AND MEALS) (In all" [85.00, am ol I'll: $115.00, sped-l Irena "35.00) 0" Aclull Com: (Pmidl the hilt callmm a! Dull] ll mlmbursumml bued on DaysO at day (rial I0 exceed 5215.00 pal day incIuding Isles) Tom: 5 lbaysfl 5L er day (nut to exceed $4500 per day out oI state, 33000 In fl Taxi, other Iransponalian. arkan Tmal. Personal auto miIeage mmIlas a .35 Total: Lam. exceed common miller most aoonomlnal iare) Olhsr Toial: Cosl Account>> Go. Unii Account fizl 50 sua--muL Stet a "sgg'r 911 AIRFARELCAR 5mm; EXPENSES Air Fare plus aganlIaa ui' Tomi: 3 Auto ranlal pIus agent fee (iI im expensive Iransporlaliun is nut available) mai: 3 witti 9cm (In! a digit. at and Cos! Accuumfl Cot Uni] Amnum SECT. TOTAL TRAVEL REQUEST (add sedions A,a. a. a) TOTAL 3 305. b0 Fag: - - of] AFS TRAVEL AUTHORIZATION STATEMENT: i?errte?obm Marinades Printed: Employee {Travelers? Name as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income. per regulations. . understand the travel guidelines and will adhere only to the items identified Signature: Employee Traveling ell/~44? Signature: Sit??c?ninistrator Signa'ttrre: Ne?/Vlfevel Administrator ARE FUNDS AVAIL-ABLE FOR THE ABOVE TRAV NO ?Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section C. upon receipt of billing from the District Travel Agent. Page - 2 - of 3 REVISEDIUPDATED: 10f01i2013 No. 782314 ALBUQUERQUE PUBLIC scnoou am. 7mm saunas-z. cum: aoalw-- EIMBURSEMENY omv' ALBUQUERQUE NM 57106 [33441) man:- Nun-r M71an DM- Emu mow n'mum nmousns summer" m/n/u 5mm: m/n/u sun 50 no sz'nz 316,77 $0 D0 516'77 ALBUQUERQUE PUBLIC SCHOOLS DWSIlilfl 2 it's-mafia" US NEW MEX {00 871250704 RETURN SERVICE REQUESTED CARRIE DNLV ALBUQUERQUE NM 8710! Travel Aulhorizatinn Number 190' 5 35 ALBUQUERQUE PUBLIC SCHOOLS EMPLOVEE TRAVEL REIMBURSEMENT VOUCHER 33 EmpIuyee NameCfl find-MI" Employee I_3als Ila! 3 Home Addvess (:in Code--H 7 00-- Employee's Work Loo. fl Day Phonelfm Cell Phone Chum Travel Destinatan Date/Homo! Dapanure I L5 9 99m Date/Hourol PER DIEM REIMBURSEMENT Per Diem __days per day Total/:S/ (In State $85.00: out of state $1151.30; special areas out 01 state -- $135.00) Please note: Per Diem include! lodging and meals. ACTUAL REI URSEMENT (ORIGINAL l'l'EMleD RECEIPTS REQUIRED FOR ACTUAL COSTS REIMBURSEMENT) Actual Costa: Lodging Days 0 per day; ll pvepaid record $0.00 (Cannot exceed $215.00 rday) Total 3 Meals Days a per day (cannot exceed $45,00/day or 9 $30.00 per day In state Total 3 Taxi,athertrans VS Totals re: 'f JUL 22 2014 ACCOUNTS PAVABLE Personal auto leage miles Total 5 (Cannut ext: common carrier most economical Tare) Other Total 5 9, TOTAL FER DIEM on APS Travel Technician's Inmals% 0 Ma CostAccounl:Co QD I do Iolemniy wear that the above account and the within ltnmiud slmmem are [net and true ln all lupectl, and payment thorool has not been received "on "panel uquarqus Public School: paid tor APPROVAL: Employee signatureI site Administrator Page 1 of2 10/1/2013 a 3! New I 9mm fl moi. um A 5mm 10: (506) 325-0711 mm 3050 23". St sun>>: 3 I er: Rebekah 505427--2100 Hang.233: Del Manna Half . 'mmg'mfil'w mm] 14.00 NO qnim 15> V1.00 a . as mm; arm 1m] 15.00 . Banance Due 15.00 5 mm ma 5 Ihank Sn In} rm; 15731 s-aas-wuwzs fin") SDIEI Ill] (5115) 315-01" . .V llWl'! WI: 03:00 PI VIM: mu mm; 9' 1 ACCOUNTS PAYABLE .v i 5 flml' MW i a. 3mm camintumnm: 4va a; 4.99" maul infill": 2 4--6 eiz'fl? ma! mm armrqu in um mun arm-rm 7' mum 8'53 941,1 [7'2 Travpi'm'nnarizaiicn Number [13735 Oonlacl NameW Wmum Submng-- - . ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL IL our FLE vTo Name ol Iravaiai Home Day Phone :9 - 9 Travel nestinaiion Date A Haul oI Departure PURPOSE OF TRIP (Please axpl page I necessary). (Ai irain, pnvme auto or Date a ham vi velum mine purpose Iothis naval and elaborate an the exps ed benaIiI In ma Disinn. Anacn Mode vael LESC SECTI ID EXPE SES PLEASE WHICH METHOD OF PAVMENT FUR EACH EXPENSE: Seminar/Carriers>>: FEE, Vendor Name Vendor Conlemncs Gael--e. Cost ACCI: CD.-- UnlI Announl TDI _Nsed Che Mill 0! Flak Up: click: one (On) Paid (In! 4 OI Lodging.- Daysa SI'pe day (noi to exceed $21500 per day including mes) Van Vandal :10er CosIAccl:Cu. an Unix} 10M 1: _Nud Chock: or Pick up: clvele one (0R) will! (Inst 4 dlgh- 0f car CTI DI ACTU EXPEN ES EXPENSESTU BE REIMBURSEDTO EMPLOVEE: . Choose _Fu Di-m or mull (ORIGINAL ITEMIZED RECEIPTS MUST BE REIMBURSEMENT VOUCHER) Pet Diem times pal any (INCLUDES LODGING AND MEALS) (Ill 335.0", out DI fills IBIM, lpoclnl Irm $135.00) on Total: Coils: (Frovldl tho Inn OI cash If reimbuflunenl band on "lcfull Win") Lodging.- Dayso ardny (no! to exceed :2i5.oo per day includan mes) Tomi: S- Mull: Dayso .16; er day (not in exceed $4500 per day cm a! stale. seem in slaisiToiai: Taxi, ainer Imnsponalion parking Total: 3. Personal 3qu mileage minim mutt--$911331, (Cannot exceed Dommoll canial most economical lave) Omar Total:$ CosiAccouniw Cu 90 UnnmfiDLAccouni flic-- SUB-TOTAL SE07. 5 C: AIRFAREICAE RENTAL Air Fare plus agent Isa of Total: Auto reulal plus agent lee expensive Iransponallcn Is MI available) Total: _Plld (In! I dIgIh of and Cast Account" Co Unit Accounl SUB-TOTAL SECY. 9' $6 . (4 TOTAL TRAVEL REQUEST (add Iecfiont n.3, a a) TouL Fig: A I - 0(3 10/01/10" APS TRAVEL AUTHORIZATION STATEMENT: C?-l?l?ieo @bm . understand the travel guidelines and will adhere only to the items identified . Printed: Employee I Travelers Name as estimated charges on the Request For District Travel Form. 1 also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation (6.9., original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income. per regulations. (?N/illo? Signature: Employee Traveling Signature: Siig Administrator as Signature: N?ici?LevelAdministratOr ARE FUNDS AVAILABLE FOR THE ABOVE AVEL YES NO ?Signatures also authorize the Albuquerque Public School Accounts Payable department- to charge the cost to the cost account indicated for expenses included in Section C. upon receipt of billing from the District Travel Agent. Page - 2 - of 3 1/2013 ALBUQUERQUE puauc scHooLs No. 735292 9/10"! BRUNDEH, CARRIE ROBIN REIMBURSEMENT ONLY. ALBUQUERQUE NM was [away Imuu um.- owwau mu D-I- sm- Mum! 0mm mm Amnunl Tums)" us vmu as/us/u $25.72 50.11:; 325.7 I I Yoan: 526.72 so 00 $28 72 ALBUQUERQUE PU aLIc SCHOOLS 0 sex 2570A ALBUQUERQUE, NEW MEXICO 571250704 (334") RETURN SERVICE REQUESTED ERUNDER. CARRIE Roam- ONLY ALBUQUERQUE NM 37106 Travel Authorization Numbarjjm ALBUQUERQUE PUBLIC SCHOOLS l/ll EMFLO ETRAVEL REIMBURSEMENT VOUCHER MMug Employee NameCLUr I Employee - Dale Employee's Work Lee. Day Phonefifl'j'lfi} Cell Phone ll 8533/5 Travel Deslinalion Dale/Hour cl Departure '3 Lapin Date/Hour oi Return a a8 a pm PER DIEM REIMBURSEMENT Per Diem days per day Tole]: I (In Slals $55 00; out cl slale $115.00; specral areas out cl slale - $13500) Please note: Per Diem includes lodging and meals. ACTUAL REIMBURSEMENT Accomfls PMABLE (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR ACTUAL COSTS REIMBURSEMENT) Anunl Costs: Lodging Days a per day; il prepaid rec rd $000 (Cannol exceed $215.00 per day) Total 3 2 (a 79/ Meals Days 0 per day [cann (exceed $45,00/day or same pay day in slate) Tonal 9 7 Taxi. oihar parking T0131 3 Personal auto mileage miles Tural Odomerer Reading: Beg] ning Ending (Cannot exceed common carrier most economical larel I Olher Tulal 2 9. TOTAL FER DIEM on 55 2f IEI APS Travel Initials i 2 l/D Fl Casi Account: Collao Accounl 5581 I do solemnly swear that above account and the within Ilemlzod Ilalement are Inn and true In all respecie. and payment lheraol has nm been recelved by me nu! hne Albuquerque Public School: paid for my ol the above expanses, APPROVAL: Employee Signalure site Administrator Page 1 an 6/13/2014 Ihe Restaurant at Uldx's 705 Donglas five. Las Vegas. NH 87701 CHRIS D. Guests 7 7:45 PM "255;; Burma Pizza 3400 Tax 0 U'i Prevgfatuitv tntal 12.43 Gratuuy 2.07 mm BALANEE DUE 14.50 Food 11.50 Ear 0.00 Uan u'nu Smetzmes you ml] never know Ins value er a momnt'..unnl 1t Dames 3 MW Br Sauss DISCOVER DI MW Wfid mm mm owner may Dick's Liquors A Dan me Restaurant ax mrk's 705 Doualas Ave. Las Vegas. NH E710: Currem Ham 05252014 Hall 8/25/2014 7:53:57 PM CHEW [23% 13111? 21 CHRIS (L Earmolaer ackmulenaes recean of was and/w serwces 1n the amwm we TDIAL shown hereon and agrees to perform me wnaatmns EEK 1n the caramlner Mm (112 mg 312.43 TIP 2.07 suamuL mammal 'Hn Wm 10m l/fg') Customer Cow mu mm Kean you! Iwey "we yvu' Muss FOR CHOOSING The Restaurant at Dick's 705 Duuglase . Las Vegas NH emu 37-5 a 1 JAZMINE H. 5/27/20" (Slums 5 1:7" Pl Heat Mn Ian Mater ya Sumntal '7 3,50 Tax MS TDTM 9J9 DIJE 9.19 Fund 3.50 Bar 0.00 mm MIG Sometimes you an reuerlkueu the value of a at bums a new Dr Seuss DISWER DI 's.,.us.uu \Umch wield; "Kw Vega/3 EUSWMEF DOW Dick's mes a Dell The Restaurant at 705 Douglas Ave, Las Vanasa NH 57701 Batch 08272014 5/27/2014 1:34:31 PH 015" 37-5 Yable 2] JAZHINE H. carmolaa' meant at was and/0r sermes an we amnunl uf (Ia Show and agrees to ulriul'ul me set forth an the carmomer axremut mm the Issuer (--7 ulster>>! too I 0 Keen vuur mm were yaur mass INANKS 505421816] 2 Manna-W km. (160!me [017/ TWXM . . flit/l s' r) Travel Authorlxatlun Number [35 E3 Contact Name Date ALEUQUE UE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL LL UT In DE Name oI lravele Gallon Name Horna Address City 1m Codem Employee 1 Day Phone ls b43331 Cell Phone mamma-- Em morass '3 Travel Destinatiomm Mada unravel PW M0 nl la a traln, prIvale amo or oniclal) exua page necessary). Data A Hour 01 Departule afim Dale at how DI return PURPOSE OF TRIP (Pleas explain purpose Ior (hIs travel and elaborate on I ex beneIiI In Ihe Dismal. Anach .. SECTION A: PLEASE WHICH METHOD OF PAYMENT FOR EACH EXPENSE: Seminar/Cuan FOB: Vendor Name Vendor CnnIsvenca dams Cosl AWI: C0. Account Yam: 5 ,fNeBd Chec or Up: an! (OR) PCI (1 (Iail 4 dig"! OI card Lodging: A ys@ Mayday lnot to exceed $215.00 parday Including taxes) Vandal Name Vendor Coat Accl: Co. "an mum Touts 4 . *Need chock: Mall 0r Up; one (on) (last 4 ololtr or card SUE-TOTAL SECT. A SECHON EH DIEMIACTUAL EXPENSES EXPENSES TO BE REIMBURSED TO EMPLOYEE: Chane one: PM DIEM or (ORIGINAL ITEMIZED RECEIPTS MUST BE ATTACHED TO REIMBURSEMENT VOUCHER) Par Dlum Dnyafis per dly (INCLUDES LODGING AND MEALS) Total: 5 (In :lale 505.00, out a! stale $115.00, spacill Ire" SISSJJO) UH Actull Costs: (Pravlde the ban altlmule DI wEu ll ralmbulsomenl blitd on "lfluul 6051'") Lodging: Daysfi ar day (nm to exceed $215.00 per day includlng stas) Total: 5 Mala: 337mm - per day (not to exceed 545.00 per day out at state, $30.00 in slale)Tcnal: Taxl. olhEr elking Total; 5 Persunal auto mlleflge fiLmilss a 5717 Total: 5m: (Cannot exceed common carviar most economical Ial Olner Total: Cort Account>> Co. um_ um 513 Ego, Account 5:8 SUB-TOTAL SECTT a C: AlfiFARflQAfi RENTAL EXPENSES Air Fave plus agent lee cl Total; 3 Auto [enlal plus agam lee (iI lass expenst transportation Is not available) Tank 5 #Fnid with Palm (Im a at and Cost Acwuntu Co, Unil__-- Amount SUB-TOTAL l: 8 575'. TOTAL TRAVEL REQUEST (add A.B, a. 0) TOTAL 5" Plug: I nf3 10/01/2013 Haste. APS TRAVEL AUTHORIZATION STATEMENT: W. understand the travel guidelines and will adhere only to the items identified Printed: Employee {Travelers ame as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days atterthe travel date will be disbursed through the payroll process as taxable income. per IRS regulations m-Ox Signature: Employee TraTreling Signature: Administrator was Signature: NeiotLevel Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL NO ?Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account Indicated for expenses included in Section 0. upon receipt of billing from the District Travel Agent. Page 2 - of 3 REVISEDMPDATED: Trevel Aulnd'nzalidn Numbeillf 3 5' Veenlecl Name Data Suamined 52 (5 IEI ALBUOUE UE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL FILL DUT MPLET TO AVOID DELAY Home Address Day Phone ll Travel Deslmallon Ia; "flu 3" Mode DI Travel al us 1min. prMIla auto orofliclaI) Dale a. Hourol Departure 3% Dale a. imurdl relurn 9 PURPOSE or TRIP (Fleas plain purpose luv (his navel and elaborale out a a pact haneIll lo ma District Altach ma page il necessary) SECTION A: PEEPAID EXPENSES PLEASE CHOOSEIMARK WHICH METHOD OF FAVMENY FOR EACH EXPENSE: SemiMr/cunferenc- Foe: Vendor Name Vandal 9' Conference dates Cos! Accl: (In. Unit Total: __Nced Check il 0! Pick Up; onl (OR) Pald with PCIM [Inst 4 digit! DI and Lodging: inayea Marley (nano exceed $215.00 per day lncludmg > Co. UnlI Accounl SUB-YOTAL SET. :2 TOTAL TRAVEL samione As, a c) TOTAL 5 03 '45 Page - of 3 10/01/2013 APS TRAVEL AUTHORIZATION STATEMENT: understand the travel guidelines and will adhere only to the items identified Printed: Employee (Travelers ame as estimated charges on the Request For District Travel Form. also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request tor District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income, per IRS regulations. 0.11? ill-ox Signature: Employee Tra?ireling AA 5t,? "in! Signature: Administrator Signature: Ne?ievel Administrator ARE FUNDS AVAILABLE FOFI THE ABOVE AVEL NO "Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account Indicated for expenses included in Section C, upon receipt of billing from the District Travel Agent. Page - 2 - of 3 10/Ulf2013 ALBUQUERQUE PUBIJC SCNOOLS No. 787390 DIM: Hill!" BRUNDER. CARRIE NM was (11441) 'thx Numbav Bun-um>> Grun- maul" mwmmaum Mn Amwu mu wmusm sum r5 oa/xn/u 50.00 510 "mum: Huaas awe/x. 511.5) TOTALSALEUQUEROLIE PUBUC SCHOOLS Box 25704 ALBUQUERQUE NEW MEXICO 57125-0704 (33441) RETURN SERVICE REQUESTED BRUNDER REIMBURSEMEN ONLY ALBUQUERQUE NM "106 2 Travel Authorization Number I Q5 :35 ALBUQUERQUE PUBLIC SCHOOLS Ubl 3 cm EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Employee Employee -alew Home Address-- (SHAW Zip Code A: Hole Employee's Work Loc. Day Phone" 3&1' 5 306" Phone ll 3L5 3 TraveI Deslination MW Dale/Hourol Departure 9131 mm Dale/Houromelumm PEN DIEM REIMBURSEMENT Per Dlem days per day Total: 5 (In State $85 . out :11 state $1 15.00; speclal areas out 01 stale - $135.00) Pleaee note. Per Dlem Include: lodgan and men . ACTUAL REIMBURSEMENT ITEMIZED RECEIPTS REGUIRED FOR ACTUAL COSTS Actu-I Caste: Lodging Days 6 per day: if prepaid vec $0.00 (Cannut exceed $215 00 pev day) 5 Meals Days 0 per day (cannot exceed $45.00/day 5/ $3000 per day In slate) Talal 9 TaxI, Dlher lransportalion, parking Tolal Pelsonal aulo mileage miles Total Odometer Heading: (Cannot exceed common carrier most economlcal late) Other Total TOTAL PER DIEM on AFS A/F'Tlavel Technician's Wilhelm "ll/2'3 CestAccount: Ca [[00 Unit Accoum 3--3130 Ida eolemnly swear met the above uccaunl end the within Itemlxed "element are lull and true In all respects. and payment lhereol he; not been received by me nor hu Albuquerque Publlc Schools pald lor any of the above expenses APPROVAL: Empluyee Signaluve g. p; Sile Page 1 of2 6/18/2014 ?53 CERRILLUS RD. FE. NH 37501 506-992-1700 URELS REEL CDLR 1 i 365 UTR ENH 750M SHNDUICH 6. VF Debi? 10? PIN USED a Seq 7373 Iii! THX BHL 10. Huihnrizaflon NUMBER OF ITEMS SDLU 3 9/25/14 11:38 RH 0340 12 0040 518 Thank you for ahaPPIna Uhole Foods Harkel-Eerrilias .Muf?ifr?tf a 9 38,5; 111K, ?nance 76w 3/0. are! TraveiAumorizafian Number Nam Date Suminedw ALBUOUE RGU PUBLIC SCHOOLS Raouaww'rfi ICT TRAVEL wt Tille Dcallnn Name Cil Zi Code "log Cell Phone ailadarass Travelesfinafion 5mm Made unravel Pam! 0910 A rpia 5. train. private suit) or official) Dale 5 Hour oi Depanumfl Dale 5 how o1 relurn PURPOSE or TRIP [Pleas fix am the purpose ipr lhis travel and elaboraie on lira ax acle henem la lne Dislr'm Anacn exlva page it necessary) LFC A: PREPAID PLEASE WHICH METHOD OF PAVMENT FOR EACH EXPENSE: Fu' Vendor Name Vendor JG Commence dates 0051 Acct: Gal Unit Account T0131: 5 *Need Mall 0' P|ck Up; fine (0R) #Plld with (laul A fl|ghl a! Dayse per day (no! lo exceed $21500 per day including lam) Vendor Nnme Vendor a 0051 Accl: on. Unn Account Tola|' _N:cd Check: Mall Dr Up; circle one (on) ma Pc-rd (In! a aim. of ura__) SUB-TOTAL SE SECTION 3: FEB EXPENSES EXPENSES TO BE REIMBURSED TO EMP Choose one: Dlam or Mull REIMBURSEMENT VOUCHER) LDVEE: War-,0 (ORIGINAL ITEMIZED RECEIPTS MUST BE ATTACHED {p . I w. PET Diom Dly5?s per day (INCLUDES LODGING AND MEALS) Toul: 5 $35.00, on! lhla $11500. um: S135.n0) DR Adufl Cosh: (Frovldo IM Mil cl (:th "humus-men! blud on "lc'lull cam") Daysfi par day (nal lo exceed $215.00 per day including lam) Mai: LT Mean: Ema FEW day (ml to exceed 54st per day cul at slala, $50.00 in smlelTnlaI: Taxl. ulnar transportation, parking Tolal: 5 Personal auto miiuge 581. La miles a .fihi mm: Sm (Cannot exceed common camer most economical (are) other 7013': CoslAccaunm WEE: sus-'rm'usacnas 30:50 O: REN EXPENSES Total' 3 Tonal: Air an Dlus agent lee oi Amn lenml plu: agem Isa in less expensive lrunaponalipn Is not available) __Pu|d wiilr (In! a digit: on card Casl Accounl>> 00. Unit Account SUE-TOTAL SECT. TOTAL TRAVEL Raoust (mu union. A3, a. c) TOTAL so; . b0 Page- of} "1/01/2013 APS TRAVEL AUTHORIZATION STATEMENT: . understand the travel guidelines and will adhere only to the items identified . Qolom We Printed: Employee {Traveler?s Name as estimated charges on the Request For District Travel Form. 1 also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income, per regulations. Signature: Employee Traveling ?le?s Signature: $14153! Administrator We Signature: Hegtt Level Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL YES "Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section C. upon receipt of billing from the District Travei Agent. Page - 2 - of 3 1010112013 Travel Authorization Number ALBUQUERQUE PUBLIC SCHOOLS EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Employee Employee Home Address_ anilme Codej Employee's Work Loo. 029 Day Phone>> 120 - ilfi Cell Phone I: 233331.} 1 Travel Daslinatlun Dals/HourufDepanure 3131 Man: Dare/Hourolfielurnwm PER DIEM REIMBURSEMENT Per Diem days a per day Total: 3 (In State 365.00; am 61 slats $115.00; special areas our 0! stare - $13500) Pleau note: For Dlam Include: lodgan Ind MIIS. ACTUAL REIMBURSEM ACCDUNTS PAYABLE (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR ACTU - OSTS REIMBURSEMENT) Actual Costs: Lodgan Days a perday; i! paid record $000 (Cannolexcesd $215.00 per day) r' Tulal 3 Meals Days 0 per cannol excead "sou/day or olal J0 $3000 per day in sIaIe) Total 8 Taxr, other transportation. Total Total 5 TOTAL PER DIEM on 1 APS NP Travel Technician's ln'nia 8/ Personal auto mile 93/ Odomaler Reading: Ending (Carmel axce7d'cumr on carrier mosl economical rare) Other Cost Account: Go munitmm-- Amour" I do :olemnly that the above account and me Itamlzud mlemem are lust and true In respacll, Ind paymanl thereof has been meived by me nor hu Albuquorque Public Schools paid lor any of [he Ibov: expenses. APPROVAL: Employee Signarure I a Sile AdministralorW Page I 0" 6/18/2014 Roadrunner Express In our Maw Sficr: #3072 EW IL [Winston Hwy Hunt's, MM BEND-1072 Phnna: (575) 3924083 99990'6 Cassandr Th] 53/] CW 5597 Est 5e023'14r0 50M 1 L9 52.99 I Dinn-AvStack Pan 3759 we Want Your Feedbackl YOUR Recieve a fnae Short Stack of BuMErmHk Pancakes 0R Receive a free nun--suemmy heverage with the purchase nf Entree (priced ss.uo or more) when yuu comma nur survey' FoHuw these easy steps: 1) C311 or vistt quethupmnm within 3 days 2) Enter me quw'ng coda: 3072092359975 3) Comm: the brief survey A) Fm comm code you receive here: 5) this racemt to IHDF and Limit one cnupun per check. Expires 30 days after visu. Subtotal "058 Tax 5072 Tutu] $1 1 . 30 In receive the latest news and uffars right In your Bummer. go to and' click an "Receive our E-mHa" PLEASE PM THE CASHIER 0000000059978 00599 SYDFE H3072 3600 Luvmtun Hwy Hunt's, NM 532'40-1022 Phone: (575! 3524053 Data: Card Entry SWIPED Trans TYDF PUHEHASE Trans Kay 01000227438755 An"! in . 192806 Wok: 59W Tame: 53/1 Sewer: 9999016 Cassandr inmate}: $1 1 . 30 WM CDPV I agree (0 way me am": tau} according hi my credvt card aareenenl. Pacific Rim 1 1309 JDE HARVEY ELVD Hams, (575)392'0030 Pacific er 1309 JOE ELVD Server: Server At large DOB: 09/23/2014 Hobbs, 09:15 PM 09/23/1014 (575)392-01130 132/4 4/40063 Server: Server large 09/13/2914 SALE 132/4 9:12 PM mas's" 3 40033 CREME BRULEE 6,95 aqua ca pres BEEF TENDERLMN SALAD 16.00 Eflrd Entry Methnd' 5 Subtotal 22.95 6,25 Amruvar: maez Tax '56 Amount: 3 24.50 ram 24.50 Tip: fl Ba1ance Due 24.50 Tom: zq'm Thank Vuu Pleas: Came Again Drder amine I nurse (a My the ewe total amunt awarding (D the card issuer agreement. Thank Vuu Please Come Anain Elmer unline THANKS WME AGAIN @Travelkmhorlzaflon Number 5' Cement Namewmm Submmed 215ml ALBUQUERQUE PUBLIC SCHOOLS Home Address 7 Cl'ly Day Phone ll -- 5333 Cell Phone Em ll address vael Desllnellon Mada oleel PM but!) irpl 2' EUIU OI OWICIEI) Data 5 Hamel Depenure la Dale 5. hour 01 relum'i PURPOSE OF TRIP (Plaase 9X lain (he (his and alabarala onl cued neIll IO "Is Mach extra page necessarySECTION PREPAID PLEASE WHICH MEYHOD OF PAVMENT FOR EACH EXPENSE: PW Vendor Name Vendor 45-- Conference dates COSIADCI: Col Un'rI Account TDIHI: _Nud Chuck: Or Up; on: (OR) iplid with Pond (IIM 4 flight nl cald__) Loaglng: 3_neyea Ib$?erdey exceed eer dav including taxes) Veneer Veneer ll Cos! Acct: ooelloo Unit bl'loou 95w Account 553139 Tom: __Nead Check: Mall Dr Up: one (0R) LPald with [lust a digit: a! card__) SUB-TOTAL ON E: DIEMAE HAL EXPENSES EXPENSES TO BE REIMBURSED TO EMPLOYEE: I Chuon am: Per Diem or? Aclull (ORIGINAL ITEMIZED RECEIPTS MUST BE REIMBURSEMENT VOUCHER) 4 PH Diam DIYBCS per day (INCLUDES LODGING AND MEALS) Tel-I: (In "me $530, nut DI um. SI15.00, Il'us $135.00) OR AcIulI Calls: (Prevldn the bell estimate of null II ralmhurumenl lined an "Aclull Dons") payee er day (nm lo exceed $215.00 per day lncludinq taxes) Total: 3 Mull. 3 Days a JD per day (ml to exceed 545.00 per day em 0! slale, $30.00 In slate)TmnI. $181." Yul, nlharImnsponaliun, parking Pelsenal mileage L2 We miles a, . :15 Telel: 3m exceed common camel mesl economical Iare) Other Tom: CaslAccounm Co LL90 Unlt 3 fififififio AcwunliifliQ-- SUB-TOTAL SEOT. am "5 I C: AIRFA AL EXPENSES Ail Fare plus agenuee oI Tolel: Auto ramal plus egenl lee (iI lees expensiva IS not available) Tolal: Pald (last alqu at lard Gael Accouan Co. Uni Accounl SUE-TOTAL sec'r. TOTAL TRAVEL REQUEST (add Ieflions A,a, 6) TOTAL 3 Page - - or 3 lmmnola APS TRAVEL AUTHORIZATION STATEMENT: I Printed: Employee I Travelers Name as estimated charges on the Request For District Travel Form. the Employee Travel Reimbursement Voucher is submitted with all and that actual reimbursement may not exceed estimated costs on reimbursement submitted later than 60 days after the travel date will be income, per regulations. ll- mno - Signature: Employee Training ?anges Signature: Slig- Administrator ?zz?4r 1' Signature: N??tJLevel Administrator understand the travel guidelines and will adhere only to the items identified I also understand that no reimbursement will be issued until required documentation original itemized receipts he Request for District Travel Form and that requests for disbursed through the payroll process as taxable ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL NO "Signatures also authorize the AI account indicated for expenses included in Section 0, upon rece buquerque Public School Accounts Payable department to charge the cost to the cost ipt of billing from the District Travel Agent. Page - 2 of 3 REVISEDIUPDATED: 10/01/2013 PUBLIC SCHOOLS No. 790085 Dan. 1 mm BRUMDER, CARRIE ROBIN ONLY. ALBUQUERQUE NM ems (um) Number lnumeu Du- sm- Ann-ml 3mm Amnum rm mm mm H: man/14 52:: In so on $223 1 TOTALS: $223 Ia so on} $223 'a ALBUQUERQUE Puauc SCHOOLS Diana 112 PL). Box 25704 ALBUQUERQUE. NEW MEXICO 571250704 (33441) RETURN SERVICE REQUESTED BRUNDER CARRIE IILV ALBUQUERQUE NM 8710! g, Travel Authorlzallon Number 95:2 59-- ALBUQUERQUE PUBLIC SCHOOLS 3 WI EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Employee late 10 WI Home Address --Cilyflu%4ub%fil2lp Code 8 Employee's Work Loo. D33 Day icnenm Cell Phune at 25 3 Tlavel Destinalion Le 'vt gt a Dals/HouroIDapanure 04$ IO i Dale/Ho mlRetum 19m 10 I FER DIEM REIMBURSEMENT Per Diam days a per day Tntal: 3 [ln Stale $85. out oi sIals special areas oul OI stale - $135.00) Flu-e note: Per Dlem Includes lodgan and malls. ACTU AL REIMBURSEMENT (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR A AL COSTS REIMBURSEMENT) Actual Cons: Lodging Days a per day' prepaid record $0.00 [Cannol exceed Sal 5.00 per day) Total Meals Days per (cannot exceed $45,00/day or $30 00 per day in state) Total Taxi. omer transportation arking Total 9; 3 4' Pavsonal aqu mlleage 375716"; a by Total Odomulor Reading: gaginning Ending (Cannot exceed Cowman carrier most econamical lure) Olher Tolal$ . .1 S136 t'Wfl- "7"'dmj 5&0 AFS AIP Trav Initials WM 1/ CostAccoum: Co IDQ .coum solemnly swear that the above acmum and the wIIhIn Ilarnlzed slltomlm an: ins! and true in all respects, and payment chemo! has not been recelved by me nor Albuquerqu- Public Schools pald Ior any a! the above expensas, APPROVAL: Employee Signarure Sire AammisrramrML Fag: 1 of 2 6/15/2014 gavel Amholizatlon Numbel (2 95" Ganlacl Submittequ l' ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL FILL COMPLETELY A ID a Dmd." mm Name OI Iravsl Home Address 5in Codem Employee Day Phone Phone Twila-- Em laddless TraveIDESlirlallon MMEOITTEVEIMM (almlans, Iraln, prirla mile Or aliicial) Date a. Hour oI Depanule Mm 10 I5 Date a hour OI I PURPOSE OF TRIP (FIease explaln (he umose Ionhis travel and elaborate on the EX acted benefl 10 [he DisIlict. Allanh exlla a 9 fl necessa 9 LESL SECT ON A: EXPENSES PLEASE CHOOSEIMARK WHICH METHOD OF PAYMENT FOR EACH EXPENSE: Flu: Vendol Name Vendor ll Conleremze dales__--g CDSI ACCI: Cn. Unl Amour" Total: 5 _N.ea Check: Mill on Pick Up; allele one (OR) __P-id with Peam (last a dIgiKl ul eard,_) Lodging: _Days(R) _psl day (rial Io exceed $215.01: par day lncludlng Iaxes) Vendor Name Vandal Coal Acct: Co. UnlI Accounl Tonal: !Nnd Chuck: Mall Dr Pick Up; one (on) Paid wIIh Peard (Im A digits can! SUBJOTAL SECT. A car SE9 9! FEE EXPENSES EXPENSES To BE REIMBURSED TD EMPLOYEE: Ollooee one: _Perniem or Aau-l (ORIGINAL ITEMIZED RECEIPTS MUST n" REIMBURSEMENT VOUCHER) I Per Dlem pl! dly (INCLUDES LODGING AND MEALS) (In mic sumo. auk ol sma $115.00, final-I lien :1 35m) on Amull Col": (Provlde hem mimlla u' an"! lalmhurlament hned on "ldual emu") Lodalng: _Daysfil per day (nut lo exceed $215.00 per day incIudinlg (axes) Toial: Mull: pays 30.3 pal day (not to exceed $45.00 per day aI smel $30.00 in mammal s_130.? Taxi, olhsl transportation. uarkinu (Receipls Vs ulred iI oval or sauna/mp) Tomi 7 7 Personal mileage .8 Tee 0L Toial: sf 93'? oaomeIer Reading: aaglnning (Cannm excaed common calrial masi economical lare) Olhat Tulal- s_ Coal Account>> Co. 1199 un A 0 ll Aceonnl 5% 2 SUE-TOTAL SECTI AIRFAR AR RENTAL EXFEN Es Air Fare plus agent lea ul Total: 3 Ania renlal plus agem lee Ill less expensive nansponauon is nol available) Tolal: will. (In! 4 diglls 01 card Cosl Accoumll Ca Unll Accounl SUB-TOTAL SEOT. 5% TOTAL TRAVEL PEOUEST (mu unions A, a, a. 0) TOTAL 54H .31) Page" 1 u" Mina/2014 McLaren, Patricia A From: Neumann, Jennifer Sent: Thursday, October 30, 2014 3:03 PM To: McLaren, Patricia A Subject: odometer reading for CR8 The odometer reading for Carrie Robin Brundcr?s TAN125542 is beginning 46603 and ending 46998. I jt?nnifcr Ncumann Executive Administrative Assistant APR Board of Education Office 505 --8 lgniferncumanni?apaedu APS TRAVEL AUTHORIZATION STATEMENT: I CNN E, @3me . understand the travel guidelines and will adhere onlyr to the items identified Printed: Employee Travelers Name as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income, per iFtS regulations. The employee affirms that they will not be exceeding the $1500.00 per year reimbursement limit with this Travel. 051:; Signature: Employee Traveling M. 9e Signature: C?iie Administrator Mee? Signature: Next Level Administrator AHE FUNDS AVAILABLE FOR THE ABOVE TRAVEL i/ YES NO "Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section C, upon receipt of billing from the District Travel Agent. ACCOUNTS Page - 2 0?3 06/18/2014- ALBUQUERQUE PUBLIC SCHOOLS "0.190447 um: 1mm BRUNDER. CARRIE Rualu', -REIMBURSEMENT 0N LV. ALBUQUERQUE NM 57106 mun "mm Mpun Influx 0m Muum Amnl Mum-am nun/14 sn 1: smu TOTALS: $84.33 $0.00 554.33 ALBUQUERQUE Puauc scuoms uimm Travel Aulhmizallon Number (95314 5 ALBUQUERQUE PUBLIC SCHOOLS EMPLOYEE TRAVEL Emplayee NameCAmmfihmfim Employee Dale 13 Home Address cityW Zip Code Employee's Wolk Loc. Qfl'l Day Phone>> 380-5 333 Cell Phone at 93835155 Travel Deslinallon Mae, TWIN. (mm Date/Hour of Departure Mame/Hour oi Reium 1Q PER DIEM REIMBURSEMENT Per Diem days a per day Tolal: (In Stale $85.00; Hut 0! stale $11500; special areas out cl state - 5135.00) Plans: note: For Diem includes laflginu and meals. ACTUAL REIMBURSEMENT (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR-ACTUAL COSTS REIMBURSE Actual Cons: Lodging Days 6 perday; it prepaid record $0.00 [Cannot exceed $21500 per day) Tol Msals Days I per clay (cannot exceed $45.00/day or - Dial 3 i- $3000 per day in slate) Taxi, olherlryonaiion, parking Total 4 3' i age 3) miles a 5b? urn--1' Total 15M i Personal auto, Odometev Reading: Beginning '11 33 Ending (Cannot common carrier most economical Iara) '5 Other - Total 5 8 TOTAL PER DIEM on . 3 APS NP Travel Technician's Initials i/M'r lo Cost Account: 00 ii 0Q Unit jlfiggiimo Accoum 51m 39 [la I do solemnly swear that the above Eccaum and the within iiemlxed smement are lust and trul in all respects, and payment ihereol nu not been received by me no! his Albuquerque Public Schnols for my oi tho above expanses. Employee Signalu re Site AdministratorW Page I of2 6/18/2014 wnfiu: r0005" 1s: [saunas in. 5mm FE, ml 07m 505-95247" I nankuv 2J9 saunnm 6.55 I _'75 5n 4154 um ,51 MIL 9'15 NAME .00 mm was>>? HF ITEMS SOLD I 2 man/u II 36 m1 nun 0352 519 :21; NOV 0120" 'hlnk mu fur Ihaphmn Inm- rm: Harm Accoums PAYABLE ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOFI DISTRICT TRAVEL new e'DVUIlmlud - Title i Location Name CityW Code 71"- to Cell Phone Ema address Travel Destinallonm) fie, Mode 01 Travel (airplane, Irain nvete euto oi emciel) Date a How oI Departure :1 Mt mate it haw DI mum atom 1451 PURPOSE OF TRIP (Please explain the purpose OI this navel and elaborate 0n the ex acted he am In (ha DisIricIV extra page iI necessary). I SECTI PREP EXPENSES PLEASE CHOOSEIMAFIK WHICH METHOD OF PAYMENT FOR EACH EXPENSE: Sawmill/Conference Fee: Vendor Name Vendor Canlerence dates Cos! Acct: AccounL--_ Tomi 3 _Neod Choc . OH Flak Up; cimla on: (DH) Pcard (In! 4 0| curd .. Numbet lgsgeontact Submitted '5 Dayse pet day (not to exceed $21500 pavday including taxaa) Vendor Name Vendor It Cost Aoc' Co, Unit Account Tmal: 5 _Need Chuck: Men at Up; circll one (an) Plid with Pc-rd (Inst 4 digit. oI cud SUB-TOTAL SE07. A IMF AUG 1 3 Accuum's mutt SECTIQN PER EAL EXPENSES EXPENSES TO BE REIMBURSED EMFLOVEE: one: _Per ov_ Aclull (ORIGINAL ITEMIZED RECEIPTS MUST REIMBURSEMENT VOUCHER) Par Ollm Haynes dly (INCLUDES LODGING AND MEALS) (In 335.00, cm DI $115.00. "uni-I llui OH Colt): [Plovlde that bit! Ilel'l'll'l cl colt. nlmhurumcnl kind on "lulu-I win") Lodging: Daysa per day lnattu exceed $215.00 pal day including taxes) Total: 3 Menu: 3 Days!>> 3D.mpel day (not In exceed $4500 per day outal state, 530.00 in sme)Total: 5 HE Taxi, other transponAIion arkinn required lI oversaw/day or sauna/trip) Total: 5_ auto mileage it>> tllas a 5kg: Total: 5, 315. (A) Odomalal Readlng: Beginning Ending (Carmel exceed eemmen uanier most tare) Other Totel:L CoslAccounm co IE um: 5E jab--Account SSKIQQ 305-9>> 9 RENTAL EXPENSES Air Fave plus agent lee a! Total: 5 Auto tentnl plus agent lee (iI less expensive uenspenation is noI available) Total: 3 with Pain! (Im a dIgiIn nl curd Cost Account>> Coy Unit Account SUB-TOTAL SECT. 3 TOTAL TRAVEL REQUEST (add A, a, a e) TOTAL 505MB Page - 1 - uI3 05/13/1014 LXI APS TRAVEL AUTHORIZATION STATEMENT: Carr Lt. Emu/i "Em mu Printed: Employee 2' Travelers Name as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income, per IRS regulations. The employee affirms that they will not be exceeding the $1500.00 per year reimbursement limit with this Travel. (Die. its?? understand the travel guidelines and will adhere only to the items identified Signature: Employee Traveling Mite. Signature: WAdministrator Signature: Wt Level Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL YES NO ?Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section C, upon receipt of billing from the District Travel Agent. Page-2-of3 cane/2014 ALBUQUERQUE PUBLIC scxoms No_ 192250 mm: Travel AthorizaIiun ALBUQUERQUE PUBLIC SCHOOLS Hg EMPLOYEE TRAVEL HEIMBU RSEMENT VOUCHER Employee WNW Home Address -- z;in Zip 0mm Employee's Work Lee. 99'} Day Phone>> 895- 5133-- Cell Phone Less. 515 3 Travel nesnnanon MWLW- Date/Hour 01 Departure I Dem/Hour oI Return PER DIEM REIMBURSEME Fer DIem days per day (In Stats 58500; out 01 male $115.00; special areas am 0! st Flo-u note: Per Diem lncludel and malls. (ORIGINAL ITEMIZED RECEIPTS REQUIRE FOR ACTUAL COSTS REIMBURSEMENT) Ann-I Cons: Lodging Days a per day: prepaid record $0.00 (cannot exoead $215.00 day) Meals Days a er day (cannot exceed $45.00/day or $30.00 per day In stale) Total Taxi, allon. parking To% Personal aura ya 137* miles 6 fl Tot OdomeIer Read 9: Eeglnning 332343-- Ending (Cannol excee common carrier most economical Iars) OIher Tolal TOTAL PER DIEM on ACTUAL 73' APS Travel Techniclan's CostAccuum: 00 I100 Unujlmuasov Account misc M73 I do: wlemnly awe-r (hit the above Account and the within Ilunlxad statement Ire just and true In respects, and payment meted has not been reoelved by me no! hn Albuquerque Publlc Iur my 0! (he nhove expenses. APPROVAL: . Employee Signature 0' SileAdminislvalor fist/1%? Page 10f2 6/16/2014 Travel AuInonzaxion Numbavaonlan Namwm Dam Suhmmud A ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTHIOTTRAVEL Travel DesIInauanfim MM Mode aI Travel airplan ,Imn, pnvam Eula aromclalj Dale 4. Hour at Departureme Dan; A hour oI mu PURPOSE OF TRIP (PIeass expla'In Ina pulpuss Ior this Naval and elaborate on the expected benefit In (he Dialrici, Attach exIra page It necessary) . A: PREPAID EXPENSES PLEASE WHICH METHOD OF PAVMENT EUR EACH EXPENSE: Fe: Vanda! Name Vanda! Conlerence dams Cos! Acct: Co. Un'fl Ancnunl Tmal: 5 #Need Check: 0H Up; anl (DR) Paid "In 4 at can Lodging: 'Dayso per day (nal la excaad 32' 5.00 per day Including taxes) Vendor Name Vendor a Cam Ach- On. Unn Acnuum Total: 5 __Nead Chuck: Up; cum one (on) Pald with mm (In! 4 dIqu ol card SECT. A EXPENSES TO BE REIMBURSED TO EMPLOYEE: once>> an: Per mm or Amunl (ORIGINAL RECEIPTS MU REIMBURSEMENT VOUCHER) Per Diem naynas per any (INCLUDES LODGING AND MEALS) Tom: 3 nu! Bl enl- $115.00. Spaniel $155.00) 0H Actual Calls: (Provldt beat oilimlh ol cosll ll reimburse-Nam band an "aciull c0518") - Daym per day (no! to exceed $215.00 per day including taxes) Total: 5 _I_Dayse per day (no! lo exceed 345.00 per day mu stale. seam in sIaIs)TotII: E. Taxi, other Iransponaticn. parking Tnlal: Personal auto musege (21.4 miles a . mat 5 la: Odomem Reading: Beginning EndIng (Cannot exceed common canier H1051 econnminal lam) Other Total: 3 Cost Accounm Co. 0 0 Account Mg, SUE-TOTAL SECT. a "5:91 912 "Egg; Aiv Fave pIus aganI lee oI Total: 3 Auto renlal plus agem lee less sxuansive Iransponalion Is "at avaiIable) Total: 8 _Plld with Pcard 4 din": 01 curd Cast Amunw 00. Unit Account sun-Tom. 55:1". 5 TOTAL TRAVEL REQUEST (add A, B, a. C) TOTAL 5 [953-00 Page - 1 - 9/7/2014 APS TRAVEL AUTHORIZATION STATEMENT: Oil-rile) I . understand the travel guidelines and will adhere only to the items identified Printed: Employee {Travelers Name as estimated charges on the Request the Employee Travel Reimbursement and that actual reimbursement may reimbursement submitted later than not exceed est limit with this Travel. Ceii-bu?y Signature: Employee Traveling Signature: Eire Administrator anature: (Ngxt Level Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL ?Signatures also account indicated for expenses included in Section 60 days after the travel income, per regulations. The employee af?rms that they will not be exceeding For District Travel Form! I also understand that no reimbursement will be issued until Voucher is submitted with all required documentation original itemized receipts- irnated costs on the Request for District Travel Form and that requests for date will be disbursed through the payroll process as taxable the $1500.00 per year reimbursement ECGIEHWIEE - NOV 1 4 201-4 ccoums PAYABE Jag NO authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost C. upon receipt of billing from the District Travel Agent. Page 2 --of3 REVISED UPDATED ALBUQUERQUE PUBLIC SCHOOLS No. 791923 Dim BRUNDER. cAmE omv. ALEUQUERQUE NM anus mm) mm. mm mm was: mu Gnu" mm Dnuwnumoum mum ma TANHIISSXD MILWRUXEI 11/)7/14 5127 5' SD [10 10111.5: $27 54 so 00 5127.54 ALBUQUERQUE PUBLIC SCHOOLS D'smcl :12 0 BOX 25704 ALBUQUERQUE NEW MEXICO a71250704 (33441) RETURN SERVICE REQUESTED CARRIE oNLv ALBUQUERQUE NM 57'06 Travel Authorization Numberm ALBUQUERQUE SCHOOLS W'g EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Employee Name@ Employee- Dalew Home Addres-- leCode 81.1092 Employee's Work Loo. aka Day Phanefi 835-373312ell Phone II 238' 53 Travel nssunauon 9'0 me PER DIEM REIMBURSEMENT Per Diem days a pay day Total: [In Slale $55.00; out at slate $115.00; special areas oul OI slate - $135.00) Pleue note: Per Diem includes and meals. ACTUAL REIMBURSEMENT (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR AgultL COSTS REIMBURSEMENT) Actual Costs: Lodging Days a per day- prepald record $000 a 3 (Cannot exceed $215.00 pal day/V1 Total 5 Meals Days a day (cannot exceed $45.00/day 01 4 $3000 per day in slale) /6 Total Taxi. other lransponalibn, parking al 33 775' Personal auto mile 9: Total odometer Bagging: Beginning Ending (Cannotexje cummnn carrier mast economical fare) 4 Other Total 9, TOTAL DIEM 0R a #915153"! Travel Techniman's Initials CoslAccounl100 I do solemnly swear that me above account and the wnhin inmized flutemem are lun and hue In all respecls, and payment thereof has not been received by me net has Albuquerque Publlc Schools paid for any of the above expenses, APPROVAL: Employee SignamreI I. '15 :k Slle AdminisuamLML Page 1 of2 6/18/2014 mum]: LAM BULUX HI Sevvm' CaiH'w 05'" PM TaMe 71/4 DOB: "1/20/2014 10/10/2014 mum "d mm! mm NANCE FARRIE mum"! mow Amuum 5 26 '0 . Iip' "fl 2 ram _jo-_IO_ BSHW nay the above 1011! am) I accarmng In U12 gr aamunam, THANK WW, EUH m. .I m" PAFE IKENELUX CAFL HENENX MILWAUKEE. Swver' EaiH in Tuble 7V4 Guests: 5 TENDENLUIN SANDWICH BLEU EUP BELGIAN Tax Tula} (Want: Mp mu mu Ar Amy 6:28 PM 40102 Mum mm umz'n sun NEHRING-s FAMILY a 1. MARK ET ID: 1m "185m m/zz/zou WED Mm- MDT DELI V2 sum; 2353'." 1sz m1 59NU.432706 REE oz EMPLOYEE m1; mm vow u. ADAMS BAKERY Hm": I 11,57 we WATER 57. In: MILWAUKEEWI 53202 (414) Z'H-'lsrl To a a: ma: . . msbakerycum APPR ORDER: 18 WW Take Away \12/ (7 Cashier: County 0 9 1 an; em. $0.00 Peanut Buns: choc chunk $2 35 4 1 Brownie $0.00 Peanut Bulm Cup 52 50 WE 400 water :1 1 57 Twill $1.55 Host: mo 10/22/2014 SALE 151 12:47 PM 20055 P-ymmn 7 3'35 [3?qu 5mm] W6 e. "50 g-em-znu Tax M7 5 I 9mm>> 1 Method: svaED ,m VISA WALK UP Tota] 4.7., Ref~1429500027131 lAuth92183272 MID: 372315741955 usn man Ovder JAVXEZZFE53XT Change 5 . 23 Ask Us about our Dessert Tables and spacial mm mm 95 0m" The Green Kitchen - Fresh Juices reader! in IL- Wyn-La Pu?: Margot uices.htm1 tee-e a Flaw. fresh julce Is one of the most health I. rejuvenating mye In prevlde your body with nutrients! By yeur ually julce. your are not only fuelling youreeI-I' energy. but also your body's natural cleansing 0 helpan to ald your Immune system. We use the lreeheet frulte and never add anythan to the pure Iuleeu?rlw': - RED ROXIE - 4.50 JUNGLEJUICE . an app?. hm mum ginger orange. atrewheny. banana RED ROOSTER - 4.50 MAUI WOME apple. beet. strawberry orange. pineapple. banana. coconut CHM PEAR - 4.50 cameo - 4.50 purl orange. banana. mango GREEN GIANT - 4.75 mm. autumn? orange. carrot. glnger. clnnarnn PINK FLAMINGO . 4.50 orange. grapelmll. plnespple. strawberry COLD KILLER - 5.00 orange. ginger. lemon. honey whealgnaee CITRUS BOMB - 4.50 orange. grapefruit. lemonade JOHNNY 4. ap - STRAWBERRY MINT LEMONADE - ORANGE. PINEAPPLE. LIME - 4.00 a so GREEN DREAM - $.60 apple. celery. eplnach. glngar FRESH LEMONADE - 3.00 WHEATGRASE or GINGER SHOT - 2.50 are 1203. Get a JUMBO 100:. of any julee for 51.00 merel - . . . the-?ance! . ?up. . 1 ?are. .- z. . 2013 The Green Kitchen 400 N. Water SI. Milwaukee. WI 53202 [414} are-3830 11/21/2014 STREEV 'um. [10% 10/16/20" Server (n as PM 13/24/20" germ Runv 10/24/2014 Tame 10/5 5/50039 We WE 7:33 Guests: 50039 SALE mm BEER 3.25 rm 51mm MUSSELS 13,75 Magnetlc can! present MTNA A sum)". 17,00 cm Entry Methad' L04 Apnvuval>> 183m 6 mm mm 3 Balance Due 18. 04 Pay Shank With Scan Here I agree tu nay m2 abnve 2L5 th tum amount according tn the card lsfium' agrzemav. if ur Go To: NCRPAV can . a: Erdu. (TI DHL726 :1 m. MILWAUKEE VI 3097 STEPHMIE REPRI NT CLOSED CHECK 1 NOT CHUEDLRTE 3.25 I ADD SUV 0.60 VISA QM mm STATE PAVMENT "-6097 CLOSED TIP YDTAL mo>> mm WU mm murmur s1. man-men Server: Jordan mus/20:1 Table 2: 9:19 n1 tse 4ome cues 4/ ParadIse new fl' wow "mud 9 44-39 Make the Dead um: Beer we BAKED mom Izm Em mm um I L3 spams 9m oi - Hired Drawn A'wk'f +2269 '4 mm 9.90 .54 9015 n; cam 1.00 moo Tax C1 3.28 vb ,w mm mus Ba'lance '1315 HUBBARD ST, "3 0" . "47374-8480 5'3 i a Server Jnrdan nos: 10/25/2014 25 10/25/2014 "we 2m mums if 7; SALE --77 Magnetvc card present IMAPAIZE CARRIE l/ I:an Enth Method: 5 I Amunn 26 us . nu. =Iata1: Approval 152367 I agree (u may file ahnve Intel amount according to the Card Issuer agreement v; Fullnw us on um- uler w. lAln I ContacINama me mm" urn/err ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL Title ocalion Meme oily Zip dam Employee Cell Phone mam Em address (Mg MI Mode cl Travel I naval a lens. Imln' pnvale male or Dale Hour De Dale a. hour oi relumfimdamfim 1 PURPOSE OF TRIP (Please explain lhe purpose iorlhis lravel and Blabmale en me expe ed la ills Mach extra page il necessarySECTION DEXPENSE PLEASE WHICH METH PAYMENT FOR EACH EXPENSE: Slminlr/Cunferancn Vendor reeling-SI; Vendor ll Conlerence dalesmEE-Ebj--g--L oesl Accl: Cu JLL Accoumm Total: 5 (.9 _Need Check: Mlil on Pick up: circle one (on) lFIid FClIrd (Int I dip": or card Lady/rig: 2 Days ewe. day incl to exceed $215.00 per day including laxee) Vendarll CosiAecl: Co. I100 unn 51100119319 Aepounl elal: s_aflo._, _Neeu Check: Mail Or Pick Up; circle ana (om l/ Paid PCud am A diglu al are SUB-TOTAL SECT. A 1315!" SECTIQN B: PER EMIACTUAL EXPENSES TO BE REIMBURSED TO EMFLOVEE: Choose one: Per Binm or Aclull (ORIGINAL ITEMIZED RECEIPTS MUST BE REIMBURSEMENY VOUCHER) Per Diem Beyeas_ per dly (INCLUDES LODGING AND MEALS) 1pm: 5 (In em. $55110, eulol new $115.00. speelel urea: $135.90) on Aclu-l Codi: (Fravlde me Salim-ti OI Wan ll relmbureement on "Intull cosh") Lodging: Daysa per day (ml in exceed $215.00 per day including taxes) Total: 5 Mult: ,_lDaysfi km per day (nnl le exceed $45.00 per day out pl slaie, $30.00 in slele)Tolal: . 5 Taxi. olher lransponalion. parking (Receipm vequiiad ii over saw/day or sauna/m p) Total: Personal sum mileage mlles 6-- Tolal: Odomeler Heading: Beginning Ending (Cannot excaid common carrier mast economical Iare) Other TONI: 5 Cost Account" Go. Accuum 55 5 I50 SUB-TOTAL 5 mm 9N AIRFAREICAFI FIENTAL Air Fare plus egern lee oi Telel: Ame renlel plus aganl lee Ml expensive ls nol avallahlE) Tara]: 5 2- Lo _P-id wilh 4 Inlurd cpslAccounw co Unila Accounl m0 SUB-TOTAL secncs TOTAL REQUEST (me "alone A. E, A C) TOTAL 9409. gb F339 1 06/18/2014 APS TFIAVEL AUTHORIZATION STATEMENT: car-new . understand the travel guidelines and will adhere only to the items identified Printed: Employee 1' Travelers Name as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income, per IRS regulations. The employee affirms that they will not be exceeding the $1500.00 per year reimbursement limit with this Travel. (Dew- Signa?t'ure: Employee Traveling mad. Signature: Sitg?iministrator Mew Signature: N?td?Level Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL YES NO "Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section C, upon receipt of billing from the District Travel Agent. SEP Wzou ACCOUNTS PAYABLE Page - 2 - 0?3 (16/18/2014 m: Itinerary Carllor anmu Daplr'ing Arriving Fare Code ALBUQUERQUE DALLAS FT WORTH Tm MON zoom Amenc'Game Rob Biundev Seal 23A Economy DALLAS Fr WORTH MXLWAUKEE 2292 MON zoocT AmendCame Rah Evunder Sam Economy Food Fur Puvohase DALLAS FT WORTH 1291 SUN 250m Amcnolan 6 n5 AM a 35 AM Came Rub Erundar Seat 2am Economy Feud For Purchase DALLAS FT WORTH ALBUQUERQUE 1545 SUN zsocT Ame 9 35 AM 10:20 AM Came Rub andev Saal ZBD Econumy Recexpt Ynez Ind Curler- Palsengal T|ckat Fara-Usn Mum" Fe" mm Tom A Game m, mum, umzamm 264 166 51 72 as 439 20 saw Baggagt 'Muuagn charms Tar yum mummy mu gmmea by Anny-n: me LOWANCIE Am)me Pmcc/ Auleumn Animal rup To 547 Lmza m; ANH us- LINEAR mums UNLAR cm ALLOWANCF rmszua-m new Amman JUF an LBIZZI AND 62 UNEAR mu 5! LINEAR 51 CHECKED uAs my Amancan wan muse UNEAR CM Tsvcuecxcn we FEFVMKEABQAUSDU om Amman Amms [mnsa I mm: cu fla/AmL-ncar Amnest To 5a 1323 Ann up "a MAR muss WEAR cu SAG aw Amencin Alrhnes 1UP To 51; 5/WEAR w: so UNEAR mm mm Au Awon mscoums my Apmv vm. have vurfih's-'d .1 mm nsruNoAaLE mm Tn. Ilmemly mun nun Illa Memo 69 rune lune Ins! mmged :nuuan Ilw mm. value \1mee aum changes 3 Ice may "my: ALBUQUERQUE Puauc scnoms No, 752329 one; 1mm saunas-z. mam: arm MEUQUEROUE NM anus (333/ lmwal may hum-m mm mm mm mm mum": mm m. Mm. SANTA FE 535) .31 50 OD 535] 32 YOTALS: 535: 32 so on $35: 32 mum .y mm" mm. Dtpas'lmu cum ALBUQUERQUE PUBLIC scHaoLs Dlilnd M2 RQUE, NEW - "mu" EXICO 87'25 D706 RETURN SERVICE REQUESTED BRUNDER. CARRIE -- ONLY ALBUQUERQUE NM 57105 Travel Authorization Number In; Em ALBUQUERQUE PUBLIC SCHOOLS l/Ar EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER 6 a Employee -Date I a 3 Home Address -- :3in Zip Code a I Iota Employee's Work Loc. 0'19 Day Phone" 575?Cell Phone i: 338- 5l5'3 Travel Desiirlalion AW I LESC. (JAM mm 9 PM: . Dale/HourolDapanure In am "13 Dale/HourolReiurn :Ipm Mal PER DIEM REIMBURSEMENT Per Diem --days *per day Total: 3 (In Slate 585.00; cm nl siale $115.00; special areas out of stale - $35.90) Please note: Per Dlem lncludea lodgan and meals ACTUAL REIME SEMENT (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR A TUAL COSTS Actual Costs: Lodging Days a per day/II prepald record $0.00 I (Canncl exceed $215.00 per day) Tolal Meals Days a per ay (cannol exceed $45.00/day or 3' $30.00 per day In slats) Tclal Taxi.otherlransponalion,p rking Total 3 mileage miles a .ikf Total flerba' Odomalsr Reading: Ba inning DEAL Ending 5 82g '5 3, (Cannot exceed comm/fl carrier mom economlcal live) Olher Talal 5 TOTAL PER DIEM on ,2 APS NP Travel Technician's Initialsg 2 l/J (Maw I do lolemnly swear that me above account and me Remixed maternal are just and true in all respects, and paymem thereol has no! been received by me nor hat Albuquerque Publlc peld lor any at the above expenses. APPROVAL: Employee Signature sue Adminislraxor A Page 1 on 6/13/2014 CoslAccnunt: Com Un'll Account 555150 umauuswaatanxnututvnusutn mm 01 mm um mum we 2mm "ufl'" WLIWE CHEM DAVE mu 345(54591689 Mm -- BAR fl -- Rm 01am: Steakhnuse ITEMS "gum 414 Old Santa F: frail Santa Fe, NM 1 1/2 GHANA CHOP 7.50 3750] 1 BURGER '2.00 505'955-0755 1 MEX H.M 1 (tale Slaw 2.00 1391M 1 Gru :Hiss L00 BAR I CHILI BDNL 5.00 2 5.50 MUM auntuhmxututntxuauunvuwu SUBT 0 TA 13.67 ENTREE 49.00 TAX 4.01 TIP TOTAL sK', TOTAL DUE . us up "a a u; GUESTS IL I rc- Uk: us on Facebonlr tn sea our daily specials. and eventsl ((3315 NOV 2 4 2014 ACCOUNTS PAYABLE VI NAIGRE TT EEFILLTS 9: Santa Fa, NH (505) 820-9205 DATE TUE CHEM 20 THE BEET ON 51 "1.95 $5.50 Not Tea 51 $3.50 PARTIAL *u TAX AMOUNT $1,72 $2167 EREDIT EARD $2157 SALE - $22.57 REG 02 MONIQUE TIME 13:20 Y-'Jdfi v3" MASE CONE AGIM TINE an: .. DATE l4 MID 345704591658 Rin Ghana Steakhuus: 414 Old Santa Fe TraH Santa Fe, NH 57501 505-955-0765 RUTH 162490 TEL 52 CHECK 413958 FEE-RUTH DINING Alyc'a AHDUNT 14.00 TAX 1.15 I NA I GRE. 709 CERRILLUS RD Santa Fe, M4 (505) 320-9205 13:19 561 $2167 APP 170 NET. 0027 27 QUE VE I LL00. TDTAL 7 I AGREE To PAY . TU CARD ISSUER ENEM I 4'3?'vi TABJ I 52 TIME DATE 12 26PM -- DINING 1 Alma ITEMS ORDERED 3 SOUP CUP 4.00 1/2 NEDEE SALIID 7,00 Hot Tea 3'00 SUBTOTAL T4110 TOTAL 14.00 14.00 1.15 ENTREE TAX CUS 7 UMER COPY xxuxm mu .u.unuuxuu-nuxtut 0F GUESTS 0 Uke us mama Var dMIy specials. discuuntg' n: 3!in cums: TflveI'AuDiorizaIicn Number lg" WeamamNameJW Daie ]5 EL ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL A Nud' Au 9'ng Localiun any I adeflfiL Employee II nut-x Cell Fhone aim Em laddress Travei Dasiinaiian SW AIM Mode uITvaveI dado (airplane, (rain. privais 3qu 0r oiliciai) Dale A How oI Depanuve M) I new A hour cf relum 36m 141a PURPOSE OF TFIIF (Please explain rposa Imlhis Naval and aiabome on xpemeu benefit") me Damn, Anach extia pugs i'I necessary], - SECTION A EREEAIQ EXEENSES PLEASE WHICH METHOD OF PAYMENT FOR EACH EXPENSE: SlmanI/Conlemncn F50: Vandal Name--'Vendnr Confevenue daIes Cost Anal: Co. Unit Account Tulal: _7Naed Chock: Mlil OH Pick Up; an: (OR) vPlId wlfli (I-fl 4 Lodging.- _Dlys a per day (not In exceed $215.00 per day includan Iaxes) Vendor Name Vendor II Cost Acci: ca. Uni! Menu Tina cheek: Mall Dr Pick Up: circle one (on) wild Pc-m (In! 4 digils oi card SUBJOYAL SECT. A QN Efl EAL EXPENSES TO BE HEIMBUFSED T0 EMPLOYEE: Choose onl: Par D|sm Aclunl (ORIGINAL ITEMIZED RECEIPTS MUST REIMBURSEMENT VOUCHER) PM Dilm Dayses per dly (INCLUDES LODGING AND MEALS) (In all" $35.00. 0' this $115.00, smell Ire-l $1350") CIR AcIual Coils: (Fmvida me be" Iltimll: of can" velmhurlemml based on "actual - I Dayso per day (not to exceed 5215,00 pei day including taxes) Total: Mulls: Daysu Ewe: day (no! 10 Exceed $4500 per day oI slale, $30.00 in 5 Taxl. othei lransponaiion. parking (Receipts Vs uiTEd II over sane/day or sauna/nip) To! 5 3, Peisomi emu mileage Mimics a ii: Total: 5 . adameisr Reading: Beginning Ending (Cannoi exceed common carrier most economical Iare) Omar "k Accounw Co. BEE mum Account "313111 SUE-TOTAL 5201'. 6- A RENTAL Au Fare plus agenl Isa cI Ton-1|: 5 Auto rental plus agenl ias (iI I355 Expensive Ivansponalion is mi availanie) Tomi: wmi (Inn 4 a! ma Coal Accounlk Ca. Uni! Account SUB-TOTAL SECT, 5 TOTAL TRAVEL REQUEST (add nation: A. s. A a) TOTAL SM Page - 1 013 ne/ia/znu APS TRAVEL AUTHORIZATION STATEMENT: I earned Rm (?rm . understand the travel guidelines and will adhere onlyto the items identified Printed: Employee 1 Travelers Name as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until the Employee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Fiequest for District Travel Form and that requests for reimbursement submitted later than 60 days after the travel date will be disbursed through the payroll process as taxable income. per lFiS regulations. The employee affirms that they will not be exceeding the $1500.00 per year reimbursement limit with this Travel. Cg?- as Signature: Employee Traveling WW- Signature: gitg Administrator Signature: Level Administrator ARE FUNDS AVAILABLE FOFI THE ABOVE TRAVEL YES "Signatures also authorize the Albuquerque Public School Accounts Payable department to charge the cost to the cost account indicated for expenses included in Section C. upon receipt of billing from the District Travel Agent. it; it {In \vrii AUG 132014] ACCOUNTS Page - 2 0f3 06/18/2014- No. 794411 mm: 11123114 BRUNDER. CARRIE Roam ALBUGUERQU NM 67! as (13441) 1mm. >>um mm 0-1- am- >>mm WWI mm mm mum ".00 su.s mm ALBUQUERQUE PUBLIC SCHOOLS TOYALS: $0.00 om nan-mm am cam ALBUQUERQUE PUBLIC SCHOOLS m: ALBUQUERQUE NEW MEX 0 37125 0700 It: (13441) RETURN SERVICE REQUESTED BRUNDER CARRI ALBUQUERQUE NM 371" Travel Authorization Number ALBUQUERQUE PUBLIC SCHOOLS EMPLOYEE TRAVEL HEIMBU RSEMENT VOUCHER Employee -ate_ll\lfillil_ Home Address-- Code 311010 Employee's Work Loc. Oglcl Day Sme 5? Cell Phone it '35 5 Travel Destination Date/Hour al Depanure ol Return--MM PER DIEM REIMBURSEMENT Per Diem days per day Tmal: . (In State $85.00; out at state $115.00: special areas out of state $13100) note: For Dim includes lodging and meall. Actual Costs: Lodging Days 0 per day; repaid record $0.00 (Cannot exceed $215.00 per day) Meals Days a par .- 530.00 per day In stats) Total 5 Tolal 4 (cannot exceed $45.001day or [3'7 Taxi. other transponaticn, w: Total Personal aura mileage - ravines 4316' Totalsfi-- Odometer Readin' Ending (Cannot exceed bommon carrier most economical tare) [l Other Total Q4 APS NP Travel Initial '9 3 Cost Account: Co JED I50 I du swear the lbove account and the within it-Inlud smament Are Inn And trul In unpack, Ind payment them! nu not ban waived by me nor Albuquerque Public Sehoolu plid Inr any a! Illa lbove expenses. APPROVAL: Employee Signature 92 Site Administrator Page 1 ofl 6/13/2014 WH6LE $299.5. Gmcary Starx505-992-1100 I SVRRIIERRV LEHOMB 2 I SBNDUICN 6. I ENDC PDT DEEREHE VF name \12. fianHx-Hon CIMNWE TUTNL NUHBER uF IIEHS saw 3 12 50 n1 U340 al21 5H Hunk . ,Tgwel Authorization Number Contact NAMWWEIE ALBUQUEHOUE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL Travel Deallnaliunw Moos ol Travel (alrpIena. train, private auto or Date 5. Hour o1 Depnnure IQIX Date a. ttour cl return PURPOSE OF TRIP (Please explaln The purpose lorthte travel encl Elaborate on Ihe exitanad airleth lo the District, Anach extra pugs ll necessary). - WW COW-LL SECTION PREPAID EXPENSES PLEASE CHOOSEIMARK WHICH METHOD OF PAYMENT FOR EACH EXPENSE: SImIle/Canfurancl Fee: Vendor Name Vendor Conlarence 0051 Acct: Cor UnlI Aocounl TOIBI: 5 _Nud Check. OR Pick Um on>> (OH) (Illt 0 of urd' Daysfi _perdey (nol Ia exceed $215.00 parday incluuing taxes) Vendor Name Vendor or Cost Acct: Co. Unit Acwunt Total: 5 check: Mall 0r Up: circle one (on) Pull! with Hard (Int 4 digit: or card SUB-TOTAL SECT. A SECTION g- BEE EXPENSES 70 BE REIMBURSED TO EMPLOYEE: Choose an: Pu Diem or, Acinal (ORIGINAL ITEMIZED RECEIPTS MUST BE ATTACHED TO REIMBURSEMENT VOUCHER) Fer per day (INCLUDES LODGING AND MEALS) Toul: (In "5.00, cl It": 5115.00, IpIcilI "all 5155110) OR Acluul Cosh: (vaidl ball utimlh cl cull- Il blud on "mu-I cash") . Lodging- 4 _Daye a per day (not to exceed $215.00 per day including texoe) Total: Meals. _5_Days@ per day (not to exceed 345m per day out cl elate, 530,00 in stalelTolal: a Taxi. other parking (Receipts ra ulred ll over salon/day or Total: 5 Personal auto mlleage miles 3 -i5 Total: 5 s' . Odometer Reading' Beginning Enolng leennct exceed common earner most economical lere) Other Total: 5 5' Cost Accounm Co. Unit 31300 I E5 Account 1-1 c'r. a . .3 A Air Fare plus agantree al Tolal: 3 Auto renlal plus agent lee (ll less expenslve ltanspartallon is not avalIabIe) TolzII: 5 Fold I'D-rd (Int 4 4|qu 0! card Com Accounm Co. Amount SUB-TOTAL SECT. TOTAL TRAVEL neauss'rmo aeolian: A. a. a. e) TOTAL 503 3d Plge . 1-of3 06/18/20" APS TRAVEL. AUTHORIZATION STATEMENT: 5 I understand the travel guidelines and will adhere only to the items identified Printed: Employee/Travelers Name . as estimated charges on the Request For District Travel Form. I also understand that no reimbursement will be issued until theEmpioyee Travel Reimbursement Voucher is submitted with all required documentation original itemized receipts and that actual reimbursement may not exceed estimated costs on the Request for District Travel Form and that requests for reimbursement submitted later than '60 days after the travel date will be. disbursed through the'pagroll process as tax-able income, per IRS regulations. The employee affirms that they will not be exceeding the $1500.00 per year reimbursement limit- with this Travel. - - . - Signatur? Employee Traveling Cir-? Signature: WAdministrator ww' Signaturd/ Kiext Level Administrator ARE FUNDS AVAILABLE FOR THE ABOVE TRAVEL 2' YES "Signatures also authorize the Albuquerque Public School Accounts Payable department to charge. the cost to the cost account indicated tor expenses included in Section 0, upon receipt of billing from the District Travel 'Agent. AUG 1 3 Z?l4l' . Accounts milieu;? Page- 2 -nf3 REVISEDIUPDATED 06f18{2014 ALBUQUERQUE PUBLIC SCHOOLS No. 794900 an: IBM BRUNDER. CARRIE acam- ONLY. ALBUQUERQUE NM an as (mm Mku mm D-w'nn mmSANTA FE 12/19/14 SEC swan 550 1 ALBUQUERQUE PUBLIC SCHOOLS mama :12 0 BOX 25704 ALBUQUERQUE NEW 57125-0704 (33441) RETURN SERVICE REQUESTED $80.51 $0.00 5805! ONLV ALBUQUERQUE NM 57105 Tvaval Aulhoyizatlon Number 2553 ALBUQUERQUE PUBLIC SCHOOLS EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER 0 3 3 Employee il--Ilala i Home Address swam Employee's Work Loc' 0 Day Phenol! {Eva 23 2 Cell Phone Travel nesunauun W7 50mm (11L. Date/Hour of Departure 20 [21 Date/How 03mm 2 2(2) 1 +16% I 4 o" fl P=n HIE REIMBURSE Eul Per Diem days per day Tat (In State $65.00: out oi state $115.00; special areas out oi slate - $135.00) Plane nolo: Pu includes lodgan and malt. (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR ACTUAL STS REIMBURSEMENT) Actual Costa: Lodging Days a per day; it pie Id record $0.00 (Cannol exceed $26.00 Do! day) Tota Meals Days a per day annut exceed $45.00/day or Tolal 5" '74 $30.00 per day in slate) Total 3 a [97 miles Total - Taxi, other transponetlon, Personal auto mileage Odometer Reading: (Cannot exceed mrnon carrier most economical lam) 0 Y. other 5 - TOTAL FER DIEM on AQL LM 3 OOH afgs Initlals Zola/ 8/ Co Ml) Unltfiafimlmm (:20 Wag I do solemnly swear that tho above account and the within llamiud statement are iuat and true In all reap-eta, and paymont thoreol has not been reuin by me nor has Albuquerque Public School: paid let any ol tho above expanses. APPROVAL: Employse Signature Q4 Site Administrator Page 1 of2 6/18/2014 11 [halt/lint Gmcery Slnre' 1s: ammo: an. sum FE. A Mari/m mm sou-9924100 - LENDNAD 2,19 - Emma 5511! m: 1,Amara-Han muss ,uu ccoums mm "unasn ur HEns saw 1 3 llea/H 12 PH am) vs uses 5" Thank mm for nun-rm "hull anll "Ark-i Cir-ruin! JravelAutharlullon Numny llwcentect NameWA-flnbau 3 Bl lEl ALBUQUERQUE PUBLIC SCHOOLS REQUEST FOR DISTRICT TRAVEL VID DELAY mm Nemewnau'fl Home Addlass Wm odem Emplayee ll Day Phone it I mall duress Trevel Desllnallun 5.0460. 3; Mode DI Travel WWII-D Gus-do lalrplane, traln lvete eute eromeiel) Date A Hour of Departure Date a. hour 0! return {?30 PURPOSE OF TRIP (Please explaln tne Lupus Iar this travel and elaborate on me expeneu nenerlr to me District. Attach . . extra page necessary) 2 A: PREPAID EXPENSES PLEASE WHICH METHOD OF PAYMENT FOR EACH EXPENSE: F61 Vandal Nama Vandal II CunIersnca dates Cost Accr Cd Un'vl Total: 3 _Nlld check: Mlil 0R Flak Up; clrcI: nne (DR) with (Inn 4 oI __Deyee per day (not to exceed $215.00 per day lncluding taxes) Vendor Marne Vendor ll Cusl Accl: Ca. Unn Account Total: 3 _Nnod check: Mull or Pick Up; one (on) me with (In! 4 el and SUB-TOTAL SECT. A SECTION 3 PER QIEMIACTUAL EXPENSES TO BE REIMBURSED TO EMPLOYEE: Choc" one: 07 Actual (ORIGINAL ITEMIZED RECEIPTS MUST BE TO REIMBURSEMENT VOUCHER) Per Dlem DIVIOS dly (INCLUDES LODGING AND MEALS) Tuhl: 5 (In am- 83530, on! OI fill: 5115,00. spool-I lrull $135110) DR Adv-I Cal": (Provldl (I'll but of can. bind on "lflull col oeyso may (not to exceed sztsuao per day including taxes) Total: 5 Muls: 33mm 41*" day (not Io exceed $45.00 per day out or slate, $30.00 in staterl'utal: SE Taxi, alking [Hecalpts mgpbilefl it own or Personal aulo rnrleage mum" a Odometer Readlng: Beginning Ending (Cannol exceed common earner most economical tare) 0mm "SEch - AIRFAREICA AL EXPENS Alr Fans plus agenllaa el max; 5 Auto rental plus Ignnl lee iI less expensivfi trenepertatlen is not avallable) TnIal: P.1d 9cm 4 alpha of we Account" 00. Unil -- SUE-TOTAL 5 TOTAL TRAVEL REQUEST (add actions A, B. 5t 0) TOTAL 3 - b0 liens/2014 PUBLIC scuoms 757545 Dale: manna, cum: Roaw-_ omv' ALBUQUERQUE NM 57106 (53441) mm. mm. mm." mm Dan Gm- mum Dlnmummeunl rm mm WAYS null/u 57117 50,00 573.!7 YOYALS: 371.57 :0 00' ms? ALBUQUERQUE PUEUC SCHOOLS M2 50x 257m (33441) ALBUQUERQUE. NEW MEXICO amsmm RETURN SERVICE REQUESTED NLV ALBUQUERQUE NM 87106 Jraval Antholizalinn Numbor Name - I ID (of Dara smmdefiL SCHOOLS REQUEST FOR DISTRICT TEAVEL mum Location Name 0% Zip Code 3: 12h Employee Ema address Tvavsl Deslinallonm Mode ol Travel lrplane. train, private Into nrunicial) Dela 8' HouvoI Dale a how aI relum PURPOSE OF TRIP (Plea explain the purpose tor Ihls travel and olaborara on the expaotao benefit Ia me Attach page necasiary). SECTION A: PLEASE WHICH METHOD OF PAYMENT FOR EACH EXPENSE: Seminar/Confirms: Fan: Vendor Name Vendor 00 Conlerenca dmes Cost Acct: cc, Unit Account Total: SE: _Naad Cheek: Or Up; circla one (OH) will! (lulfldiglb Lodging: _Day56 per day (not In excned per day including taxes) Vendor Name+ Vendor t: Cost Acct.- Go. Unlt Account Total: 3 in." Chock: Mall 0r Flak Up; am (on) with Feud (Int 4 o1 card--J SUB-TOTAL SECT. A SECTIQN B: PER UAL EXPENSES EXPENSES TO BE HEIMEUHSED T0 EMPLOYEE: Chaoie ant: __Pnr Dlem 0| Aomal (ORIGINAL ITEMIZED RECEIPTS MUST REIMBURSEMENT VOUCHER) Par Daysfis par dny (INCLUDES LODGING AND MEALS) (In $55.00. out nl ml: $115.00, are." $155.00) OFI Aflual Conl: (Provlde DESI estimfll 01 cost: il based on "Idnnl casts") Lodging: DaysQ er day (not to exceed $215.00 per day lncIudlng taxes) Total: 5 Mull: Days@ a: day (not to exceed $45400 per flay out at state. $30.00 In statelTat/al: 5 IE Taxi. parking Total: 5 Personal auto mileage 51.} Ia Apt.) #924 I. TotaI: 3m: [Cannm exceed common carrier most economloal Iale) Cg I [pl 7/ Y7 other Tom: 5 Cost Account ?23119 sun-Tom. sect a mx. 5' 7 C: RENTAL EXPENSES Air Fare pIus agent Isa 01 Total: Autn rental plus agenflea (If less axuensive lransponalion ls not avaiIabIa) (In! I dIgIts of card_) Cost Accounm Co. Uni: Amunl SUB-TOTAL 5261. /o F7 TOTAL TRAVEL nzaussnnod muons a. o) TOTAL 5m" Page 1 of 3 10/01/208 Tvavel Aulnonzatlon Numbevl'amg 33va OOLS ALBUQUERQUE PUBLIC SCH EMPLOYEE TRAVEL REIMBURSEMENT VOUCHER Employee t-Da's--Hiwg-- Employee's Work Loc Jig--Day Phonegm 9 3 Travel Destination Date/HuuvolDepanure [90 limit!) Dale/HourolFlelurrLiM PER DIEM HEIMEURSEMENT Per Dlem days per day Total: 5 (In state $85.00; out at state $115.00; speclal areas out at stale - $135 00 Please note: Per Diem includes lodging and meals. (ORIGINAL ITEMIZED RECEIPTS REQUIRED FOR ACTUAL COSTS REIMBURSEMENT) Actual Casts: Lodging Days pelday: ll pvepaid record $000 (Cannot exceed $215.00 per day) Total 3 Meals Days @_per day (cannot exceed $45.00/day or $3000 my day in state) Tutal Taxr and other transponallun (Recelpts only il over $6.001uay av $30.00/trlp) .545 Total 5 Personal auto mtleage 1332mm mm'tle Total 3 (Cannot exceed commnn came! musl economlcal lave) Other Total TOTAL PER DIEM OR 5 ltX'T 1% APS NP TravelTechnician's lmtials 4 7707 Cost Account: Co 119 mum Account QEE I :16 solemnly swear that the above accaunt and the within Remixed statement are just and true ln all respects, and paymenl thereot has not been recelved by me nor has Albuquerque Public Schools paid for any at the ahuve expenses, APP HOVAL: Employee Signature( 1' 1' sue Adminislvatote&%: APS TRAVEL AUTHORIZATION STATEMENT: Carry-Le mm - understand the travel guidelines and will ad Printed: Employee Travelers Ns?e as estimated ch arges on the Request For District Travel Form. i also understand that no reimbursement Will be issued until the Employee Travel Reimburs all required documentation e. ement Voucher is submitted with original itemized receipts and that actual reimbUrsernent may not exceed estimated costs on the Request for District Tra reimbursement submitte I vel Form and that requests for later than 60 days after the trave date will be disbursed through the Income per iFt'S regulations. ,6 (lg-Mag Signature: Employee Traveling payro I process as taxable Signature: Site inistrator . A. Signature: Ne. e-vel Administrator 3 REVISEDIUPDATED: 102?012'2013 Page -