CHECK NO. 40640DATE ACCOUNT PO INVOICE ,, AMOUNT

09/ 08/ 2014 001- 0101- 410. 49- 01 8/ 27- DALLAS 12. 00

09/ 09/ 2014 001- 0101- 410. 49- 10 T14543 9/ 4- AUSTIN 488. 84

VENDOR NAME SELF, KEITH A ( COUNTY J[JDGE) 20568 500. 84

CHECK NO. 4 64 5

co

COUNTY OF COLLINSTATE OF TEXAS 88- 151 / 1119

2300 BLOOMDALE ROAD SUITE 3100McKINNEY, TEXAS 75071

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

20568 09/ 09/ 2014 406405 500. 84

PAY FIVE HUNDRED AND 84 1-00 DOLLARS **************************************

TO THE

py_000ORDER SELF, KEITH A ( COUNTjJUDGE)OF

C/ H DEPT 0101

MCKINNEY TX 75069

VOID

U __ C w

J'"' ITRAVEL VOUCHER

Dept.. w k. c

Name e 1 Se-'

Reason tor travel: Q e n.r.l Te Gc. sirrtiv s(Jpr-F- k, i o Co r,.r, s s:, a., /"` esz i`

Did spouse accompany? O Yes 1 NoDate - Z1- ('' Place 4- S - D

Mode of Travel O Air

O Personal VehicleMIlEA08

County Vehicle O Other ;` n

N -

Meals: rnv zHotel: c, ""<

Tips: snD

Registration Fee a

other Pa-Yk Kq - l2. o

da:

ADVANCE? O Yes No n

t e fi',SUMNARY OF PAYMEPIT- FORr I GR' S QNLYTranspoAetlonAllowance '- r,t 'Relmbursable 1..` J ,)-• rnQDensa8_

TOtHI c ui v, U.„ C OFess uU eAdvancement

TotalAmount Due c (

COMPUTED BY AUDITEO BY

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i.... s(......................:................do hereby cert!!y Mat th ! exp/8/ne abov are due andpayabls.Payment or c dl / or eD trevs ot b en rece/ved Iromany county r n- ty rce.

Signed L

Date

DEPARTMENT MEAD APPROVALI Ae eby authorize peyment ol the above trevel expenses claimed.SlOn d

D/ H

Y•1ITf wl Vouch n/Purohulnp%Pl v. ena107

f=i;i; Computer Nui ber: ZpCashier: McGregoi' Id a] 09iransaction Number: l# 00 1

f_ nterecl: 08/ 2//201d 11: 33Exitetl: 08/ 2//2014 15: 5Eificket q3G70 Dispenser q3Lol: Lot 15Ar ea: Area 1Rate: UarRate 1F' arking Fee: 12. 00Total Fee: —

12 pUCash: Z0. 00Total Paid: 20. U0Ci iange Due g, p

Ul u 1 y u" tU Vv

TRAVEL VOUCHER I S 3oePt. C JName e

Reason for travel: 7.. 5' cQ.e

Coa,,. M- iwyDid spouse accompany? O Yes No

Date f"5 Place 5 N-

Mode of Travel O r

Personal Vehicle - T b ° C• S` Z 5 7 O

YILEAaE

O County Vehicle O Othe / fG

Meals: p

Hotel: 3. Z gTips:

Registration Fee 3—'

Other GL1f' I Z, c T'

o 4 s.

ADVANCE? O Yes NoAYOUfR

SUMIIIARY OF PAYMENT-FOR AUqITOR' S USE ONLYTranspoAatbnAllowane i/

Relmbursable /_

Tota 1( / .Amount 7 0 dLessAdvancementTotal pAmount Due J

COMPUTED BY A EO BY

J.....................

Dl

do Aereby certlly Mat fh g1" , a/ aie s arid ! s.Paymant or c ! / or e f ' " not b en re d m

any counry n n u

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Slgned

oa e g na 1 1 1 C u 1v F

DEPARTMENT MEAD AP OVAL 4

1 hereby authorize payment ol the above t avel expeoass Naimed.

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Y- 2/ Tnv l Vouch n/Pu chulnplMv. l/16/A

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G 60 :

6

257 • 6' 0

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56 00 °

13? • 25

12 ° 99 +

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2 3. 1 • ?. 4 0

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231 • 24 ,

002

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ESTIMATED EXPENDITURES FOR TRAVEL

Name k Keith A e''' ,,, _ s ,

DEPARTMENT County.J[idg '.`:e .. "

TODAY'S DATE 9-3- 14``, a..c,,` DATES OF TRAVEL: innin # SBpt' 4 2104

k " . 3. , ' 9 '"'

isr' ir-?

ku' ,,

DESTINATION: Ausbn` TX`` .-_-,r r A

Ending ' Septa5; 2 14r s yr° . f

ACCOUNT NUMBER: OQ1-0,101- 4"10-498?'- REQUISITION NUMBER(S) '. ,'" r ,;t , a

k ' P z,,, g, c' r

REASON FOR TRAVEL ;: UPDATED P[opvs i0n 1; 3takeholtler°s; `"' ' „ '' l

Cd'mmitte Nlestin Y , i ,`' ;

Will all or a portion of travel costs be reimbursed by an outside source? ' Yes X, ;:! Non:

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

1. REGISTRATION FEES: PROCUREMENT CARD YES NO X ' "t 0;'

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

ESTIMATED COST PER DAY .>;,~" 200.00 X ; 5 1' DAYS

IS A DEPOSIT REQUIRED '_ Yes "' No How much ', ;,;

TOTAL HOTEL COSTS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . `,w r200 00.

3. TRANSPORTATION COSTS:

AIRLINE TICKET _,.., ;. ; ( must use ARTA travel for reservation)s: r-CAR RENTAL __,;:...............::K;.;, PROCURE CARD YES NO X

SHUTTLE FEE .;,.;; r ::;}

BUS "`;, a"

T _ y _ 3 =

PERSONAL VEHICLE:

u',' 0;; Miles

0:56:;;:: (mileage rate)

Total 257...60.:;

OTHER ` _... ;Y )

a ISt a ,.:;. " _;; r' s-a x.:

r

id" mmva: r r

TOTAL TRANSPORTATION COSTS: . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. .;,; 257.60

4. MEAL PER DIEM:

Meals must be calculated using the per diem rates provided by the County Auditor. The first and last day are 75% of a

full day. No per diem can be claimed if a meal is provided by an outside party. Per Diem meals cannot be clthe date of departure if travel begins after 7: pm. c,>

TOTAL MEAL PER DIEMc s `"' r' r`"_'' .

r

5. SUPPLIES:•* ist r `'`. ' s7y',p,,,,,'

f

a f a`.t._ . i3'`:' h Y. .' r, ... R' X, xs.,..:= r+.R D. „ i

6. PARKING:*•. . . . . . . . . . . . . . . t,:

k. . , ,

R10 0:;.,Fn= i

7. TOLL FEES: r b83 ' , U 0 s p.

8. OTHER:** ( List) : 't x

ss. ,.:.. = a'.'`'..__..-.N .. ,. =. . s b, .°,,

g- - . a.

i°' c n"i:' ' .:k .

TOTAL ESTIMATED TRAVEL COSTS: . . . . . . . . F.,z,,:, „ 5, 7;60,.

Will an affidavit for advance be submitted for this travel? , r g Yes : X NoY L•

1

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PREPARED BY Teresa Me cer. .'... ° ,:., extension : X4631 A. . AUDITOR'S OFFICE MUST BENOTIFIED IF TRIP IS CANCELED.

These costs should normally be requisitioned before travel takes place.

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

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ADDITIONAL COMMENTS:Judge Seff v ntl dr ve$person""al vehicie toand"fromAustin ' - °, "

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C, _ i . r:.... " ., ,. _ faJ'd..i e. a

COLLIN COUNTY

TRAVEL EXPENSE WORKSHEET

NAME: TODAY'S DATE:

TRAVEL DATES: From / / To / / DESTINATION:

HOTEULODGING Sunday Monday Tuesday Wednesday Thursday Friday Saturday zoo orwRiTe mT s a Ea",Daily Charges) I l l I l l l l I l l E Co nty Auditor,UsebiO.n_ty; a

V ' '' '4.. h • .

V,

Yh/l~'w .

1'J:>'`'"-%r`i°'!°'i: r , .,x,; a,.,

4` r f :` e

r ? ti .:

MEALS Sunday Monday Tuesday Wednesday Thursday Friday Saturday v' ' r' p. f''.,',`.^

includinggraWities) v`,

Breakfast r r; `,, ':^cYrr:';`;?;

Lunch 3..CN.. ... ..:.. ........................ ........................ ::, ., w. ^: n:.:r t ; r'

n

DinnerK .:.

Other Gratuitiesf ' ` `

r r-' x'AIRFARE r# "

L,..

C' s.

RENTAL CAR t xr::r r Rx. Ir.; r,:

GAS hyyy'v;, y,` .: ,.. ::;;;;i:

Sunday Monday Tuesday Wednesday Thursday Friday Saturday <; , '`'; 3 bl l I I I l l l l l l I l l r:'

PARKING( Per Day) C! C' r. .,:>.,

TAXI, SHUTTLEti•:•::

TOLLS, FEES r=: ;.usx,.;;:::, .

PERSONAL VEHICLEMILEAGE t%k ' y a',

Normal Commuter"- .

From To Distance:

From To5' ;:;;;:

From To Reimbursement Rate

From To 0.55 K:;: .:. sx::• '.r::..,,•,+' ..i,'

yAt : .

OTHER EXPENSES TOTAL EXPENSES '`:` 4'_, ' '

ADVANCED AMOUNT *::*%<r=::,s..... r}=.: ;., 1 . , .,

Please complete this worksheet by hand or computer, make a copy, and return with travel voucher.

3„;;, A'„ ITEM$SREQUIRED; FOR PROCESSING AND REIMBURSEMENT,OF,,TRAVEL EXPENSES;"°.Itemized Hotel Receipt

p

Must show daily rates with associated fees and taxes.Itemized Meal Receipts Receipt must provide itemized listing of food and beverage purchased.

Please include reasonable tips or gratuities with cost of the meal- do not separate.Credit card receipts alone will not be accepted for reimbursement.

Airfare Receipts Receipts must display the name of traveler, fare, travel dates, end p8yme lts m8de( Boarding documents are not receipts)Rental Car Receipts Receipts must include the rate, options, 8f1d Bddlll0f181 f@8S Ch8f98d( i. e., LDW Insurance, Retumed Requiring Fuel, etc.).

All other necessary receipts to verify expenses.Please note: The county will not pay for snacks unless you are substituting this for a meal.

You are allowed three( 3) meal receipts per day. Anything in excess of three will not be reimbursed.Do not include any charges made to/6y a County procurement card on this travel voucher form.When using personal vehicle, internet mileage sheet must be submitted showing distance from starting' point to destination. Additionalmiles to/ from a hotel, conference location, and for meals will be allowed. Miles for sight seeing or personal travel will nof,be allowed.

2300 Bloomdale Rd, McKinney, TX 75071 to 125 E 1 lth St, Austin, TX 78701 - Google Maps Page 1 of 1

i Directions to 125 E 11th St, Austin, TX 78701

CjQ t 230 mi- about 3 hours 32 mins

2300 Bloomdale Rd, McKinney, TX 75071 .

1. Head northwest on Bloomdale Rd toward Community Ave go 476 ft

total 476 ft

2. Tum left onto Community,Ave go 0. 1 mi 9total 0. 2 mi

3. Take the 1 st left onto James M Pitts Dr go 0. 9 mi

About 2 mins total 1. 0 mi

Wilmeth Rd 0 0. 1 mi4: Tum left onto 9

L total 1. 1 miy

5. Take the 1st right onto N Central Expy

ix

go 0. 1 mi'

total 1. 3 mi

g--- g .- _. g i75 6: Sli ht' left to mer e onto TX- 121 S/ US-75 S' , 0 32.9 mi I

Continue ta follow US75 S total 34.2 mi'Abouf 33 mins

7. Take exit 284A for Interstate 30 go 0. 5 mitotal 34. 7 mi

I 8. Keep right at the fo K; follow signs#or 1- 30 W and merge,;onto 1- 30 W r

go 1. 4 miiI _ About 2 mins total 36. 1 mi

ea ----- s

9. Take exit 446 on the left for Interstate 35E S toward Waco go 0. 5 mi

total 36. 6 mi

i 10: Merge onto 1- 35E S go 4 3 mi„About 4 mins _ total 40 8 mi"

11. Keep left to stay on I- 35E S, follow signs for Waco go 52. 7 mi

About 46 mins total 93. 5 miT---- T . _

12 Continue onto 1 35 S go 77 7 miJ About 1 hour 8 mms ; totaf 171 mi

13. Keep left to stay on I- 35 S

c i `

go 58.0 miAbout 51 mins total 229 mi

r- ---- -

14. Take exit 234C toward 12th - 11th Sts/State Capitof go 0 2 mi{

totaf 229 mi; i15. Merge onto N Interstate 35 Frontage Rd

c c -

go 0. 1 mi

total 230 mi

16'. Turn ri ht onto E 11th Stg go 0.4 mi,About_1 min , total'230 mil

g 125 E 11th St, Austin, TX 78701-

These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions todiffer from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route.Map data 02014 Google

Directions weren' t right? Please find your route on ma s. google.com and click" Re ort a problem" at the bottom left.

https:// maps.google. com/ maps? fid&source= s_ d& saddr= 2300+ B1oomdale+ Road,+ McKinney,+TX& daddr= 125+ E+ 11 th... 8/ 28/ 2014

09/ C5/ 14 1,: 43 PM, `NiteVision 2014 R1

I_A QUINTA INN AUSTIN CAPITOL

300 AST I 1 TH STREET

n LJ 1: NTA AUSTIN, TX g oINNS a SUITES 512-476- 1166

SELF, K I'C1 I Folio#: 0907284912

2300 Bloomdalc Kcl. Room: 438

i1 Icl inncy,' l'\ 7 071 Arrivalt 09/ 04/ 14

Co npany: GOVl: l2\' IEN1' I2AT Departure: 09/ OS/ 14

Returns Club No :

Voucher/Ship/PO:

I' rans# D. icc llcscription Charges Payments Balance

278970 9/!/ 2014 Rm: 438 GOV- Government 115. 00 0.00 115. 00

273971 9/-/ 2014 7' n\- OCCUPANCY- CITY 10. 35 0.00 125. 35

273972 9/=!/ 2014 TnX- OCCUPANCY- STATE 6. 90 0.00 132.25

279035 9// 2014 Pi\ RKi\ TG- TX SALES TAX INC. 12. 99 0.00 14524

279104 9// 2014 CC PMT- MASTER CARD ... 4144 0.00 145. 24 0.00

Balance: 0.00

Signature:

THANK YOU

WE APPRECIATE YOUR BUSINESS

L Quinta Inn and Suites Reservation: Confirmation Page 1 of 2

Thank you for choosing La Quinta Inn and Suites. Your reservation details are listedbelow.

CONFIRMATION NUMBER( S): LA I. N T/3180313328

iNr s . suiT s

Hotel Reservation Information

HOTEL La Quinta Inn Austin CapitolLa Quinta Inn

Austin Capitol ri-.. c7 c r

300 East 11th Str `,

o `" y' ( f;sth' Sr t3'Austin, TX 78701

S,S o ti Q, F ank Erwin rr; , m;..J Fjs1 Center

1- 512-476- 1166 o- Qfi- a; u u h,Sl ,,, rr po° o 3, m /`

M E D 1'L' O 1

Drivinq Directions fiy., j' l" .,` F;4rti s

Sr R I.C:T ' f jJv1 =` r 2rh S

Texas'` ) ; c'(/(, y -

v,/

r a

EDirections:• s Caprtol 1 ( H / rL- n - o.I- 35 N- bound: exit 234C(6th- 12th Streets), " irys ,; ` l 7 Umversity' t

290m

tu rn l eft on 1 1th Street, Hotel is located 3 tli,-S1J Qv Medical Cente c-lblocks down on the right. 7 / % F Brackenndge /

Srh st l w

rh s V f rh:S't lir

r

I- 35 S- bound: exit 11th/ 12th Streets, turn ` '` py >> ' rh`' ~ i9rh, t S a y / j r -rCt

ri ht on 1 TStreet, Hotel is located 3 blocks t,- Sr. ,( -_ down on the right.

l ,,jf F y6' m ' ',, I( V1

7/ S 1

c` " `''! From ABIA: Exit airport via 71 W. Take 71 W i.

V ' y y,

h Sr j ' s

to I- 35N, Take Exit 234C(6th- 12th Streets). ,'' , 'r

61/,/ v t:., f `„ If

Turn left on 11th Street, Hotel is located 3 ; 7 St "'' "/

4- ' h'Sr- , J `' ro`blocks down on the right.

y '

et "/- (s '`

ad3 `c:'.rLIIN_ I~ I ? r.., rh: jyla Report a map error

NOTE: Valet parking only at this hotel.A valet charge will apply. Please contactthe hotel for more information.*'

TRAVEL DATESCheck- in: 09/ 04/ 2014

Check-out: 09/05/2014

Nights: 1

ROOM INFORMATIONNumber of Rooms: 1Number of Adults: 1

Room Type: One King BedRate Type: US Federal Government Rate orUS Military Limit 2 rooms per valid IDRate Description: CommissionableRoom Rate: 115. 00 USD

Subtotal: 115.00 USD

Estimated Tax: 17. 25 USD

Estimated Total with Tax: 132. 25 USD

Taxes are estimated, subject to changeprior to arrival, and do not include additionalfees required by the selected hotel.

Customer Information

Name: Keith Self

Address: 2300 Bloomdale Rd.

City, ST ZIR: McKinney, TX 75071Phone Number: 972- 548-4623Email Address:

keith. self@collincountytx. gov

BILLING INFORMATIONCredit Card Type: MasterCardCredit Card Number: '**""•*•*« 3318

Expiration Date:

http:// www. lq.com/ lq/ reservations/ respath/confirmation rint.jsp 9/ 3/ 2014

L' Quinta Inn and Suites Reservation: Confirmation Page 2 of 2a

ROOM DESCRIPTION

One King Bed

NEW! Samsung Flat-panel TV with 30 channels of HD programmingPlug- and- Play" TV feature makes it simple to connect electronics

Free High- Speed Internet AccessFree Bright Side Breakfast0Bright Morning Pillow Top BedsConvenient Work DeskCoffee MakerHairdryer

Iron w/ Ironing BoardFree Local CallsAlarm Clock

DEPOSITIGUARANTEEICANCELLATION POLICY

DEP CREDIT CARDS: AX CB DC DS MC VS VI CA CANCEL BY 6PM 04SEP14 LOCAL PROPERTY TIME TO AVOIDPENALTIES. For reservations cancelled within the stated cancellation policy period that include free night(s) redeemed with LaQuinta Returns points, you must contact the Returns Service Center at 1- 800-642-4258 to have your points restored to youraccount.

http:// www. lq. com/ Iq/ reservations/ respath/ confirmation rint.jsp 9/ 3/ 2014