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  • 7/29/2019 Trip to West Palm Beach

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    Je ;so ;oc:zJo ;9REQUEST FOR LINE OF DUTY LEAVF;

    f.c COMPLEtE tHI!'tOPPO!I'TiON iliVD'SiliJMlTtO l'AYMLL FbkPROCEsSJN(; i1Ftl;;A VSHOUR$ i1$Eb.L 0 R I-DACOMMUNITYCO L L E G E 2. UP(JNi/EftrRNFROM T/l}(vt:l CDMPLl{fE BOTT()M PORTIONOF T } { E i " ~ PAGEANb SUBMIT ;'(ilfc'cai!Nts PAYA/ltJtFOR JIE/MBURSEMENTOR TO mE BUSINEsS OfFICE FOR PROCESSING. . . .T lA,CKSONVlllEDATE __ _ _ _l _ O ~ i ~ 2 8 ~ / ~ 0 ~ 9 ___________________SOCIAL SECURJTY NUMBER _.;c4.=5.=3.=6______ _

    !XJ ADMINISTRATOR0 PROFESSIONAL0 FACULTY0CA REER

    THIS LEAVE FORM REPLACES LEAVEFORM D A T E D - - . , - - - - - - . , - - - - - - ~

    NAME .. : : ; , n a ~ . teven. M ~ d l e REASON FORREPLA{lEMENT: SIGNftibli:E : r ~ & i i - = - = = - - - - - - - - - -

    PERIOD LEAVE TOTAL WORKING HOURS 9 BENEFIT TO COLLEGEFROM: noon _ l . l __1l_ 09 Participation will permit visibil i ty

    TrME MoNTH DAY YEARTifROUGH: lOpm 11 _ !L _Q2__

    TL\1E MONTH DAY YEARfor th e COllege's leadershlp, programs,and concerns a t th e state. leye I .

    NATUREOFMEETING: Flor ida Conl'rcil .of 100, State Board of Education. &Board of Gov: DESTINATION Palm Beach FL

    LOCAT!Or-.< (CITY & STATE} SIGNATURE OF PERSON A S S U M I N G ~ J E S APPROXIMATE COSTS0 NO REIMBURSEMENT REQUESTEDOC) ACTUAL EXPENSES0 STANDARD RATES

    TRAVEL 329,20 PER DIEMLODGING ____ ~ 3 = 2 ~ 5 ~ . 0 ~ 0 ~ MEALS -------"1'-'9._,,-"'0=0 REGISTRATION _______

    -OTHER (D_escription and Amount)----------------TOTAL 67_3.20- - - - - - - - - - - - - - - - -BUDGET TO BE CHARGED _ c " l c : , 6 " ' 1 " ' 1 " ' 2 " ' 0 ' - - - " 6 " ' 0 " ' 5 " ' 0 " ' 2 ~ -POSITION NUMI,lER

    DEPARTURE TIME 9 amDATE PER DlEMOR

    MEALSAUTO

    MILEAGECLAIMED

    DATE 11 I 1 1 /09

    APPROVAL

    IMMEDIATE SUPERVISOR DATE

    DATEl '2-5'1ffBUDGET ADMINISTRATOR D:A 'EAPPROVAL- INTERNATIONAL TRAVEL

    .

    PRESIDENT DATERETURN TIME 9:30 pm DATE 11/12/0

    .98 . 733,98 .8 GRAND . . . . .. . a a ~ q I HEREfJYCERT_[fY OR AFFIRM THAT ABOVE:EXPEN,SES WE_RE: ACTUALLY INCURRED BY ME AS NECESSARY TRAYEUNG EXPENSES 'fN THE PERfORMANCE-OF MY OFFICIAL DUTlES, A_ND' MEA:L.S-O'R-LODGING INCLUDED IN A CONFERENCE OR CONVENTION- REdJsTRA710N-:FE-E

    HAVE BgEN THIS TRAVEL CLAM: AN.D THAT THIS CLAIM-:fS.tRUE AND-CORRECT IN EVERY. MATERIAL-MATTER.AND sAMECONF RE EC . E R E Q U I R E M E N T S < ' ! ' ~ SECTION 111.061, ELORIDA STATUTES. ./ _ ~ f t . - ; : . t " \ - I . PAYE . . . . \1 / 'DATE l)=j'Jd/D'f OFFICE LOCATION. . . . . PURSUANT TO CTJON II . I (3) (a), FLORIDA STATUTES, I HEREBY CEJl.fiFY OR AFFIRM THAT TO THE BEST OF MY KNOWLEDGE THEABOVE TRAVEL WAS ON OFFICIAL BUSINESS OF THE FLORIDA COMMUNITY COLLEGE AND WAS PERFORMED FOR. THE PURPOSt(S) STA:TEDABOVE. . .

    ~ ~ A P P R O V E D . . . DATE(SUPERVJSINGADMINISTRATOR) - . , . - - - - " - ' - - - -FOR ACCOUNTING USE ONLY

    DATE \ SOCIAL SECURITY NUMBER \ .ACCOUNT NUMBER _lIHR { 0 9 ~ ) (01/0ll

    I lWHITE iliin>l) -P " YROLU lillMAN-R .fSOUR CES- PER.SONNEL FILE COPYYELLOW- ACCOUNTS PAYABLE- l"" rAGE PINIC>SUPE!l.VlSOR

    VOUCHER NUMBER \ AMOUNTI

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    fLORIDA STATE COLLEGEAT jACKSONVIllE'"

    November 30, 2009

    MEMORANDUM

    To:From:

    Subject:

    Travel OfficeJeffie Woodham CJh)College President'ejfficeReimbursement Request for Dr. Wallace's Travel

    Dr. Steven R. WallaceCollege President

    I have spoken with Yvonne Horner, and she suggested that I provide the following details concerning Dr.Steven Wallace's College-related travel to the Palm Beach area for the Florida Council of 100. Please seethe Line of Duty form attached.I initially purchased a round-trip ticket for Dr. Wallace. At the last minute, he was given the opportunityto travel one-way to West Palm Beach on the Haskell Corporation's jet, and he was credited for one-halfthe cost of the trip. In order to take advantage of the Haskell offer, he had to park in the JIA parking lotand take a taxi to the Signature lot where the private je t was depart ing.Dr. Wallace didn't need a rental car on Nov. 11 because Haskell provided transportation from the WestPalm airport to the meeting location in Palm Beach. However, he did need transportation the next dayfrom the meeting location in Palm Beach to the airport in Ft. Lauderdale (approximately 45 miles).Please be advised that there are no extra costs to the College due to Dr. Wallace's change in travelitinerary. Thank you.

    501 West State Street I jacksonville, FL 32202 I P: (904) 632-3222 www.fscj.edu

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    Fla. Stat. 119.071(5)(b)

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    TilE FLORIDA COUNCIL OF 100FALL GENERAL MEMBERSHIP MEETING

    NOVEMBER ll , 12 & 13,2009THE BREAKERS HOTEL, PALM BEACH

    AGENDAWEDNESDAY, NOVEMBER 11, 20095:00- 6:00PM NEW MEMBER ORIENTATION Gulfstream 3

    Susan Story, ChairFlorida Council of 100

    Welcome all new members and their spouses into the Florida Council of 100.Sponsors, fanner chairs and their spouses are also invited to attend.

    6:30- 8:30 PM RECEPTION/DINNERHosts Kathryn and Leo Vecellio aboard Lady Kathryn IV

    THURSDAY, NOVEMBER 12,20096:00- 8:00AM7:30- 12:00 PM7:00AM7:30AM

    10:30 - l 00 PM

    1:00PM

    2:30- 4:00PM

    4:00- 4:30PM

    4:00- 4:30PM

    2:30- 4:30PM2:30 - 4:30 PM

    BUFFET BREAKFAST / Gold RoomGOLF (optional) Reese Jones CourseDepart for Scripps Florida Ponce Porte CochereSCRIPPS FLORIDA Scripps FloridaFC 100 Welcome and TourFLORIDA FOCUS: Scripps FloridaTALENT & INNOVATIONFlorida State Board of Education &Florida Board of Governors RoundtableDepart for Breakers HotelBREAK OUT MEETINGSPreK-14/Higher Education Ponce de Leon 4Committees (Combined Meeting)PreK-14 Education Committee Ponce de Leon 5-Open DiscussionHigher Education Committee Ponce de Leon 4-Open DiscussionGrowth Leadership Committee Ponce de Leon 3*Aorida Justice_Reform Institute Guifstream 4

    Meeting

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    Wallace, StevenFrom: Woodham, Jeffie J.Sent:To: Tuesday, November 10, 2009 4:55PMCEOSubject: FW: Ticketless Confirmation -WALLACE/STEVEN PHD - NJR5EY

    Southwest ticket change ..From: Southwest Airlines [mailto:[email protected]]Sent: Tuesday, November 10, 2009 4:53PMTo: Woodham, Jeffie J.Subject: 11cketless Confirmation -WALLACE/STEVEN PHD - NJR5EY

    00000037437470

    Sit Wll_ere __You likeBe prepared when you get there!Consult Travel Guide for relevanttips from real travelers.

    1 All travel involving funds from this Confirmation Number must be completed by the expiration date.

    DateThuNov 12

    Base Fare+Excise Taxes. .Advertised Fare+ Segment Fee

    Flight#2962

    $143.26$10.74

    $154.00+ Passenger Facility Fee+Security Fee'

    $3.60$4.50$2.50

    Total Payment: $164.601Security Fee is the goverment-imposed September 11th Securtty Fee.

    Routing DetailsDepart FT LAUDERDALE FL (FLL) at}':.iOPMArrive in JACKSONVILLE FL (JAX) at 82!}'PM

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    Fla. Stat. 119.071(5)(b)

    Current payment{s)11/10/09 Ticket Exchange 5 2 6 2 1 6 0 0 5 9 1 5 ~ ~ ~ ~ 4 ; ; ~ ~ v ~ REFUND ON 11/10/09 TO Amer Express ~ 6 4 . 6 0 travel involving funds from this Confirmation Number must be completed by the expirationdate. Any change to this itinerary may result in a fare increase.

    Fare Calculation:FLL WN JAX143.26KZBP 143.26 END ZPFLL XT2.50AY4.50XFFLL4.5

    Air transportation by Southwest Airlines is subject to Southwest Airlines' Passenger Contract ofCarriage, the terms of which are incorporated by reference.

    Notice of Incorporated TermsAdditiollallntomilition torTr;lveler&

    online C h e ~ i n 1-Fiee B a : g Q ~ i q i a : \ . \ . _ i ! ' 6 w a n ~ e t C h e C k f n Requirements-lnflight Service ITravel Tools \ Refund lrifomtation r rivacy Policy J Southwest Airlines DestiriationsWe can

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    Fla. Stat. 119.071(5)(b)