North Carolina Department of Public Instruction s1

NORTH CAROLINA DEPARTMENT OF PUBLIC INSTRUCTION TRAVEL AUTHORIZATION FORM ORIGINAL AUTHORIZATION REVISED AUTHORIZATION

Form 10-8 Revised 06/2008 TRAVELERS: (If more space is required, an attachment is acceptable.) Beth Edwards

HEADQUARTERS (CITY): Grimesland TRAVEL TO (CITY): Raleigh Lodging and meals will only be reimbursed if traveler is on official state business and in overnight travel status at least 35 miles from headquarters. DATES OF TRAVEL: MODE OF TRANSPORTATION: 1/15-1/16/2015 Personal vehicle PURPOSE AND EXPLANATORY REMARKS: NBPTS Meeting

AUTHORIZATION REQUESTED FOR: DAILY TRAVEL (MILEAGE ONLY) MEAL REQUEST

AIR TRANSPORTATION REGISTRATION FEE OUT-OF-COUNTRY TRAVEL

OVERNIGHT STAY RENTAL CAR (IF OUT-OF- STATE TRAVEL) OUT-OF-STATE TRAVEL

EXCESS LODGING NON-STATE EMPLOYEE BLANKET DAILY GROUND TRAVEL

ESTIMATED COSTS AND EXPENDITURE CODES (Required only if prepayment required)

COMPANY ACCOUNT CENTER

REGISTRATION FEE $ 0801

SUBSISTENCE: MEALS $ 30.00 0801 532724 1092-29850-000

LODGING $ 130.00 0801 532721 1092-29850-000

TRANSPORTATION $ 0801 532714 1092-29850-000

OTHER: MILEAGE $ 90.00 0801

$ 0801

TOTAL ESTIMATED COSTS $ 250.00

Section/Division may wish to use this area in confirming availability of funds to cover estimated costs & to facilitate filing reimbursement claims.

PREPAYMENT REQUIRED FOR: REGISTRATION FEE OTHER (specify)

PREPARED BY: Beth Edwards TELEPHONE: 252-916-6842 DATE: 1/13/2015

(Approved form should be returned to this preparer.)

SUPERVISOR'S APPROVAL: (if required by council member) DATE:

COUNCIL MEMBER’S APPROVAL: (REQUIRED FOR ALL TRAVEL) DATE:

DEPUTY STATE SUPERINTENDENT: (Out-of-Country Travel) DATE:

DISTRIBUTION OF APPROVED 10-8: Original After traveling, submit with Reimbursement of Travel and Other Expenses incurred in the Discharge of Official Duty (Travel Reimbursement Form 18AA-417) to the Accounts Payables Section. Copy 1 Traveler's copy. Copy 2 Section/Division's copy if required by section/division. Copy 3 Financial Services’ copy (only required if traveling by air and/or airline ticket needs to be picked up) Copy 4 Prepayment copy (only required if prepayment is required). Submit with appropriate documentation to the Accounts Payables Section. SEE DPI PROCEDURES MANUAL FOR DETAILED INSTRUCTIONS ON COMPLETING THIS FORM.