Bullhead Expenses

;iTY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN

DESCRIPTIONINVOICE NO.

1/04/2010 3000000751 LUNCH-TOM MCGRAM &TOBY COTTER

Pa?

CITY.WELLS FARGO BANK. N.A,-. «j>HOENIX.AZ 85003

;•; I r PATE I:V [,±/22/2i}±{)\

E DOLLARS AND TWENTY THREE CENTS

P$W

91-527

::SK>îi22i v.Cj

CHECK NO. 102603NET AMOUNT

53.23

^ fî^_____^^.•••;K|,; 5AMOUNT*? P .•:,:•'• .'-^••V.CHECKÎ'

4&'*&?^

onoEir'.•OF'.- •.;

VOID AFTER 90 DAYSi& •%;-. -y^

:"••'• •* V'

- •<">, i'Vi:V.-T<-.,:.Jst.

--":=£*&••

'•••'••irrrr^-'.

-4î0^^^HAlCIM#^ •'.t>"/«-.r'-7;:-'j^,,-.. "•.<•;'-' •"!'• '• '.'T'.. '•

'&'$£ ;**.!"i'-: •'̂ *i •% r '̂-r V 5i'-> • ".'•.-., "'^•#ÔL^LHEAD^CITY/;

Privacy Interest

<£* A •'

; AZ 86442 ~%>?& K-

-..**

•;*» \>*

0001

Cityo£BullheadCityOATH1/11/10TIMS10:16:06

USER:DSCHUMACHS

DESCRIPTION

wwmmwwwtxsssssBnnanabbb

REQUESTFORACHECKLUNCHWITHTHOHMeGRAKMOHDECEMBER22,2009ANDLUNCHWITHTOBYCOTTEROK

JANUARY4,2010-TOTAL=$53.23

FINANCIALMANAGEMENT

REQUESTLISTING

VENDORREQUESTBYQUAHTITY

1/22/20101.0000REQUESTINGEMPLOYEE:DSchumache

REIMBURSEMENTFORHAKIK,JACKCONFIRMING:HO

TOTALREQUESTS:

3C

COi*f—

>L-J

...J

ZSZ

e««j

GENERALLEDGERDISTRIBUTIONCES'BRALLEDGERACCOUNT

101.15.1001.5805

PROJECT/SUBPROJECT

{P>*•Iftf PAGE1

RP0200

DSCHUMACHE

UNIT

EA

COST/UNIT

53.2300

PERCENT

1.0000

xs^DepSIto2,'$2,500$5,000to24,999$25,000ormore

ITEMTOTAL••BBSBBSBBSs

53.23

AMOUNT

.00

53.23

JAN20ENID

ota&AXWtts

MoQuotes3TelephoneQuotes3WrittenQuotesSealedBM&CouncilApproval

a:—

3»3C

o~

O••

-•j

•..*•

0002

?ZbZSS<t6I'J9Z

riR£HCUSE COrFEC C00S92350 S. KIRACLC HIUuiA

BUUIICAP CITV. AZ 6E44*929J5e5358

Sale,u".n(i?G -S

l. «. 051306

mmwMU

JiPPr Code: O1S01C

Aiount:

Tip:

Total:

|4.B»:21

* 26.43

Terninal »«JAN 04. 10

Server ID8 1

UTS A************5634SALESflTCH #! 069

AMOUNT

TIP

TOTAL

2t00 PH

REF#!004AUTH #J 0O584C

APPROVED

0003

Privacy Interest Privacy Interest0099

0100

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN -

INVOICE NO.

2/17/2010 TR10328PT2/12/2010 3000000834

DESCRIPTIONPOST TRAVEL,FLAGSTAFF,01/29/10

LUNCH REIMBURSEMENT 1/25 & 2/1

•

—.'. •

'

•

.1 - _•

•-I . .

CHECK NO. 102961

NET AMOUNT19 .42

57.95

JHE .. ,ORDER ,

:'-. JACK,HAKIM

:

. • •• •

.,. - . • •••••• • •• -'

• . • •'.:•••: • " .

;,/B0LLHEAD-CITY AZ 86442 - —7— /Z-$ ' \" '-•- ' ' •v'v

•••• •-••:,. ;v.>- .'••*'':' i*L '•--•" •:•

;••-,•• ••.-••, •--;-•• 'i ••'-', ' ' •''••',• ' ' '- •—•- • --—-•••• '• -•;•„," ,-i, •• • •• ; -- • •

Privacy Interest

•••: u

— —- li—^2 li-ii.__ _ _ --.,i,-,;,-,7;-,~.Y,

0004

£(fl<*.t;•

CityofBullheadCityDATE2/12/10TINE10:05:48

USER:SSCKUMACIIE

DESCRIPTION

FINANCIALMANAGEMENT

REQUESTLISTING

VENDOR

REQUESTFORCHECK-REIMBURSEMENTFORBAXIH.JACKLUNCHWITHTOBYCOTTER.CITYMANAGERFORCONPIRKING:HO$26.01ONJANUARY2S.2010;ANDLUNCHWITSTHOMKCGRARAH.THEBEEFOR$31.94-

TOTAL•$57.95

GENERALLEDGERDISTRIBUTION

GENERALLEDGERACCOUNT

101.15.1001.S80S

TOTALREQUESTS:

REQUESTBYQUANTITYUNIT••••••»•••»••NlttiillftSBSSSSBsSSaSBOIIIIII

2/19/20101.0000EAREQUESTINGEMPLOYEE:DSchumache

PROJECT/SUBPROJECT

Ofa-v**1

COST/UNIT

57.9500

PERCENT

1.0000

PAGE1

RP0200

DSCHUMACHE

ITEMTOTAL

57.95

AMOUNT

.00

57.95

FEB18ENTU

FEB19PAID

>4,999$5,000to24,999$25,000ormore

AUTHORIZATION

N:(Quotes5TelephoneQuotes3WrittenQuotesSealedBid&CouncilApproval

f:;c

*

0005

froocJi to/tehy (3>tbe£. yf ^ ^qJSpC^^^MOHAVE STFAKHOfsF I"* ,MOHAVE STEAKHO«;SE

2430HWY95STE4

BULLHEAD •Ti'.AZ 8544.01/25/2010 13:21:27M?rchant ID: 000000001204S84Terrr..nal ID 0176717322(H<11632938

MOHAVE STEAKHOUSE

2430HWY95STE4

BULLHEAD CITY, AZ8644202/10/2010 13:19:11Merchant ID: 000000001204584

Terminal ID: 01767173

226401632998CREDIT CARL

VISA SALE

'ARD#

INVOICE

2Jd\ t:

• •• Mt.n

-. ;jroval Code:t-'jy Method:A| proved:

yXXXXyvvwvi;*;^

C'J- 4

occ: -.

02517C

SnipedOnline

•••,< rrp/f-r $21.01

•1 / . /

I--", "V

i f'.rlU/iii 4^/

CREDIT CARD

VISA SALE

UKD#

INVOICE

Batch #:

SERVER

Approval Code:Entry Method:Approved:

XXXXXXXXXXXX5634

0008

000144

0057

U1598C

SwipedOnline

PRE-TIPAMT $26.94

TIP ^"

TOTAL AMOUNT 3/<T_

0006

10328 PT~

CITY OP BULLHEAD CITY

TRAVEL AUTHORIZATION AND EXPENSE REPORT

Ij>#<

TR«

Isection 1 Pleaseprintlegibly

Destination P\r\i-\)FA-dCC nA7D Seminar G Conferee

Traveler JqCl-R j^/lkim.Dcnaitoienl/Divhton C ITA/ 0^>l JK̂g-l I

Draining DSeminar DConference DMeeting DOther SnonsorAZ. Ik.pfVf-rnlP-l'-r'or tWii&lcU y3\Sft-ilrTT>Wv4.5v=>rnrn-y GjrQtjFTI^f-fvinttoC) S^nnmrS 'Topic/Purpose.

Meeting Dates Jaii< KlfAJ jffi ?jî/^ Denature Dates/Timeto art i Ol/Zfl / l£> Return Dates/Time/r>p>v> /*\\f IStf lt>Travel Mode(circleone): QCityVcbicle Other.

PersonalVehicle* - Round trip miles. mile*

*Travelers usinga personalvehicle mustcarryliabilityinsurance coverage withminimuaaperstate taw. the travelermustpersonallysignthiscertification. Traveler's Signature _ Dale

SECTION 2-EXPENSES M/C Estimated Expenses Claimed Actual Expenses

Common Carrier(air, bus, train)

Registration

Lodging (incitax)0 nights Listhotelinfo in NOTES

Meals (howmany?): Breakfast 1 Lunch I DinnerJ

Miteage or Gas Charges

Taxi/Parldng

Car Rental

Telephone

Other(specify).

AcctNo.

f-A.*x=> ,EM2i

/0(./<A/&)l.55*lUnencumbered Balance-^ • to loot fiUQl

NOTES Hotel Name:

|SECTION 3 - PREPAYMENTS/ADVANCES REQUESTED*

1. Pavee

MailingAddress.

2. Pavee

MailingAddress.

3. Pavee

Mailing Address.

APPROVALS BEFORETRAVELING

S0-$S00 Division or DepartmentDirector approval

OverSSOO City Manager approval in additionto above

Div/Dpt. Dste

TOTALS

JtvMgr &J&4 • >~' ^<^Finance Dpi

CrtyMgr

Date' /.fa'fo

Date /• >//:T

$2H.oOy,

Less Prepayments/Advances

LessCity CreditCard Charges

AMT DUE CITY

AMT DUE EMPLOYEE

FEB

$ft.*W*

3EinSS Amount Special Handling Instructions

Chk# loamFEB 19 PAID

IDate Needed.

Chic* DateRee'd

Date Needed

Chk« DateRee'd

Date Needed

ChkS .DateRee'd.

APPROVALS AFTER TRAVELING

expenses Incurredby me and^~ 'limit

0007

Privacy Interest 0008

0009

0010

0011

0012

0013

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN - check no 103261

32 .4!

r : -" .

'TO'THE' ORDER ;

0Ft *:*.*•*•I :»• U :••••'. V

INVOICE NO.

3/08/2010 TR10580PT2/23/2010 3000000867

DESCRIPTIONPOST TRAVEL,PHX,3/1/10-MAYOR/RREIMBURSEMENT 2/5/10 LUNCH-MOJ

•

% :i ",sifcS '

-; • .

. a

•

NET AMOUNT

52 .90-

OFÛLUHEAP CfTY.*-"V. ." WEtLS FARGO BANK. NA *PHOENIX. AZ 85003 - -" ..-' &*& ' '• - '• FN-.l-fl *3 O C 1 •' • '

' . ... - •' *••* •'-'-: '.i- ;. '; -. £ 1EV •••• - : JUA-» »J C. U X. ., <

ggjjgffgj j.•" .: :'••;. I' - . DATE~1' •\'-"^\'f.i ^-q- ÂMOUNT~~|

'SH'tVE.DOLLARS- AND •THIRTY;: EJG£T ^CENTS' '

CHECK

.--•„

•..-•--. ... .- •'. :• - '-• * , -• - ' «... ;• . . - • - « .- •- • ., .. • |l T m

k»P AFTER 90 DAYS \&****2j£ '^Sg

'o?63;WpO'

. ..... »*»»*. -.

Privacy Interest

0014

CicyofBullheadCityDATE2/23/10TIME13:38s42

USER.DSCKUHACHE

DESCRIPTION

j\^'FINANCIALMANAGEMENT

REQUESTLISTING

tffr•zrfr

VENDOR

REQUESTFORCHECK•REIMBURSEMENTFORHAKIM,JACKTWOLUNCHES.02/05/2010LUNCHWITHCONFIRMING:NOTIMWILLIAMS.CHAIR,KOJAVEINDIANTRIBEPOR$28.70;AND02/22/2010LUNCHWITHTOBYCOTTERFOR$24.20-TOTAL'$S2.90

GENERALLEDGERDISTRIBUTIONGENERALLEDGERACCOUNT

TOTALREQUESTS:

CM

cr»

re•=x

lOCM

roUJ

to

101.1S.1001.S80S

REQUESTBYQUANTITYUNIT

EA 3/OS/2C101.0000REQUESTINGEMPLOYEE:DSChunuche

PROJECT/SUBPROJECT

\\iti ^

COST/UNIT•isiBBtaaaaaa

S2.9000

PERCENT

1.0000

PAGE1

RP0200

DSCHUMACHE

ITEMTOTAL

S2.90

AMOUNT

.00

LtSBttsaBaaaasB

52.90

MAR12PAID

MAR-8EHTO

ro

Atm*eRiZA?Fieft

CS>;*.

7V

i~

P»1^*

roC.1

35

o

ApprovaloNoQuotes^_3TelephoneQuotes(j\3WrittenQuotesSealedBid&CouncilApproval

.4,999$5,000to24,999$25,000ormore

0015

BULLHEAD CITY. AZ 86442928-763-8118

Terninal «t 86098081FEB 85. 18 2182 PM

:. ver 10s 1

•A. *********5634 ___.„...,«.,.

*LE REF#!0g4CH«s 897 AUTH #» 81540(

10UNT *23.7g

ITAL « <te9-lJ.S*'

APPROUED

xxxxxxxxxxmmxxxxxiX YOUR RECEIPT

THANK YOU

xxxxxrxxxxxtxxxxxxxi

-22-2010 MC «:000(

J00JOD

ÎNKS..RINKS

*8.0(X7.0.xi. 5i«3.1!-.XI.S

TOTAL;ash

X2I-2X2I-2

PM 1-48 rJOT?**-• -— £2$f:2C>

HAVE A NICE DAYPLEASE COME AGAIN

T-A&UL^jtS*-. d2aÂocâiJL^

0016

<•....'.•--;,-; ;•**»*#"•

CITY OF BULLHEAD CITY


TR# 10580 PT|SECTION 1 Please print legibly

.:.vi.i7Lu,*-,?..•.••JULLHFAnniTN

.Traveler

Department/Division tt\A-4fif* /liVJ C/MuyW•U.'«-4r- I -^ . _ l_J T' ~DTraining DSemintr OCotifaence XMeeiing OOtber Sponsor cdrf'tffe. Le^t.^/zTT't tr-<o

TnpiE/iwM Lfeff.iAt. flT\vc- A<4\^™c>/ - HBafiIPM«rtM Dates <g>-t-J^J _^ Denaitiirerjttcs/nroe3-)-!£> ft~A rYl Return Datcs/rimeS/t <g ft; Cy^p^fTravel Mode (circle one):^"cS^VeWcle^ ^ °'ber

PersonalVehicle* - Round trip miles * mile •

minimum*perstatelaw. The traveler mustpersonallyugn Ms certification. Traveler's Signature. Date

ISECTION2-EXPENSES

Common Carrier (air,bus, Win)

Registration

Lodging find tax)* nights Listhotelinfo inNOTES

Meals (how many?): Breakfast Lunch__ Dinner_J_Mileage or Oas Charges

Taxi/Parking

Car Rental

Telephone

Other(specify)

AcetNo.

Unencumbered Balance.

| SECTION 3 - PREPAYMENTS/ADVANCES REQUESTED*

1. Payee

MailingAddress.

2. Payee

Mailing Address.

3. Payee

MailingAddress.

APPROVALS BEFORE TRAVELING

SO-SSO0 Division or Department Director approval

Ova S500 City Manager approval In addition to above

M/C

TOTALS

Div/Dot

Finance Dpt. As*,*.- ^c.rff

Date

Date 'it///'

Date I IS

Estimated Expenses Claimed Actual Expenses

I.^.OQ

$i5.ce>


Less City CreditCardCharges_

AMT DUE CITY

AMT DUE EMPLOYEE

%32>A£>

a^.Hî

S Amount Special Handling Instructions

MAR-8EHT0

MAR 12 PAID

/C£3-U>l

I

Chk#

Date Needed.

Chk# DateRec'd

Date Needed

Chk# DatcRec'd

Date Needed

Oik* DateRec'd


:nfM^^ljâ^

, expenses incurred by me and'this travel, unlets noted

0017

ANITAS COCINA

ST H VALENTINE STUICKENSURC AZ 85398

32B-6B1-S777

«.rch.nl ID: 8BB883763789T.r. 10: »«4«3S9T R«f »: 8079

Strv«r 10: 1

Sale

imiiiiim5B34

VISA Entry Nethorf: SiiPed

$ 27.J8,Tip: J

SaCIIII8l38S8C33

Total: ^

83/81/18 18:45:89

Inv I: 888819 APPr Code: 84553C

Apprvd: Online Batch8:

Custoatr Copy

0018

Check No. 109915DATE INVOICE NO. DESCRIPTION NET AMOUNT

03/16/2011 DECEMBER 2010 LOCAL TRAVEL 131.5003/16/2011 NOVEMBER 2010 LOCAL TRAVEL 204.0003/16/2011 OCTOBER 2010 LOCAL TRAVEL 257.50

Total: $593.00

City of Bullhead CityPO Box 22350Bullhead City, AZ 86439Wells Fargo Bank - Accounts Payable

91-5271221 Check No: 109915

PAY Five Hundred Ninety-Three and 00/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 Trane RoadBULLHEAD CITY, AZ 86442

Date03/18/2011

Amount$593.00


0102

0103

0104

0105

0106


INVOICE NO.

3/16/2010 TR10331PT3/09/2010 3000000924

*'-J>:^"P- ^BJJM&EAD"CITY •« •

•--:,•-.,--' •

Privacy Interest

DESCRIPTION

POST TRAVEL,PHOENIX, 3/10/10REIMBURSEMENT-DINNER W/MEXICAN

- I i ' •

r.-.T* , •-.,

•

•

•.•-,••;,-."

check no. 1033 51NET AMOUNT

( 30.25 '122.46^

0019

FINANCIALMANAGEMENT

REQUBSTLIST[NO

&*'*PAGK1

RP0200

DSCHUMACHE

CityofBullheadcityDATE3/09/10TIME1S.-04:13

USER:DSCHUMACHE

DESCRIPTIONVENDOR

REQUESTFORCHECK-REIMBURSEMENTFORKAKIM,JACKDINNERWITHTHEMEXICANCOUNSELGENERALCONFIRMING:NOALFONSONAVARROAKDHISASSISTANTLUISCASTANEDAREGARDINGCENSUS.TOTAL-S12Z.46

REQUESTBYQUANTITYUNITCOST/UNITt>3Bflnmadt.B..aaait.....iaglnibbiiii........H

3/19/2C10I.0000EA122.4600REQUESTINGEMPLOYEti:DSchunachc

ITEMTOTAL

122.46

TOTALREQUESTSr-l

...^£JS

Q_

era


101.1S.1001.S80S

PROJECT/SUBPROJECT

<f*

MAR18EHTO

92:2IKd01UVWOIOZ

;•-«'-In"?AH'v:"

$5,000to24,999$25,000ormore

PERCENT

1.0000

AMOUNT

.00

*9SS8IOBBS

122.46MAR19

/033S7

UTHORIZATI0N

HoQuotes3TtelephoneQuotes

lealedBWACouacaAppoval

0020

MATPJNAiS2350 S MIRACLE JMILE ROAD

SUITE 310BULLHEAD CITY, AZ 86442

(928><444-1154

c o .'p. V02/26x2010 ^19:02:12

Sale:"

Transaction'•#'• QCard Type: :- c ujshACC : NMm(HMNHMMMIlf.g34Entry: SwipedBse Amt: 102 . «4S

Tip " : 6Jt&.

Total £t: %&L.HkAuth.Code: 00513CRetspon. APPROUED 00513C

CUSTOMER C0PV

yÔÂ^M^ (^LOJu>c>aJZ^

0021

10331PT*



^TR#

ISECTIONI Pleaseprint legibly

RecucstDate &~ 3.-"Zl& 11>>Destination • \ 1. i <ni\l ucnanmcni/mrmpii in yi i . «-1. / y i-t » . i r , I

DTraining •Seminw DConference ^Meeting DOther Sponsor J' , * , J. t. , / din,, mt. /"'//f >•Topicffiiroose //"n:/<i Ai.g Aî tMeeting Dates.

Travel Mode (circle one):

Traveler ~"C> r» V -iXm Y |*l .__Departmect/DivMon <V 1A• . i-•.. / V i~, . ., , ,

/,*• _J<. /P IDepaartureDates/Time t>//< (-£"• /C> 4a; Return Dates/Time *.//v fpCityVehicle Air Other

Y" t>nt

••' Personal Vehicle* ^Round trip miles -'/~7C x ° mile - <••

*Travelers usingapersonal vehiclemustcarry liability insurance coverage vrlthminiimansper state law. The travelermustpersonallysignthiscertification. Traveler*! Signature Date

SECTION 2-EXPENSES


Registration

Lodging (tod tax)# nights List hotel info in NOTES

Meals (how many?): Breakfast / Lunch Dinner /Mileageor GasCharges^

Taxi/Parking

Car Rental

Telephone

Outer (specify)

AcctNo. 'C/ /'/ t^r '-'• '- -> >

Unencumbered Balance

NOTES Hotel Name:

|SECTION 3-PREPAYMENTS/ADVANCES REQUESTED*

1. Pavee

Mailing Address.

2. Payee

MailingAddress.

3. Payee

MailingAddress.

APPROVALS BEFORETRAVELING

SO-S500 Division or DepartmentDirector approval

Over $500 City Manager approval in addition to above

Date_

Date lA//.

M/C

TOTALS

Estimated Expenses Claimed Actual Expensei

} $ <'<"»

•r <<•

Less PiepaymeDts/Advanees

LessCity CreditCardCharges.

AMT DUE CITY

AMTDUE EMPLOYEE

3S:-&bJ££L

y?to.a?sflMAR 1 6 EHTD

MAR 19 PAIDChk»

/QZ3C7•$ Amount

-* T-Special Handling Irutractiom

\

r//>

Date Needed.

Chic* DateRee'd

Date Needed

Chk* DateRee'd

Date Needed

Cnk#_ .DateRee'd


I certify this to be a corre&clainifor necessary apensts Incurred by me endtnatfnavef *receivednootherpaymentsfor thistravel, unless noted.

Traveler Date.

Div/Dpt

Finance Dpt

Ci

Date.

Date.

Date

DiWDpt .

Finance Put S*t£.s *£*).*''

CttyMgr. Date ViA., L^ W&

0022

DEALERUAYHE SYSTEMSAUSTIN,' TX

ttVISA XXXXXXX5634Auth. ft 01551CInv. 3G5710179732926Date 03/10/10 18:16GOLD STAR 2 LLUICKENBU AZPump ft 6 RegularGallons 10.088Price/Gal ..$ 2.999Fuel Sale ..$ 30.25

THANK YOU FORCHOOSING MOBIL

0023

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN .

3/24/2010 3000000976 " REIMBURSEMENT FOR LUNCH 2/17,3

\

>

! • .- I

I •'• . .....'..-••

-•-.

'-

CHECK NO 103515

128.56

-r——

... 'WELLS FARGO BANK, N.A. « PHOENIX. AZ 85003.CfTXOFBULLHEAtJpiTY : • ..'"•,4t«5*7- - . FN 103515:,-V

_____. az 86442 ??v-v ^;:-': •;

•;- _ i • • • •. _ -.

Privacy Interest

0024

CityolBullheadCityDATE3/24/10TIME9:02:08

USER:DSCHUMACilS

y

<rFIHASCIALMANAGEME»T

REQUESTLISTIHG

REQUESTBY

(f$>/tftf••••r*>Vi.-;;

PACB'*-UT-l/RP0200

fflWIAH

DESCRIPTION•»BBOODiiBoaB*i«oiiBni•i>^rîiisvatiii3ii3<

REOUESTTORCHECK-REIMBURSEMENTFORI.UHCHES.FEBRUARY17.20)0LUNCHWITHTIMOTHYWILLIAMS,FORTHOJAVEINDIANTRIBK-$25.26;MARCH16.2010LUNCHWITHKARLABRADY»$26.40;MARCH18.2010LUNCHWITHLAKEHAVASUCITYMAYORAKDCOUNCILMEMBERFORCRSSCO=$4.5.89ANDMARCH23,2010LUNCHWITHDEPUTYCHIEF3RIANWILLIAMSFORWESTRACMEETINGIKPRESCOTr.TOTAL»$129.56

GENERAL

GENERAL

VENDOR

HAKIM.JACKCONFIRMING:HO

.KIJCERDISTRIBUTION

jEDGERACCOUNT

TOTALREQUESTS:

**.'"'

;;C

'1"7J

C»4

101.15.1001.5805

QUANTITYUNIT

KA 4/02/20101.0000REOUESTINGEMPLOYEE:DSchurachc

PROJECT/SUBPROJECT

f¥

^Di

SI'$2,SiSw4rS?9S5.000to24,999$25,000ormore

COST/UIIIT

128.5C00

PERCENT

1.000C

ITEMTOTAL

128.Se

AMOUNT

.00

pôaaaoaai

128.56

7:2?

APR-1EMTO

APR-2PAID

/03S/5~

Al;.:iorization

N>~Quotes3TcL-phoneQuotes3WriUeaQuotesSealedBid&CouncilApproval

0025

rmxnrJu'cy's Far-ous River Cafe

2411 l.'est 3rcad«syNeedles. CA 92353

ph 760-326-Cafe(2233)

e :::ST B.OCOY MARY on the River!Special Bar and Henu SPECIALS!

TABLE: 28 - 2 GuestsYour Server was Erikka C.

2/17/2010 12:37:35 PHSequence #0000064

ID #0158707

•TtM QTY PRICE

Angers Fish Sarctolch 1 $8.49

23.ja Chicken Melt 1 $8.99

Diet Coke (26$1.99) $3.98Subtotal $21.46

discountsBreakfast Sceâl Discoun ($1.0G)

Total. A* - . *» *

Tota': Taxes 5' .:.•

. ...i. nJLu . m -f.

• •chsse. hakim/jack• VISA. xxxx xxxx xxxx 563<i

» : AU1739I6: -2i79C

-_cr_

"" d . &5>Zb

a. IV.

«5aCB

sCD

_

a.

ri

• •

3

w

ot

NV,]

oSnN

to o i ^feij-« # 00 O * •

~x 5 t4

oeoj

*m

•~o_

son to

QJ_O oo o

1" t4 * o o

•-•mO C» S. * •«o

«2«-« •^•B M * xo M -J •_>

•-2- ii N «*-» UIO" X _ <r _E

«fl*UJ *N W*2

3*3

-11-3 t- 10 0. ^

U, CO M aaz 3 a M a _*

3 t_*U| Q tOCOM a a t- k

&I849 PM*®AN i . •_„ •» RESTAUI

3861 rtUV 958ULLHEAD CI TV. AZ 86442

928-763-8116

998896911:41 PM

!A

Termnal i:MAR 16. 18

Serv»r ID* 1

UISA******»••••«c-

SALEBATCH is 138

AMOUNT

TIP

TOTAL

R_t-#s £04-hUTH •> 8557CC

* £

$23. «*0

L_SLAPPROUED

^tf£. - fnNf*rk <LM £ O. cry cXcdC£r\3SuG»

MOHAVE STEAKHOUSE

2430HWY95STE4

BULLHEAD CITY, AZ 8644203/18/2010 12:58:32

Merchant ID: 000000001204584

Terminal ID: 01767173

226401632998

CREDIT CARD

VISA SALE

CARD* XXXXXXXXXXXXS634

INVOICE 0007

Batch #: 000180

SERVER 0023

Approval Code: 05584C

Entry Method: SwpedApproved: Online

PRE-TIP AMT $39.89

HP (,'

\HS. tt

<cXUZ_^

0026


03/31/2011 FEB-MAR BUSINESS LUNCH REIMBURSEMENT 111.8603/31/2011 JAN 11 BUSINESS MEAL REIMBURSEMENT 129.47

Total: $241.33


91-5271221 Check No: 110218

PAY Two Hundred Forty-One and 33/100 Dollars

TOTHEORDEROF


Date04/08/2011

Amount$241.33


0108

0109


03/31/2011 JAN - FEB 2011 BUSINESS MEAL REIMBURSEMENT 76.6803/31/2011 MARCH 2011 BUSINESS MEAL REIMBURSEMENT 61.70

Total: $138.38


91-5271221 Check No: 110600

PAY One Hundred Thirty-Eight and 38/100 Dollars

TOTHEORDEROF


Date04/28/2011

Amount$138.38


0111

0112

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN

INVOICE NO. DESCRIPTION5/04/2010 TR10613PT4/27/2010 3000001087

REIMBURSMENT FOR FUEL,KINGMAN,

REIMBURSEMENT LUNCH-RIVER REGA

>

......

i

kl •

-

-

* i

•

-

:-,i

w" .-••::*

*

•u.-

S •sspTTY' OK ÛLLHeAO QTY WELLS FARGO BANK. N.A.-..PHOENIX, AZ 85003

.-. DATE. . m=' s>|S

i3DXiLARS;AND FORTY FOUR-CENTS

2>«2Z.PI221

AMOUNT--,---$8;L,.4'4-;

^^-V---^><^3LLHEAD,,CITY •••- .,.:AZ 86442 •' •4 ^K:^-

— • " -' •----• •• :—! *,••'-•, ••"-•••• ;—L_—!_:—; ; _ • ' •

Privacy Interest

CHECK NO. 104083

NET AMOUNT

44 . 04

37.40

^-1-Q'4Q83,CHECKS

10408-3

--..<:;,'.-->

0027

i06i3rr



&TRfl

ISECTtONl Please print legibly

Request Date

Destination >attaining O Seminar O Conference D Meeting D Other Sponsor

Fn/W Apr-'iiAljAOlT, Traveler sfcCK TT^RimrfrtNlArvnQO, Ag.l?^>OPlr Dcpirtmeiit/DivMon fifta^/pr QOfi ÛOCl 1

~~ " _~ "rence DMeeting I

Mectlog DatesJ£c&:TravelMode (drele one):

Meeting Dflei Pr^/yv/t n-yZL??)). P Departure Datcs/Tirocs): / " Clt/Vi Air

I Vehicle* •

Other.

Itripmiles

Jthfi.lSimdLL^b^îaS^SilSLs^Return Dates/Time

*Trarclcr3zatngaatMntwttsper

vehiclemustcany liability insurance coverage withtravelermustpersonallysign thiscertification. Traveler'*Signi

ISECTION 2 - EXPENSES


Registration

Lodging And Hart t night* List hotel info to NOTES

Meals (how marry?): Breakfast Lunch Dinner

Mileage 0<&rCh«rRd--^

Taxj/Psridng

Car Rental

Telephone

Other (specify)


NOTES Hotel Name:

|SECTION 3- PREPAYMENTS/ADVANCES REQUESTED*

1. Payee

MailingAddress.

2. Payee

MailingAddress.

Pavee

MailingAddress.

APPROVALS BEFORE TRAVELINO

$0-$500 Divisionor Department Director approval

Over$500 City Manager approval in additionto above

Drv/Dpt

Finance Dpt

CttyMgr

M/C

TOTALS

"rtimirtfff

H4.^

rri-'..

%*Wo\


LessCity CreditCard Charges

AMT DUE CITY

AMT

CO* •

l£3

rtDUEEMPLOTEE ^ H4*Q^ Chk# /OWf^MAY - 7 PAID,

$ Amount Special Handling Instructions JDate Needed.

Cbkf DateRcc'd

Date Needed

Chk# DateRec'd

Date Needed

Chk# .DateRcc'd

0028

WELCOME TO

FASTRIP

51292980038084

670772

770 FASTRIP FOOD S

2199 HWV 95

BULLHEAD CITV AZ

86442. 928-758-2070

UI AUTHH03552C

SEQtt 2419

DATE 04/23/10 08:38

REFtt 011315887809080

BATCH* 20100423035

AUS PASSED. CODE - Z

PUMP 8 14

PRODUCT: UNLD

GALLONS: 16.378

PRICE/B: $ 2.689FUEL SALE $ 44.04

THANK VOU

ip^^L £feôOa&__C_

0029

Cityc(BullheadCityBATE4/27/10TIME8i10:58

USSR:DSCHUMACHE

DESCRIPTION

fflfkFINANCIAL.MANAGEMENT

REQUESTLISTING

VENDORREQUESTBYQUANTTTYUNIT

EA

J*^r->«7Z> I'AGE1

RP0200

DSCHUMACHE

REQUESTTORCHECKREIMBURSEMENTFORLUNCHKITHEOCATAIPAMO,KIMCOOLAMI)MAYORHAKIMWHENTHEYTRAVELTOKINGMANTOTALKTOCOKEABOUTBEINGASPONSORFORTHE2010RIVERRKGATTA.TOTAL•$37.40

HAKIM,JACKCONFIRMING:NO

5/07/2O1O1.0000REQUESTINGEMPLOYEE:DSchumache

COST/UNIT

37.4000

ITEMTOTAL

37.40

TOTALREQUESTS:


101.15.100L.SaOS

PROJECT/SUBPROJECT

Tthir>?

De

Si$2,50~0~w-*-?V9S5,000to2-:.^9523,000ormore

PERCENT

1.0000

MAY-5EHT0

AMOUNT

.00

37.40MAY-7PAID

ATHTlGiilZATIQiS

3iu;c-:..jnaQtrotes3•Vc.-s.tijOuoitiSealedbidACouncilApproval

SOÎk'dVAVH3I0Z

U*Ji:ii-;~nii-,•-.-'*>t':i',••

0030

At. a. i&tdtoL

***** VOU MAY BE A WINNER ******* To complete a Guest Survey S ** enter a monthly drawing for ** your chance to win a ** Cracker Barrel Rocker... ** *

* CALL: 1-888-678-5845 *ACCESS CODE: 416-116-352-216

*

*

*

*

Enter access code above totake survey. Access Code

expires 7 days from today.For Sweepstakes rules visit

www.CrackerBarrei.com****************

Cracker Barrel Store #416Kingman, A2

1195449 Belinda N

TBL 131/1 3522APR26'10 1:58PM

GST 3

1 LEMONADE 1.891 RASPBERRY TEA 1.991 FOUNT DRINK 1.891 LOW COUNTRY BOIL 8.991 CO CKN CUMPLINS 7.391 BLT SALAD 7.89

1000 ISLANDSubtotal 30.04Tip 5.00StateSLocal Tax 2.36Total 37.40Charged Tip $ 5.00REF:011272264159AUTHC0DE:04517CXXXXXXXXXXXX5634VISA 37.40

1239242 CLOSED APR26 2:43PM-

Thank YouPlease Come Back

www.CrackerBarrel.con

0031

ilTY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN -

DESCRIPTIONINVOICE NO.

5/07/2010 30000011115/03/2010 3000001112

„CIJY, OF; BULLHEAD CITY•'•--- !ACCOUNfS-,t>AYA"Bl:E\v';"?.!235?TfiANE-f)D'r.C:; . '•',,.'.<X-pUilnteDfbni>.$.Z |<fO<M-8920:.•.':.

RE1MB LUNCH KINGMAN MAYOR & CMREIMB LUNCH CM & CITY ATTORNEY

i '. '

WELLS FARGO DANK. N.A. • PHOENIX, AZ.85003

DATE5/14/2U1U.'

9I-S27

\22\~

AMOUNT

SEVENTY TWO DOLLARS AND NINETY ONE CENTS

ORDEROF

'.:.:> JACK-. HAKIM ,

BULLHEAD CITY

!£ •- ! • ,' ••••, •„

Privacy Interest

AZ

CHECK NO 104190

NET AMOUNT

23 .56

49.35

.FN104190CHECK

i04iyu

0032

CityofHullheadcityDATE5/03/10TIKE16:20iOS

USER:DSCHUMACHE

DESCRIPTION

IN;A.NCTALMANAGEMENT

REQUESTLISTING

2BI9HAK10AH8:UVENDORREQUEST8YQUANTITY

REQUESTFORCHECK-REIMBURSEMENTFOR

THECOSTOPLUNCHWITHTHEMAYOR,TOBYCOTTERANDGARNBTTEMERY.THENEWCITYATTORNEY.TOTALFORLUNCH-S49.3S.

HAKIM,JACK

CONFIRMING:NO

UNIT

EA 5/H/20101.0000

REQUESTINGEMPLOYEE:DSChUIMChe


101.IS.1001.5805

PROJECT/SUBPROJECT

COST/UNIT

49.3500

PERCENT

1.0000

Jtf~.f0"?rJ>9tfi

PAGE1

RP0200

DSCHUMACHE

ITEMTOTAL

49.35

AMOUNT

.00

asaHtBBiisaa.

TOTALREQUESTSi

DepartmentApprova!Slto2,49WH-:Occrt-.«$2,500tr>^9?-7i^.'.'.p'.jr.cQuotesS5.000tc\i'.-•)3W.;iJoqQuotes$29,000wataieSmltdBidftCouncilApproval

49.JS

MAY14BTD

MAY14PAID

OEIZATION

0033

MunAVtSifAJfcOUSE

2430HWt-ftSlE4

BULlhEAD{flV, ^'SS44Ji/03/1-010 13:27:32erchar! if? 000000001204584

!ermuul is'.- 0176717>. 264016329;.

ckiorrcARD

VISA SALE

ARD # X.O00OXXXXXX5634.WOICE 0010Patch #: 000226.ERVER 0024-pproval Code: 02573Crntry Method: Swipec•approved: Onlint

PRE-TTP AMT . $39.35w tT~

TOTALAMOUNT ^r^2—

CUSTOMER COPY

.„.«>.>,..«...• • ... ..*—.- -AW MAY 14 PAID

/W/90MAY 14 BirD

yft&h&QLh.-. CuuQ)ioOaJ2___.

C

0034

CityofBullheadCityDATE5/07/10TIME11:07:23

USER:DSCHUMACHE

DESCRIPTION

FINANCIALMANAGEMENT

REQUESTLISTING

VENDOR

REQUESTFORCHECK-REIMBURSEMENTFORHAKIM,JACKLUNCHFORTHEMAYORANDCITTMANAGERINCONFIRMING:NOKINGMANFOLLOWINGAWORKSHOPWITHTIIESPEAKEROFTHEHOUSE.TOTAL•$23.55

GENERALLEDGERDISTRIBUTION

GENERALLEDGBRACCOUNT

101.15.1001.S005

TOTALREQUESTS:

REQUESTBYQUANTITYUNIT

5/14/20101.0000BAREQUESTINGEMPLOYEE:DSchuraaehe

PROJECT/SUBPROJECT

CCST/UNIT

•23.5600

PERCENT

1.0000

PAGE1RP0200DSCHUMACHE

ITEMTOTALBSO**«BBBBS9

2.1.SS

AMOUNT

.00

MAY14PAirc

MAU4ENTD

Sti-HOStiZATION

NcQvxics3TelepconeQuotes—si*i-^.3WrittenQuotes--;-'*

S25.000ormoreSealedBid&CouncilApprwfc3'-_•;:

P-3

e=>.•--

CO

en

0035

CHLIC03 RCS'DUKRMI418 U BEAL

KlHDItBN AZ 8M01928-7S3-508S

Merchant IPt 000801939078T,r. IDs 0B566138 »«f »: 00»Server ID: 6

Sale

imimuH5(34VISA Entry Method: SniPed

fliount: $ 28-56lip; 2-

Total: 0#

65/67/19 12:44:33hv I: 999933 A»r Code: 6454SCfipprvd: Online Batchfl: 996196

Customer Copy

MAYi4PA/0

MAY14 0TO

0036


INVOICE NO.

Privacy Interest

DESCRIPTION

5/18/2010 APRIL 2010 LOCAL TRAVEL REIMBURSEMENT 04/5/18/2010 FEBRUARY 2010 LOCAL TRAVEL REIMBURSEMENT 02/5/18/2010 JANUARY 2010 LOCAL TRAVEL REIMBURSEMENT 01/5/18/2010 MARCH 2010 LOCAL TRAVEL REIMBURSEMENT 03/

•

• - •

'•

-•:•

• -

'''-. SI...

:'

t

**-.•

•

check no 104 258NET AMOUNT

122.00

241.50

156.50

225.00

0037

-**

**

%£

*&

:.L

ocal

Tra

vel

Reim

bu

rsem

en

tW

ork

sh

eet

BULLHEADC

ITY^,uPac>*FottheM

onthof;/SiM

a^^

0/0/oi:i<+.ftJotfs'&

Xi

Date

Startin

gT

ime

En

din

gT

ime

a-/-

/o/y

prti

n--3

oT

m

&*

!.-/&d

.frrn

i-n

m

6-^£m

Art-

'o

fr&

'P

A*

3-'/o

x-y

-so

X-k

/'/o

ix-d

-so

/£±=

£rr

&-5-JQ

£-5

-/0

fs&n

S'3

0?tU

<L

f>f/fl

£'-?D?m

0;7

$F/A

J'-Jo?M

6'>?ifi//;

ft™r-p

tm

*.fm

v;a

om

T-fltn

T-1$

0<*

&;fm

/:3d

fro

Em

ployee'sSignaturi

Dept/D

iv.M

anager'6Signature

Finance

Dep

artmen

tS

ignature

Destin

atio

nP

uip

ose

ofT

ravel

BM

c•#«&

#ft)3&

<pjyGM

TT/*?^n

mA

i-c

w-J

-

lHO

>J

-o^

Ve^

%#/&

£V

frf?

&/J<L

fiHcA

(tjOicfi*z.iO

VY

iTa

JLfiH

ch.(•>*-'M

Afl-flcerfl-tvT

tAt.

1<>

a/%/(14^

&ft?

titleA&

ooq\x»u,cg&urt&

gi/i

/1C

&M

SHS

7V

Sf&

T

/'

k/»

$.

6?

^

Pag

e

Cla

imed

Mileag

e

/J1_

JA

&

0

xe

M-

<\7te

Mileage

Rale

SD

«±T

otalMileage

Rein

ib

££

d_

3.S

O

&C

,oD

3,5

0

/y.o

o

W.c

o

f.£0

3.s

o

0:6

0

tf.oo

MAY

21

PAID

TotalAmountofPage/

fi£d£>DS

$?

TotalAmountofAllPages

*\X

-l/.tf?)tf%

>

0038

BULL

HEA

DC

ITY

•.:.•.-•

..'vL

-:'-'.'

•„,

1LH

EWj

IL

oca

lT

rav

elR

eim

bu

rsem

ent

Wo

rksh

eet

MIHA

YMPH

g^fh

eMon

tht&

JjM

**/£

&*

'tot

i4-.i

ioi.5

52l

Date

Sta

rtin

gT

ime

En

din

gT

ime

M-/

&/&

:tf

m//

•'A

rt

/-£

-/&

so:

t)/Y

)/A

"fr

i/•

I-'O

/&'•?

.«3

TfTo

/-fm

f'//

-/o

11

30

91

ft*

n-'o

/i£>:

#/>•>

//1

3Q

'h&

''*

Ji£m

/tP

'riS

AM

I'lX

VD

tjm

/M

1L&

Lh

i3-;

&$•>

&>fa

6:fz

>rm

l-rf-

'QIt

'dD

/9m

jffm

t')t

>"

/0,>

?«a.

fm

/-ta

-sp

//•f

pfu

n/'

,P

rt

/-j?

-/o

£P

lA7

rfm

/'&

>-/

bV

/Mrt

f'A

ia

I-Z

J-'D

w«

///j

g>A

M

/-&

-/*

>/&

:/)

tnII

:A

m

t£S

"/D

5?

m&

:fi

n

/-$

b-/

oB

'-fin

\H

-Pm

/-&

>- /•

o5'

.3&

m7

/M

Desti

nati

on

&/-

KL

#tf<

3fl

ur

i

n'!

Lfm

ejh

U*

s

&/J

CL

.A

fcefi

r)//

ii i)

i/

ii

//

k/M

.c.V

\&*~

S

1fi

nd

.A

%&

&1

1

a1

1

n•

i

n1

1

ii

n

'i/1

Em

ploy

ee's

Sign

atur

iL^K

<

Dep

t/Div

.Man

ager

'sSi

gnat

ure/

.•*•""

'/^

p^"-

!'^

Jr?*

^F

inan

ceD

epar

tmen

tSi

gnat

ure

Pu

rpo

seof

Tra

vel

(Lh-

ftr*

8s#

_M

eets

&R

ew-#

pw

asri

rk

Itet

AM

.M

&£?

'*>

T.\)/

&r

SZA

s/e/

lG&

Aj&

fi.

rv>T

<

/,6/f^

Af.^

Q'nA

r,^-

m-

-Kjf

Ô

n-i

K^

e.fj

\)\c

cm

rCZ

X^&L

k-lu

oR

fcf}

<£

S7

rt>

4s-

<5

2R

oic

£fi

uJA

KD

(V\T

±O

ntv

Ozh

^r^

%(&

£>G

t>A>

(Ltft

rfitO

k ^R

cx

-c-

r^.e

ej'"

^ ?£-

CW

faa

bza

v-m

rt *-

/7fy

iuc.

bi'

r£-m

T<

- V*

CU

^^

iMIL

.

blo

b

Pag

e/

of

jL

Cla

imed

Mil

eage

J£

-/& M

-<

*o

& /# 8 'X

j£

-a

y

n.

X

Mil

eag

eR

ate

56

2M

Y1

9EM

E1/<£

>/o 1 1

To

tal

Mil

eag

eR

cim

b

$,o

®

9-5

6

7-5-

0

fro

.oa

•V,o

&

$-Q

®?

.O

G

^.o

o

8-$

o

'1-5

6/J

>&

*

3-5

Q

.$€

>

^5

C7

,oO

<5

,oo

4.5

03

,5Q

MAY

a1

PAID

/^t^

age

J&ff^

C/^

Tot

alA

mou

ntof

All

Pag

es4 /5

&.S

o£

0039

BULL

HEA

DC

ITY

Lo

cal

Tra

vel

Reim

bu

rsem

en

tW

ork

sheet

Fort

heM

onth

of:Jf

o/*f

Ag/

3&/d

Pag

e/

of

<£L

Dal

eS

tart

ing

Tim

eE

lidi

ngT

ime

Desti

na

tio

nP

urpo

seof

Tra

vel

Cla

imed

Mil

eage

Mil

eag

eR

ale

Tot

alM

ileag

eR

cir

ab

/SQ

Vo

/}$D

?jry

<&az

>"P

hi6r

KL

A££

•&/9

tf<s

/t»D

A7

6&

£,5

ot'

M-/

ot?

;3o

?mft'

*P

mi\

'i

0m

4Tfl

0£>R

Z5

Tt\r

5-/7

$•$0

/'£

§-/

o/o

'Am

/A-

PrA

aii

&

73

.50

/•<&

-/d

3'-f

t>Pv

YlH

-?Y

A..)

n^

1>

5o

1-3

}-/o

Vfa

S'f

mn

02/^

5*5

yk£S

!esJ

Tio«

s/r

9-o

O—

Lb=

L

™"1

Em

ploy

ee's

Sig

natu

re—

>^

Dep

t/Div

.Man

ager

'sSi

gnar

ur^/

j^^-

y(&

^&

-F

inan

ceD

epar

tmen

tSig

natu

re

Total

Amou

ntof

Page

QS

^^

^

Total

Amou

ntof

AllP

ages

/£&

•^L

~~

0040

BULL

HEA

DC

ITY

Lo

cal

Tra

vel

Reim

bu

rsem

en

tW

ork

sheet

For

the

Mon

thof

:fe&

fafi

MA

erd

/P

age

9^

of

[

Date

Sta

rtin

gT

ime

End

ing

Tim

eD

esti

nati

on

Pu

rpo

seo

fTra

vel

Cla

imed

Mil

eage

Mile

age

Rat

eT

ota

lM

ilea

ge

Rcim

b

£j-3

ub

-S6

<j:

/)r*

/tit

ttfi

J-fl

*i.4

hL

i,ic

sO

cT'S

£»P

£>t-

flu

DA

J/

i£B

td

.fo

dfr

So

-fo

lA:

fro

j;P

sn0

M&

BV

S-ft

—*

•••

1,

T•

t

Ays

d''c

ioiA

,i05V

_*

C^

£-S

£2

-n

-/&

f.fm

S'.

fmt)

''

r*Tl

,m&

oA//*

*ft?

6'**'

/68

,oo

H-2

3-/

&S£

>'A

tt\

tAif

mn

''

a

8R&

0A-

ftp

m»*

-m

r^/£

>1<

5£>

0.-

X5

-/O

9-7D

Am

/p--

fin

/'''

f(if

lte*

c.*\

rTi*

*fa

s<

&^

//,&

v£

-Afc

vz>

S'.

fmr-

fnn

'i0.

~+

*A%

&$Z

'Z»T

£.to

*£

.<?

b0.

-AO

-'A

7'-A

mit

:fi

nn

"%

*c-

vs&

xta

i**

./o

<5

.cD

1r

IE

mpl

oyee

'sSi

gnat

ure

Dep

t/D

iv.

Man

ager

'sS

igna

tur

Fin

ance

Dep

artm

ent

Sign

atur

e

To

tal

Am

ou

nto

fP

age

Total

Amou

ntof

AllP

ages

<tX

Hl«

~><5

>

0041

BULL

HEA

MIT

Yii

ph

»w

Date

ijh

kto

3-3

*/0

3'V

-;o

3-5

-;o

3-t

t'/£

>

3-t

t~jo

3-/3

-;o

3rl3

'/0

3't

6'/

0

£'t

f-s&

3-M

-jo

3-9

6-;

o

3-&

!-'€

>

Sta

rtin

gT

ime

/O'J

tfj

//'•J

OAt

n

i^L

£>'f

,m

4-fr

o

Oif

la&

--fa

f-fm

/o:$

c>

fltn

jjte

fm3

:fm

J/:

At*

titA

*

£1

30

P#

S&

'-fl

tA

Ztd

DA

n

/:?«

&-P

ff>

En

din

gT

ime

ir.a

vft

/*

tl:Z

P?

m

£JS

a*

:?*

%f*

l.fr

n3:

?<n

Wm

i&'f

md

'Ti*

%'W

p/rJ

iA:3

e?r

t\

&•

fm

f-fm

tO:.

?ft\

&-F

f,

Em

ploy

ee's

Sig

nam

re

Dep

t/D

iv.

Man

ager

'sSi

gnan

i

Fina

nce

Dep

artm

ent

Sign

atur

e

Lo

cal

Tra

vel

Reim

bu

rsem

en

tW

ork

shee

t

Fort

heM

onth

of:{$

$£&

&Q

/Q

/6/.

't£

/L+

0l-

5S

~2

t

Desti

nati

on

Pu

rpo

seo

fTra

vel

0t*

LflR

CA

\</1

i'

ii

Afi

tL

AAUj

hL,

%tk

tL*

S

®jJ

<L>

fife

*

Mo*

*ea

k*-

i?i£

tOS

chc^

fttrV

,fl^

ToZ

o/D

^vH

V^

[**!

SlAZ

!£*

êXs

Ptf

inT

rflf

lfk

>&

£f«A

,p(m

ifi.

PR&3

3Go

^^to

^X^^

ni?

nn

jATf

/lO&

/U&t

t-

•i

ft4**

PA"5

eTTi

*£.

Pu^r

e0*

visn

&frf

nn

CQ

/LP

ftj?

ft**

^1^

9-

nm

Q.f

iA./

^tn

e>

bj&

K*>

gb"

pM

r^n

n

n4

1 )1

fll/

j$eR

L»*

£.rf

&A

tif*f

-

Gfl

Asc

JfH

^_w

ag?c

-icvn

AT*>

L>m

r-f.

11

•I

i

\rt~

A*

-'

ft<s$f

it7(}

fi\«^

y>^

vt/D

f>y-

lW:tT

/nM

1*37

-7P

*/

ô

L*

Page

/

Cla

imed

Mil

eage

AL

/JL

.3.

_&n

22

~±

x^

7

a? 7 7 fc-7 2 r

Mil

eage

Rat

e

,5S

/*>

MAY

19

m

ofI

To

tal

Mil

eage

Rcim

b

il-o

ob-

OO

H-5

0

MS

b

/6>.

<?o

It-

QO

3.

oC

3-B

O

/A.<

?0

V>

<gg

3-5

o

J3

.56

3.S

6

f.e

v

M.

cO

£?•o

0042

BU

LLH

HD

CIT

Y

Date

Sta

rtin

gT

ime

En

din

gT

ime

y-f

t-y

»tA

'So

/a--

r*mH

Z-i

O/<

&>%

SL

a.--

3z>?

A</

>J~/

Z>J

-fk

$•Pr

r>*/•

f'/t

?,?£

>iti

1.

Atn

4j./

0-~t

OA

»-jf

mH

'.tl

m

j-n

-'t>

t;3

oTm

X*

f*\

<i-t&

-/&

5U

6?

rf\

*/'

j6-/

0W

ft'/»

&3&

?Mj-J

?~/C

>?

:a*

y.'

Jg

p>*

y-«

^vo

3-?

t*g

-Pff

l

ty.&

.-'J

DiS

'.Ptn

6\?

#J

1-M

-/D

It'-

AtA

J.fm

i-#

>-&

t?:f

l*r\

/A-.

Pf*

t'M

sz

3-/

V1

y.f

r*

W?

~'c

>A

jfe>.

/frs.f

m

Em

ploy

ee's

Sig

natu

re

Dep

t/D

iv.

Man

ager

'sS

igna

ture

Fin

ance

Dep

artm

ent

Sig

natu

re

Lo

cal

Tra

vel

Reim

bu

rsem

en

tW

ork

sheet

Fort

heM

onth

of:ft

Pfl

lL~&

P/Q

/ci.

l4:'

lJ-f

ol.

55

~y

i

Desti

nati

on

Pu

rpo

seof

Tra

vel

®Pt

<Lm

e-R

CtoA

^F*A

<2#X

-£.S

jS/JL

,ft

tnch

Avc

*fl

fll

ttef

i,Z>

MU

fHjr

t

/3tf

a/t

Rtf

ln

>7

il

i/

\>I

7

it

•'I

U?T

Zt\

Sfft

imrf

ftte

ofi

flfiA

KV

rt\T

$-

IST

MAA

JiQC

-6om

mmf*i

nyfi

g-e

^V

OSe

--\T

""/

3-

do

MiU

ni

frC

tifa

/Per

f

kfi

^L

\fJ

)

ni»

T-L

t.J.

/j*H

JfU

n£*0

/3/*

4/>

«£

£

\i

ii

^—

''W

:O

f•t

ern

-)

ftM

Lfi

*tf

i1

11

1

11

P

ii

Utesx

J&me

TRt

srtHi

yffj

V"<M

seuS

yfehg

>pA

^s^P

AQ

£P"^

^'

MAY

I9

1/io

U

LH

c»U

C:*

v

20iu

i;\Y

18U

0:37

Pag

ej_

Cla

imed

Mil

eage

7

3c> 1

_/&

>u

r1 JA

.

Mile

age

Rat

e

So

of-L To

tal

Mil

eag

eR

cim

b

SJ

ttS

.oo

3j6&

2-oZ

>

H.o

o

3S

O

$.o

o

3^

_/6

.&D

v^

&0

.&Q

3-5Z

>

&X

tt.e

v

ML

/*/&

£>

3J

&

3.S

O

EHTJ

MAY

21

PAID

lotJ

gsSL

.

Total

Amou

ntof

Page

$/X

rk<0

£>

Total

Amou

ntof

AllP

ages

J&L

.£>£>

V

0043


05/05/2011 APRIL 2011 BUSINESS MEALS 4/11 111.78

Total: $111.78


91-5271221 Check No: 111035

PAY One Hundred Eleven and 78/100 Dollars

TOTHEORDEROF


Date05/27/2011

Amount$111.78


0114


0045

0046


0048

0049


05/31/2011 APRIL 2011 2 LOCAL MILEAGE REIMBURSEMENT 153.5105/31/2011 FEBRUARY 2011 LOCAL MILEAGE REIMBURSEMENT 252.4505/31/2011 JANUARY 2011 LOCAL TRAVEL REIMBURSEMENT 158.6105/31/2011 MARCH 2011 2 LOCAL MILEAGE REIMBURSEMENT 321.81

Total: $886.38


91-5271221 Check No: 111320

PAY Eight Hundred Eighty-Six and 38/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date06/10/2011

Amount$886.38


0116

0117

0118

0119

0120

0121

0122

0123


0051

0052


05/26/2011 APR/MAY 2011 BUSINESS MEAL REIMBURSEMENT 154.1206/16/2011 NOV 2010 BUSINESS MEAL REIMBURSEMENT 69.82

Total: $223.94


91-5271221 Check No: 111487

PAY Two Hundred Twenty-Three and 94/100 Dollars

TOTHEORDEROF


Date06/24/2011

Amount$223.94


0125

0126


0054

0055

0056

0057


06/03/2011 060311 BUSINESS MEALS 47.3906/08/2011 060811 BUSINESS MEALS 56.8206/13/2011 061311 BUSINESS MEALS 39.5606/27/2011 06272011 LUNCH REIMBURSEMENT 24.0106/28/2011 06282011 LUNCH REIMBURSEMENT 35.4506/30/2011 JUNE 2011 LOCAL TRAVEL REIMBURSEMENT 191.2506/30/2011 MAY 2011 LOCAL TRAVEL REIMBURSEMENT 216.24

Total: $610.72


91-5271221 Check No: 111898

PAY Six Hundred Ten and 72/100 Dollars

TOTHEORDEROF


Date07/22/2011

Amount$610.72


Samurai Japanese Steakhouse2019 HWY 95

Bullhead City, AZ 86442928-704-3777

Date: Jun03'11 01:45PHCard Type: VisaAcct #: XXXXXXXXXXXX3597Card Entry: SWIPEDTrans Type: PURCHASETrans Key: EIE004385204724Auth Code: 05507CCheck: 1240Table: PB1/1Server: 10 Joan L

Subtotal: 4 1.39

Tip:

Total:

I agree to pay above totalaccording to ray card Issueragreement.

Customer

0128

Samurai Japanese Steakhouse2019 HWY 95

Bullhead City, AZ 86442928-704-3777

Date: Jun08'11 12:38PHCard Type: VisaAcct #: XXXXXXXXXXXX3597Card Entry: SWIPEDTrans Type: PURCHASETrans Key: AIA005261981715Auth Code: 04534CCheck: 1487Table: PB1/1Server: 5 Cindy J

Subtotal: 56.82

tip: -___*rrr_

Total: _4er^L^

I agree to pay above totalaccording to my card Issueragreement.

Customer

0129

RECEIVED FINANCEBULLHEAD CITY AZ

2CIIJUN2I PH 1=59

HREHOUSE COFRE COMPA

2350 MIRACLE MILE # 306

BUUKEADCITY,AZ 8644206/13/20U 13:20:30Mediant ID: MOOMWlWtei

Teimral 10: 02903062

313266606885

CREDIT CARD

VISA SALE

CARO# XXMOOOOUOOOQW/

INVOICE 0029

Batditf: 000234

SERVER 0001

Approval Code: 02S05C&*/Mvi: SwjpedMode: Oniric

PRE-TIPAMT

TIP

CUSTOMER COPY

0130

RECEIVED FINANCEBULLHEAD CITY AZ

2011 JUL 12 PH 3:59

l'1-l''" In:. 1-tjiHllKAhl O umu.ni

Store • 24485250 Highway '"'

Hull Iwad City. A? u

tiiitiN"

«i - ..: i 11 f •

.,:..||!

?! A,-l! iJii*. I < I

4 22\.c>\i HOMI ' -if.

I 1)1 lA

0131

<wLnu&Tu»c« .&u>*a*- &Z&LSC'? *l**"* ii

okiOLC MEXICAN RESTAURr

X?

1595 MOHAVE DR

BULLHEAD CTTY, AZ 86442•••• /Mil 12:07;-r-v-iantlO: 000000001376!-.;

: nallD: 02064-'-

.5933994

CREDIT CARD

VISA SALE

'.••• # XXXXXXXXXXXX3 v.:• ICE c..

•• #: 001*Tr;R CC«H

."• >val Code: 00< .

: Method: SWi:. ••v;r, wed: OJi'-

>v,;TIPAMT $31.4',

i$ fr

I "ALAMOUNT <2£V^~

CUSTOMER <TPY

z: cm

fe r-m

en r^mto

0132

0133

0134

0135

0136


07/07/2011 07072011 LUNCH REIMBURSEMENT 50.19

Total: $50.19


91-5271221 Check No: 111995

PAY Fifty and 19/100 Dollars

TOTHEORDEROF


Date07/29/2011

Amount$50.19


(* Pirate Cove^- 100 Park Moabi Way

760-326-9000

Server: Catharine DOB: 07/07/201102:11 PM 07/07/2011Table 22/1 2/20021

SALE

Visa 2097181Card UXXXXXXXXXXXX3597Magnetic card present: HAKIM JACKCard Entry Method: S r\

Approval: 01505C

Amount: $ 45.19

+ Tip: _ yff

Total: wgVf

I agree to pay the abovetotal amount according to the^j

agreement.

0138


0059

0060

0061

0062

0063

0064


08/08/2011 TR071811PT MEALS, WICKENBURG, 7/18/11 16.00

Total: $16.00


91-5271221 Check No: 112226

PAY Sixteen and 00/100 Dollars

TOTHEORDEROF


Date08/11/2011

Amount$16.00


Dave He^™ akd

-fetal *lfe/S

0158

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN • CHFCK NO 10584 8

INVOICE NO. DESCRIPTION

8/11/2010 TR10616PT POST TRAVEL MEAL,PRESCOTT,08/07/28/2010 3100000116 REIMBURSEMENT-LUNCH WITH KARLA

NET AMOUNT

19. 00

23.14

It's

*-f a- %•j

•

'

gjr f~ amounts"") .'•••; ; ' I checkT~]1...... i : $4X.-fcA=-.= ';-;..-.:-';:-•.:'.-..,-- Tui.H4«;,

jP^f•!??? If§?9jEMP?DOLLARS AND FOURTEEN" CENTS" ,. •; . •$ -:>; -«•-$..- -•'. A .«• ." :.. •;'• ' ' •• • • <:< -" -'•' RMS

,THEORDER

V, - *'-''• V *JACK. riAKIM

• r- ••-,-' -,"' -'•.••-'•;l-.-..:

Privacy Interest

.-AZ 86442->:>*> '

• • • -• - •• ••'- • •

-:.-^

0065

Mohft?i-61**.•<

CityofBullheadcityDATE7/JB/10T1MK13:24:14

USER:DSCHUMACHE

DESCRIPTION

PIKANCIALMANAGEMENT

REQUESTLISTINS

TOTALREQUESTS:

VENDOR••••••••••••••••••"•••••••••••»fJBBBBBSmillB«B»a»B«»««iDBS

REQUESTFORACHECK-REIMBURSBMEMTFORHAKIM,JACKLUNCHWITHKARLABRADYTODISCUSSCITYCONFIRMING:HOBUSINESSTOTAL=$23.14


101.IS.1001.5805

>>

to

REQUESTBYQUANTITYUNITCOST/UNIT

8/09/20101.0000EA23.1400REQUESTINGEMPLOYEE:DSch.uir.ache

PROJECT/SUBPROJECT

AUG10ENTD

PERCENT

1.0CG0

PAGE

RP0200

DSCHUMACHE

2318AUG-2PH3:35ITEMTOTAL

23.14

AMOUNT

.00

23.14

AUG13PAID

losses

HORIZATION

HoQuotes3TclspboneQuotes

$»,000otmote8eax«B»»

0066

riBEnJUSE COFrEE C00E32358 S. nlRAClf till EH38BULLHEAD CITY. A7 86442

TIl>: 020E:i!922/16 12:56

SALE.259467992IVCft s: 1:CH: 14

;a„.XXXXXXXX«5&34 . .

PR CODE: 0SST3CVar Qt)0C»29

HOUHI:

.'IP:

(OIAU

3.-i: -t rntsr o

Oj/lfOKt>OaJi^

0067

'••>*wvtj«,:,'^'»!v-^ -,:'c.|. >;'>'<"'.<Xf.; •'•.•'; •.;• *.. -'.i',*.' '.V:

10616 pr


TRAVEL AUTHORIZATION AND EXPENSE REPORTy\&

TR*

|SECTION 1 Pleaseprintlegibly

iteqastpate nrwôy July ?Je^ flOtr>Destination PKcAr/>TT, A?c(-Z.OOfl,

-Traveler \5acK l4A*tmDccartoaU/Divi.ion fT1flv<ftr OfO^ ffti J fibril \

DTraining OSeminar DConference ^Meeting DOther Sponsor |2A f\ Mp-gT 11 TCTodc/Pumase A7_rVlUA -C^vil (C^^yr g.,^^,AVl,-fer- PV9>r>»/^

SMeeting DateafTlniyWj An*^ ^ 3 ;V*TI>enBitiireDatcs/TiroogrfiQ Am «-2.-2.Qir> Return Dates/Time^. CtOfyvi ^- 7 -ffiP tr>Travel Mode (circle one): CxSt^VebJcteJ Air Other _

Personal Vehicle* • Round tripmiles. mile*

^Travelersusingat. —.mtnbmanspcr state law.

Ivehiclemustcany liabilityinsurance coveragewith"rtravelermustpersonallysignthiscertification. Traveler'sSignature, Date

SECTION 2 • EXPENSES

Common Carrier(air,bus, tram)

Registration

Lodgingfind tax)# nights List hotel info in NOTES

Meals (bow many?): Breakfast_l_ LunchJL. Dtaner__Mileageor Gas'Charges

Taxi/Patking

Car Rental

Telephone

Other (specify)


ISECTION 3-PREEagYMENTS/ADVANCES REQUESTED*

1. Payee.

Mailing Address.

Payee

Mailing Address.

3. Payee

MailingAddress.

APPROVALS BEFORE TRAVELING

S0-S500 Division or Department Director approval

Over$500 City Manager approval Inadditionto above

DiWDpt_

Finance Dot .6

CitvMey— J I y

$£>^Date

Date

M/C

TOTALS

Eitimaled Expenses Claimed Actual Expenses

I3.PP ja. oo

Stt-oo Sl^.OD


Less City Credit CardCharges.

AMTDUEOTY

AMT DUE EMPLOYEE

AUG 11 BffTJ•t^l oe>

AUG 13 PAID{Amount Special HandlingInstructions

Date Needed.

Chlefl DateReo'd

Date Needed

Chktf DateRcc'd

Date Needed

Chk» DateRcc'd

APPROVALS AFTERTRA'

. expenses incurredby me andits travel, unless noted

Date 9-&-JD

Date,

Date &$*//*^7.7/)-/a CitvMgr /jg^ t^3â Date V/V^

0068


0070

0071


08/04/2011 080411 BUSINESS LUNCH REIMBURSEMENT 28.40

Total: $28.40


91-5271221 Check No: 112635

PAY Twenty-Eight and 40/100 Dollars

TOTHEORDEROF


Date09/09/2011

Amount$28.40


0140

Privacy Interest0072

0073

0074

0075

Privacy Interest

0076

0077


0079

0080


09/14/2011 092011 BUSINESS MEAL REIMBURSEMENT 55.95

Total: $55.95


91-5271221 Check No: 112868

PAY Fifty-Five and 95/100 Dollars

TOTHEORDEROF


Date09/23/2011

Amount$55.95


0142


0082

0083



Total: $37.42


91-5271221 Check No: 113057

PAY Thirty-Seven and 42/100 Dollars

TOTHEORDEROF


Date10/07/2011

Amount$37.42


0144


09/30/2011 081111 3 BUSINESS MEAL REIMBURSEMENTS 110.96

Total: $110.96


91-5271221 Check No: 113129

PAY One Hundred Ten and 96/100 Dollars

TOTHEORDEROF


Date10/14/2011

Amount$110.96


0146


0085

0086


0088

0089


10/20/2011 9/30-10/14/11 BUSINESS MEAL REIMBURSEMENT 89.43

Total: $89.43

City of Bullhead CityPO Box 22350Bullhead City, AZ 86439Accts Payable

91-5271221 Check No: 113459

PAY Eighty-Nine and 43/100 Dollars

TOTHEORDEROF


Date11/04/2011

Amount$89.43


0148


0091

0092

0093

0094

0095


0097

0098


11/23/2011 AUGUST 2011 LOCAL TRAVEL REIMBURSEMENT 144.9311/23/2011 JULY 2011 LOCAL TRAVEL REIMBURSEMENT 07/11 234.8211/23/2011 SEPTEMBER 2011 LOCAL TRAVEL REIMBURSEMENT 199.30

Total: $579.05


91-5271221 Check No: 113832

PAY Five Hundred Seventy-Nine and 5/100 Dollars

TOTHEORDEROF


Date12/02/2011

Amount$579.05


0150

0151

0152

0153

0154



Total: $56.46


91-5271221 Check No: 114082

PAY Fifty-Six and 46/100 Dollars

TOTHEORDEROF


Date12/16/2011

Amount$56.46


0156

Privacy Interest

0159

0160

Privacy Interest

01470161

0162

DEALER

UAYNE SYSTEMSAUSTIN. TX

Sale

(MasterCard X2570Auth. « 019753Inv. 8 E5U21869732926

Date 07/19/11 13:28GOLD STAR 2 LLWICKEN8U AZPunp 8 2 RegularGallons 11.715Price/Gal ..$ 3.569Fuel Sale ..$ 11.92

THANK YOU FORCHOOSING MOBIL

nmifo coeinn57 H VALEK11NE St

UICKENBURG AZ 85390928-864-5777

fUrch.nt 10: 886893763783i„. ID: 88443837 «•» »: «013S.iv.r 10: 1

Sale

munnni2$19

nASTEKMO Entry liethod: SiiPed

fliount: $

Tip:S3&233SS2S3

Total: ^•aii3Bi>

B7/13/11 13:87:56Inv 8: 038919 ftppr Code: 019858Apprvd: Online BatchB: 680429

Cujto»«r Coov

0163

Privacy Interest

0164

0165

Privacy Interest

0166

0167

Privacy Interest

0168

0169

0170

Documents

Bullhead Expenses