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>^ii22i v.Cj

CHECK NO. 102603NET AMOUNT

53.23

^ f^i^_____^^.•••;K|,; 5AMOUNT*? P .•:,:•'• .'-^••V.CHECK^I'

4&'*&?^

onoEir'.•OF'.- •.;

VOID AFTER 90 DAYSi& •%;-. -y^

:"••'• •* V'

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--":=£*&••

'•••'••irrrr^-'.

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

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<£* 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 / . /

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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 ?j^i/^ 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-

OF^ULUHEAP 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- ^AMOUNT~~|

'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

^INKS..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*-. d2a^Aoc^aiJL^

0016

<•....'.•--;,-; ;•**»*#"•

CITY OF BULLHEAD CITY

TRAVEL AUTHORIZATION AND EXPENSE REPORT

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 Prepayments/Advances

Less City CreditCardCharges_

AMT DUE CITY

AMT DUE EMPLOYEE

%32>A£>

a^.H^i

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

APPROVALS AFTER TRAVELING

:nfM^^lj^a^

, 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

Privacy Interest Privacy Interest0101

0102

0103

0104

0105

0106

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN -

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

GENERALLEDGERDISTRIBUTIONGENERALLEDGERACCOUNT

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

y^O^A^M^ (^LOJu>c>aJZ^

0021

10331PT*

CITY OF BULLHEAD CITY

TRAVEL AUTHORIZATION AND EXPENSE REPORT

^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 A^i 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

Common Carrier(air, bus, train)

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

APPROVALS AFTER TRAVELING

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>^r^iiisvatiii3ii3<

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

p^oaaaoaai

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 Sce^al Discoun ($1.0G)

Total. A* - . *» *

Tota': Taxes 5' .:.•

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Check No. 110218DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

Total: $241.33

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

91-5271221 Check No: 110218

PAY Two Hundred Forty-One and 33/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 Trane RoadBULLHEAD CITY, AZ 86442

Date04/08/2011

Amount$241.33

Privacy Interest Privacy Interest0107

0108

0109

Check No. 110600DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

Total: $138.38

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

91-5271221 Check No: 110600

PAY One Hundred Thirty-Eight and 38/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 Trane RoadBULLHEAD CITY, AZ 86442

Date04/28/2011

Amount$138.38

Privacy Interest Privacy Interest0110

0111

0112

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE FN

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

REIMBURSMENT FOR FUEL,KINGMAN,

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CHECK NO. 104083

NET AMOUNT

44 . 04

37.40

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CITY OF BULLHEAD CITY

TRAVEL AUTHORIZATION AND EXPENSE REPORT

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

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***** 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

*

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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

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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

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

DATE5/14/2U1U.'

9I-S27

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ORDEROF

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AZ

CHECK NO 104190

NET AMOUNT

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Check No. 111035DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

Total: $111.78

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

91-5271221 Check No: 111035

PAY One Hundred Eleven and 78/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 Trane RoadBULLHEAD CITY, AZ 86442

Date05/27/2011

Amount$111.78

Privacy Interest Privacy Interest0113

0114

Privacy Interest 0044

0045

0046

Privacy Interest 0047

0048

0049

Check No. 111320DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

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

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

Privacy Interest Privacy Interest0115

0116

0117

0118

0119

0120

0121

0122

0123

Privacy Interest 0050

0051

0052

Check No. 111487DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

Total: $223.94

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

91-5271221 Check No: 111487

PAY Two Hundred Twenty-Three and 94/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date06/24/2011

Amount$223.94

Privacy Interest Privacy Interest0124

0125

0126

Privacy Interest 0053

0054

0055

0056

0057

Check No. 111898DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

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

91-5271221 Check No: 111898

PAY Six Hundred Ten and 72/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date07/22/2011

Amount$610.72

Privacy Interest Privacy Interest0127

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

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0130

RECEIVED FINANCEBULLHEAD CITY AZ

2011 JUL 12 PH 3:59

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

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Check No. 111995DATE INVOICE NO. DESCRIPTION NET AMOUNT

07/07/2011 07072011 LUNCH REIMBURSEMENT 50.19

Total: $50.19

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

91-5271221 Check No: 111995

PAY Fifty and 19/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date07/29/2011

Amount$50.19

Privacy Interest Privacy Interest0137

(* 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

Privacy Interest 0058

0059

0060

0061

0062

0063

0064

Check No. 112226DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

Total: $16.00

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

91-5271221 Check No: 112226

PAY Sixteen and 00/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date08/11/2011

Amount$16.00

Privacy Interest Privacy Interest0157

Dave He^™ akd

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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

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REQUESTFORACHECK-REIMBURSBMEMTFORHAKIM,JACKLUNCHWITHKARLABRADYTODISCUSSCITYCONFIRMING:HOBUSINESSTOTAL=$23.14

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CITY OF BULLHEAD CITY

TRAVEL AUTHORIZATION AND EXPENSE REPORTy\&

TR*

|SECTION 1 Pleaseprintlegibly

iteqastpate nrw^oy 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)

Unencumbered Balance.

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

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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^3^a Date V/V^

0068

Privacy Interest 0069

0070

0071

Check No. 112635DATE INVOICE NO. DESCRIPTION NET AMOUNT

08/04/2011 080411 BUSINESS LUNCH REIMBURSEMENT 28.40

Total: $28.40

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

91-5271221 Check No: 112635

PAY Twenty-Eight and 40/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date09/09/2011

Amount$28.40

Privacy Interest Privacy Interest0139

0140

Privacy Interest0072

0073

0074

0075

Privacy Interest

0076

0077

Privacy Interest 0078

0079

0080

Check No. 112868DATE INVOICE NO. DESCRIPTION NET AMOUNT

09/14/2011 092011 BUSINESS MEAL REIMBURSEMENT 55.95

Total: $55.95

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

91-5271221 Check No: 112868

PAY Fifty-Five and 95/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date09/23/2011

Amount$55.95

Privacy Interest Privacy Interest0141

0142

Privacy Interest 0081

0082

0083

Check No. 113057DATE INVOICE NO. DESCRIPTION NET AMOUNT

09/28/2011 091611 BUSINESS MEAL REIMBURSEMENT 37.42

Total: $37.42

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

91-5271221 Check No: 113057

PAY Thirty-Seven and 42/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date10/07/2011

Amount$37.42

Privacy Interest Privacy Interest0143

0144

Check No. 113129DATE INVOICE NO. DESCRIPTION NET AMOUNT

09/30/2011 081111 3 BUSINESS MEAL REIMBURSEMENTS 110.96

Total: $110.96

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

91-5271221 Check No: 113129

PAY One Hundred Ten and 96/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date10/14/2011

Amount$110.96

Privacy Interest Privacy Interest0145

0146

Privacy Interest 0084

0085

0086

Privacy Interest 0087

0088

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Check No. 113459DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date11/04/2011

Amount$89.43

Privacy Interest Privacy Interest0147

0148

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0091

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Check No. 113832DATE INVOICE NO. DESCRIPTION NET AMOUNT

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

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

91-5271221 Check No: 113832

PAY Five Hundred Seventy-Nine and 5/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date12/02/2011

Amount$579.05

Privacy Interest Privacy Interest0149

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Check No. 114082DATE INVOICE NO. DESCRIPTION NET AMOUNT

11/21/2011 112111 BUSINESS MEAL REIMBURSEMENT 56.46

Total: $56.46

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

91-5271221 Check No: 114082

PAY Fifty-Six and 46/100 Dollars

TOTHEORDEROF

JACK HAKIM2355 TRANE ROADBULLHEAD CITY, AZ 86442

Date12/16/2011

Amount$56.46

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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

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