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P.O. BOX 4926, ORLANDO, FL 32802-4928MONTHLY ACCOUNT STATEMENT
Account Number XXXX-XXXX-XXXX-4146
DR TARRON RICHARDSON605 E MAIN STCHARLOTTESVILLE VA 22902-5337
Payment AddressSunTrust BankP.O. Box 791250Baltimore, MD 21279-1250
ACCOUNT SUMMARY
TOTAL CREDIT LINE
AVAILABLE FOR CASH ADVANCE
BILLING CYCLE CLOSING DATE
DAYS IN BILLING CYCLE
PAYMENT DUE DATE
AMOUNT DUE
20,000 0 06/27/2019 31 07/22/2019 0.00
TRANSACTION SUMMARY
DATE OF POST / TRAN
REFERENCE NUMBER DESCRIPTION AMOUNT
FINANCE SUMMARY
Previous Balance $0.00
Purchases and Other Charges + 0.00
Cash Advances + 0.00
Late Charges + 0.00
Other Credits - 0.00
Payments - 0.00
New Balance = $0.00
Page 1 of 1
P.O. BOX 4926, ORLANDO, FL 32802-4928MONTHLY ACCOUNT STATEMENT
Account Number XXXX-XXXX-XXXX-4620
JASON VANDEVERPO BOX 911CHARLOTTESVILLE VA 22902-0911
Payment AddressSunTrust BankP.O. Box 791250Baltimore, MD 21279-1250
ACCOUNT SUMMARY
TOTAL CREDIT LINE
AVAILABLE FOR CASH ADVANCE
BILLING CYCLE CLOSING DATE
DAYS IN BILLING CYCLE
PAYMENT DUE DATE
AMOUNT DUE
5,000 0 06/27/2019 31 07/22/2019 0.00
TRANSACTION SUMMARY
DATE OF POST / TRAN
REFERENCE NUMBER DESCRIPTION AMOUNT
FINANCE SUMMARY
Previous Balance $0.00
Purchases and Other Charges + 0.00
Cash Advances + 0.00
Late Charges + 0.00
Other Credits - 0.00
Payments - 0.00
New Balance = $0.00
Page 1 of 1
P.O. BOX 4926, ORLANDO, FL 32802-4928MONTHLY ACCOUNT STATEMENT
Account Number XXXX-XXXX-XXXX-6599
KATHLEEN GALVIN605 E MAIN STCHARLOTTESVILLE VA 22902-5337
Payment AddressSunTrust BankP.O. Box 791250Baltimore, MD 21279-1250
ACCOUNT SUMMARY
TOTAL CREDIT LINE
AVAILABLE FOR CASH ADVANCE
BILLING CYCLE CLOSING DATE
DAYS IN BILLING CYCLE
PAYMENT DUE DATE
AMOUNT DUE
20,000 0 06/27/2019 31 07/22/2019 0.00
TRANSACTION SUMMARY
DATE OF POST / TRAN
REFERENCE NUMBER DESCRIPTION AMOUNT
FINANCE SUMMARY
Previous Balance $0.00
Purchases and Other Charges + 0.00
Cash Advances + 0.00
Late Charges + 0.00
Other Credits - 0.00
Payments - 0.00
New Balance = $0.00
Page 1 of 1
P.O. BOX 4926, ORLANDO, FL 32802-4928MONTHLY ACCOUNT STATEMENT
Account Number XXXX-XXXX-XXXX-0186
MICHAEL SIGNER605 E MAIN STCHARLOTTESVILLE VA 22902-5337
Payment AddressSunTrust BankP.O. Box 791250Baltimore, MD 21279-1250
ACCOUNT SUMMARY
TOTAL CREDIT LINE
AVAILABLE FOR CASH ADVANCE
BILLING CYCLE CLOSING DATE
DAYS IN BILLING CYCLE
PAYMENT DUE DATE
AMOUNT DUE
2,500 0 06/27/2019 31 07/22/2019 0.00
TRANSACTION SUMMARY
DATE OF POST / TRAN
REFERENCE NUMBER DESCRIPTION AMOUNT
FINANCE SUMMARY
Previous Balance $0.00
Purchases and Other Charges + 0.00
Cash Advances + 0.00
Late Charges + 0.00
Other Credits - 0.00
Payments - 0.00
New Balance = $0.00
Page 1 of 1
Name- Chris Cullinan Christopher V .. Cullinan
Director of Finance
Credit Card Review
Statement Date: L.Q \a, ) 19 '
Alexander lkefuna
Chris Engel
Galloway Beck
Jason Vandever
Kathleen Galvin
Matthew Murphy
Michael Murphy
Michael Signer
~ )
RaShall Brackney
Rosanna Bencoach
Wes Bellamy
Date Reviewed by Director of Finance
PLEASE RETURN TO FINANCE ADMINISTRATIVE ASSISTANT, THANK VOUI
Revised 5/31/2019
Corporate Card'
SUNTRUST
Account Number
\/ISA MONTHLY ACCOUNT STATEMENT
XXXX-XXXX-XXXX-1199
Closing Date Amount Due
06/27/2019 $ 0.00
Nlkuyah Walker 605 E Main St Charlottesville VA 22902-5337
TRANSACTION POSTING DATE SUPPLIER NAME DATE SUPPLIER CITY
Payment Address SunTrust Bank P.O. Box 791250 Baltimore, MD 21279-1250
SUPPLIER STATE AMOUNT
Fund Cost Centers GL Account WBS Element Order
05/28
05/28
05/30
05/30
05/30
05/30
06/04
05/29 Amazon.Com*mn02x5yh1 Amzn Amzn.Com/Bill
105 1001001000 520040
WA $28.60 /
$ 28.60 Book re: policies related to increasing & stabilizing black & other "minorities" wealth in Cville; Summer Book Club (potential) selection
05/29 Amzn Mktp Us*mn1Ir39q2 Amzn. Com/BIii
105 1001001000 520010 supp lies
05/31 Amzn Mktp us•m69uv0f51 Amzn.Com/Bill
105 1001001000 520040 Summer Book Club (potential) selection
05/31 Cvs/pharmacy #00067 Charlottesvil
105 1001001000 520500 for a citizen on the mall w/o resources to pay for water
06/02 Kllwtns Charlottesville
105 1001001000
Mtg about mentorship for CCS youth
06/02 Thai Cuisine Restauran
105 1001001000
Mtg re: housing
06/05 Paypal •vinegarhill
105 1001001000
2019 Women's Four Miler Flyer
Charlottesvil
530105
Charlottesvil
530105
402-935-7733
530580
Page I of2
WA $ 14.48 v $ 14.48
WA $ 10.94 V
$ 10.94
VA $ 2.49,,.,
$ 2.49
VA $ 8.99 ./
$8.99
VA $ 20.00 _.,,
$ 20.00
CA $ 59.23
$ 59.23 ✓
06/20 06/21 Pro Emergency Svc Desoto 214-659-1234 TX $ 45.00 .-
105 1001001000 530010 $ 45.00
Urinalysis for Dr. Richardson
06/21 06/23 Firefly Charlottesvil VA $ 38.40 i/
105 1001001000 530105 $ 38.40
Mtg re: agenda & discussion re: staff
Comments:
I ll!ill 111 Hll II lllll llm Ill I 1111) Jllll lllll lllll ll!ll lll lllll llll lJl~ IH 1111111111] JIii NikuyahW-1199-190627
Page 2 of2
Amazon.com - Order 112-4939677-9248249 Pagel of 1
ama~on.com· Final Details for Order #112-4939677-9248249
Print this page for your records.
Order Placed: May 26, 2019 Amazon.com order number: 112-4939677-9248249 Order Total: $28.60
Shipped on May 28, 2019
Items Ordered Price 1 of: The Color of Money: Black Banks and the Racial Wealth Gap, Baradaran, $14.36
~~h~aAmazon.com services, rnc ~ \ tCl--€.,S U--f__ ~M -tz:• \ V\C,.~\ ~ + 5l~/lf.;f,-f\__~ Condition: New !1}\CAc..,\L ll,,V't.l o~v}\ t'\,"--l~Wt~S
1 \tv--tiLlcl)h l ,") tt.1i{{g.}
Sold by: Amazon.com Services, Inc S,lVVV-vv--e.,.v i::v1fr.J~.J% 'f))~ ·~ --l-t'C1tL~ 1 of: Children of Blood and Bone (Legacy of1).f_i isshha), AdeyemdiJomi ry14.2f/l~ D
Condition: New · '---------;.
Shipping Address: N ikuya h Walker 503 DRUID AVE CHARLOTTESVILLE, VA 22902-6041 United States
Shipping Speed: FREE Shipping
Item(s) Subtotal: $28.60 Shipping & Handling: $8.04
Free Shipping: -$8.04
Total before tax: $28.60 Sales Tax: $0.00
Total for This Shipment: $28.60
Payment information Payment Method: Visa I Last digits: 1199
Billing address Nikuyah Walker 605 E Main Street Charlottesville, VA 22902 United States
Credit Card transactions
Item(s) Subtotal: $28.60 Shipping & Handling; $8.04
Free Shipping: -$8.04
Total before tax: $28.60 Estimated tax to be collected: $0.00
Grand Total: $28.60
Visa ending in 1199; May 28, 2019:$28.60
To view the status of your order, return to Order Summary.
Conditions of Use I Privacy Notice© 1996-2019, Amazon.com, Inc. or its affiliates
https://wvvw .amazon.com/ gp/css/summary /print.html/ref=ppx _ od _ dt_ b _invoice?ie=UTF8&... 7/5/2019
Amazon.com - Order 112-9300729-1625023 Page 1 of 1
amazon.com· Final Details for Order #112-9300729-1625023
Print this page for your records.
Order Placed: May 26, 2019 Amazon.com order number: 112-9300729-1625023 Order Total: $14.48
Shipped on May 28, 2019
Items Ordered Price 1 of: Clorox Cleaning Wipes - 90 Count - Resealable Package - Fresh Scent (6 $14.48 Packs) Sold by: GUARANTEED ENTERPRISES (seUer profile)
Condition; New
Shipping Address: Nlkuyah Walker 503 DRUID AVE CHARLOTTESVILLE, VA 22902-6041 United States
Shipping Speed: Economy Shipping
Item(s) Subtotal: $14.48 Shipping & Handling: $0.00
Total before tax: $14.48 Sales Tax: $0.00
Total for This Shipment: $14.48
Payment information Payment Method: Visa I Last digits: 1199
Billing address Nikuyah Walker 605 E Main Street Charlottesville, VA 22902 United States
Credit Card transactions
Item(s) Subtotal: $14.48 Shipping & Handling: $0.00
Total before tax: $14.48 Estimated tax to be collected: $0.00
Grand Total:$14,48
Visa ending in 1199: May 28, 2019: $14.48
To view the status of your order, return to Order Summary.
Conditions of Use I Privi!CY Notice © 1996-2019, Amazon.com, Inc. or Its affiliates
https://www.amazon.com/gp/css/summary /print.html/ref=ppx _ od _ dt_ b _ invoice?ie=UTF8&... 7/5/2019
Amazon.com- Order 112-3165613-6908203 Page I of 1
:JA,~M.Ut :\?ivv t, c,(u_h~~+icj)~. amazon.com·
Final Details for Order #112-3165613-6908203 Print this page for your records.
Order Placed: May 26, 2019 Amazon.com order number: 112-3165613-6908203 Order Total: $10.94
Shipped on May 30, 2019
Items Ordered 1 of: Internment Sold by: Book Depository US {seller profile)
Condition: New
Shipping Address: Nikuyah Walker 503 DRUID AVE CHARLOTTESVILLE, VA 22902-6041 United States
Shipping Speed: Standard Shipping
Price $10,94
Item(s) Subtotal: $10.94 Shipping & Handling: $0.00
Total before tax: $10.94 Sales Tax: $0.00
Total for This Shipment: $10.94
Payment information Payment Method: Visa l Last digits: 1199
Billing address Nikuyah Walker 605 E Main Street Charlottesville, VA 22902 United States
Credit Card transactions
Item(s) Subtotal: $10.94 Shipping & Handling: $0.00
Total before tax: $10.94 Estimated tax to be collected: $0.00
Grand Total: $10,94
Visa ending in 1199: May 30, 2019: $10.94
To view the status of your order, return to Order Summary.
Conditions of Use l Privacy Not"lce © 1996-2019, Amazon.com, Inc. or its affiliates
https :/ /www.amazon.com/ gp/css/summary/print.html/ref=ppx _ od _ dt_ b _ invoice?ie=UTF8& .. , 7/5/2019
f1v 6. ~ cJY'\ o-.A-0 l~~~~,le~y'
208 EAST Mh '·! Sh ':T CHARLOTTESVILLE, VA . ~902
f ~~93~ & Wv REGl~L lRNff85O1 CSHR~~1 STRtu7
4elped b~: GIL&ERT
1 SHARTWATER TAX
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llll 1111111! I 111111111111111! 11111111 3500 0679 15ng 5010 20
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11rrler# 0000182155
Otht1r Shakes 1 00 ea@ 8.99 / 8a
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Visa - x1199
Reference#: 01 Chip Read TC 6BFBA9C9596A675B TVR 0080008000 AID A0000000031010 TSI EBOO ATC 0050 HREF 722832121
Tendered: Change:
Number of Items:
r a.9s
8.99
i • 99 (i 00 I~ .... JU
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8.99 0.00
Thank You For Your Business! P1ease come Back and Vlsit Us!
Ill II llll!lll llllllllllllll llll llll II Ill lllll~IIIII Ill
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- YH>. , ;· 11 /~j-
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Thai Cw!->irie Rastaurnnt & Noodle House 2005 Commoow-,a!th Drive
Ch ~r:,,! h, ,.~ ilt~.2\ln 1. USA
/,34 97 4 1326 tl1.i1,.;ui1.>11,.-.,,viHe~gmail.com
th ii icu 1sint-c:vill & .coin Roj S11it1ak.
. ---· ·-------------
t'.l~~-+ h~~Vl Flrefl·Y ~~
1304 East Market st 434-202-1050
Check#: 86B4 ~
0 ~v~r: Bartender N >: 1artoo4
6/20/19 7:23 PM
----------------------------
.,·.,t Chi! 1 Chicken wrap • ,, 11:: Side sweet Potato fries
; , , !y cheesesteak
2.· ' 13 . o.
13. [,, ------- -------------------------~---
29.0(, 2,9S
31.99
--~-----------------~-------------~-~--~---J Due
... .; fype: Acct#: Customer: Card Entry: Auth Code: Check: Tab: ~- ·ver:
Thank YOU!
1. ,
Firefly 1304 East Market St
434-202-1050
6/20/19, 8:09 PM VISA XXXXXXXXXXXX1199 NlKUYAH WALKER SWIPED 020844 8684 Bartoo4 Bartender N
31.99
;esvi lie
:nt: 31 ~ 9• I
--·--------~ (Q•:_:_,_,__tfl
e to pay the above total amount pursu tu rne card issuer agreement.
Thank you!
Thomas, Kyna N
From: Sent: To: Subject:
Walker, Nikuyah Sunday, July 7, 2019 4:52 PM Thomas, Kyna N Screenshot 2019-07-07 at 4.49.48 PM
2019 Women's Four Miler Fyler.
,11 AT&T ~ 4:49PM 66% [!ii],
AV
Payment details
For your purchase on June 4, 2019
Details
Subtotal
Total
Nikuyah Walker
1
I
$59.23 USD
$59.23 USO
$59.23 USD
Thomas, Kyna N
From: Sent: To: Subject: Attachments:
Urinalysis for Dr. Richardson.
Walker, Nikuyah Sunday, July 7, 2019 4:54 PM Thomas, Kyna N
20190620101834361,pdf 201906201 0 1834361.pdf; A TTOO00 l .htm
PRO EMERGENCY SVC DESO 911 N HAMPTON RD STE 12
DESOTO, TX 75115 06/20/2019 10:07:51
~d# SEQ#: Bat.ch#: INVOIC~ w-oval Code: Emry Melnod; f,b!e;
Tax .Aloount Avs Code: card Code;
CREDIT CARD
VISA SAl.f
JC()O()(XX)(X)(U 99 1
922 I
020488 Marnia! Oll[m $0.00
NYZ M
SAlE AMOUNT ~5.00 l \- ~o-\ 'St.t.s W.,,
CUSTOMER COPY
1
Name - Chris Cullinan Christopher V. Cullinan
Director of Finance
Credit Card Review
Statement Date: ~ / 9] \ ~ l '1
Alexander lkefuna
Chris Engel
Galloway Beck
James Brown
Jason Vandever
Kathleen Galvin
Matthew Murphy
Michael Murphy
Michael Signer
Nikuyah Walker
RaSha/1 Brackney
Rosanna Bencoach
Wes Bellamy
Date Reviewed by Director of Finance
PLEASE RETURN TO FINANCE ADMINISTRATIVE ASSISTANT, THANK YOU!
Revised 4/16/2019
SUNTRusr
Melissa Morton 605 E Main St Charlottesville VA 22902-5337
Corporate Cara
Account Number
VISA MONTHLY ACCOUNT STATEMENT
XXXX-XXXX-XXXX-6172
Closing Date Amount Due
06/27/2019 $ 0.00
Payment Address SunTrust Bank P.O. Box 791250 Baltimore, MD 21279-1250
TRANSACTION POSTING DATE SUPPLIER NAME DATE SUPPLIER CITY SUPPLIER STATE AMOUNT
05/29
Comments:
05/30
Fund Cost Centers
Batteries Plus #0196
105 2301001000
GL Account WBS Element
Charlottesvil
520990
VA
Order
Power cord, charging unlt needed for an electronic poll book for use on Election Day.
llllllillllllllllllllllllll mortonm-6172-190627
Page 1 of I
$ 89.95
$ 89.95
Charlottesville Department of l/4 fer i{"f'J \ f R4 6 ~ YJ
Lost / Missing Receipt Verification
/ Original Receipt was:
(Loi) Not Received
j Purchase Amount:
I Date of Purchase:
I Purchased From (Vendor):
Detailed Description !)f ltems(s) Purchased:
lo
! Signature:
For the purchase stated above, I certify that an original itemized receipt is not available
and that I -~ np mburs: :nt frum any othcr source.
~~/4 - .
Name- Chris CuUinan
Christopher V. Cullinan Director of Finance
Credit Card Review
Statement Date: _ __.4?_-_~_7_.,._~_ l__.9_
Alexander lkefuna
Chris Engel
Galloway Beck
James Brown
Jason Vandever
Kathleen Galvin
Matthew Murphy
Michael Murphy
Michael Signer
Nikuyah Walker
RaShall Brackney
Rosanna Bencoach
Wes Bellamy
7/7'-&v,?
Reviewed by Director of Finance
PLEASE RETURN TO FINANCE ADMINISTRATIVE ASSISTANT, THANK YOU!
Revised 4/16/2019
,.
Corporate Card
SUNTRusr
Wes Bellamy 605 E Main St Charlottesville VA 22902-5337
TRANSACTION POSTING DATE DATE SUPPLIER NAME
Fund Cost Centers
05/28 05/29 Sq *pearl Island Fo
105 1001001000
05/31 06/02 Uber Trip
105 1001001000
06/01 06/02 Shake Shack 1116
105 1001001000
Black Mil!enni.al Convention
06/01 06/02 Uber Trip
105 1001001000
06/01 06/02 Uber Trip
105 1001001000
06/01 06/02 Uber Trip
105 1001001000
06/01 06/02 Uber Trip
105 1001001000
06/02 06/04 Hyatt Regency Crystal Ci
105 1001001000
Account Number
VISA MONTHLY ACCOUNT STATEMENT
XXXX-XXXX-XXXX-5390
Closing Date 06/27/2019 Amount Due $ 0.00
Payment Address SunTrust Bank P.O. Box 791250 Baltimore, MD 21279-1250
SUPPLIER CITY SUPPLIER STATE AMOUNT
GL Account WBS Element
Charlottesvil
530105
Help.Uber.Com
530100
646-747-7200
530100
Help.Uber.Com
530100
Help.Uber.Com
530100
Help.Uber.Com
530100
Help.Uber.Com
530100
Arlington
530100
VA
CA
DC
CA
CA
CA
CA
VA
Order
$ 9.38 j $ 9.38 -
$ 18.51 ✓
$ 18.51 _,J
$ 14.71 .I
S 14.71
$ 10.46 ✓ $ 10.46
__J
$ 8.61 /
$8.61 -
$ 7.031
$ 7.03
$16.16 /
$ 16.16
$ 35.77
$ 35.77
Page I of2
06/02
06/02
06/02
06/02
06/02
06/02
06/06
06/12
06/26
Comments:
06/04 Jersey Mikes 6067
105 1001001000
Biack Miilennial Conference
06/03 Tst" Busboys And Poets •
105 1001001000
06/02 Uber Trip
105 1001001000
06/03 Uber Trip
105 1001001000
06/03 Uber Trip
105 1001001000
06/03 Uber Trip
105 1001001000
06/09 Timberwood Tap House Inc
105 1001001000
06/13 Uber Trip
105 1001001000
06/26 T st* &pizza . Shaw
105 1001001000
Warrenton
530100
Washington
530100
Help.Uber. Com
530100
Help.Uber. Com
530100
Help.Uber.Com
530100
Help.Uber.Com
530100
434-8255890
530100
Help.Uber.Com
530100
Washington
530100
VA
DC
CA
CA
CA
CA
VA
CA
DC
11111111111/I IIIIII IIIII IIII IIII~ 1111~11111/ IIIIII IIIII IIIII IIIII IIII IIIIII ~Ill lll/111111111111111! 11111111 bellamyw-5390-190627
Page 2 o[2
S12.18 ✓ -$ 12.18
$ 27.26 ,/
$ 27.26
$ 12.99 ../
$12.99 -
$ 8.50 / --$ 8.50
$ 13.43 ✓
$ 13.43
$ 10.03✓ --$ 10.03
$ 17.66 / --$ 17.66
$ 6.45 ✓
$ 6.45 -
$ 55.80 .
$ 55.80
. Thomas, Kyna N
From: Bellamy, Wes Sent: Friday, July 12, 2019 5:17 PM To: Subject:
Robinson, Maxicelia; Thomas, Kyna N
Fwd: Receipt from Pearl Island Foods LLC
Lunch receipt for meeting with local business owners about Equity Fund.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
From: Pearl Island Foods LLC via Square <receipts(a)messaging.sguareup.com> Date: May 28, 2019 at 2:00:47 PM EDT To: <wbellarn v@char lottesville. orn> Subject: Receipt from Pearl Island Foods LLC Reply-To: Pearl Island Foods LLC via Square <CAESOhlAGix\ X21 memRhd2tub255dTRxM3ZtamRnNDNsdGSgen Vjcnp5cGEzd3E lc25 µeS IIZGlhbG9ndWUiIDreA2s0Pxc WtaZRJ/UeF26Mdkofa+01p3XEa+vud 1 jN 0lrepl v2.squareup.co
= m>
Square automatically sends receipts to the email
address you used at any Square seller.Learn more
Pearl Island Foods LLC
How was your experience?
1
Platter
Choice of protein; comes with kale salad, r,ce, plantains & pikliz
+ Sous Poulet
Purchase Subtotal
Sales & Meals Tax (10.3%)
Total
-Pearl Island Foods LLC
233 4th Street NW 154
Charlottesville, VA 22903
434-466-0092
Visa 5390 (Swipe)
WES BELLAMY
© 2019 Sqw~re, inc.
1455 Market Street, Suite 600
San Francisco, CA 94103
$8.50
$8.50
$0.88
May 28
2019
at 2:00
PM
#0YMs
Auth
code:
028439
@ M~o><@ OgenStreetMa.Q lrn..Qrove this ma_Q
2
. . Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected]>
Friday, July 12, 2019 5:18 PM
Robinson, Maxicelia; Thomas, Kyna N Fwd: Your Thursday evening trip with Uber
j WARNING: This email has originated from outside of the organization. Do not click links or open attachments unless you
I recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
Resent-From: <[email protected]> From: "Uber Receipts" <[email protected]> Date: May 30, 2019 at 11 :06:53 PM EDT To: <[email protected]> Subject: Your Thursday evening trip with Uber
Uber
Thanks for riding, Wesley We hope you enjoyed your ride this evening.
Total
Trip Fare
1
Total: $18.51
Thu, May 30, 2019
$15.51
Subtotal
Tolls, Surcharges, and Fees 0
•••• 5390 Switch
$15.51
$3.00
$18.51
A temporary hold of $18.51 was placed on your payment method .... 5390 at the start of the trip.
This is not a charge and has or will be removed. l1 should disappear from your bank statement
shortly. Learn More
Receipt ID# 086d52b1-e136-4221-a473-16fdc8134ccf
You rode with Behayilu
• 4.9* Rating
Behayilu is known for
Excellent Service
How was your ride?
RATE OR nr
When you ride with Uber, your trips are insured in case of a covered
accident. Learn more.
2
10:48pm
2899 Richmond Hwy,
Arlington, VA
11:06pm
1212 U St NW, Washington,
DC
• •
,.
0 Map data. ©2G1S Geog~
REPORT LOST ITEM )
Invite your friends and family.
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb 1801 ue
CONTACT SUPPORT> MY TRIPS>
3
/41~1 l..t1t~CJ tA~f(_Ak~1 C.t>1~J-~
SHAKE SHACK 800 F Street NW
Host: Ke'era 25 11EST
Smoke Shack french fries SM Strawberry M Lemonade
Subtotal Tax
To Go Tutal
Visa #XXXXXXXXXXXX5390 Auth :031041
05/31/2019 11:39PM
40524
7.29 3.09 2.99
13.37 1. 34
14.71
14.71
\~e yJanna hear ya! Take our survey for $5 off your next $20 App order.
http://bit.ly/shack-survey-1116
--- Check Closed ---
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected]> Friday, July 12, 2019 5:18 PM Thomas, Kyna N; Robinson, Maxicelia Fwd: Your Friday evening trip with Uber
WARNING: This email has originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
Resent-From: <wesb8 '@hotmail. corn> From: "Uber Receipts" <uber.us@,uber.com> Date: May 31, 2019 at 7:46:32 PM EDT To: <[email protected]> Subject: Your Friday evening trip with Uber
Uber Total: $10.46
Fri, May 31, 2019
Thanks for riding, Wesley We hope you enjoyed your ride this evening.
Total
Trip Fare
1
. . .... ~~~
1/$1-0.46- ) \.
$8.46
Subtotal
Tolls, Surcharges, and Fees 0
•••• 5390 Switch
$8.46
$2.00
$10.46
A temporary hold of $10.46 was placed on your payment method, ... 5390 at the start of the trip.
This is not a charge and has or will be removed. It should disappear from your bank statement
shortly. Learn More
Receipt ID# dbe513ae-cf11-41e3-9cb7-7cecc7befil60
You rode with Marco
4.95 * Rating How was your ride?
RA.IE OR T!P
Marco is known for:
Excellent Service
Issued by Rasier
When you ride with Uber, your trips are insured in case of a covered accident. Learn more.
2
07:35pm
2899 Richmond Hwy,
Arlington, VA
07:46pm
70 District Square SW,
Washington, DC
•
Map data @201 e Goagie
REPORT LOST ITEM >
Invite your friends and family.
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb 1801 ue
CONT ACT SUPPORT > MY TRIPS)
3
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected]> Friday, July 12, 2019 5:19 PM Robinson, Maxicelia; Thomas, Kyna N Fwd: Your Friday evening trip with Uber
WARNING: This email has originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
Resent-From: <wesb8/'ahotmail.com> From: "Uber Receipts" <uber.us(@,uber.com> Date: May 31, 2019 at 11:36:15 PM EDT To: <[email protected]> Subject: Your Friday evening trip with Uber
Uber
Thanks for riding, Wesley We hope you enjoyed your ride this evening.
Total
Trip Fare
1
Total: $8.61 Fri, May 31, 2019
1/'$8.61} '--- -
$6.12
Subtotal
Tolls, Surcharges, and Fees 0
- .... 5390 Switch
$6.12
$2.49
$8.61
A temporary hold of $8.61 was placed on your payment method•••• 5390 at the start of the trip.
This is not a charge and has or will be removed. It should disappear from your bank statement
shortly. Learn More
Receip1 ID# 80521e01-5637-4d37-9040-ed2287b42530
You rode with Fathi
4.92 * Rating How was your ride?
RAlEORTJP
Fathi is known for:
Excellent Service
Issued by Rasier
When you ride wlth Uber, your trips are insured in case of a covered accident. Learn more.
2
11:28pm
900 Maine Ave SW,
Washington, DC
11:36pm
800 F St NW, Washington,
DC
• :::onstitu1rcn ;.ve a.JW
• Map-dare ©2C1:t G~le-
Invite your friends and family.
REPORT LOST ITEM>
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb1801ue
CONTACT SUPPORT) MY TRIPS>
3
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected] > Friday, July 12, 2019 5:20 PM Robinson, Maxicelia; Thomas, Kyna N Fwd: Your Friday evening trip with Uber
WARNING: This email has originated from outside oft'1e organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
Resent-From: <wesb8(@,hotmail.com> From: "Uber Receipts" <[email protected]> Date: May 31, 2019 at 6:27:31 PM EDT To: <wesb8rip,hotmail.com> Subject: Your Friday evening trip with Uber
Uber
Thanks for riding, Wesley We hope you enjoyed your ride this evening.
Total
Base Fare
1
Total: $7.03
Fri, May 31, 2019
$1.21
Time
Distance
Subtotal
Booking Fee 0
am •·•· 5390 Switch
$2.53
$1.29
$5.03
$2.00
$7.03
A temporary hold of i7.O0 was placed on your payment method .... 5390 at the start of the trip.
This is not a charge and has or will be removed. It should disappear from your bank statement
shortly. Learn More
Receipt 1 D # ed7691 ec-6417-4522-8e63-77 c97fd42b6b
You rode with Mohammad
4.88 * Rating How was your ride?
RATEOR'IIP
Mohammad is known for:
Excellent Service
Issued by Rasier
2
When you ride with Uber, your trips are insured in case of a covered
accident. Learn more.
I 06:14pm
1425 S Eads St, Arlington, VA
06:23pm
2711 Richmond Hwy,
Arlington, VA
Invite your friends and family.
0
• Map data @2G19 Googie
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb1801ue
REPORT LOST ITEM > CONTACT SUPPORT) MY TRIPS>
3
Thomas, Kyna N
From: Sprouse, Peggy Sent: To:
Tuesday, July 16, 2019 10: 11 AM Thomas, Kyna N
Subject: RE: City Councilors June 2019 Credit Card Statements and Receipts
Okay. Can you complete a Lost/Missing Receipt form for each missing receipt? If so, and, if known, note the merchant, date, amount and business purpose, indicate receipt not received as of 07/16/2019.
From: Thomas, Kyna N <[email protected]> Sent: Tuesday, July 16, 201910:05 AM To: Sprouse, Peggy <[email protected]>
Subject: RE: City Councilors June 2019 Credit Card Statements and Receipts
Yes, I've reached out several times:
• 6/27 sent credit card statement
• 7/8 email
• 7 /10 in person
• 7 /12 Maxicelia spoke with him in person
• 7 /15 via email as late as 4:12 yesterday afternoon.
KYNA THOMAS, CMC Chief of Staff/Clerk of Council
City of Charlottesville 434-970-3113 Clerk@charlottesvil le .o rg
4"~~ ;) ~ ~-= it. -,; El'· ~'' '"'' _(•;
From: Sprouse, Peggy <[email protected]> Sent: Tuesday, July 16, 2019 9:55 AM
To: Thomas, Kyna N <[email protected]> Subject: RE: City Councilors June 2019 Credit Card Statements and Receipts
Hmmmm, maybe. Have you reached out to him recently regarding the status of the 4 missing receipts? We have a FOJA request for credit card transactions through 06/30/2019, which is due this week and would like to be able to send all transact ions. Than ks.
From: Thomas, Kyna N <[email protected]> Sent: Tuesday, July 16, 2019 9:13 AM
To: Sprouse, Peggy <sprousep@cha rlottesville.ore>
Subject: RE: City Councilors June 2019 Credit Card Statements and Receipts
Good morning, Peggy.
f am still awaiting 4 receipts from Councilor Bellamy. Should f turn in what I have?
KYNA THOMAS, CMC
1
Chief of Staff/Clerk of Council City of Charlottesville 434-970-3113
[email protected] ~-r"'fl':;~
till~ ··~,fl,1'
From: Sprouse, Peggy <sµ[email protected]> Sent: Tuesday, July 16, 2019 8:57 AM To; Thomas, Kyna N <[email protected]>
Subject: City Councilors June 2019 Credit Card Statements and Receipts
Good Morning Kyna,
Has Wes Bellamy's credit card statement and receipts been submitted to Accounts Payable? Thanks.
Peggy
Peggy Sprouse Accounts Payable City of Charlottesville 434-970-3370 434-970-3232 Fax
2
FTGnt: ~ Ta: ~=Rc~iwn M•:¢:rli sub~ utie-~pt Dau: Tuesdi1V1 lJI~ 16, :iOl~ J :.31:3' P.M .!litt..t-meJ1b; ~
Change star rating
I want to change my driver's rating.
Edit rating
c.1 Receipt
UberX Receipt
Trip Fare
C,,h+,....+ .... I
$12.50
.:>UULUldl ,l>J.L.~U
Tolls, Surcharges, and Fees $2.87
Wait Time $0.79
Total $16.16
VISA5390 $16.16
Dr. Wes Bollamy, Ciry Councilman, City of C"harlottes,·ille
Charlottesville Department of _City Council __ _ Lost/ Missing Receipt Verification
I Original Receipt was:
X Lost • Not Received
J Purchase Amount:
$ 35.77 -----
I Date of Purchase:
06/02/2019 ---------
j Purchased From (Vendor):
_Hyatt Regency Crystal City
I Detailed Description of Items(s) Purchased:
Black Millennials Conference expense - Wes Bellamy
I Signature:
For the purchase stated above, I certify that an original itemized receipt is not available and that I am not claiming reimbursement from any other source.
01ne In Jer,;By Mike's Subs 6067
1.35 W. Lee Hwy. Warrenton, Virginia 20186-:d07
Phone: 5~0-340-3575
Ticket: 01-001609-01-014829
Siwver : Jesse 06/02.::9 2:11 PM =-=~~=-~=--=~==~------===~~==~~=- ----
Wrap 1126 Reg Co!l',tlo
Sub Total Taxable 9.3t Tax Total
Paid VISA 5390
8.45 T L. 69 T
$11.14 $11.14 $1.04
$12.18
$12,18
Items sold: 2
Thomas, Kyna N
From: Sent: To:
Bellamy, Wes
Friday, July 12, 2019 5:23 PM Thomas, Kyna N; Robinson, Maxicelia
Subject: Fwd: Tell us how we did! Receipt for Order #379 at Busboys and Poets - 450 K
Meal while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
From: Busboys and Poets - 450 K <[email protected]> Date: June I, 2019 at 3:30:14 PM EDT To: "wbellamvfacharlottesville.ori!" <[email protected]> Subject: Tell us how we did! Receipt for Order #379 at Busboys and Poets - 450 K Reply-To: "no-re pl [email protected]" <no-replv<@toasttab.com>
Powered by Toast
Thank you for your order. Below is a receipt for your recent visit to Busboys and Poets - 450 K. trouble viewing this email?
Busboys and Poets - 450 K 450KStNW
Washington, DC 20001 202.789.2227
Server: Robert S Check #379
1
06/01/19 2:31 PM Table 11
Cobb Salad $16.00 French Fries $5.00
Subtotal $21.00 Tax $2.10 Tip
~ Total
Credit Card Swiped Visa xxx:xxxxx5390 Time 3:29PM
Transaction Type Sale Authorization Approved Approval Code 001273 Payment ID wFLKjMprKbck Card Reader MAGTEK £DYNAMO
WES BELLAMY
Thank you so much for being a part of the
Busboys and Poets community. Please try our online
ordering at www.busbo vsandpoets.com
Download the Toast TakeOut app Ski£ the line, even: time.
, Download on the
App Store Privacy Policy / Terms of Service I Refer a Restaurant & Earn $500 / Toast is Hiring!
·' :g::ts
2
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected]> Friday, July 12, 2019 5:23 PM Thomas, Kyna N; Robinson, Maxice/ia Fwd: Your Saturday morning trip with Uber
WARNING: This email has originated from outside of the organization. Do not click linlcs or open attachments unless you recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message;
Resent-From: <wesb81a)hotmail.com> From: "Uber Receipts" <[email protected]> Date: June 1, 2019 at 9:25:08 AM EDT To: <wesb8(a,hotmail.com> Subject: Your Saturday morning trip with Uber
Uber Total: $12.99
Sat, Jun 01, 2019
Thanks for riding, Wesley We hope you enjoyed your ride this morning.
Total
Trip Fare
1
($12.99 > ' \
\
$10.99
Subtotal
Tolls, Surcharges, and Fees 8
- .... 5390 Switch
$10.99
$2.00
$12.99
A temporary hold of $12.99 was placed on your payment method .... 5390 at the start of the trip.
This is not a charge and has or will be removed. It should disappear from your bank statement
shortly. Learn More
Receipt ID# aaab4478-c1 c0-4968-bf3f-502938f87277
You rode with Sumba
• Issued by Rasier
4.91 • · Rating
Sumba is known for·
Excellent Service
How was your ride?
RA t E OH Tfl'
When you ride with Uber, your trips are insured in case of a covered accident. Learn more.
2
09:0Bam
2799 Richmond Hwy,
Alexandria, VA
09:24am
1700 K St NW, Washington,
DC
Invite your friends and family.
• f':;"1 I~
Map data ©2{l19 Goo;ie-
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb1801ue
REPORT LOST ITEM> CONT ACT SUPPORT > MY TRIPS>
3
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected]>
Friday, July 12, 2019 5:25 PM Robinson, Maxicelia; Thomas, Kyna N Fwd: Your Saturday afternoon trip with Uber
WARNING: This email has originated from outside of the organization. Do not click links or open attachments unless you
recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Cowicilman, City of Charlottesville
Begin forwarded message:
Resent•From: <[email protected]> From: "Uber Receipts" <[email protected]> Date: June I, 2019 at 4:51 :08 PM EDT To: <wesb80lhotmail.com> Subject: Your Saturday afternoon trip with Uber
Uber
Thanks for riding, Wesley We hope you enjoyed your ride this afternoon.
Total
Trip Fare
1
Total: $8.50
Sat, Jun 01, 2019
$6.50
Subtotal
Tolls, Surcharges, and Fees 0
- •·· • 5390 Switch
$6.50
$2.00
$8.50
A temporary hold of $8.50 was placed on your payment method .. ,. 5390 at the start of the trip.
This is not a charge and has or will be removed. II should disappear from your bank statement
shortly. Learn More
Receipt JD# ci29a3b4-752f.-4b8a-ac02-7c2ca05f0630
You rode with Cheick
Issued by Rasier
4.91 * Rating
Cheick is known for·
Excellent Service
How was your ride?
RATE OR TIP
When you ride with Uber, your trips are insured in case of a covered accident. Learn more.
2
04:48pm
2899 Richmond Hwy,
Arlington, VA
04:50pm
2110 Crystal Dr, Arlington, VA
"OJ, r
:-~
,... r-'.""'l ~,: I ; I ~;- ,_,. '·~:
Invite your friends and family.
•
> ;,. Mai:; .:!eta ©.W19 Google
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb1801ue
REPORT LOST ITEM > CONT ACT SUPPORT > MY TRIPS>
3
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <wesbe/[email protected]> Friday, July 12, 2019 5:25 PM Robinson, Maxicelia; Thomas, Kyna N Fwd: Your Saturday afternoon trip with Uber
WARNING: This email has originated from outside of the organization. Do not dick links or open attachments unless you recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
Resent-From: <wesb8(a hotmail .corn> From: "Uber Receipts" <uber.us(couber.corn> Date: JW1e l,2019at3:57:12PMEDT To: <wesb8rahotrnail.com> Subject: Your Saturday afternoon trip with Uber
Uber
Thanks for riding, Wesley We hope you enjoyed your ride this afternoon.
Total
Trip Fare
1
Total: $13.43
Sat, Jun 01, 2019
~------ . _.> .... ,_
($~13.43) \ ·' ,'
\ _,/
.. ~..____ ·--------- .~~
$10.67
Subtotal
Toils, Surcharges, and Fees 8
.... 5390 Switch
$10.67
$2.76
$13.43
A temporary hold of $13. 43 was placed on your payment method •••• 5390 at the start of the trip.
This is not a charge and has or will be removed. It should disappear from your bank statement
shortly. Learn More
Receipt ID# 5dabd48f-cda6-43e2-a5b6-5647df7b3040
You rode with Michael
Issued by Rasier
4.91 * Rating
Michael is known for
Excellent Service
How was your ride?
RATE OR !'IP
When you ride with Uber, your trips are insured in case of a covered accident. Learn more.
2
03:41pm
4 75 K St NW, Washington,
DC
03:56pm
2799 Richmond Hwy,
Alexandria, VA
Invite your friends and family.
• 8
• ~
Map data ©2:C19 Goog:e
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb1801ue
REPORT LOST ITEM } CONT ACT SUPPORT > MY TRIPS>
3
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected]> Friday, July 12, 2019 5:25 PM. Thomas, Kyna N; Robinson, Maxicelia Fwd: Your Saturday evening trip with Uber
WARNING: This email has originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.
Uber while at Black Millennial Convention.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
Resent-From: <wesb8(@hotmail.com> From: "Uber Receipts" <uber.us(a)uber.com> Date: June 1, 2019 at 5:47:39 PM EDT To: <[email protected]> Subject: Your Saturday evening trip with Uber
Uber
Thanks for riding, Wesley We hope you enjoyed your ride this evening.
Total
Trip Fare
1
Total: $10.03 Sat. Jun 01, 2019
$7.70
Subtotal
Tolls, Surcharges, and Fees 0
WaitTime 0
.... 5390 Switch
$7.70
$2.00
$0.33
$10.03
A temporary hold of $9.70 was placed on your payment method .... 5390 at the start of the trip.
This is not a charge and has or will be removed. It should disappear from your bank statement
shortly. Learn More
Receipt ID# 8a789652-23bc-407b-803a-7e3c2c065bdc
You rode with Mohamed
4.89 * Rating How was your ride?
RAT[ OR TIP
Mohamed is known for:
Excellent Service
Issued by Rasier
When you ride with Uber, your trips are insured in case of a covered accident. Learn more.
2
1 •
(".1;·.
:..,
05:44pm ~ r
.. 01.r1 ·.-:: r ~1 32 2211 Crystal Dr, Arlington, VA 0
~ ."Q iO:'
• O5:47pm
2899 Richmond Hwy, ~
Arlington, VA 'I
'<;.__.
~ :., • ·-:: r·1 ~~ ~~
Ct , -~1
i..
~ a
Mai:, data ©.201 ; Goo;i~
Invite your friends and family.
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb1801 ue
REPORT LOST ITEM } CONTACT SUPPORT> MY TRIPS>
3
~-~---"' ..... - ·- -~ --~•-•M~ u-•--------••M•
Timberwood Tap House 245 Merchant Nalk Avenue
Charlottesville, VA 22902 (434) 234-3563
t\ttpo :/ /~wivi. timberwooudti.iphouse ,com
Orders 265615 - 3 Eat In Order
Table: 85 Server: Johdnnah T
uate: 5/6/19, 11:24 A~
Transact ion: 143573
Pc1 id I~ 1th : VISA B\11:
xxxx5390 WES BELLAMY
$13.66 Total;
Tip: $ fJ 'r/;) -.-•-w••-•--~••-• ~-~ • •
Tot.al: $_. ______ rz __ lf __
1\PPROVED
I ag1·1.,e tu PiiY the abow1 tiJta 1 amount i:\,,:t;,.,1 d'.ng to card issuer agreement
T11d:ik., 1,.1 ;•iin1ng us! for.11book: Ji1.;i, . ,,modtapt,ouse
twitter: ~t~ioodtaphouse instagram: @t1 ~1be(wood_Japhouse
***Cw, tome r Copy-t+ *
Timberwood Tap House 245 Merchant Walk Avenue
Ci1drlottesvi1 le, VA 22902 (434) 234-3563
https://www.tlmberwooDdtaphouse.com
Pork BBO Sandwich Origina 1 Fries NO Cole Sla~i
St~eet Tea
Subtotal: Total Tax:
fota I:
Order# 265615 - 3 Eat In Order Seat Count=2
Server: ,lohannah T Table: 85
O('lte: 6/6/19, 11 :24 AM
$10 ,50 t$0.0(J +$0,00 i2.oo
$12.50 $1.16
$13,66
Thanks for joining us! facebook: timherwoorltaphouse
tw 1 t te r: @t~Joodt aphouse i nstag ram: @ti mbe n,mod_t aphouse
Thomas, Kyna N
From: Sent: To: Subject:
Wes Bellamy <[email protected]> Friday, July 12, 2019 5:27 PM Thomas, Kyna N; Robinson, Maxicelia Fwd: Your Tuesday afternoon trip with Uber
WARNING: This email has originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.
I need to reimburse the city for this trip.
Dr. Wes Bellamy, City Councilman, City of Charlottesville
Begin forwarded message:
Resent-From: <[email protected]> · From: "Uber Receipts" <[email protected]> Date: June 11, :2019 at 12:11 :55 PM EDT To: <wesb8ra)hotmail.com> Subject: Your Tuesday afternoon trip with Uber
Uber
Thanks for riding, Wesley We hope you enjoyed your ride this afternoon.
Total
Trip Fare
Total: $6.45
Tue, Jun 11, 2019
($6.4§) ' ~
$4.05
Subtotal
Tolls, Surcharges, and Fees f)
•••• 5390 Switch
$4.05
$2.40
$6.45
A temporary hold of $6.45 was placed on your payment me1hod •••• 5390 at the start of the trip.
This is not a charge and has or will be removed. It should disappear from your bank statement
shortly. Learn More
You rode with Dejan
4.95 * Rating How was your ride?
RAH: OR f JP
Dejan is known for:
Great Conversation
Issued by Rasier
When you ride with Uber, your trips are insured in case of a covered accident. Learn more.
2
12:07pm
102 14th St NW,
Charlottesville, VA
12:11pm
613 7 1/2 St SW,
Charlottesville, VA
•.
. -~. '~.•. ,t.,,, •• ,,
Invite your friends and family.
••
~ , , , ~ • I t
•
Get $5 off your next ride when you refer a friend to
try Uber. Share code: wesleyb1801ue
REPORT LOST ITEM) CONT ACT SUPPORT ) MY TRIPS)
3
Map <lata @2019
Charlottesville Department of _City Council __ _ Lost/ Missing Receipt Verification
I Original Receipt was:
X Lost • Not Received
I Purchase Amount:
$ _55.80 ___ _
I Date of Purchase:
06/26/2019 ---------
I Purchased From (Vendor):
_TST* &pizza - Shaw
I Detailed Description of Items(s) Purchased·:
_Travel expense- Wes Bellamy
I Signature:
For the purchase stated above, I certify that an original itemized receipt is not available and that lam not claiming reimbursement from any other source.
Date '