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;iTY OF BULLHEAD CITY - ACCOUNTS PAYABLE

FN

CHECK NO.

102603
53.23

1/04/2010 3000000751

INVOICE NO.

DESCRIPTION

NET AMOUNT

LUNCH-TOM MCGRAM &TOBY COTTER

CITY.

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

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R A CHECK REIMBURSEMENT FOR THOH MeGRAKM OH DECEMBER 22,


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PAGE 1 RP0200 DSCHUMACHE

REQUEST LISTING

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REQUEST BY

QUAHTITY

UNIT

COST/UNIT
53.2300

ITEM TOTAL
BBSBBSBBSs

HAKIK, JACK
CONFIRMING: HO

1/22/2010

1.0000

EA

53.23

REQUESTING EMPLOYEE: DSchumache

JAN 2 0 E
PROJECT/SUB PROJECT
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Total:

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Privacy Interest
0099

0100

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE INVOICE NO. DESCRIPTION

FN -

CHECK NO.

102961
19 .42

NET AMOUNT 57.95

2/17/2010 TR10328PT 2/12/2010 3000000834

POST TRAVEL,FLAGSTAFF,01/29/10

LUNCH REIMBURSEMENT 1/25 & 2/1

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0004

lhead City
10
48 MACIIE

CHECK - REIMBURSEMENT FOR

TOBY COTTER. CITY MANAGER FOR CONPIRKING: HO

ANUARY 2S. 2010;


CGRARAH. .95

THE BEE FOR $31.94 -

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FINANCIAL MANAGEMENT REQUEST LISTING
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PAGE 1 RP0200 DSCHUMACHE

REQUEST BY

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UNIT

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57.9500

ITEM TOTAL
57.95

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BAXIH. JACK

2/19/2010

1.0000

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REQUESTING EMPLOYEE: DSchumache

AND LUNCH

GENERAL LEDGER DISTRIBUTION GENERAL LEDGER ACCOUNT


101.15.1001.S80S

PROJECT/SUB PROJECT

FEB18ENTU
PERCENT AMOUNT .00

1.0000

57.95

FEB 19 PAID

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>4,999

5 Telephone Quotes
3 Written Quotes

$5,000 to 24,999 $25,000 or more

Sealed Bid & Council Approval

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MOHAVE STFAKHOfsF MOHAVE STEAKHO;SE 2430HWY95STE4

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MOHAVE STEAKHOUSE 2430HWY95STE4

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01/25/2010 M?rchant ID: Terrr..nal ID


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Isection 1

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SECTION 2-EXPENSES
M/C

Dale

Estimated Expenses

Claimed Actual Expenses

Common Carrier(air, bus, train)


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AMT DUE CITY AMT DUE EMPLOYEE

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0008

0009

0010

0011

0012

0013

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE


INVOICE NO. DESCRIPTION

FN -

check no

103261

3/08/2010 TR10580PT 2/23/2010 3000000867

POST TRAVEL,PHX,3/1/10-MAYOR/R
REIMBURSEMENT 2/5/10 LUNCH-MOJ

NET AMOUNT 32 .4! 52 .90-

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0014

llhead City
/10
s42

UHACHE
N
VENDOR

R CHECK REIMBURSEMENT FOR . 02/05/2010 LUNCH WITH


S. CHAIR, KOJAVE INDIAN TRIBE AND 02/22/2010 LUNCH WITH

FOR $24.20 - TOTAL' $S2.90


GENERAL LEDGER DISTRIBUTION GENERAL LEDGER ACCOUNT
101.1S.1001.S80S

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DSCHUMACHE

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UNIT

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isiBBtaaaaaa

ITEM TOTAL S2.90

HAKIM, JACK CONFIRMING: NO

3/OS/2C10

1.0000

EA

S2.9000

MAR - 8

REQUESTING EMPLOYEE: DSChunuche

PROJECT/SUB PROJECT

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52.90

MAR 12 PAID

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xxxxxxxxxxmmxxxxxi

X
BULLHEAD CITY. AZ 86442
928-763-8118

YOUR RECEIPT THANK YOU


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Terninal t FEB 85. 18


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CITY OF BULLHEAD CITY
TRAVEL AUTHORIZATION AND EXPENSE REPORT
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JULLHFAnniTN

|SECTION 1

Department/Division

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'ber
PersonalVehicle* - Round trip miles * mile
Date

minimum*perstatelaw. The traveler mustpersonally ugn Ms certification.


ISECTION2-EXPENSES Common Carrier (air, bus, Win)
Registration
M/C

Traveler's Signature.
Estimated Expenses
Claimed Actual Expenses

Lodging find tax)* nights

List hotelinfo inNOTES

Meals (how many?): Breakfast


Mileage or Oas Charges
Taxi/Parking
Car Rental

Lunch__ Dinner_J_

I.^.OQ

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MAR-8EHT0
TOTALS

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Acet No.

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MAR 12 PAID a^.H^i
Chk#

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I

| SECTION 3 - PREPAYMENTS/ADVANCES REQUESTED*


1.
2. 3.

S Amount

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Chk#

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APPROVALS BEFORE TRAVELING

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APPROVALS AFTER TRAVELING

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Date

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Date

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0017

ANITAS COCINA

ST H VALENTINE ST
UICKENSURC AZ 85398 32B-6B1-S777 .rch.nl ID: 8BB883763789
T.r. 10: 43S9T Strvr 10: 1 Rf : 8079

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Entry Nethorf: SiiPed

$
Tip:

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J

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Total:

83/81/18 18:45:89 Inv I: 888819 APPr Code: 84553C Apprvd: Online Batch8:
Custoatr Copy

0018

Check No.
DATE

109915
131.50 204.00 257.50

03/16/2011 03/16/2011 03/16/2011

INVOICE NO. DECEMBER 2010 NOVEMBER 2010 OCTOBER 2010

DESCRIPTION

NET AMOUNT

LOCAL TRAVEL LOCAL TRAVEL LOCAL TRAVEL

Total: $593.00

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

109915

Date 03/18/2011 PAY Five Hundred Ninety-Three and 00/100 Dollars

Amount $593.00

TO THE ORDER OF

JACK HAKIM 2355 Trane Road BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0101

0102

0103

0104

0105

0106

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE


INVOICE NO.
DESCRIPTION

FN -

check no.

1033 51
( 30.25 '
122.46^

NET AMOUNT

3/16/2010 TR10331PT 3/09/2010 3000000924

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

- I i '

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Privacy Interest
0019

ullhead city
9/10
4:13 HUMACHE ON

OR CHECK - REIMBURSEMENT FOR KAKIM, JACK TH THE MEXICAN COUNSEL GENERAL CONFIRMING: NO
AVARRO AKD HIS ASSISTANT LUIS
REGARDING CENSUS. TOTAL -

UESTSr-l

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era

0020

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FINANCIAL MANAGEMENT
PAGK
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REQUBST LI ST[NO

DSCHUMACHE

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UNIT

COST/UNIT
H

ITEM TOTAL

t>3Bflnmadt.B..aaait.....iaglni

bbiiii........

3/19/2C10

I.0000

EA

122.4600

122.46

REQUESTING EMPLOYEti: DSchunachc

GENERAL LEDGER DISTRIBUTION GENERAL LEDGER ACCOUNT


101.1S.1001.S80S

PROJECT/SUB PROJECT

PERCENT 1.0000

AMOUNT
.00

*9SS8IOBBS

<f*
MAR 1 8 EHTO

122.46

MAR 19

/0 33S

UTHORIZATI0N
Ho Quotes

3Ttelephone Quotes

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

lealedBWA CouacaAppoval

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MATPJNAiS 2350 S MIRACLE JMILE ROAD


SUITE 310

BULLHEAD CITY, AZ 86442 (928><444-1154

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02/26x2010 ^19:02:12 Sale:"

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0021

CITY OF BULLHEAD CITY


TR#

10331PT*

TRAVEL AUTHORIZATION AND EXPENSE REPORT

ISECTIONI

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RecucstDate &~ 3.-"Zl& 11>>


Destination \ 1. i <ni\l

Traveler ~"C> r V -iXm Y |*l .


__Departmect/DivMon in yi i . -1. // V i-t . .,i r , I ucnanmcni/mrmpii <V 1A . i-.. y i~, . , , ^Meeting DOther Sponsor J' , * , J. t. , / din,, mt. /"'//f >

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artureDates/Time t>//< (-" /C> 4a;


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<
Date

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Travel Mode (circle one):

CityVehicle

Air

' Personal Vehicle* ^Round trip miles

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mile -

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SECTION 2-EXPENSES
M/C

Estimated Expenses

Claimed Actual Expensei

Common Carrier(air, bus, train)

Registration

Lodging (tod tax)# nights


Mileageor Gas Charges^
Taxi/Parking
Car Rental

List hotel info in NOTES

Meals (how many?): Breakfast / Lunch

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} $
r

<'<"
<<

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NOTES

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AMT DUE CITY AMTDUE EMPLOYEE

y?to.a?sfl

Chk

MAR 19 PAID
/QZ3C7

MAR 1 6 EHTD
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$ Amount

Special Handling Irutractiom


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Chic* DateRee'd

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Mailing Address.

2.
3.

Payee Mailing Address.


Payee

Date Needed
Chk*

DateRee'd

Date Needed

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APPROVALS BEFORE TRAVELING

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.DateRee'd

APPROVALS AFTER TRAVELING

SO-S500

Division or Department Director approval

I certify this to be a corre&clainifor necessary apensts Incurred by me end

Over $500 City Manager approval in addition to above

receivedno otherpaymentsfor thistravel, tnatfnavef *

unless noted.

Traveler
DiWDpt .
Date_
r//> Date lA//. Date

Date.
Date.

Div/Dpt
Finance Dpt
Ci

Finance Put S*t.s **).*''


CttyMgr.

Date.

ViA.,

L^

Date

W&
0022

DEALER

UAYHE SYSTEMS

AUSTIN,' TX
ttVISA XXXXXXX5634

Auth. ft 01551C Inv. 3G571017


9732926 Date 03/10/10 18:16
GOLD STAR 2 LL UICKENBU AZ

Pump ft 6 Regular
Gallons Price/Gal ..$ Fuel Sale ..$ 10.088 2.999 30.25

THANK YOU FOR CHOOSING MOBIL

0023

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE

FN .

CHECK NO

103515
128.56

3/24/2010 3000000976 "

REIMBURSEMENT FOR LUNCH 2/17,3

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.CfTXOFBULLHEAtJpiTY :

... 'WELLS FARGO BANK, N.A. PHOENIX. AZ 85003

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FN 103515:,-V

. az 86442 ??v-v ^;:-': ;


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_ _ _ _ _

Privacy Interest
0024

llhead City
/10
:08 UMACilS

N
BoaB*ioiiBni i>^r^iiisvatiii3ii3<

R CHECK - REIMBURSEMENT FOR FEBRUARY 17. 20)0 LUNCH WITH LLIAMS, FORT HOJAVE INDIAN 5.26; MARCH 16. 2010 LUNCH BRADY $26.40; MARCH 18. WITH LAKE HAVASU CITY MAYOR L MEMBER FOR CRSSCO = $4.5.89
23, 2010 LUNCH WITH DEPUTY

N WILLIAMS FOR WEST RAC MEET


SCOTr. TOTAL $129.56
GENERAL

UESTS:

J
C4

0025

y
<r FIHASCIAL MAN A G
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VENDOR

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REQUEST BY

QUANTITY

UNIT KA

COST/UIIIT
128.5C00

ITEM TOTAL

HAKIM. JACK
CONFIRMING: HO

4/02/2010

1.0000

REOUESTING EMPLOYEE: DSchurachc

128.Se

APR -1 EM
.KIJCER DISTRIBUTION jEDGER ACCOUNT

GENERAL

PROJECT/SUB PROJECT

PERCENT

AMOUNT .00

101.15.1001.5805

1.000C

p^oaaaoaai

128.56

APR - 2 PAID

f
Di

/03S/5~

Al;.:iorization
N>~ Quotes

SI'

$2,SiSw4rS?9
S5.000to 24,999
$25,000 or more

3 TcL-phone Quotes
3 WriUea Quotes

Sealed Bid & Council Approval

&I849 PM*
rmxnr
Ju'cy's Far-ous River Cafe 2411 l.'est 3rcadsy
Needles. CA 92353
AN i . _ RESTAUI !A 3861 rtUV 95

8ULLHEAD CI TV. AZ 86442


928-763-8116
Termnal i: MAR 16. 18 99889691 1:41 PM

ph 760-326-Cafe(2233)
e :::ST B.OCOY MARY on the River! Special Bar and Henu SPECIALS!
TABLE: 28 - 2 Guests

Servr ID* 1

UISA
******c-

SALE BATCH is 138


AMOUNT TIP

R _ t - # s 04hUTH > 8557CC


$ 2 3 . *0

Your Server was Erikka C. 2/17/2010 12:37:35 PH Sequence #0000064


ID #0158707
TtM

TOTAL

L_SL

APPROUED

QTY PRICE 1 $8.49 1 $8.99

Angers Fish Sarctolch 23.ja Chicken Melt Diet Coke

(26$1.99) $3.98
$21.46 ($1.0G)
. A* - . * *

Subtotal discounts Breakfast Sce^al Discoun Total Tota': Taxes


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^tf. - fnNf*rk <LM O. cry cXcdC


r\3SuG
MOHAVE STEAKHOUSE

2430HWY95STE4
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BULLHEAD CITY, AZ 86442


03/18/2010
Merchant ID: Terminal ID: 226401632998
CREDIT CARD VISA SALE CARD* INVOICE Batch #: SERVER
12:58:32

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000000001204584

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01767173

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Check No.
DATE

110218
111.86 129.47

03/31/2011 03/31/2011

INVOICE NO. FEB-MAR JAN 11

DESCRIPTION

NET AMOUNT

BUSINESS LUNCH REIMBURSEMENT BUSINESS MEAL REIMBURSEMENT

Total: $241.33

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

110218

Date 04/08/2011 PAY Two Hundred Forty-One and 33/100 Dollars

Amount $241.33

TO THE ORDER OF

JACK HAKIM 2355 Trane Road BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0107

0108

0109

Check No.
DATE

110600
76.68 61.70

03/31/2011 03/31/2011

INVOICE NO. JAN - FEB 2011 MARCH 2011

DESCRIPTION

NET AMOUNT

BUSINESS MEAL REIMBURSEMENT BUSINESS MEAL REIMBURSEMENT

Total: $138.38

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

110600

Date 04/28/2011 PAY One Hundred Thirty-Eight and 38/100 Dollars

Amount $138.38

TO THE ORDER OF

JACK HAKIM 2355 Trane Road BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0110

0111

0112

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE


INVOICE NO.

FN

CHECK NO.

104083
44 . 04

DESCRIPTION

NET AMOUNT REGA 37.40

5/04/2010 TR10613PT 4/27/2010 3000001087

REIMBURSMENT FOR FUEL,KINGMAN,


REIMBURSEMENT LUNCH-RIVER

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WELLS FARGO BANK. N.A.-..PHOENIX, AZ 85003

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CHECKS

DATE.

m=' s>|S

AMOUNT--

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

10408-3

i3DXiLARS;AND FORTY FOUR-CENTS

^^-V---^><^3LLHEAD,,CITY " -' ---- :! *,'-, "- ;L_!_:; ;

.,.:AZ 86442
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Privacy Interest
0027

CITY OF BULLHEAD CITY


TRfl

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i06i3rr

TRAVEL AUTHORIZATION AND EXPENSE REPORT

ISECTtONl
Request Date

Please print legibly

Destination

rfrtNlArvnQO,> Ag.l?^>OPlr
~~ " O Seminar _~ "rence O Conference

Fn/W Apr-'iiAljAOlT,
DMeeting D Meeting

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Other. Itrip miles

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ISECTION 2 - EXPENSES

vehiclemustcany liability insurance coverage with traveler mustpersonallysign this certification. Traveler'*Signi
M/C

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Common Carrier(air, bus, train) Registration


Lodging And Hart t night* List hotel info to NOTES

Meals (how marry?): Breakfast

Lunch

Dinner

Mileage 0<&rChrRd--^
Taxj/Psridng
Car Rental

H4.^
rri-'..

Telephone

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TOTALS

Unencumbered Balance.

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NOTES

Hotel Name:

Less Prepayments/Advances

l3

LessCity CreditCard Charges


AMT DUE CITY
AMT

rtDUEEMPLOTEE ^ H4*Q^
Special Handling Instructions
Date Needed.
Cbkf
Date Needed DateRcc'd

Chk# /OWf^
MAY - 7 PAID,
J

|SECTION 3- PREPAYMENTS/ADVANCES REQUESTED*


1. Payee

$ Amount

Mailing Address. 2. Payee Mailing Address.


Pavee

Chk#
Date Needed

DateRec'd

MailingAddress.
APPROVALS BEFORE TRAVELINO

Chk#

.DateRcc'd

$0-$500 Divisionor Department Director approval Over$500 City Manager approval in additionto above

Drv/Dpt

Finance Dpt
CttyMgr

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: FUEL SALE

$ 2.689 $ 44.04

THANK VOU

ip^^L fe^oOa&__
C_

0029

llhead City
/10
:58
UMACHE N

R CHECK REIMBURSEMENT FOR EO CATAIPAMO, KIM COOL AMI) M WHEN THEY TRAVEL TO KINGMAN COKE ABOUT BEING A SPONSOR 10 RIVER RKGATTA. TOTAL

ESTS:
37.40

0030

fflfk
FINANCIAL .MANAGEMENT
REQUEST LISTING

J*^r- >7Z>
I'AGE
RP0200

DSCHUMACHE

VENDOR
HAKIM, JACK CONFIRMING: NO

REQUEST BY

QUANTTTY

UNIT

COST/UNIT

ITEM TOTAL
37.40

5/07/2O1O 1.0000 REQUESTING EMPLOYEE: DSchumache

EA

37.4000

GENERAL LEDGER DISTRIBUTION


GENERAL LEDGER ACCOUNT
101.15.100L.SaOS
1.0000
.00

PROJECT/SUB PROJECT

PERCENT

AMOUNT

MAY-7 PAID

MAY-5EHT0

ir>?

ATHTlGiilZATIQiS

Tth

De

Si

$2,50~0~w -* -?V9
S5,000to2-:.^9
523,000 or more

3 iu;c-:..jna Qtrotes
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Sealedbid A CouncilApproval

SO^Ik'd VAVH3I0Z
U * Ji: i i; ~ n i i -, -. ' *> t ' : i ',

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 to

take survey. Access Code expires 7 days from today.


For Sweepstakes rules visit
www.CrackerBarrei.com

****************

Cracker Barrel Store #416 Kingman, A2


1195449 Belinda N

TBL 131/1

3522
1:58PM

GST 3

APR26'10

1 LEMONADE 1 RASPBERRY TEA 1 FOUNT DRINK 1 LOW COUNTRY BOIL 1 CO CKN CUMPLINS 1 BLT SALAD
1000 ISLAND

1.89 1.99 1.89 8.99 7.39 7.89

Subtotal

30.04

Tip 5.00 StateSLocal Tax 2.36 Total 37.40 Charged Tip $ 5.00
REF:011272264159 AUTHC0DE:04517C XXXXXXXXXXXX5634

VISA 37.40 1239242 CLOSED APR26 2:43PMThank You Please Come Back
www.CrackerBarrel.con

0031

ilTY OF BULLHEAD CITY - ACCOUNTS PAYABLE


INVOICE NO.

FN -

CHECK NO

104190 23 .56
49.35

DESCRIPTION

NET AMOUNT

5/07/2010 3000001111

5/03/2010 3000001112

RE1MB LUNCH KINGMAN MAYOR & CM REIMB LUNCH CM & CITY ATTORNEY

i '. '

'--- !ACCOUNfS-,t>AYA"Bl:E\v
';"?.!235?TfiANE-f)D'r.C:; . '',,.'.
SEVENTY

CIJY, OF; BULLHEAD CITY

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

9I-S27

\22\~

.FN104190
CHECK

<X-pUilnteDfbni>.$.Z |<fO<M-8920:..':.
TWO

5/14/2U1U.'
AND NINETY ONE CENTS

DATE

AMOUNT

i04iyu

DOLLARS

ORDER OF

'.:.:> JACK-. HAKIM ,


BULLHEAD CITY
AZ

,' ,

Privacy Interest
0032

lhead city
10
OS
MACHE

CHECK - REIMBURSEMENT FOR

LUNCH WITH THE MAYOR, TOBY GARNBTT EMERY. THE NEW CITY
TOTAL FOR LUNCH - S4 9.3S.

ESTS i

0033

Jtf~. f0"?rJ>9tfi
I N; A.N C T A L MANAGEMENT
PAGE 1

REQUEST LISTING

RP0200 DSCHUMACHE

2BI9HAK 10 AH 8: U
VENDOR
HAKIM, JACK CONFIRMING: NO

REQUEST 8Y

QUANTITY

UNIT

COST/UNIT
49.3500

ITEM TOTAL
49.35

5/H/2010 1.0000 REQUESTING EMPLOYEE: DSChUIMChe

EA

GENERAL LEDGER DISTRIBUTION GENERAL LEDGER ACCOUNT


101.IS.1001.5805

PROJECT/SUB PROJECT

PERCENT

AMOUNT
.00

1.0000

asaHtBBiisaa.

49.JS

MAY 14 BTD
MAY 14 PAID

OEIZATION
Department Approva!
Slto2,49W H-:Occrt-.

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$29,000 w ataie

$2,500 tr> ^ 9?-7

3 W. ;iJoq Quotes

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MunAVtSifAJfcOUSE

2430HWt-ftSlE4

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13:27:32
000000001204584 0176717>
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VISA SALE

ARD # .WOICE Patch #: .ERVER

X.O00OXXXXXX5634 0010 000226 0024

-pproval Code: rntry Method: approved:

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PRE-TTP AMT

$39.35

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TOTALAMOUNT
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CUSTOMER COPY
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10
23

MACHE N
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THE MAYOR AND CITT MANAGER IN
LLOWING A WORKSHOP WITH TIIE THE HOUSE. TOTAL $23.55

ESTS:

0035
FINANCIAL MANAGEMENT
REQUEST LISTING
PAGE 1 RP0200 DSCHUMACHE

REQUEST BY

QUANTITY

UNIT BA

CCST/UNIT
23.5600

ITEM TOTAL
BSO**BBBBS9

HAKIM, JACK
CONFIRMING: NO

5/14/2010 1.0000 REQUESTING EMPLOYEE: DSchuraaehe

2.1. SS

GENERAL LEDGER DISTRIBUTION


GENERAL LEDGBR ACCOUNT PROJECT/SUB PROJECT
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.00

101.15.1001.S005

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CHLIC03 RCS'DUKRMI

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KlHDItBN AZ 8M01 928-7S3-508S

Merchant IPt 000801939078

T,r. IDs 0B566138


Server ID: 6

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Sale

imimuH5(34

VISA fliount:

Entry Method: SniPed $ 28-56

lip;

2-

Total:

0#

65/67/19 12:44:33 hv I: 999933 Ar Code: 6454SC fipprvd: Online Batchfl: 996196


Customer Copy

MAYi4PA/0

MAY14 0TO

0036

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE

FN -

check no

104 258

5/18/2010 5/18/2010 5/18/2010 5/18/2010

APRIL 2010 FEBRUARY 2010 JANUARY 2010 MARCH 2010

INVOICE NO.

DESCRIPTION

LOCAL LOCAL LOCAL LOCAL

TRAVEL TRAVEL TRAVEL TRAVEL

REIMBURSEMENT REIMBURSEMENT REIMBURSEMENT REIMBURSEMENT

04/ 02/ 01/ 03/

NET AMOUNT 122.00 241.50

156.50
225.00

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ffjV"<Mse uSyfehg>p A^s^PA QP"^^'
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t'Msz

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y.fr* s.f m

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W?~'c>

Ajfe>./fr

lotJgsSL. Total Amount of Page


Total Amount ofAll Pages

Employee's Signature

$ /Xrk<0>
J&L .>>

0043

Dept/Div. Manager's Signature

Finance Department Signature

Check No.
DATE

111035
111.78

05/05/2011

INVOICE NO. APRIL 2011

DESCRIPTION

NET AMOUNT

BUSINESS MEALS 4/11

Total: $111.78

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

111035

Date 05/27/2011 PAY One Hundred Eleven and 78/100 Dollars

Amount $111.78

TO THE ORDER OF

JACK HAKIM 2355 Trane Road BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0113

0114

Privacy Interest

0044

0045

0046

Privacy Interest

0047

0048

0049

Check No.
DATE

111320
153.51 252.45 158.61 321.81

05/31/2011 05/31/2011 05/31/2011 05/31/2011

INVOICE NO. APRIL 2011 2 FEBRUARY 2011 JANUARY 2011 MARCH 2011 2

DESCRIPTION

NET AMOUNT

LOCAL MILEAGE REIMBURSEMENT LOCAL MILEAGE REIMBURSEMENT LOCAL TRAVEL REIMBURSEMENT LOCAL MILEAGE REIMBURSEMENT

Total: $886.38

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

111320

Date 06/10/2011 PAY Eight Hundred Eighty-Six and 38/100 Dollars

Amount $886.38

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0115

0116

0117

0118

0119

0120

0121

0122

0123

Privacy Interest

0050

0051

0052

Check No.
DATE

111487
154.12 69.82

05/26/2011 06/16/2011

INVOICE NO. APR/MAY 2011 NOV 2010

DESCRIPTION

NET AMOUNT

BUSINESS MEAL REIMBURSEMENT BUSINESS MEAL REIMBURSEMENT

Total: $223.94

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

111487

Date 06/24/2011 PAY Two Hundred Twenty-Three and 94/100 Dollars

Amount $223.94

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0124

0125

0126

Privacy Interest

0053

0054

0055

0056

0057

Check No.
DATE

111898
47.39 56.82 39.56 24.01 35.45 191.25 216.24

06/03/2011 06/08/2011 06/13/2011 06/27/2011 06/28/2011 06/30/2011 06/30/2011

INVOICE NO. 060311 060811 061311 06272011 06282011 JUNE 2011 MAY 2011

DESCRIPTION

NET AMOUNT

BUSINESS MEALS BUSINESS MEALS BUSINESS MEALS LUNCH REIMBURSEMENT LUNCH REIMBURSEMENT LOCAL TRAVEL REIMBURSEMENT LOCAL TRAVEL REIMBURSEMENT

Total: $610.72

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

111898

Date 07/22/2011 PAY Six Hundred Ten and 72/100 Dollars

Amount $610.72

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0127

Samurai Japanese Steakhouse


2019 HWY 95

Bullhead City, AZ
928-704-3777

86442

Date:
Card Type:

Jun03'11 01:45PH
Visa

Acct #: XXXXXXXXXXXX3597 Card Entry: SWIPED Trans Type: PURCHASE

Trans Key:
Auth Code: Check:

EIE004385204724
05507C 1240

Table:
Server:

PB1/1
10 Joan L

Subtotal: Tip:
Total:

4 1.39

I agree to pay above total according to ray card Issuer


agreement.

Customer

0128

Samurai Japanese Steakhouse


2019 HWY 95

Bullhead City, AZ
928-704-3777

86442
12:38PH

Date:

Jun08'11

Card Type:
Acct #:

Visa
XXXXXXXXXXXX3597

Card Entry: SWIPED Trans Type: PURCHASE Trans Key: AIA005261981715


Auth Code: Check: 04534C 1487

Table:
Server:
Subtotal:

PB1/1
5 Cindy J
56.82

tip:

-___*rrr_

Total:

_4er^L^

I agree to pay above total according to my card Issuer


agreement.
Customer

0129

RECEIVED FINANCE BULLHEAD CITY AZ

2CIIJUN2I PH 1=59

HREHOUSE COFRE COMPA 2350 MIRACLE MILE # 306

BUUKEADCITY,AZ 86442

06/13/20U
Mediant ID: Teimral 10:
313266606885

13:20:30
MOOMWlWtei 02903062
CREDIT CARD

VISA SALE CARO# INVOICE Batditf:


SERVER

XXMOOOOUOOOQW/ 0029 000234


0001

Approval Code:
&*/Mvi:
Mode:

02S05C
Swjped
Oniric

PRE-TIPAMT
TIP

CUSTOMER COPY

0130

RECEIVED FINANCE BULLHEAD CITY AZ

2011 JUL 12 PH 3:59

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

Store 2448

5250 Highway '"'


Hull Iwad City. A? u

tiiitiN"

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11 f

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0131

<wLnu&Tuc .
&u>*a*- &Z&LSC'? *l**"* ii okiOLC MEXICAN RESTAUR
r

z:

cm

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X?

1595 MOHAVE DR

BULLHEAD CTTY, AZ 86442


/Mil
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12:07;000000001376!-.;
02064-'en to r^m

.5933994
CREDIT CARD

VISA SALE
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i$

$31.4',

fr
<2V^~
CUSTOMER <TPY

I "ALAMOUNT

0132

0133

0134

0135

0136

Check No.
DATE

111995
50.19

07/07/2011

INVOICE NO. 07072011

DESCRIPTION

NET AMOUNT

LUNCH REIMBURSEMENT

Total: $50.19

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

111995

Date 07/29/2011 PAY Fifty and 19/100 Dollars

Amount $50.19

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0137

( * Pirate Cove ^- 100 Park Moabi Way


760-326-9000

Server: Catharine 02:11 PM

DOB: 07/07/2011 07/07/2011

Table 22/1
SALE

2/20021

Visa
Card UXXXXXXXXXXXX3597

2097181
r\

Magnetic card present: HAKIM JACK Card Entry Method: S


Approval: 01505C
Amount: + Tip: _

$ 45.19

yff

Total: wgVf
I agree to pay the above total amount according to the^j
agreement.

0138

Privacy Interest

0058

0059

0060

0061

0062

0063

0064

Check No.
DATE

112226
16.00

08/08/2011

INVOICE NO. TR071811PT

DESCRIPTION

NET AMOUNT

MEALS, WICKENBURG, 7/18/11

Total: $16.00

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

112226

Date 08/11/2011 PAY Sixteen and 00/100 Dollars

Amount $16.00

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0157

Dave He^ akd

-fetal *lfe/S

0158

CITY OF BULLHEAD CITY - ACCOUNTS PAYABLE

FN

CHFCK NO

10584 8
19. 00

8/11/2010 TR10616PT

INVOICE NO.

DESCRIPTION

NET AMOUNT

POST TRAVEL MEAL,PRESCOTT,08/0


REIMBURSEMENT-LUNCH WITH KARLA

7/28/2010 3100000116

23.14

It's

'

* - f a- %j

1...... i : $4X.-fcA=-.= ';-;..-.:-';:-.:'.-..,--

gjr f~ amounts"") .';

; '

checkT~]

Tui.H4;,

jP^f!??? If?9jEMP?DOLLARS AND FOURTEEN" CENTS"


,THE
ORDER

,. ; . $ -:>; --$..- -'. A . ." :.. ;'

' ' <:< -" -'' RMS

V, - *'-'' V

* JACK. riAKIM
-:.-^

.-AZ 86442->:>*> '


r- -,-' -,"' -'.-';l-.-..:

'-

Privacy Interest
0065

llhead city
/10
:14

UMACHE N
"f

R A CHECK - REIMBURSBMEMT FOR


KARLA BRADY TO DISCUSS CITY
TOTAL = $23.14

ESTS:

> >

to

0066

oh
P I K A N C I A L MANAGEMENT REQUEST LISTINS

ft? i-61**
.
PAGE
RP0200 DSCHUMACHE

<

2318 AUG-2 PH3:

VENDOR
JBBBBBSmillBBaBi DBS

REQUEST BY

QUANTITY

UNIT

COST/UNIT

ITEM TOTAL
23.14

HAKIM, JACK
CONFIRMING: HO

8/09/2010

1.0000

EA

23.1400

REQUESTING EMPLOYEE: DSch.uir.ache

GENERAL LEDGER DISTRIBUTION GENERAL LEDGER ACCOUNT


101.IS.1001.5805

PROJECT/SUB PROJECT

PERCENT 1.0CG0

AMOUNT

.00

23.14

AUG 13 PAI

losses
AUG 1 0 ENTD

HORIZATION
Ho Quotes

3Tclspbone Quotes

$,000 ot mote

8eaxB

riBEnJUSE COFrEE C00E3 2358 S. nlRAClf till EH38 BULLHEAD CITY. A7 86442 TIl>: 020E:i!9

22/16

12:56

SALE
.259467992 IVCft s: 1
:CH: 14

;a .XXXXXXXX5&34
PR CODE: 0SST3C Var Qt)0C29

. .

HOUHI:
.'IP: 3.i: -t rntsr o

(OIAU

Oj/lfOKt>OaJi^

0067

'>*wvtj,:,'^'!v-^ -,:'c.|. >;'>'<"'.<Xf.;

'.'; .; *.. -'.i',*.' '.V:

CITY OF BULLHEAD CITY


TR*

10616 pr

TRAVEL AUTHORIZATION AND EXPENSE REPORT

y\&

|SECTION 1

Pleaseprintlegibly

iteqastpate nrw^oy July ?Je^ flOtr>


Destination PKcAr/>TT, A?c(-Z.OOfl,

-Traveler

\5acK l4A*tm

DccartoaU/Divi.ion fT1flv<ftr OfO^ ffti J fibril \

DTraining OSeminar DConference ^Meeting DOther Sponsor |2A f\ Mp-gT 11 TC Todc/Pumase A7_ rVlUA -C^vil (C^^yr g.,^^,AVl,-fer- PV9>r>/^

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

Personal Vehicle* Round trip miles.


^Travelersusingat. . Ivehiclemustcany liabilityinsurance coveragewith mtnbmanspcr state law. "rtravelermustpersonallysign thiscertification. Traveler'sSignature,
SECTION 2 EXPENSES
M/C

Date

Eitimaled Expenses

Claimed Actual Expenses

Common Carrier(air, bus, tram)


Registration

Lodgingfind tax)# nights


Mileage or Gas'Charges
Taxi/Patking
Car Rental

List hotel info in NOTES

Meals (bow many?): Breakfast_l_ LunchJL. Dtaner__

I3.PP

ja.

oo

Telephone

Other (specify)
TOTALS

Unencumbered Balance.

Stt-oo
Less Prepayments/Advances

Sl^.OD

Less City Credit CardCharges.


AMTDUEOTY

AMT DUE EMPLOYEE

t^l

oe>

AUG 11 BffTJ
ISECTION 3-PREEagYMENTS/ADVANCES REQUESTED*
1. Payee.
{Amount

AUG 13 PAID

Special HandlingInstructions
Date Needed.
Chlefl
Date Needed Chktf Date Needed DateRcc'd

Mailing Address.
Payee
Mailing Address. 3. Payee

DateReo'd

Mailing Address.
APPROVALS BEFORE TRAVELING

Chk

DateRcc'd

APPROVALS AFTER TRA'

S0-S500

Division or Department Director approval

. expenses incurred by me and


its travel, unless noted

Over$500 City Manager approval Inadditionto above

Date 9-&-JD
DiWDpt_
Finance Dot .6

Date

Date,
Date

$>^

Date

&$*//*

CitvMey J I y

^7.7/)-/a

CitvMgr /jg^ t^3^a

Date V/V^

0068

Privacy Interest

0069

0070

0071

Check No.
DATE

112635
28.40

08/04/2011

INVOICE NO. 080411

DESCRIPTION

NET AMOUNT

BUSINESS LUNCH REIMBURSEMENT

Total: $28.40

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

112635

Date 09/09/2011 PAY Twenty-Eight and 40/100 Dollars

Amount $28.40

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0139

0140

Privacy Interest

0072

0073

0074

0075

Privacy Interest

0076

0077

Privacy Interest

0078

0079

0080

Check No.
DATE

112868
55.95

09/14/2011

INVOICE NO. 092011

DESCRIPTION

NET AMOUNT

BUSINESS MEAL REIMBURSEMENT

Total: $55.95

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

112868

Date 09/23/2011 PAY Fifty-Five and 95/100 Dollars

Amount $55.95

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0141

0142

Privacy Interest

0081

0082

0083

Check No.
DATE

113057
37.42

09/28/2011

INVOICE NO. 091611

DESCRIPTION

NET AMOUNT

BUSINESS MEAL REIMBURSEMENT

Total: $37.42

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

113057

Date 10/07/2011 PAY Thirty-Seven and 42/100 Dollars

Amount $37.42

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0143

0144

Check No.
DATE

113129
110.96

09/30/2011

INVOICE NO. 081111

DESCRIPTION

NET AMOUNT

3 BUSINESS MEAL REIMBURSEMENTS

Total: $110.96

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 W ells Fargo Bank - Accounts Payable

91-527 1221

Check No:

113129

Date 10/14/2011 PAY One Hundred Ten and 96/100 Dollars

Amount $110.96

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0145

0146

Privacy Interest

0084

0085

0086

Privacy Interest

0087

0088

0089

Check No.
DATE

113459
89.43

10/20/2011

INVOICE NO. 9/30-10/14/11

DESCRIPTION

NET AMOUNT

BUSINESS MEAL REIMBURSEMENT

Total: $89.43

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 Accts Payable

91-527 1221

Check No:

113459

Date 11/04/2011 PAY Eighty-Nine and 43/100 Dollars

Amount $89.43

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0147

0148

Privacy Interest

0090

0091

0092

0093

0094

0095

Privacy Interest

0096

0097

0098

Check No.
DATE

113832
144.93 234.82 199.30

11/23/2011 11/23/2011 11/23/2011

INVOICE NO. AUGUST 2011 JULY 2011 SEPTEMBER 2011

DESCRIPTION

NET AMOUNT

LOCAL TRAVEL REIMBURSEMENT LOCAL TRAVEL REIMBURSEMENT 07/11 LOCAL TRAVEL REIMBURSEMENT

Total: $579.05

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 Accts Payable

91-527 1221

Check No:

113832

Date 12/02/2011 PAY Five Hundred Seventy-Nine and 5/100 Dollars

Amount $579.05

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0149

0150

0151

0152

0153

0154

Check No.
DATE

114082
56.46

11/21/2011

INVOICE NO. 112111

DESCRIPTION

NET AMOUNT

BUSINESS MEAL REIMBURSEMENT

Total: $56.46

City of Bullhead City


PO Box 22350 Bullhead City, AZ 86439 Accts Payable

91-527 1221

Check No:

114082

Date 12/16/2011 PAY Fifty-Six and 46/100 Dollars

Amount $56.46

TO THE ORDER OF

JACK HAKIM 2355 TRANE ROAD BULLHEAD CITY, AZ 86442

Privacy Interest

Privacy Interest 0155

0156

Privacy Interest

0159

0160

Privacy Interest

0147

0161

0162

nmifo coeinn

57 H VALEK11NE St UICKENBURG AZ 85390


928-864-5777

fUrch.nt 10: 886893763783

i. ID: 88443837
10: 1

: 013

S.iv.r

Sale
munnni2$19

nASTEKMO Entry liethod: SiiPed


fliount:
Tip:
S3&233SS2S3

Total:

aii3Bi>

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

DEALER

UAYNE SYSTEMS
AUSTIN. TX

Sale

(MasterCard X2570
Auth. 019753 Inv. 8 E5U2186
9732926

Date 07/19/11 13:28


GOLD STAR 2 LL
WICKEN8U AZ

Punp 8 2 Regular

Gallons 11.715 Price/Gal ..$ 3.569 Fuel Sale ..$ 11.92


THANK YOU FOR CHOOSING MOBIL

0163

Privacy Interest

0164

0165

Privacy Interest

0166

0167

Privacy Interest

0168

0169

0170

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