Professional Documents
Culture Documents
FN
CHECK NO.
102603
53.23
1/04/2010 3000000751
INVOICE NO.
DESCRIPTION
NET AMOUNT
CITY.
91-527
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PAGE 1 RP0200 DSCHUMACHE
REQUEST LISTING
VENDOR
REQUEST BY
QUAHTITY
UNIT
COST/UNIT
53.2300
ITEM TOTAL
BBSBBSBBSs
HAKIK, JACK
CONFIRMING: HO
1/22/2010
1.0000
EA
53.23
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PROJECT/SUB PROJECT
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AMOUNT
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* 26.43
APPROVED
0003
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0099
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CHECK NO.
102961
19 .42
POST TRAVEL,FLAGSTAFF,01/29/10
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0004
lhead City
10
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FINANCIAL MANAGEMENT REQUEST LISTING
VENDOR
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PAGE 1 RP0200 DSCHUMACHE
REQUEST BY
QUANTITY
UNIT
COST/UNIT
57.9500
ITEM TOTAL
57.95
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BAXIH. JACK
2/19/2010
1.0000
EA
AND LUNCH
PROJECT/SUB PROJECT
FEB18ENTU
PERCENT AMOUNT .00
1.0000
57.95
FEB 19 PAID
AUTHORIZATION
N: (Quotes
>4,999
5 Telephone Quotes
3 Written Quotes
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MOHAVE STEAKHOUSE 2430HWY95STE4
02/10/2010
Merchant ID:
13:19:11
000000001204584
Terminal ID:
226401632998
CREDIT CARD
01767173
VISA SALE
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SECTION 2-EXPENSES
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Estimated Expenses
Lodging (incitax)0 nights List hotelinfo in NOTES Meals (howmany?): Breakfast 1 Lunch I DinnerJ
Miteage or Gas Charges
f-A.*x=>
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NOTES
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FEB
| SECTION 3 - PREPAYMENTS/ADVANCES REQUESTED*
1. Pavee
inS
3E
Chk#
S Amount
Mailing Address.
2. Pavee
DateRee'd
Mailing Address.
3. Pavee
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APPROVALS BEFORE TRAVELING
ChkS
.DateRee'd.
S0-$S00 Division or DepartmentDirector approval OverSSOO City Manager approval in additionto above
Div/Dpt.
Dste
Date' /.fa'fo
Date / >//:T
0007
Privacy Interest
0008
0009
0010
0011
0012
0013
FN -
check no
103261
POST TRAVEL,PHX,3/1/10-MAYOR/R
REIMBURSEMENT 2/5/10 LUNCH-MOJ
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0014
llhead City
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UNIT
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isiBBtaaaaaa
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1.0000
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52.90
MAR 12 PAID
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BULLHEAD CITY. AZ 86442
928-763-8118
86098081 2182 PM
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J00 JOD ^INKS ..RINKS
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. *********5634
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ITAL
APPROUED
<te9-lJ.S*'
TOTAL
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HAVE A NICE DAY PLEASE COME AGAIN
T-A&UL^jtS*-. d2a^Aoc^aiJL^
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CITY OF BULLHEAD CITY
TRAVEL AUTHORIZATION AND EXPENSE REPORT
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JULLHFAnniTN
|SECTION 1
Department/Division
tt\A-4fif*
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Estimated Expenses
Claimed Actual Expenses
Lunch__ Dinner_J_
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MAR-8EHT0
TOTALS
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Acet No.
Unencumbered Balance.
$i5.ce>
Less Prepayments/Advances
%32>A>
MAR 12 PAID a^.H^i
Chk#
/C3-U>l
I
S Amount
Payee
MailingAddress.
Payee Mailing Address. Payee
DateRec'd
Date Needed
Chk#
DatcRec'd
Date Needed
Oik*
MailingAddress.
APPROVALS BEFORE TRAVELING
DateRec'd
SO-SSO0
Div/Dot
Date
^c.rff
Date 'it///'
Date
I IS
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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
Sale
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VISA
$
Tip:
27.J8,
J
SaCIIII8l38S8C33
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
DESCRIPTION
NET AMOUNT
Total: $593.00
91-527 1221
Check No:
109915
Amount $593.00
TO THE ORDER OF
Privacy Interest
0102
0103
0104
0105
0106
FN -
check no.
1033 51
( 30.25 '
122.46^
NET AMOUNT
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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
Q_
JS
era
0020
&*'*
FINANCIAL MANAGEMENT
PAGK
RP0200
REQUBST LI ST[NO
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UNIT
COST/UNIT
H
ITEM TOTAL
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bbiiii........
3/19/2C10
I.0000
EA
122.4600
122.46
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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Auth.Code: 00513C Retspon. APPROUED 00513C
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0021
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CityVehicle
Air
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mile -
*Travelers usinga personal vehiclemust carry liability insurance coverage vrlth miniimansper state law. The travelermustpersonallysign thiscertification. Traveler*! Signature
SECTION 2-EXPENSES
M/C
Estimated Expenses
Registration
Dinner /
} $
r
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3S:
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Telephone
Outer (specify)
NOTES
Hotel Name:
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LessCity CreditCardCharges.
AMT DUE CITY AMTDUE EMPLOYEE
y?to.a?sfl
Chk
MAR 19 PAID
/QZ3C7
MAR 1 6 EHTD
|SECTION 3-PREPAYMENTS/ADVANCES REQUESTED*
-*
1. Pavee
$ Amount
T-
Mailing Address.
2.
3.
Date Needed
Chk*
DateRee'd
Date Needed
MailingAddress.
APPROVALS BEFORE TRAVELING
Cnk#_
.DateRee'd
SO-S500
unless noted.
Traveler
DiWDpt .
Date_
r//> Date lA//. Date
Date.
Date.
Div/Dpt
Finance Dpt
Ci
Date.
ViA.,
L^
Date
W&
0022
DEALER
UAYHE SYSTEMS
AUSTIN,' TX
ttVISA XXXXXXX5634
Pump ft 6 Regular
Gallons Price/Gal ..$ Fuel Sale ..$ 10.088 2.999 30.25
0023
FN .
CHECK NO
103515
128.56
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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
UESTS:
J
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0025
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AH 7:2?
REQUEST BY
QUANTITY
UNIT KA
COST/UIIIT
128.5C00
ITEM TOTAL
HAKIM. JACK
CONFIRMING: HO
4/02/2010
1.0000
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
&I849 PM*
rmxnr
Ju'cy's Far-ous River Cafe 2411 l.'est 3rcadsy
Needles. CA 92353
AN i . _ RESTAUI !A 3861 rtUV 95
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-
TOTAL
L_SL
APPROUED
(26$1.99) $3.98
$21.46 ($1.0G)
. A* - . * *
2430HWY95STE4
5' .:.
-f.
000000001204584
chsse
01767173
. hakim/jack
VISA
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0026
Check No.
DATE
110218
111.86 129.47
03/31/2011 03/31/2011
DESCRIPTION
NET AMOUNT
Total: $241.33
91-527 1221
Check No:
110218
Amount $241.33
TO THE ORDER OF
Privacy Interest
0108
0109
Check No.
DATE
110600
76.68 61.70
03/31/2011 03/31/2011
DESCRIPTION
NET AMOUNT
Total: $138.38
91-527 1221
Check No:
110600
Amount $138.38
TO THE ORDER OF
Privacy Interest
0111
0112
FN
CHECK NO.
104083
44 . 04
DESCRIPTION
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10408-3
.,.:AZ 86442
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Privacy Interest
0027
&
i06i3rr
ISECTtONl
Request Date
Destination
rfrtNlArvnQO,> Ag.l?^>OPlr
~~ " O Seminar _~ "rence O Conference
Fn/W Apr-'iiAljAOlT,
DMeeting D Meeting
Traveler
I Other D
sfcCK TT^Rim
attaining
Jthfi.lSimdLL^b^^iaS^SilSLs^
Return Dates/Time
*Trarclcr3zatnga atMntwttsper
ISECTION 2 - EXPENSES
vehiclemustcany liability insurance coverage with traveler mustpersonallysign this certification. Traveler'*Signi
M/C
"rtimirtfff
Lunch
Dinner
Mileage 0<&rChrRd--^
Taxj/Psridng
Car Rental
H4.^
rri-'..
Telephone
Other (specify)
TOTALS
Unencumbered Balance.
%*Wo\
CO *
NOTES
Hotel Name:
Less Prepayments/Advances
l3
rtDUEEMPLOTEE ^ H4*Q^
Special Handling Instructions
Date Needed.
Cbkf
Date Needed DateRcc'd
Chk# /OWf^
MAY - 7 PAID,
J
$ Amount
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
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
$ 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
EA
37.4000
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
3 Vc.-s.tij Ouoiti
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 ******
* *
*
****************
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
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
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
9I-S27
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.FN104190
CHECK
<X-pUilnteDfbni>.$.Z |<fO<M-8920:..':.
TWO
5/14/2U1U.'
AND NINETY ONE CENTS
DATE
AMOUNT
i04iyu
DOLLARS
ORDER OF
,' ,
Privacy Interest
0032
lhead city
10
OS
MACHE
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
EA
PROJECT/SUB PROJECT
PERCENT
AMOUNT
.00
1.0000
asaHtBBiisaa.
49.JS
MAY 14 BTD
MAY 14 PAID
OEIZATION
Department Approva!
Slto2,49W H-:Occrt-.
S5.000 tc \ i '.-)
$29,000 w ataie
3 W. ;iJoq Quotes
i ^.'.'.p'.jr.cQuotes
MunAVtSifAJfcOUSE
2430HWt-ftSlE4
BULlhEAD{flV, ^'SS44J
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erchar! if? !ermuul is'.. 264016329;.
13:27:32
000000001204584 0176717>
ckiorrcARD
VISA SALE
PRE-TTP AMT
$39.35
tT~
TOTALAMOUNT
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CUSTOMER COPY
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MAY 14 PAID
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MAY 14 BirD
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lhead City
10
23
MACHE N
VENDOR
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
2.1. SS
AMOUNT
.00
101.15.1001.S005
MAY 1 4 P
MAU4ENTD
Sti-HOStiZATION
P-3
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S25.000 or more
s --
CHLIC03 RCS'DUKRMI
418 U BEAL
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VISA fliount:
lip;
2-
Total:
0#
MAYi4PA/0
MAY14 0TO
0036
FN -
check no
104 258
INVOICE NO.
DESCRIPTION
156.50
225.00
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Privacy Interest
0037
6?^
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Page
Claimed
Mileage
Total Mileage
Starting Time
Ending Time
Puipose of Travel
Mileage Rale
Reinib
a-/-/o
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DATE
111035
111.78
05/05/2011
DESCRIPTION
NET AMOUNT
Total: $111.78
91-527 1221
Check No:
111035
Amount $111.78
TO THE ORDER OF
Privacy Interest
0114
Privacy Interest
0044
0045
0046
Privacy Interest
0047
0048
0049
Check No.
DATE
111320
153.51 252.45 158.61 321.81
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
91-527 1221
Check No:
111320
Amount $886.38
TO THE ORDER OF
Privacy Interest
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
DESCRIPTION
NET AMOUNT
Total: $223.94
91-527 1221
Check No:
111487
Amount $223.94
TO THE ORDER OF
Privacy Interest
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
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
91-527 1221
Check No:
111898
Amount $610.72
TO THE ORDER OF
Privacy Interest
Bullhead City, AZ
928-704-3777
86442
Date:
Card Type:
Jun03'11 01:45PH
Visa
Trans Key:
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05507C 1240
Table:
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PB1/1
10 Joan L
Subtotal: Tip:
Total:
4 1.39
Customer
0128
Bullhead City, AZ
928-704-3777
86442
12:38PH
Date:
Jun08'11
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0129
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BUUKEADCITY,AZ 86442
06/13/20U
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0133
0134
0135
0136
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DATE
111995
50.19
07/07/2011
DESCRIPTION
NET AMOUNT
LUNCH REIMBURSEMENT
Total: $50.19
91-527 1221
Check No:
111995
Amount $50.19
TO THE ORDER OF
Privacy Interest
Table 22/1
SALE
2/20021
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0138
Privacy Interest
0058
0059
0060
0061
0062
0063
0064
Check No.
DATE
112226
16.00
08/08/2011
DESCRIPTION
NET AMOUNT
Total: $16.00
91-527 1221
Check No:
112226
Amount $16.00
TO THE ORDER OF
Privacy Interest
-fetal *lfe/S
0158
FN
CHFCK NO
10584 8
19. 00
8/11/2010 TR10616PT
INVOICE NO.
DESCRIPTION
NET AMOUNT
7/28/2010 3100000116
23.14
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0065
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8/09/2010
1.0000
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0068
Privacy Interest
0069
0070
0071
Check No.
DATE
112635
28.40
08/04/2011
DESCRIPTION
NET AMOUNT
Total: $28.40
91-527 1221
Check No:
112635
Amount $28.40
TO THE ORDER OF
Privacy Interest
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
DESCRIPTION
NET AMOUNT
Total: $55.95
91-527 1221
Check No:
112868
Amount $55.95
TO THE ORDER OF
Privacy Interest
0142
Privacy Interest
0081
0082
0083
Check No.
DATE
113057
37.42
09/28/2011
DESCRIPTION
NET AMOUNT
Total: $37.42
91-527 1221
Check No:
113057
Amount $37.42
TO THE ORDER OF
Privacy Interest
0144
Check No.
DATE
113129
110.96
09/30/2011
DESCRIPTION
NET AMOUNT
Total: $110.96
91-527 1221
Check No:
113129
Amount $110.96
TO THE ORDER OF
Privacy Interest
0146
Privacy Interest
0084
0085
0086
Privacy Interest
0087
0088
0089
Check No.
DATE
113459
89.43
10/20/2011
DESCRIPTION
NET AMOUNT
Total: $89.43
91-527 1221
Check No:
113459
Amount $89.43
TO THE ORDER OF
Privacy Interest
0148
Privacy Interest
0090
0091
0092
0093
0094
0095
Privacy Interest
0096
0097
0098
Check No.
DATE
113832
144.93 234.82 199.30
DESCRIPTION
NET AMOUNT
LOCAL TRAVEL REIMBURSEMENT LOCAL TRAVEL REIMBURSEMENT 07/11 LOCAL TRAVEL REIMBURSEMENT
Total: $579.05
91-527 1221
Check No:
113832
Amount $579.05
TO THE ORDER OF
Privacy Interest
0150
0151
0152
0153
0154
Check No.
DATE
114082
56.46
11/21/2011
DESCRIPTION
NET AMOUNT
Total: $56.46
91-527 1221
Check No:
114082
Amount $56.46
TO THE ORDER OF
Privacy Interest
0156
Privacy Interest
0159
0160
Privacy Interest
0147
0161
0162
nmifo coeinn
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AUSTIN. TX
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9732926
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0163
Privacy Interest
0164
0165
Privacy Interest
0166
0167
Privacy Interest
0168
0169
0170