SHERIFF. FAU.KNER BU LDING 303 ITERST TULSA OK "Hf-33 1315'. SOATY SHERIFF- SI 5 DENVER OK 74103 ISSUED TO: BATES ROBERT 5MP 500 DENVER 63:? /l heraby my; me issuance and encumbrance of this purchase War. LRD TULSA OK 74103-3832 0723/2009 Date Padlasing Agent ?7m? 1 harahy certify that the amount (1 the has been med 3031051012: assignar?t _apoonmandm I CHRISTINA BELDA 072912009 TRC Date 7 Requisitionan Of?cer i?s Ba Initial's; the processing of \hiagurchasa roquasGUVERMHG BOARD W?im??mumd?mz -50 ?nu-I. Date 072% BRIAN EDWARDS 7 Data Gf?ciaii?eques?ng Of?cer us Hal-Der 4 QTY. NUHBER . m? TD APPROVAL 5; WT 75000190001 - -o EA PER 016M REIMBURSEMENT Ra'sg?10003600 - 505940 51.12050 2009 . i 1 1 3:31:33- Can and be aW?haw'gmm fokonfonnity I i Total $1,126.Bookkeepers in tais YEledad 0313075 initiais ?g i Orer (Adjusfmanfs Only) :31 Ciarkfmepuw Udiva-?ed bf. r3523: Received by: Remarks, INVOICE NOJCOMMENTS I hereby 1-0: new 9-4! Wedge 0! 2m: purchase and that the merchandise anew ma?a-a I described haw: tee:- This purchase under is a- raforit mazemiad f0: cm??arahm 1m A r_ :7 cipayrnti. - Data I I 'ai?li?epuw APPROVAL BY GOVERMNG BOAR5 This dam is apamvsd in the amounl mdicated sbcva, COPY 1 - W14 3?44"; TULSA COUNTY TRAVEL AND EXPENSE ITEMIZATION 1 mm ulmll Im allm In .r prupurly purchase order for payment. An ulpml'm Ir'rx?Ipt r5 lo be attached before reimbursement can be made for transmutation. lodging. registration. parking. and certain other travel casts. (Receipts are not required for meaI pardiem or mileage} n. madam.? w?l reimburan only at the applicabIe per diam rate: issued by the General Services Administatiun. First ad has :1 tr val ara Iim' :1 to 75% of the ma! diam . Sea 41 r-l.mn ahull nut exceed 31 calendar days. and must be ?Ied before the and 0,319 month. Mlleaga Reimhm?menwmcedure?i?CP01oREASON FOR TRAVEL ENDIZTREED amcmmou nesrmmon 3 $121: ?$2533: ?ff??fr ?135" Amg?lzr TRAVEL TRAVEL SPERSONAL MELE (AMOUNT) EXPENSE 7 EXPENSE DUE FROM STATUS STATUS VEHICLE Mmam (LIST) COUNTY I I. 835?? .. 9%3314 - u: umTXiircrc-ENW EXPENSES ARE BEING CLAIMED, 395cm M32115 PER DIEM RATEIS): rs- (Bragging). 1/ ?dm?s?ifi?w (mi magma rag/am Audra H060 IIrn space below to pr?mride any addifx'onal expiana?on required for expenses claimed, sum arr. Irriri?crr?arkmus other expunws' listed. etc.) I HEREBY CERTIFY THAT: 1. TO THE BEST OF MY KN-Q ABOVE ARE TRUE AND I HAVE NOT BEEN REIMBURSEDN M, 2 7 Dan/52's unease mum REQUIRED {3va STATE or: mom. 1 ?Maj a 5?2- - 6? 71.025} c? SIGNATURE aim x? NAME I HEREBYE BUSINESS APPROVED BYTI-E SUPERVISOR DATE ersoa's mammni?? LAIMANT: YOUR NAME IN THE BLANK BELOW. AND SIGN CLNMANTS CERTIFICATION AT BEFORE SUBMITTING THIS FORM TO FOR SIGNATURE Form r201 (Rm. 606) SUPE Admm. GUEST FOUO 7. NOTE LS 251 Roan 0:98 73 06/22/00 11:00 041 7914 006 mm 000 0* 20cr# aaoup HSA 96/10/00 1%;25 ?Mm? 06/1 06/1 06/1 06/1 06/1 06/1 06/2 06/2 06/2 06/2 06/2 06/2 06/2 .4 a! THANK 251, 1 99.00 STATE TX 251, 1 11.94 LOCAL TX 251, 1 9.95 ROOM 251. 1 199.00 STATE TX 251, 1 11.94 LOCAL TX 251, 1 9.95 ROOM 251, 1 199.00 STATE TX 251, 1 11.94 LOCAL TX 251. 1 9.95 ROOH 251, 1 199.00 STATE TX 251. 1 11.94 LOCAL TX 251, 1 9.95 VS CARO 883.56 SETTLED TO: VISA CURRENT BALANCE .00 YOU FOR CHOOSIRG TO EXPEDITE YOUR CHECK-OUT, PLEASE CALL EXTENSION 6558 OR PRESS ON YOUR TV REMOTE CONTROL TO ACCESS VIDEO CHECK-OUT. AS REQUESTED, A FINAL COPY OF YOUR BILL WILL BE EMAILED TO: CKNAUFOTCS0.0RG SEE PRIVACY ON HARRIOTT.COH Thl'sst?ment ls your only receipt You have agreed in pay in cash or by approved personal check 01 to aulhorize us to charge your credil card for all amounts charged to you, The amount Shawn 1n the :rgo?its cotumn opposite any credlt card enhy in the reference {011nm above will be charged :0 We credit card numb-er set foch 336?: rT-e crui cud company wlli hill in the u5ual manner If for any reason the credil card campany does 110! make payment on 11115 account, you will owe us such area}: F312. 82 direct billed, In ?31! eveni paymerzl is not made 25 days 0111:; checkout, you wlil owe us inlercst {he Checkom dale on any unpaid amoun?. a: 02:: per RATE or the maximum allowed by law. plus the reascmable cost 0f collection, lncluding a?orney lees Err-rat w, .. 2, - I (mean: 203?.- nrrc! 1.11:5? Tn mar-urn may: (TAU an in Marri?H r-s-w COUNTY GGVERNMENT ADMINISTRATIGN BUILDING Page?I 0f *5 509 SOUTH DENVER - TULSA, OKLAHOMA 74133 EMERGENCY P.O. REQUISITION ND. . VENDOR No. DATE FISCAL 90. No. BLANKET 9.0. 13307 7 24440 2010 1015030 BILL TO: DELIVERY POINT: TULSA COUNTY SHERIFF SHERIFF FAULKNER BUILDING 500 DENVER 303 FIRST TULSA. OK 74103 TULSA, OK 74103 ISSUED BATES. ROBERT I hereby approve the Issuance and encumbrance DI purchase order 5-03 8 DENVER OK 0211312010 LRD Date rchasihg Agent Ihaeby certify Ihal the mom? of {hisnncumbra?ce has been ?nIered agamst aha d?zgnal?d accounts and that Efztumurance is within Iha Embonzed available hafanca 0f sald approp?aIiDn. 7 CE ?3221?2' BELDA 02/18f2010 7? a? LAW 32:23 Requisi?cni?g 010-000 Dale uni}: CIerkJDepu-ty Initials I mm; 3 h: 2:00.230 request and on 010 00060020100 BLANKET BY GOVERNING BOARB 5?5? 53 This 0100.190: Pm'chasa Ordgr Is for issuance and encumbrance agahs: the designalea appropnaucn account. Date 02: 3.2013 Tm ALBIN 7 Date Of?ciaIfRequasiing 00000 Member Member aw. QTY. PART NUMBER 7 - 10 BE 7 APPROVAL omens); as. 3.01). 000000000: ?'55 ENCUMBERED ADJUSWENT AMOUNT ,2 75000190229 1 z: I EA PER DIEM: NSA CONFERENCE. 0.0. $1,514,500 $1,514.50 7,329?? my LPG Gas-0001 I mvsu'am I I I . -.10003000 . 505940 $1,514.50 ar 74;? @57672010 I: T..er re .r are: os-xrnemanon have 00 000020 I01 Cantu-?fty y. a ?51'4'50 q; Bookkee. 060 Initiais Eiectad G?icfai?s; I . . . If Oniy) @I?zistments Gniy} 3 as 1 COUni?y Clwk?epuw Mime? Recmw 1:95er 59:9": Remarks: :ww: . w. I INVOICE 7 mo ?5 Imteby 0000,! that I hava knowledge DI IhIs purchase 5013100! aha marmandiw an?z'ar 500400 i 00000000 ham been satisfactomy recewed. TnIs purchasg ?fti?f I Ihersiara Dresme for comma-anon :CLx