TULSA COUNTY GOVERNMENT ADMINISTRATION BUILDING Page 1 of 1
500 SOUTH DENVER - TULSA, OKLAHOMA 74103
SE 
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REQUISITION NO. VENDOR NO. DATE FISCAL YEAR P.0. NO.
BLANKET PD. 112719 23514 111142013 2014 1410193
BILL TO: DELIVERY POINT:
TULSA COUNTY SHERIFF DLM CRIMINAL JUSTICE CENTER
500 DENVER 300 DENVER
TULSA. OK 74103 TULSA. OK 74103
I ISSUED T0: QR
SIMONSON TERRY 
BUDGET ARD EMF) I hereby approve the lemma and encumbrance of this purchase order.
500 DENVER AVE 
TULSA OK 74103 1014/2013 . LRD
Date Purchasing Agent 
I hereby! certify that the amOUnt of this encumbrance hes peen entered designated
and that the encumb?ce Is Within the authonzed available balance of

1013:2013 CHRISTINA MORRISON 101412013 git CEA

Date Requisitioning Of?cer Initials Date Coun ClerIdDe'u Initials

 

account to a maximum of $257

11/13i2013
Date

 

 
 

  

1.0

 

 

$50001

I approve the processing of this :3me request and the encumbering on the designated

RICHARD WEIGEL
Of? 'aliRequesting Of?cer

    

 



9131

PER DIEM PITTSBURGH

 

 

is.
?E?g?iig 

 

   

  

BLANKET PD. APPROVAL BY GOVERNING BOARD
This blanket Purchase Order is approved for issuance and encumbrance against the designated
appropriation account.

.1 ?g

I . 

$251500

  

$257.50

 

257.50

Member

  
 

Date

 

   

 

 

 

 

 

DUE
DEC 02 2013

23105000 - 505204

 

 

  

 
 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

 

 

 

 

 

    

 

 

Th'Prtha 00 10' attehdd tat? l1
angact?ura er am an acumen Ion av Hams? $257.50 $67.90
3 oqkkeepars when 5 ectede?cial's Initials 
{dng 9 Adjustments Only) (Ac?ustmam?s Only)
Date eelivered by: IDat lRecei by:
I I020 I: C) 45:?
Payment Record Ramada: 7 
l' . . ?n 
WarrantNO.  .3 
Sifts-I INVOICE NOJOOMMENTS
grime-lasinin tibia: I haveffull knlowledge at this purchase and that the merehan andlor services 
(CLOCK-IN STAMP) een setls acton received. The purchase are ted for lderatson
02 5005012 
Date
,v   I APPROVAL BY GOVERNING BOARD i
 i 5 This claim is approved in the emOunt indicated shave.
. I 

 

 

 

 

COPY 1 - ORIGINAL

 

 

 

. [0139619 @5965. Wt

TULSA COUNTY TRAVEL AND EXPENSE ITEMIZATION

This form shall be attached to a preperty completed purchase order for payment. - -
nsportation. lodging, registration. parking. and certain other travel costs. (Receipts are not required for meal per diem or mileage.) .

 

1.

2. An itemized expense receipt is required to be attached before reimbursement can be made for tra

3. Meals incidental expenses will be reimbursed only at the applicable perdiern rate issued by the General Services Administration. ?rst and last dag of are llm?eg [g 75% gf the meat Qer diem rate. See ERDIEM.

4. This claim shall not exceed 31 calendar days and mustbe ?led before the end of the following month. - 

5. For additional information. review Travel and Mileage Reimbursemem Procedure TOP 010.

mm  await,  .  ?353533 mar.   - 1 AW

TRAVEL TRAVEL PERSONAL MILE (AMOUNT) RATE EXPENSE DUE FROM
STATUS STATUS VEHICLE NOTE ABOVE) COUNTY

 

ViT?T?bitr?hfy/A?w/b/IE {77.673 5 $09 5157,90

Wattle

 

fillet Chamber 
trimmer/r2,

WitEXPENSES ARE BEING CLAIM MEIE PER elm??r?gft?h?e?gy?Q 349.00; 2 days $36.75 05-. 0:542:00).

edavfp?gwie C7670 romeo
2m 

the space below to provide any additional explanation required tor expenses dalmad. such as dot'oils other expenses" listed. etc.)

- . 50 Wt Writ  
hMer/?? by loo/75%? Maria-:3: A650 quwgeg/ [?wjr 

SES ARE TRUE AND CORRECT AND I HAVE NOT BEEN 
AND THE NHNIMUM REQUIRED BY THE STATE OF 

~13?
ATE

 

 

 

   
  

CLAIMANT: YOUR NAME IN THE BLANK BELOW. AND SIGN CLAIMANTS
AT RIGHT BEFORE SUBMITTING THIS FORM TO SUPERWSOR FOR 

?(Wear Sir/momma

 

 

 

 

 

  

 

NAME SIGNATURE 
BY IHEREBY FY THIS WAS OFFICIAL comm BUSINESS APPROVED av me SUPERVISOR TRAVEL BEING UNDERTAIQEN.

.. m. 
.qu QAT SUPERVISOWIGNATURE DATE

 

 



Amer BAGGAGE CHARGE RECEIPT AmericanAirlines?

PASSENGER NAME
SIMONSONITERRY A

Checked Bag Fee 1 25.eta; uith Applicable TFC 25.00 080.
1t Card v1 

DATE 8 CHARGES
OCTOBER 13, 2013

Agent: TUL-SSH 001 0289344079 3

ESL-4 CPN 1109928 .. 

BY 
DATE Ugh/all?)

I.

 

ESL-I UPN 1193525

Amer icanAi rlinesAmericanAirlines?

PASSENGER NAME


A

Checked Bag Fee 1 25.00 usootg? Hath Applicable TFC 25.00 
r0 ard v1 

DATE a CHARGES
OCTOBER 15, 2013

Agent: PIT-SSH 001 0289434767 6

I run! a non- .uv?nan

RECEIVED BY 9495?"
DATE 

 

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