4801 West 50th Street
Edina, MN 55424
952-927-8861 Fax: 952-826-0390
City of Edina EXPENSE REPORT
Phone/Extension: Supervisor: Purpose of trip: e,...491.5— rr,,n/L 4- Celli
Title:
DATE:
,62,e— • Please attach all receipts.
Department:
•
Date Description Account .,•. Mflre-age-s Register Meals Hotel
I 694( Xer-Rerrt Phone Misc. TOTAL ?-30 5/1N-4n& 40*.S. 1 2-9/4
£o. 3 3.140
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5.., ac:)._
2-G, 4,3 Z.- 0 - I/142-
...._ 24 . V/... K.e..t" 5.ei-itr- 01., z:cs.
.Y-144.petzt,Sfyill .6,1_ --11- 6,551- 637 s___— -v-1-
45-67,z-6 __I _
...._
-
1,04-, P i., sextteL LjZO c
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, TOTAL
9
Employee Name: AI
°
$0.575 per mile 2015 mileage rate
it 51. 5-5 please rerwiluers
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Employee Signature:
Loul ay Ki tchen 84 Bell-
600 Union Street Seattle, WA 98101
206-402-4588 e.com :58AM
XXXXXXXXXXXX41111 SWIPED PURCHASE 452855 1755 11/1 1041 James C
ma. Date: Card Type: Acct #: Card Entry: Trans Type: Auth Code: Check: Table: Server:
Subtotal:
Total:
* * * Custollier Copy * * *
TRANSACTION RECORD
Dragonfish 722 PINE STREET
SEATTLE, WA 98101
CARD TYPE:VISA Nu. **********A1111EXPI.: ENTRY :SWIPED Customer : SCOTT NEAL AUTHORIZATION: 964186
. STORE #:001 TERMINAL :2 REFERENCE:185975
$13.15
THANK YOU SEPTEMBER 28,2015 13:18:26
Server's name : PETER
CU OMER COPY UAL:
PURCHASE
TIP
TOTAL
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