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ER000204568410
Page 1 of 3 Expense Report Report Number ER000204568410 Confirmation Expense report number ER000204568410 for 27.15 USD was submitted for approval. IMAGED_RCPT_BASED_AUDIT Submission Instructions 1. To send required receipts to Accounts Payable, print this page and attach all required receipts. 2. Make a photocopy of this page and the receipts for your records. 3. Place this page and the receipts in an interoffice envelope, and send to Accounts Payable. The expense report approver will be notified and requested to approve this expense report. Upon approval, a notification will be sent to you and Accounts Payable. This expense report will be paid after it has been approved, and Accounts Payable has verified the receipts. Person Scott, Richard "Rick" (98896)Submission Date 09/05/2023 Expense Dates 08/04/2023 - 08/08/2023 Report Status Paid Reimbursable Total 27.15 USD Purpose Rick Scott Aug 2023 CC Expense Items Expense Type Expense Template Date Expense Class Source Description Receipt Missing Receipt Required Reimbursable Amount (USD) Misc Materials and Supplies SLO_Expense s 08/08/2023 Business Card 8.68 Misc Materials and Supplies SLO_Expense s 08/04/2023 Business Card 34.76 Misc Materials and Supplies SLO_Expense s 08/05/2023 Business Card -16.29 Page 2 of 3 Amount Due to Card Issuer (Card-XXXXXXXXXXXX9219)27.15 USD Amount Due to You 0.00 USD Page 3 of 3 8/30/23, 4:28 PM Amazon.com - Order 113-0195463-8681828 https://www.amazon.com/gp/css/summary/print.html?orderID=113-0195463-8681828&ref=ppx_yo2ov_dt_b_invoice 1/1 Item(s) Subtotal: $7.98 Shipping & Handling: $0.00 ----- Total before tax: $7.98 Estimated tax to be collected: $0.70 ----- Grand Total:$8.68 Final Details for Order #113-0195463-8681828 Print this page for your records. Order Placed: August 7, 2023 Amazon.com order number: 113-0195463-8681828 Order Total: $8.68 Shipped on August 8, 2023 Items Ordered Price 1 of: Defender Security U 9950 (Keyed Different) Drawer and Cabinet Lock Secure Important Files and Drawers, 1-3/8 , Diecast Stainless Steel, Fits on 1 Max Panel Thickness (1 Kit) Sold by: Amazon.com Services LLC Supplied by: Other Condition: New $7.98 Shipping Address: Rick Scott 1042 WALNUT ST SAN LUIS OBISPO, CA 93401-2729 United States Shipping Speed: FREE Prime Delivery Payment information Payment Method: Visa | Last digits: Billing address Rick Scott 1042 WALNUT ST SAN LUIS OBISPO, CA 93401-2729 United States Credit Card transactions Visa ending in August 8, 2023:$8.68 To view the status of your order, return to Order Summary. Conditions of Use | Privacy Notice © 1996-2023, Amazon.com, Inc. or its affiliates SLOPD PURCHASE REQUISITION FORM REQUESTED BY:Rick Scott DATE:8-Aug-23 VENDOR NAME:Amazon INVOICE TO BE SENT TO PD: PHONE:PURCHASE MADE WITH CREDIT CARD*:YES NAME ON CREDIT CARD: *attach receipt Do not complete this section FISCAL OFFICER:M Ellsworth ADDITIONAL APPROVAL: DATE:31-Aug-23 Add'l approval required if purchase is a non-budgeted item or over $500 ACCOUNT:8001-62509 QTY DESCRIPTION UNIT PRICE TOTAL $0.00 1 key for vault 7.98 $7.98 $0.00 $0.00 $0.00 $0.00 $0.00 Subtotal $7.98 TAX $0.70 Tip Service Fee Delivery TOTAL $8.68 REASON FOR PURCHASE: 1106 Walnut building SLOPD PURCHASE REQUISITION FORM REQUESTED BY:Rick Scott DATE:5-Aug-23 VENDOR NAME:Miners Ace Hardware INVOICE TO BE SENT TO PD: PHONE:PURCHASE MADE WITH CREDIT CARD*:YES NAME ON CREDIT CARD: *attach receipt Do not complete this section FISCAL OFFICER:M Ellsworth ADDITIONAL APPROVAL: DATE:31-Aug-23 Add'l approval required if purchase is a non-budgeted item or over $500 ACCOUNT:8001-62509 QTY DESCRIPTION UNIT PRICE TOTAL $0.00 $0.00 1 lock, hitch pin, cleaner 6.99 $6.99 1 hitch pin 14.98 $14.98 1 stainless steel cleaner 9.99 $9.99 $0.00 $0.00 $0.00 $0.00 Subtotal $31.96 TAX $2.80 Tip Service Fee Delivery TOTAL $34.76 REASON FOR PURCHASE: 1106 Walnut building - for vault