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Expense Report
Report Number ER000207176958
ConfirmationExpense report number ER000207176958 for 90.00 USD was submitted for approval.
RECEIPT_LESS_AUDIT
Submission Instructions1.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 10/03/2023
Expense Dates 09/08/2023 - 09/09/2023 Report Status Paid
Reimbursable Total 90.00 USD Purpose Reimburse PDiem - Travel for Ares Funeral 9/8-9/9
2023
Expense Items
Expense Type Expense
Template
Date Expense
Class
Source Description Receipt
Missing
Receipt Required Reimbursable
Amount (USD)
Per Diem SLO_Expenses 09/08/2023 Business Personal Funds 90.00
Amount Due to You 90.00 USD
Page 2 of 2
Employee
Rick Scott
Destination No. of Days Amount
L os Angeles 2
PURPOSE -
Description Payment Method Amount
Registration
Air Fare
L odging Credit card 396.20
Meals per diem 90.00
Mileage - Personal Vehicle
City Vehicle credit card 56.54
Rental Car
Training Materials
Parking
TOTAL 542.74
Departure Date/Time Date/Time
Buelton 6/8/23 6/8/23 1pm
L os Angeles 6/9/23 6/9/23 8pm
Employee Date Date
Hopkins for Scott 10/3/2023
Department Head Date Date
San L uis Obispo
Corque Hotel/Courtyard Marriot
Supervisor
Arrival
APPROVALS
ITINERARY
$60 + $30 (TD) = $90
Required for special assignment.
TRAVEL AUTHORIZATION
This form should be typed or completed in legible handwriting or in Excel using the City's standard template
City Manager (If Required)
Arco
L os Angeles
COST SUMMARY
Vendor
Please select one of the following:
A. Required for certifications for specific positions
B. Necessary for public health, safety or other high priority service needs
C. Focused on process improvement, efficiency and/or cost savings
D. Associated with staff involved in leadership positions in professional organizations and associations
8001-62007
Account No.
Department Position
Police Chief
DocuSign Envelope ID: 8617C54B-4AE7-4C64-BA7C-EC0505FAAF41
10/3/2023 | 1:08 PM PDT
Use the reverse side of this form for reporting actual expenses within 10 working days after your return.
DocuSign Envelope ID: 8617C54B-4AE7-4C64-BA7C-EC0505FAAF41
Registration
Air Fare
Lodging
Breakfast
Lunch
Dinner
Gasoline
Transportation & Parking
TOTAL
$0.560 per mile
Employee Date
TRAVEL EXPENSE REPORT
This form should be completed in legible handwriting or in Excel using the City's standard template
TRAVEL EXPENSE DETAIL
Description
Date
TOTAL
MILEAGE DETAIL - PERSONAL VEHICLE
Departure/Destination
Odometer Readings
Trip MilesStarting Mileage Ending Mileage
that the am ounts listed were incurred in conformance Voucher/Credit Card Purchases
Standard mileage tables provided in the City's travel Total Miles - Personal Vehicle
guidelines may be used in lieu of odometer readings Reimbursement @
with the City's travel guidelines and that no part is Cash Expenses Paid By Employee
claimed for reimbursement of a personal nature.Cash Advances to Employee
Amount Due Employee (City)
Date Department Head
TRAVEL EXPENSE SUMMARY
By signing this expense report, the employee certifies Total Travel Expenses
DocuSign Envelope ID: 8617C54B-4AE7-4C64-BA7C-EC0505FAAF41