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Report Number ER000214709098
Confirmation
Expense report number ER000214709098 for 5,292.04 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 Johnson, Derek (50678)Submission Date 01/08/2024
Expense Dates 12/04/2023 - 12/25/2023 Report Status Paid
Reimbursable Total 5,292.04 USD Purpose December Expense Report
Expense Items
Expense Type Expense
Template
Date Expense
Class
Source Description Receipt
Missing
Receipt Required Reimbursable
Amount (USD)
Meals SLO_Expense
s 12/25/2023 Business Card 359.85
Meals SLO_Expense
s 12/21/2023 Business Card 45.89
Meals SLO_Expense
s 12/20/2023 Business Card 161.79
Meals SLO_Expense
s 12/19/2023 Business Card 16.89
Meals SLO_Expense
s 12/20/2023 Business Card 18.45
Meals SLO_Expense
s 12/19/2023 Business Card 21.04
Meals SLO_Expense
s 12/18/2023 Business Card 32.20
Meals SLO_Expense
s 12/14/2023 Business Card 93.70
Misc Materials and
Supplies
SLO_Expense
s 12/13/2023 Business Card 4,500.00
Meals SLO_Expense
s 12/08/2023 Business Card 32.55
Airfare SLO_Expense
s 12/05/2023 Business Card -45.00
Meals SLO_Expense
s 12/04/2023 Business Card 54.68
Amount Due to Card Issuer (Card-XXXXXXXXXXXX3529)5,292.04 USD
Amount Due to You 0.00 USD
December Receipts.pdf
December Credit Card Statement