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Expense Report
Report Number ER000239124051
ConfirmationExpense report number ER000239124051 for 210.00 USD was submitted for approval.
IMAGED_RCPT_BASED_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 Hermann, Gregory "Greg" (45935)Submission Date 11/01/2024
Expense Dates 11/01/2024 - 11/01/2024 Report Status Paid
Reimbursable Total 210.00 USD Purpose Hermann, Greg Per Diem Reimbursement
Expense Items
Expense Type Expense
Template
Date Expense
Class
Source Description Receipt
Missing
Receipt Required Reimbursable
Amount (USD)
Misc Other Charges SLO_Expenses 11/01/2024 Business Personal Funds Per Diem reimbursement 210.00
Amount Due to You 210.00 USD
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9/21 9/22 9/23 9/24 9/25
Registration 810.00 810.00
A ir Fare 621.70 621.70
Lodging 907.44 907.44
Breakfast 15.00 15.00 15.00 15.00 15.00 75.00
Lunch 15.00 15.00 15.00 45.00
Dinner 30.00 30.00 30.00 90.00
Gasoline
T ransportation & Parking
Uber 9/21 A M 28.38 28.38
Uber 9/21 PM 55.43 55.43
Uber 9/25 A M 61.37 61.37
Uber 9/25 PM 22.83 22.83
TOTAL $2,717.15
$0.545 per mile
$2,717.15
210.00
$210.00
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 amounts 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)
TRAVEL EXPENSE SUMMARY
By signing this expense report, the employee certifies Total Travel Expenses
Docusign Envelope ID: F197A891-12C5-4775-81E4-946F81C51319
Employee DateDateDepartment Head
Docusign Envelope ID: F197A891-12C5-4775-81E4-946F81C51319
10/31/2024 | 10:15 AM PDT 11/1/2024 | 7:10 AM PDT