HomeMy WebLinkAboutER000244002734Page 1 of 3
Expense Report
Report Number ER000244002734
Confirmation
Expense report number ER000244002734 for 799.48 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 01/06/2025
Expense Dates 12/04/2024 - 12/30/2024 Report Status Paid
Reimbursable Total 799.48 USD Purpose Rick Scott Dec 2024 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 12/30/2024 Business Card 190.31
Education and Training SLO_Expense
s 12/18/2024 Business Card
Lunch for SB ops
discussion 96.89
Employee Recognition SLO_Expense
s 12/16/2024 Business Card
SF Trip for Luca/Columbia
Association 130.95
Employee Recognition SLO_Expense
s 12/16/2024 Business Card
SF Trip for Luca/Columbia
Association 10.46
Page 2 of 3
Employee Recognition SLO_Expense
s 12/16/2024 Business Card
SF Trip for Luca/Columbia
Association 8.73
Education and Training SLO_Expense
s 12/06/2024 Business Card
Cal Chiefs Board meeting
trip 6.62
Education and Training SLO_Expense
s 12/06/2024 Business Card
Cal Chiefs Board meeting
trip 257.61
Education and Training SLO_Expenses 12/05/2024 Business Card
Cal Chiefs Board meeting trip 22.79
Education and Training SLO_Expense
s 12/06/2024 Business Card
Cal Chiefs Board meeting
trip 28.19
Employee Recognition SLO_Expense
s 12/04/2024 Business Card
Academy Graduation
lunch 46.93
Amount Due to Card Issuer (Card-XXXXXXXXXXXX9219)799.48 USD
Amount Due to You 0.00 USD
Page 3 of 3
Invoice
TeslaInc.
3500 Deer Creek Road
94304Palo Alto CA, US
Tax ID: CA 91-2197729
www.tesla.com
Tesla is issuing this tax invoice on behalf of
Landlord/Business
600 Anton Boulevard Associates
Tax ID 33-03800149
Invoice Number 3000W0000841185
Invoice date 2024/12/05
Reference Number eb762cdd-7474-44d4-a0b9-70d2830184ac
Customer Number 1022588248
Sold To
SLOPD
1042 Walnut St.
93401 San Luis Obispo CA, US
rscott@slocity.org
ChargingLocation
Plaza Tower
Anton Blvd 602
92626 Costa Mesa CA, US
S/N: P1734412-02-D:SB7S23321J15746 / 10 kW AC
2024/12/05 Energy fee 0.40 / kWh
70.4880
kWh 0.00 28.19
Subtotal 28.19
Total Tax 0.00
Total Amount (USD) 28.19
EVgo Transaction Receipt
https://receipts.evgo.com/136697db-4686-401a-a090-598d34cdbd67[12/5/2024 3:51:37 PM]
Session Details
Start time
12/5/2024, 10:45 AM
End time
12/5/2024, 11:09 AM
Session duration
0 hr 23 min 55 sec
Energy delivered
28.6890 kWh
Cost Summary
Charging fee
$19.80($0.69/kWh)
Session fee
$2.99
Thank youfor charging with us!
Calabasas Rondell Smart Park
26300 Rondell St., Calabasas, CA
100 kW DC
Total
$22.79
12/5/2024, 10:45 AM - 11:09 AM
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EVgo Transaction Receipt
https://receipts.evgo.com/136697db-4686-401a-a090-598d34cdbd67[12/5/2024 3:51:37 PM]
Total amount
$22.79
Transaction Details
Card info
Phone number
Settlement
approved
Transaction ID
37850505
Charger serial number
J 90210400002P0
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EVgo Transaction Receipt
https://receipts.evgo.com/136697db-4686-401a-a090-598d34cdbd67[12/5/2024 3:51:37 PM]
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Invoice
TeslaInc.
3500 Deer Creek Road
94304 Palo Alto CA, US
Tax ID: CA 91-2197729
www.tesla.com
Teslais issuing this tax invoice on behalf of
Landlord/Business
600 Anton Boulevard Associates
Tax ID 33-03800149
Invoice Number 3000W0000842172
Invoice date 2024/12/06
Reference Number 52c9b47e-e364-4124-8a61-50680305844e
Customer Number 1022588248
SoldTo
SLOPD
1042 Walnut St.
93401San Luis Obispo CA, US
rscott@slocity.org
ChargingLocation
PlazaTower
Anton Blvd 602
92626 CostaMesaCA, US
S/N: P1734412-02-D:SB7S23321J15746 / 10 kW AC
2024/12/06 Energy fee 0.40 / kWh 16.5580 kWh 0.00 6.62
Subtotal 6.62
Total Tax 0.00
Total Amount (USD) 6.62
The Westin South Coast Plaza
686 Anton Blvd
Costa Mesa, CA 92626
United States
Tel: 714-540-2500 Fax: 714-662-6695
Rick Scott Page Number : 1 Invoice Nbr : 1000434329
Guest Number : 1713420
Folio ID : A
Arrive Date :
Depart Date :
No. Of Guest :
Room Number :
Marriott Bonvoy Number :
12-05-2024 12:46
12-06-2024 11:00
1
621
0686
Information Invoice
Tax ID :
Westin South C SNAWI DEC-06-2024 03:20 9999
Date Reference Description Charges (USD) Credits (USD)
12-05-2024 RT621 Room Chrg - Govt./Military 191.00
12-05-2024 RT621 City/Local Tax - BIA 5.73
12-05-2024 RT621 Occupancy Tax 15.28
12-05-2024 RT621 Tourism Assessment 0.60
12-05-2024 RT621 Self Parking 45.00
DEC-06-2024 VI Visa -257.61
Approve EMV Receipt for VI - Signature Captured
Application Label: VISA CREDIT AID: A0000000031010
ARC: 00 IAD: 06011203600000 TSI: 6800 TVR: 8000008000
** Total 257.61 -257.61
*** Balance 0.00
I agreed to pay all room & incidental charges.
Continued on the next page
The Westin South Coast Plaza
686 Anton Blvd
Costa Mesa, CA 92626
United States
Tel: 714-540-2500 Fax: 714-662-6695
Rick Scott Page Number : 2 Invoice Nbr : 1000434329
Guest Number : 1713420
Folio ID : A
Arrive Date :
Depart Date :
No. Of Guest :
Room Number :
Marriott Bonvoy Number :
12-05-2024 12:46
12-06-2024 11:00
1
621
0686
For your convenience, we have prepared this zero-balance folio indicating a $0 balance on your account. Please be advised that any charges not
reflected on this folio will be charged to the credit card on file with the hotel. While this folio reflects a $0 balance, your credit card may not
be charged until after your departure. You are ultimately responsible for paying all of your folio charges in full.
Stay well, no matter where you travel. Reconnect with your well-being and find your next destination at westin.com.
Tell us about your stay. www.westin.com/reviews
Bring the Westin experience home. Shop WestinStore.com.
Stay in San Francisco
Dec 15, 2024- Dec 16, 2024
Club Quarters Hotel in San Francisco
Confirmation: 58312SE271965
Confirmation: 58312SE271966
Expedia itinerary: 72976399957269
Reservation details
Check-in
Sun, Dec 15
3 PM
Check-out
Mon, Dec 16
noon
Check-in and special instructions
Check-intime starts at 3 PM
Check-intime ends at midnight
Minimum check-inage is: 21
Front desk staff willgreet guests onarrival.
Location
424ClaySt, SanFrancisco, CA, 94111 United States of America
S i S F i
$130.95 charged to R.Scott
City Card
Room de t a ils
Club Room, 1 Queen Bed
Reserved for
Rick Scott, 1 adult
Requests
Non-Smoking
Club Room, 1 Queen Bed
Reserved for
Caleb Kemp, 1 adult
Requests
Non-Smoking
Change and cancellation rules
If you cancel or change your plans, please cancel your reservation in accordance with
the property's cancellation policies to avoid a no-show charge.
There is no charge for cancellations made before 6:00pm (property local time) on
Dec 14, 2024.
Cancellations or changes made after 6:00pm (property local time) on Dec 14, 2024 or
no-shows are subject to a property fee equal to 100% of the total amount paid for
the reservation.
In the case of multiple rooms/units booked together, fees charged by the property
apply to each room/unit that is canceled or changed.
Payment details
Black Friday Sale! Save 25%
Prices shown after $74.18 savings
Room 1 price
Sun, Dec 15 $111.26
Taxes $19.69
Room 2 price
Sun, Dec 15 $111.26
Taxes $19.69
Total $261.90
Pay at property
Ex pe dia support
Contact Expedia if you need help managing this itinerary.
Floor mats for new city vehicle (came without mats)
Employee
Rick Scott & Caleb Kemp
Destination No. of Days Amount
San Francisco 1 + 1TD $548.90
PURPOSE -
Description Payment Method Amount
Registration check 170.00
Air Fare
Lodging city card 261.90
Meals per diem 60.00
Mileage - Personal Vehicle
City Vehicle city card 20.00
Rental Car
Training Materials
Parking city card 37.00
TOTAL 548.90
Departure Date/Time Date/Time
San Luis Obispo 12/15/24 1400 12/15/24 1800
San Francisco 12/16/24 0900 12/16/24 1300
Employee Date Date
Hopkins for Scott/Kemp 12//24
Department Head Date Date
San Luis Obispo
Club Quarters Hotel
Embarcadero Parking garage
Supervisor
Arrival
APPROVALS
ITINERARY
(1) B + (1) L x 2 people
Honoring of Det. Luca Benedetti
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)
Chief's vehicle
San Francisco
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
Columbia Association
Account No.
Department Position
Police Chief of Police
Docusign Envelope ID: 57933BA5-DCD5-4B9A-87DB-458D551201E4
12/2/2024 | 9:26 AM PST
8001-62007
Use the reverse side of this form for reporting actual expenses within 10 working days after your return.
Docusign Envelope ID: 57933BA5-DCD5-4B9A-87DB-458D551201E4
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 conform 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 em ployee certifies Total Travel Expenses
Docusign Envelope ID: 57933BA5-DCD5-4B9A-87DB-458D551201E4
12/15 12/16
15*2
15*2
15*2
15*2
60
60
120
60 each
Employee
Rick Scott
Destination No. of Days Amount
Costa Mesa 3 $770.22
PURPOSE -
Description Payment Method Amount
Registration
Air Fare
Lodging credit card 425.22
Meals per diem 60.00
Mileage - Personal Vehicle
City Vehicle credit card 150.00
Rental Car
Training Materials
Parking credit card 135.00
TOTAL 770.22
Departure Date/Time Date/Time
San Luis Obispo 12/4/24 1pm 12/4/24 6pm
Costa Mesa 12/6/24 12pm 12/6/24 5pm
Employee Date Date
Hopkins for Scott 9/24/2024
Department Head Date Date
San Luis Obispo
Westin South Coast Plaza
Westin South Coast Plaza
Supervisor
Arrival
APPROVALS
ITINERARY
(1) B + (1) L + (1) D
Cal Chiefs Board Meeting
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)
Costa Mesa
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
8001-63002
Account No.
Department Position
Police Chief
Docusign Envelope ID: 9AF15D23-3CFA-4A20-8D6B-09AE09252B83
9/25/2024 | 1:39 PM PDT
Use the reverse side of this form for reporting actual expenses within 10 working days after your return.
Docusign Envelope ID: 9AF15D23-3CFA-4A20-8D6B-09AE09252B83
10/14 10/15 10/16 10/17 10/18
Registration
Air Fare
Lodging 1,203.32
Breakfast 15.00 15.00 15.00 15.00 60.00
Lunch 15.00 15.00 15.00 15.00 60.00
Dinner 30.00 30.00 30.00 30.00 30.00 150.00
Gasoline
Transportation & Parking
TOTAL $1,473.32
$0.560per mile
$1,473.32
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 amounts listed were incurred in conform 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 em ployee certifies Total Travel Expenses
Docusign Envelope ID: 9AF15D23-3CFA-4A20-8D6B-09AE09252B83
PURCHASE MADE WITH CREDIT CARD*:YES
*attach receipt
Do not complete this section
QTY UNIT PRICE TOTAL
1 175 $175.00
$175.00
$15.31
Service Fee
$190.31
REASON FOR PURCHASE:
Cityvehicle did not come with floor mats
DATE:
M. Ellsworth
set of floormats
VENDOR NAME:
ACCOUNT:8001-62509
NAME ON CREDIT CARD:
DESCRIPTION
SLOPD PURCHASE REQUISITION FORM
Subtotal
INVOICE TO BE SENT TO PD:
6-Jan-25
PHONE:
CB Automotive Group
ADDITIONAL APPROVAL:
Add'l approval required if purchase is a non-budgeted item or over $500
FISCAL OFFICER:
REQUESTED BY:
DATE:
Rick Scott
30-Dec-24
TAX
Tip
Delivery
TOTAL