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HomeMy WebLinkAboutER000246329542Page 1 of 2 Expense Report Report Number ER000246329542 ConfirmationExpense report number ER000246329542 for 75.00 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 01/21/2025 Expense Dates 01/15/2025 - 01/16/2025 Report Status Paid Reimbursable Total 75.00 USD Purpose Reimburse Per-Diem - Chico St. Fratty's Day Solutions Meeting - 1/15/25 -1/16/25 Expense Items Expense Type Expense Template Date Expense Class Source Description Receipt Missing Receipt Required Reimbursable Amount (USD) Per Diem SLO_Expenses 01/15/2025 Business Personal Funds Per-Diem - Chico St. Fratty's Day Solutions Meeting - 1/15/25 -1/16/25 75.00 Amount Due to You 75.00 USD Page 2 of 2 Employee Rick Scott/Fred Mickel/ J ason Dickel Destination No. of Days Amount Chico, CA 1 + 1TD $790.41 PURPOSE - Description Payment Method Amount Registration Air Fare L odging city card 415.41 Meals per diem 225.00 Mileage - Personal Vehicle City Vehicle city card 150.00 Rental Car Training Materials Parking TOTAL 790.41 Departure Date/Time Date/Time San L uis Obispo 1/15/25 1000 1/15/25 1800 Chico 1/16/25 1300 1/16/24 1930 Employee Date Date Hopkins for Scott/Mickel/Dickel 12/17/2024 Department Head Date Date Account No. Department Position Police Chief of Police/DC/L t. 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 NA St. Fratty's Day Solutions Meeting Use the reverse side of this form for reporting actual expenses within 10 working days after your return. 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) Chico San L uis Obispo Double Tree Hilton Supervisor Arrival APPROVALS ITINERARY (1) B + (2) L + (1)D x 3 people Docusign Envelope ID: 5E50FBE4-1803-4ABB-B5A8-38592C9C65DE 12/17/2024 | 12:35 PM PST 8001.63003 Registration Air Fare Lodging Breakfast Lunch Dinner Gasoline Transportation & Parking TOTAL $0.560 per mile Employee Date 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 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 @ MILEAGE DETAIL - PERSONAL VEHICLE Departure/Destination Odometer Readings Trip MilesStarting Mileage Ending Mileage Description Date TOTAL TRAVEL EXPENSE REPORT This form should be completed in legible handwriting or in Excel using the City's standard template TRAVEL EXPENSE DETAIL Docusign Envelope ID: 5E50FBE4-1803-4ABB-B5A8-38592C9C65DE 1/15 1/16 15*3 15*3 15*3 30*3 136.06*3 45 90 90 408.18 Per-Diem = $75 each