HomeMy WebLinkAboutER000251745705Page 1 of 3
Expense Report
Report Number ER000251745705
Confirmation
Expense report number ER000251745705 for 3,109.45 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 04/04/2025
Expense Dates 02/27/2025 - 03/22/2025 Report Status Paid
Reimbursable Total 3,109.45 USD Purpose Rick Scott March 2025 CC
Expense Items
Expense Type Expense
Template
Date Expense
Class
Source Description Receipt
Missing
Receipt Required Reimbursable
Amount (USD)
Education and Training SLO_Expense
s 03/22/2025 Business Card SACOP Orlando UBER 27.95
Education and Training SLO_Expense
s 03/22/2025 Business Card
IACP SACOP Orlando
Hotel 1,069.50
Education and Training SLO_Expense
s 03/20/2025 Business Card IACP Orlando Uber 38.93
Education and Training SLO_Expense
s 03/20/2025 Business Card IACP Orlando Uber 5.84
Page 2 of 3
Trips and Meetings SLO_Expense
s 03/17/2025 Business Card
St. Fratty's Command
Debrief 89.23
Education and Training SLO_Expense
s 03/12/2025 Business Card
Cal Chiefs Annual Training
Symposium - Riverside 777.66
Other Contract Services SLO_Expense
s 03/14/2025 Business Card
Miscellaneous Contract
Services - Monthly Charge 15.99
Education and Training SLO_Expenses 03/07/2025 Business Card
Cal Chiefs Annual TrainingSymposium - Riverside 259.22
Education and Training SLO_Expense
s 02/28/2025 Business Card
Gas at Cal Chiefs -
Missing Memo 78.53
Trips and Meetings SLO_Expense
s 02/27/2025 Business Card
Mistake charge for Dinner
- Refunded by the hotel on
3/31/25 - Will show on next
report
9.70
Trips and Meetings SLO_Expense
s 02/27/2025 Business Card Special Olympics - Irvine 299.62
Education and Training SLO_Expense
s 02/28/2025 Business Card
Cal Chiefs Conference -
Long Beach 437.28
Amount Due to Card Issuer (Card-XXXXXXXXXXXX9219)3,109.45 USD
Amount Due to You 0.00 USD
Page 3 of 3
Name and Address
SCOTT, RICK
1042 WALNUT STREET
SAN LUIS OBISPO, CA 93401
Hotel Address
90 PACIFICA
IRVINE, CA 92618
Room 736/NK1DX
Arrival Date 02/26/25
Departure Date 02/27/25
Adult/Child 1/0
Room Rate $243.74
Rate Plan L-H1P
Honors # 1432509360
Airline:
Reservationswww.doubletree.com or
1-800-222-TREE
Confirmation # 85528859
02/27/25 PAGE 1
DOUBLETREE BY HILTON IRVINE-
SPECTRUM
02/26/25 6378593 GUEST ROOM $243.74
02/26/25 6378593 ROOM OCCUPANCY TAX $24.37
02/26/25 6378593 CA T&T ASSESSMENT FEE TAX $0.61
02/26/25 6378644 ADD-ON -Self-Parking $30.90
02/27/25 6378934 ************ ($299.62)
02/27/25 6379061 BLEND DINNER $9.00
02/27/25 6379061 F & B TAX $0.70
02/27/25 6379070 ************ ($9.70)
$0.00** BALANCE **
DATE DESCRIPTION AMOUNTREFERENCE
Privacy PolicyThe on-line eFolio is a courtesy informational service, subject to and Site Usage ; actual folio kept in hotel records.
Mistake charge for Dinner -
Refunded by the hotel on 3/31/25 -
Will show on next report
DOUBLETREE BY HILTON IRVINE SPECTRUM
DOUBLETREE BY HILTON IRVINE,90 PACIFICA
IRVINE, CA 92618
United States of America
TELEPHONE 949-471-8888 FAX 949-471-8600
Reservations
www.doubletree.com or 1-800-222-TREE
SCOTT, RICK Room No: 736/NK1DX
Arrival Date:2/26/2025 6:55:00 PM
1042 WALNUT STREET Departure Date:2/27/2025
Adult/Child:1/0
SAN LUIS OBISPO CA 93401 Cashier ID: EALOB
UNITED STATES OF AMERICA Room Rate: 243.74
AL:
HH # 1432509360 SILVER
VAT #
Folio No/Che 1135645 A
Confirmation Number: 85528859
DOUBLETREE BY HILTON IRVINE SPECTRUM 2/27/2025 2:43:00 AM
DATE REF NO DESCRIPTION CHARGES
2/26/2025 6378593 GUEST ROOM $243.74
2/26/2025 6378593 ROOM OCCUPANCY TAX $24.37
2/26/2025 6378593 CA T&T ASSESSMENT FEE $0.61
2/26/2025 6378644 ADD-ON -Self-Parking $30.90
WILL BE SETTLED TO VS* $299.62
EFFECTIVE BALANCE OF $0.00
Hilton Honors(R) stays are posted within 72 hours of checkout. To check your earnings or book your next stay at more than 6,500+ hotels and
resorts in 119 countries, please visit Honors.com
Page:1
City of San Luis Obispo, Police Department, 1042 Walnut Street, San Luis Obispo, CA, 93401-2729, 805.781.7317, slocity.org
Memorandum
DATE: March 31, 2025
TO: Finance Dept.
FROM: Tiffany Hopkins on behalf of Chief Rick Scott
SUBJECT: Missing Receipt
On or about February 28, 2025, Chief Scott purchased fuel at Union 76 in Burbank in the amount of
78.53 while traveling for the Cal Chiefs Tech Summit. He does not know where the receipt is at this
time.
8001.63002 -
edu&training
INVOICE
Mr. Rick Scott
1042 Walnut Street
San Luis Obispo CA 93401
United States
Print Date: 02/28/25
Room No.: A138
Arrival: 02/27/25
Departure: 02/28/25
Page No.: 1 of 2
Folio No.: 91831
Invoice No.:
Conf. No.: 440306554
Cashier No. 61
Reference
Group Code:
Company Name:
Account No.
Queen Mary Hotel | 1126 Queens Highway | Long Beach, CA 90802
Telephone: (562) 435-3511 | Email: qm_frontoffice@queenmary.com
www.queenmary.com
DATE DESCRIPTION CHARGES
USD
CREDITS
USD
02/27/25 Room Rate 329.00
02/27/25 Occupancy Tax 42.77
02/27/25 CA State Tourism Assessment 0.64
02/27/25 LB City Tourism Assessment 9.87
02/27/25 Historical Preservation Fee 23.00
02/27/25 Parking - Self 32.00
02/28/25 VISA
XXXXXXXXXXXX9219
437.28
Total 437.28 437.28
BALANCE 0.00 USD
Net Amount 384.00 USD
Occupancy Tax 53.28 USD
Total incl. vat 437.28 USD
I agree to be personally liable should the indicated company or person fail to pay for any part of the total charges.
Guest Signature:
Merchant ID Credit Card # XXXXXXXXXXXX9219
Transaction ID 28542716 Credit Card Expiry XX/XX
Approval Code 034254 Capture Method Swiped
Approval Amount 437.28 Transaction Amount 437.28
INVOICE
Mr. Rick Scott
1042 Walnut Street
San Luis Obispo CA 93401
United States
Print Date: 02/28/25
Room No.: A138
Arrival: 02/27/25
Departure: 02/28/25
Page No.: 2 of 2
Folio No.: 91831
Invoice No.:
Conf. No.: 440306554
Cashier No. 61
Reference
Group Code:
Company Name:
Account No.
Queen Mary Hotel | 1126 Queens Highway | Long Beach, CA 90802
Telephone: (562) 435-3511 | Email: qm_frontoffice@queenmary.com
www.queenmary.com
We hope you had a good time with us in Long Beach!
At check-in, an authorization on your credit or debit card was processed for room and tax plus $100 night for incidentals.
FOR CREDIT CARDS:
The check-in authorization amount will display as a pending transaction. We will transmit your final charge(s) to your bank within 24
hours of your departure date. Any unused amount from the check-in authorization will be released to you depending on your issuing
bank's policy. This process typically takes 3-5 business days. Please contact your issuing card's bank representative with any questions
or concerns.
FOR DEBIT CARDS:
The check-in authorization amount will display as a charged transaction on your debit card account. We will transmit your final
charge(s) to your bank within 24 hours of your departure date. Any unused amount from the check-in authorization(s) will be released
depending on your issuing bank's policy. This process typically takes 5 business days or longer depending on your bank's policy.
Please contact your issuing card's bank representative with any questions or concerns.
Please be aware the hotel does not have authority of your bank's policy; however, we are more than happy to work with your banking
representative on any concerns, including release of any unused portion of the check-in authorization(s).
Thank you!
The Mission Inn Hotel & Spa
3649 Mission Inn Ave, Riverside, CA 92501
951-784-0300
www.missioninn.com
Rick Scott
1042 Walnut Street
San Luis Obispo CA 93401
United States
Print Date : 09-16-24
Room No :
Conf. No : 399081786
Receipt No : 32643
ADVANCED DEPOSIT RECEIPT
Date Description Exp Date Amount
09-16-24 FRONT DESK VISA XXXXXXXXXXXX2029 XX/XX -259.22 USD
Arrival Departure Group ID /Room Type
03-08-25 03-12-25 21793923
Guest Signature Cashier No. 41
Rick Scott
San Luis Obispo CA 93401
United States
INFORMATION INVOICE
Room No. : 119
Arrival : 03-08-25
Departure : 03-12-25
Page No. : 1 of 2
Folio No. :
Conf. No. : 399081786
Cashier No. : 111
Custom Ref. :
Company Name : California Police Chiefs Association PO Number:
Group Name : CA Police Chiefs Assn Annual Training Sy
Guest Name :
I agree that I am personally liable for payment of this account, and if this person, company or association indicated does not settle
within a reasonable period, my liability for payment should be joint and several with such person, company or association.
The Mission Inn Hotel & Spa
3649 Mission Inn Ave, Riverside, CA 92501
951-784-0300
www.missioninn.com
Date Description Charges Credits
03-08-25 DEPOSIT TRANSFERRED AT CHECK-IN 259.22
03-08-25 DEPOSIT TRANSFERRED AT CHECK-IN
Diffrnt Pay
-259.22
03-08-25 DEPOSIT TRANSFERRED AT CHECK-IN 259.22
03-08-25 *ROOM CHARGE 229.00
03-08-25 OCCUPANCY TAX 13% 29.77
03-08-25 TOURISM FEE TAX 0.195% 0.45
03-09-25 *ROOM CHARGE 229.00
03-09-25 OCCUPANCY TAX 13% 29.77
03-09-25 TOURISM FEE TAX 0.195% 0.45
03-10-25 *ROOM CHARGE 229.00
03-10-25 OCCUPANCY TAX 13% 29.77
03-10-25 TOURISM FEE TAX 0.195% 0.45
03-11-25 *ROOM CHARGE 229.00
03-11-25 OCCUPANCY TAX 13% 29.77
03-11-25 TOURISM FEE TAX 0.195% 0.45
03-12-25 FRONT DESK VISA
XXXXXXXXXXXX9219 XX/XX
777.66
Total Charges 1,036.88
Total Credits 1,036.88
Rick Scott
San Luis Obispo CA 93401
United States
INFORMATION INVOICE
Room No. : 119
Arrival : 03-08-25
Departure : 03-12-25
Page No. : 2 of 2
Folio No. :
Conf. No. : 399081786
Cashier No. : 111
Custom Ref. :
Company Name : California Police Chiefs Association PO Number:
Group Name : CA Police Chiefs Assn Annual Training Sy
Guest Name :
I agree that I am personally liable for payment of this account, and if this person, company or association indicated does not settle
within a reasonable period, my liability for payment should be joint and several with such person, company or association.
The Mission Inn Hotel & Spa
3649 Mission Inn Ave, Riverside, CA 92501
951-784-0300
www.missioninn.com
Balance 0.00
Merchant ID Credit Card # XXXXXXXXXXXX9219
Transaction ID 27405973 Credit Card Expiry XX/XX
Approval Code 026776 Capture Method Manual
Approval Amount 777.66 Transaction Amount 777.66
Total $44.77
March 19, 2025
Here's your updated Wednesday
evening ride receipt.
Thanks for tipping, Rick
From:Scott, Rick
To:Hopkins, Tiffany
Subject:Fwd: [Business] Your Wednesday evening trip with Uber
Date:Thursday, March 20, 2025 8:04:46 AM
Airport ride.
Thank you,
R. Scott
Begin forwarded message:
From: Uber Receipts <noreply@uber.com>
Date: March 20, 2025 at 11:03:26 EDT
To: "Scott, Rick" <rscott@slocity.org>
Subject: [Business] Your Wednesday evening trip with Uber
This message is from an External Source. Use caution when deciding to open attachments, click links, or respond.
Total $44.77
In December 2024 in Florida, roughly 21% of customers fares
went toward covering government-mandated commercial
insurance for rideshare/TNC (transportation network company)
trips. Take action to bring down costs.
Trip fare $25.91
Work Account
3/20/25 10:22 AM
Work Account
3/20/25 11:03 AM
4.83 Rating Has passed a multi-step safety screen
You rode with NICHOLAS
When you ride with Uber, your trips are insured in case of a covered
accident.
Learn more
11:36 PM
Gates 30 - 59 Airside 3
Terminal B, Orlando
International Airport (MCO),
Orlando, FL 32827, US
11:52 PM
9801 International Dr,
UberX 13.17 miles | 16 min
Subtotal $25.91
Booking Fee $3.91
Tip $5.84
Beachline West Toll Plaza $2.11
MCO Airport Surcharge $7.00
Payments
$38.93
$5.84
Switch Payment Method
Download PDF
Orlando, FL 32819, US
Report lost item Contact support My trips
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Privacy
Uber Technologies
1725 3rd Street,
San Francisco,
California
Terms 94158
Hyatt Regency Orlando
9801 International Drive
Orlando, FL 32819
Tel: 407-284-1234
Fax: 407-351-9177
orlando.regency.hyatt.com
COPY OF INVOICE
Rick Scott
990 Palm
San Luis Obispo CA 93401 Room No. 20835
Arrival 03-19-25
Departure 03-22-25
Confirmation No. 525341801 Folio Window 1
Group Name IACP Division Midyear Meeting 2025 Folio No. 2512688
Date Description Charges Credits
03-19-25 Accommodation 289.00
03-19-25 OCCCD Surcharge 2.89
03-19-25 State Tax 6.5% 18.97
03-19-25 Occupancy Tax 6% 17.51
03-19-25 Resort Fee 25.00
03-19-25 Resort Fee Tax 1.63
03-19-25 Resort Fee Occupancy Tax 1.50
03-20-25 Accommodation 289.00
03-20-25 OCCCD Surcharge 2.89
03-20-25 State Tax 6.5% 18.97
03-20-25 Occupancy Tax 6% 17.51
03-20-25 Resort Fee 25.00
03-20-25 Resort Fee Tax 1.63
03-20-25 Resort Fee Occupancy Tax 1.50
03-21-25 Accommodation 289.00
03-21-25 OCCCD Surcharge 2.89
03-21-25 State Tax 6.5% 18.97
03-21-25 Occupancy Tax 6% 17.51
03-21-25 Resort Fee 25.00
03-21-25 Resort Fee Tax 1.63
03-21-25 Resort Fee Occupancy Tax 1.50
03-22-25 Visa XXXXXXXXXXXX9219 XX/XX 1,069.50
Total 1,069.50 1,069.50
Guest Signature Balance 0.00
I agree that my liability for this bill is not waived and I agree
to be held personally liable in the event that the indicated
person, company or association fails to pay for any part or
the full amount of these charges.
WE HOPE YOU ENJOYED YOUR STAY WITH US!
We hope you had an exceptional stay at the Hyatt Regency Orlando
and look forward to hearing your feedback.
For inquiries concerning your bill please call 855-869-0846
Please remit payment to:
PO Box 848148
Dallas, TX 75284-8083
World of Hyatt Summary
Membership: XXXXXX323A
Bonus Codes:
Qualifying Nights: 3
Eligible Spend: 942.00
Redemption Eligible: 0.00
Hyatt Regency Orlando
9801 International Drive
Orlando, FL 32819
Tel: 407-284-1234
Fax: 407-351-9177
orlando.regency.hyatt.com
COPY OF INVOICE
Rick Scott
990 Palm
San Luis Obispo CA 93401 Room No. 20835
Arrival 03-19-25
Departure 03-22-25
Confirmation No. 525341801 Folio Window 1
Group Name IACP Division Midyear Meeting 2025 Folio No. 2512688
Summary Invoice, please see front desk
for eligibility details.
Total $27.95
March 22,
2025
From:Scott, Rick
To:Hopkins, Tiffany
Subject:FW: [Business] Your Saturday morning trip with Uber
Date:Saturday, March 22, 2025 7:13:40 AM
Attachments:image002.png
image007.png
image009.png
image015.png
image016.png
image017.png
image018.png
image019.png
image020.png
image021.png
image024.png
Uber to airport receipt.
Thank you,
Rick
From: Uber Receipts <noreply@uber.com>
Sent: Saturday, March 22, 2025 10:09 AM
To: Scott, Rick <rscott@slocity.org>
Subject: [Business] Your Saturday morning trip with Uber
This message is from an External Source. Use caution when deciding to open attachments, click links, or respond.
In December 2024 in Florida, roughly 21% of customers fares went
toward covering government-mandated commercial insurance for
rideshare/TNC (transportation network company) trips. Take action to
bring down costs.
Work Account
3/22/25 10:08 AM
Switch Payment
Method
You rode with DAVID
4.97 Rating Has passed a multi-step safety screen
When you ride with Uber, your trips are insured in case of a covered
accident.
Learn more
Trip fare $17.18
Subtotal $17.18
Tip $5.00
Beachline West Toll Plaza $2.11
Booking Fee $3.66
Payments
$27.95
Download
PDF
8:57 AM
9801 International Dr,
Orlando, FL 32819, US
9:13 AM
Gates 30 - 59 Airside 3
Terminal B, Orlando
International Airport (MCO),
Orlando, FL 32827, US
UberX 13.13 miles | 16 min
Report lost item
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support
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password
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Terms
Uber Technologies
1725 3rd Street,
San Francisco,
California
94158
From:Amoroso, Brian
To:Hopkins, Tiffany; Litteral, Rebecca
Subject:FW: OnStar
Date:Tuesday, April 1, 2025 9:58:31 AM
Attachments:image003.png
image004.png
image005.png
image006.png
image007.png
image008.png
Hi All,
This is the standing monthly charge for on-star. Rebecca, please let finance or whoever know that we will not be
submitting a new screenshot every month. They can use this one monthly until the price changes.
If you get pushback from anyone please let me know.
Thanks
Brian
From: Scott, Rick <rscott@slocity.org>
Sent: Tuesday, April 1, 2025 9:41 AM
To: Amoroso, Brian <bamoroso@slocity.org>
Subject: OnStar
Please see this standing monthly charge.
Rick Scott
Police Chief
Police Department
1042 Walnut Street, San Luis Obispo, CA 93401-2729
E rscott@slocity.org
T 805.781.7256
slocity.org
Stay connected with the City by signing up for e-notifications
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and may contain confidential, protected, and/or privileged material. Any review, re-transmission,
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delete the material from any computer.
PURCHASE MADE WITH CREDIT CARD*:Yes
*attach receipt
Do not complete this section
QTY UNIT PRICE TOTAL
1 15.99 $15.99
$15.99
$15.99
REASON FOR PURCHASE:
15.99 x 12 months = 191.88 per year
Vehicle Insights connection for city vehicle
ACCOUNT:8001-61013
NAME ON CREDIT CARD:
DESCRIPTION
DATE:
M Ellsworth
REQUESTED BY:
DATE:
Tiffany Hopkins
5-Feb-25
VENDOR NAME:
Recurring monthly charge for Chief's electric vehicle.
SLOPD PURCHASE REQUISITION FORM
Subtotal
INVOICE TO BE SENT TO PD:
5-Feb-25
PHONE:
OnStar
ADDITIONAL APPROVAL:
Add'l approval required if purchase is a non-budgeted item or over $500
FISCAL OFFICER:
TAX
Shipping & Handling
Other
TOTAL
Employee
Rick Scott
Destination No. of Days Amount
Irvine, CA 2 + 1 TDs $1,089.90
PURPOSE -
Description Payment Method Amount
Registration 125 125.00
Air Fare
Lodging credit card 674.00
Meals per diem 120.00
Mileage - Personal Veh
City Vehicle credit card 140.00
Rental Car
Training Materials
Parking credit card 30.90
TOTAL 1,089.90
Departure Date/Time Date/Time
San Luis Obispo 2/26/25 noon 2/26/25 4.30pm
Irvine 2/27/25 5pm 2/27/25 5:30pm
Longbeach 2/28/25 noon 2/28/25 5pm
Employee Date Date
Hopkins for Scott 1/22/2025
Department Head Date Date
Longbeach
Double Tree by Hilton & Queen Mary
(1)$30.90
Supervisor
Arrival
APPROVALS
ITINERARY
San Luis Obispo
(2) B + (2) L+ (2) D
Cal Chiefs Tech Summit and Special Olympics Hall of Fame Awards
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)
Irvine
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
Cal Chiefs
8001-63002
Account No.
Department Position
Police Chief
Docusign Envelope ID: 630B62DC-2519-4FAA-8A53-377C71DCB00F
1/23/2025 | 7:43 AM PST
Special Olympics:8001.63003
Cal Chiefs:8001.63002
M. Ellsworth 2/22/25
Use the reverse side of this form for reporting actual expenses within 10 working days after your return.
Docusign Envelope ID: 630B62DC-2519-4FAA-8A53-377C71DCB00F
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: 630B62DC-2519-4FAA-8A53-377C71DCB00F
Employee
Rick Scott
Destination No. of Days Amount
Riverside, CA 4 + 1TD $2,276.87
PURPOSE -
Description Payment Method Amount
Registration credit card 850.00
Air Fare
Lodging credit card 1,036.87
Meals per diem 240.00
Mileage - Personal Ve
City Vehicle credit card 150.00
Rental Car
Training Materials
Parking
TOTAL 2,276.87
Departure Date/Time Date/Time
San Luis Obispo 3/8/25 12pm 3/8/25 5pm
Riverside 3/12/25 3pm 3/12/25 7pm
Employee Date Date
Hopkins for Scott 9/16/2024
Department Head Date Date
8001-63002
Account No.
Department Position
Police Chief
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 asso
Cal Chief
Cal Chiefs Annual Training Symposium
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)
Riverside
San Luis Obispo
Mission Inn Riverside
Supervisor
Arrival
APPROVALS
ITINERARY
( 4) B + (4) L + (4) D
Docusign Envelope ID: 06001DD2-700F-484C-88C4-75224E6669FC
9/17/2024 | 1:10 PM PDT
Use the reverse side of this form for reporting actual expenses within 10 working days after your return.
Docusign Envelope ID: 06001DD2-700F-484C-88C4-75224E6669FC
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 em ployee certifies Total Travel Expenses
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 @
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: 06001DD2-700F-484C-88C4-75224E6669FC
Employee
Rick Scott
Destination No. of Days Amount
Orlando, FL 2 + 2 TDs $1,734.51
PURPOSE -
Description Payment Method Amount
Registration
Air Fare credit card 500.00
Lodging credit card 1,069.51
Meals per diem 165.00
Mileage - Personal Ve
City Vehicle
Rental Car
Training Materials
Parking
TOTAL 1,734.51
Departure Date/Time Date/Time
San Luis Obispo 3/19/25 12:51pm 3/19/25 10:37pm
Orlando 3/22/25 8:25am 3/22/25 2:30pm
Employee Date Date
Hopkins for Scott 1/6/2025
Department Head Date Date
8001-63002
Account No.
Department Position
Police Chief
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 asso
IACP
American Airlines & United Airlines
IACP's SACOP Mid-Year 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)
Orlando
San Luis Obispo
Hyatt Regency
Supervisor
Arrival
APPROVALS
ITINERARY
(3) B + (4) L+ (2) D
Docusign Envelope ID: 613BE9DA-943F-4266-8E31-72B1AB40B5FD
1/10/2025 | 12:15 PM PST
Use the reverse side of this form for reporting actual expenses within 10 working days after your return.
Docusign Envelope ID: 613BE9DA-943F-4266-8E31-72B1AB40B5FD
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 em ployee certifies Total Travel Expenses
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 @
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: 613BE9DA-943F-4266-8E31-72B1AB40B5FD