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ER000252297050
Page 1 of 3 Expense Report Report Number ER000252297050 Confirmation Expense report number ER000252297050 for 1,358.67 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 Jackson, Emily (99266)Submission Date 04/01/2025 Expense Dates 03/03/2025 - 03/20/2025 Report Status Paid Reimbursable Total 1,358.67 USD Purpose Finance Admin - March 2025 CC Expense Items Expense Type Expense Template Date Expense Class Source Description Receipt Missing Receipt Required Reimbursable Amount (USD) Office Expenses - Other SLO_Expense s 03/20/2025 Business Card 361.32 Office Supplies SLO_Expense s 03/19/2025 Business Card 29.35 Office Supplies SLO_Expense s 03/19/2025 Business Card 12.82 Education and Training SLO_Expense s 03/18/2025 Business Card -125.00 Page 2 of 3 Education and Training SLO_Expense s 03/13/2025 Business Card 125.00 Office Supplies SLO_Expense s 03/11/2025 Business Card 87.65 Office Supplies SLO_Expense s 03/11/2025 Business Card 64.62 Office Supplies SLO_Expenses 03/07/2025 Business Card 26.31 Meals SLO_Expense s 03/07/2025 Business Card 290.20 Meals SLO_Expense s 03/05/2025 Business Card 293.70 Meals SLO_Expense s 03/03/2025 Business Card 192.70 Amount Due to Card Issuer (Card-XXXXXXXXXXXX7263)1,358.67 USD Amount Due to You 0.00 USD Page 3 of 3 101.2001.63003 Lunch Order for Leadership Team Budget Review Meeting on 3/3/25 URBANE CAFE SAN LUIS OBISPO 952 Higuera Street, San Luis Obispo, CA 93401 (805) 541-5100 Order # 33577552664297472 Customer Name: Michelle Karpovich Customer Email: mkarpovi@slocity.org Customer Contact Number: Payment Method: Credit Card Visa Amount: $192.70 ORDER FOR DELIVERY (Estimated Delivery Time) Order scheduled for delivery at 11:30 AM, TODAY (MONDAY, 3/3/2025) Deliver To: 990 Palm Street San Luis Obispo (415) 730-2362 Instructions: Please deliver to City Clerk's o 1 x So Cal (1 x $11.75) = $11.75 ·1 x Side Salad · 1 x Balsamic Vinaigrette 1 x Uc Banh Mi (1 x $11.75) =$11.75 · 1 x Side Salad · 1 x Balsamic Vinaigrette 1 x Southwest (1 x $11.75) = $11.75 · 1 x Side Salad · 1 x Balsamic Vinaigrette 1 x Gourmet Grilled Cheese (1 x $9.95) = $9.95 · 1 x Side Salad · 1 x Balsamic Vinaigrette 1 x The Cafe (1 x $11.95) = $11.95 ***ADD SIDE: BLUE CHEESE DRESSING ·1 x Balsamic (V) ·1 x Extra Dressing ·1 x Blue Cheese (1 x $0.50) = $0.50 1 x The Cafe (1 x $11.95) =$11.95 ·1 x Balsamic (V) 1 x Cilantro Chicken (1 x $12.25) =$12.25 ·1 x Cilantro Vinaigrette (V) 1 x Keto Cobb Salad (1 x $10.55) =$10.55 ·1 x Add Chicken (1 x $3.50) = $3.50 ·1 x Blue Cheese 1 x Santa Maria BBQ Chicken (1 x $12.25) =$12.25 ·1 x Chipotle Ranch 1 x Keto Cobb Salad (1 x $10.55) =$10.55 ·1 x No Protein ·1 x Blue Cheese 1 x Mediterranean Bowl (1 x $11.95) =$11.95 ·1 x No Protein 1 x Baja Bowl (1 x $11.95) =$11.95 ***NO CORN BEAN SALSA ·1 x No Corn Bean Salsa 1 x Baja Bowl (1 x $11.95) =$11.95 ***GLUTEN FREE PLEASE 1 x Mexican Coke (1 x $3.75) =$3.75 1 x Sea Salt Potato Chips (1 x $2.99) =$2.99 SUBTOTAL $161.29 DELIVERY CHARGE $3.99 SERVICE FEE $8.06 TAX $14.11 TIP $5.25 TOTAL $192.70 101.2001.63003 Lunch Order for Leadership Team Budget Review Meeting on3/5/25 Petra Mediterranean Pizza & Grill Check #5 for Michelle Karpovich Delivery estimated 11:39 AM PST Petra Mediterranean Pizza & Grill 1210 Higuera St. San Luis Obispo, CA 93401 805-439-1999 Track your order Toast Delivery Services (Online) Michelle Karpovich 990 Palm St ( San Luis Obispo, CA 93401 Notes: Please deliver to City Clerk in City Hall (990 Palm St) there is a front desk - thank you! mkarpovi@slocity.org Check #5 Ordered:3/5/25 9:49 AM Due:3/5/25 11:39 AM 2 Chicken Bowl $34.00 Chicken Bowl $17.00 -----NO----- *Sumac Onions Sub Cucumbers Falafel Bowl $15.00 -----NO----- *Baba Ghanoush Sub Garlic Sauce *Kalamata Olives Sub Cucumbers 2 Chicken Shawarma Plate $32.00 Half Salad/Half Rice Gyro Plate $16.00 Turmeric Rice -----NO----- *Cucumbers On Salad *Tomatoes *Tzatziki Sub Garlic Sauce 4 Gyro Plate $64.00 Half Salad/Half Rice Tri-Tip Shawarma Plate $18.00 Half Salad/Half Rice Falafel Plate $14.00 Half Salad/Half Rice Coca Cola(Glass) 500 ml $3.75 Subtotal $213.75 Delivery Fee $25.37 Tax $18.71 Tip $35.87 Total $293.70 Visa xxxxxxxx7263 Transaction Type Sale Authorization Approved Approval Code Payment ID XWYdNKPyTxxH 101.2001.63003 Lunch Order for Leadership Team Budget Review Meeting on3/6/25 Seeds -(805) 592-2929 Check #35 for Michelle Karpovich Pick up 11:30 AM PST 1040 Court St. San Luis Obispo, CA 93401 Online Ordering Information Thank you for your order! Please collect at the back of the store at the Pick up station. Be sure to mention ONLINE ORDER AND CHECK #. Online Ordering (Online) Michelle K. Check #35 Michelle Karpovich Ordered:3/6/25 9:55 AM Due:3/6/25 11:30 AM Greens 2 $15.00 No Bread No Red Onion No Red Chili Flakes 2 Greens 2 $30.00 No Bread Greens 4 $16.00 No Bread No Red Onion Greens 4 $16.00 No Bread Greens 2 $15.00 No Bread Gluten free, please Greens 2 $15.00 No Bread No Red Onion Black Pepper 2 Full Panini 3 $38.00 Sweet Potato -Lightly Salted $5.00 Bowl 2 $13.00 Bowl 1 $13.00 Bowl 5 $15.00 -----EXTRA----- Extra Cacao Nibs $2.00 Flatbread 1 $16.00 Toast 5 $14.50 NO Salad Subtotal $223.50 Large Party (15.00%)$33.52 Credit Card Surcharge (3.00%)$7.71 Tax $20.22 Tip $5.25 Total $290.20 Visa xxxxxxxx7263 Transaction Type Sale Authorization Approved Approval Code Payment ID njNzXKkmwKH0 Final Details for Order #112-3004147-0681843 Order Placed: March 6, 2025 Amazon.com order number: 112-3004147-0681843 Order Total: $26.31 Business order information Charge Account Required: 101.2001.62002 Business Justification: Office Supplies for Finance Shipped on March 7, 2025 Items Ordered Price 1 of: Kleenex Expressions Ultra Soft Facial Tissues, 8 Flat Boxes, 120 Tissues per Box, 3-Ply, Packaging May Vary Sold by: Katty Enterprises (S/N Recorded) (seller profile) Condition: New $24.19 Shipping Address: Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Shipping Speed: Standard Shipping Item(s) Subtotal: $24.19 Shipping & Handling: $0.00 ----- Total before tax: $24.19 Sales Tax: $2.12 ----- Total for This Shipment:$26.31 ----- Payment information Payment Method: Visa | Last digits: Billing address Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Item(s) Subtotal: $24.19 Shipping & Handling: $0.00 ----- Total before tax: $24.19 Estimated Tax:$2.12 ----- Grand Total:$26.31 Credit Card transactions Visa ending in March 7, 2025: $26.31 To view the status of your order, return to Order Summary . Conditions of Use | Privacy Notice © 1996-2020, Amazon.com, Inc. 101.2001.62002 Office supplies - tissue restock (part of a larger order, charged card based on delivery date) Final Details for Order #112-6873017-3895406 Order Placed: March 6, 2025 Amazon.com order number: 112-6873017-3895406 Order Total: $152.27 Business order information Charge Account Required: 101.2001.62002 Business Justification: Office Supplies for Finance Shipped on March 7, 2025 Items Ordered Price 1 of: YSAGi Leather Desk Protector, Office Mat, Large Mouse Mat, Non-Slip PU Leather Blotter, Laptop Desk Pad, Waterproof Writ ing Pad for Office and Home (Latte, 31.5" x 15.8") Sold by: YSAGi (seller profile) Condition: New $13.99 1 of: Celerion Headphone Hook - Under Desk Headphone Holder with 360-Degree Adjustable Rotation, Black Sold by: Celerion (seller profile) Business Price Condition: New $9.49 1 of: Bribobo 8 Pack Ballpoint Pens Retractable No Bleed Black Click Pens, Pens Medium Point, Smooth Ink Pens, 1.0 MM Black In k Sold by: WY Bribobo (seller profile) Condition: New $5.99 Shipping Address: Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Shipping Speed: Amazon Day Delivery Item(s) Subtotal: $29.47 Shipping & Handling: $0.00 ----- Total before tax: $29.47 Sales Tax: $2.57 ----- Total for This Shipment:$32.04 ----- Shipped on March 11, 2025 Items Ordered Price 1 of: Mr. Pen- Aesthetic Pens, 10 Pack, Assorted Colors, Fast Dry, No Smear Bible Pens Bleed Through, Fine Point Pen, Ballpoin t Ballpoint, Tip for Note Taking, Aesthetic, (OOYC012M203) Sold by: Mr. Pen (seller profile) Business Price Condition: New $7.98 1 of: S&O Twelve Flowers 18-Month Wall Calendar 2025-2026 - Tear-Off Monthly Schedule January 2025 - June 2026,13.5"x 10.5 Academic Hanging Organizer, Track Appointments, for home $7.99 101.2001.62002 Office supplies - Maryanna and Lily desk supplies Sold by: LightRail (seller profile) Condition: New 1 of: Beautiful 2025 Daily Planner - 7" x 10" Daily Planner for Women or Men with Weekly & Monthly Spreads for E asy Planning - Perfect Calendar Book To Organize All Tasks and Boost Productivity Sold by: Zicoto US (seller profile) Condition: New $13.99 1 of: Aesthetic Desk Calendar 2025-2026 - Runs from January 2025 Until July 2026 - Minimalistic Office Desktop/Wall Calendar 1 6"x12" for Easy Organizing Sold by: Zicoto US (seller profile) Condition: New $8.99 1 of: Amazon Basics Wide Ruled Lined Writing Note Pads, 8.5 inch x 11.75 inch, White, 12 Count (12 Pack of 50) Sold by: Amazon.com Condition: New $11.63 1 of: dreampossible Black Wood Desk Organizer and Accessories with Drawer, Bill Mail Organizer and File Mail Holder for Office Supplies, Modern Desk Accessories & Workspace Organizers for Desk Organization Sold by: baodanpasibo (seller profile) Condition: New $32.99 1 of: Soleebee 24'' Retractable Badge Reel, Mixed Random Solid Color Nurse ID Badge Holder with 360° Swivel Alligato r Clip (Pack of 12) Sold by: Soleebee US (seller profile) Condition: New $13.99 1 of: YiePhiot Desktop Mail Organizer File Organizer Metal Wire Mail Sorter Letter Organizer Magazine Rack for Letters, Mails, Books, Postcards, Brochures, Mail Holder (3 Slot, Gold) Sold by: YiePhiot USA (seller profile) Condition: New $12.99 Shipping Address: Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Shipping Speed: Amazon Day Delivery Item(s) Subtotal: $110.55 Shipping & Handling: $0.00 ----- Total before tax: $110.55 Sales Tax: $9.68 ----- Total for This Shipment:$120.23 ----- Payment information Payment Method: Visa | Last digits: Billing address Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Item(s) Subtotal:$140.02 Shipping & Handling: $0.00 ----- Total before tax:$140.02 Estimated Tax:$12.25 ----- Grand Total:$152.27 Credit Card transactions Visa ending in March 11, 2025: $64.62 Refund from CSMFO Training for Lily Quintana - Introduction to Government Accounting Refunded due to training schedule conflict Debbie Malicoat, We have processed your refund; please see the details below. Order Number Items that were Refunded Amount Paid Amount Refunded 6078919 Introduction to Government Accounting -April 2 & 3, 2025 (Purchased for: Debbie Malicoat (dmalicoa@slocity.org) $125.00 $125.00 Refunded to Visa-7263 Total :$125.00 Please allow 3-5 business days for the refund to reflect in your account. Additional Questions and Support You can find commonly asked questions at https://csmfo.ce21.com/support. If you have a question not covered on this page, please contact us by the contact information below. Please allow one business day for email responses. CONTACT INFORMATION ORIGINAL PURCHASE RECEIPT Hi Debbie, Please keep this email for your records. Transaction Date: Mar 13, 2025 Order ID: 6078919 Payment Method: Credit Card Billing Name:Debbie Malicoat Billing Address 990 Palm Street, San Luis Obispo, California 93401-3219, United States PURCHASED ITEMS Item Media Type Qty Price Total Introduction to Government Accounting -April 2 & 3, 2025 Registrant(s): Debbie Malicoat (dmalicoa@slocity.org) Add To Calendar Classroom 1 $125.00 $125.00 Additional Discount:$0.00 Sub total:$125.00 Shipping: $0.00 Tax:$0.00 (All Prices are shown in USD)Order Total:$125.00 Visa- -($125.00) Balance Due:$0.00 Final Details for Order #112-6138867-0668202 Order Placed: March 6, 2025 Amazon.com order number: 112-6138867-0668202 Order Total: $12.82 Business order information Charge Account Required: 101.2001.62002 Business Justification: Office Supplies for Finance Shipped on March 19, 2025 Items Ordered Price 1 of: NatSumeBasics Clear Acrylic Drawer Organizer 8-Section Desk Compartment Tray for Storage Cards Notepads and Office Acces sories Supplies (Medium) Sold by: NatSumeBasics (seller profile) Business Price Condition: New $11.79 Shipping Address: Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Shipping Speed: FREE Prime Delivery Item(s) Subtotal: $11.79 Shipping & Handling: $0.00 ----- Total before tax: $11.79 Sales Tax: $1.03 ----- Total for This Shipment:$12.82 ----- Payment information Payment Method: Visa | Last digits: Billing address Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Item(s) Subtotal: $11.79 Shipping & Handling: $0.00 ----- Total before tax: $11.79 Estimated Tax:$1.03 ----- Grand Total:$12.82 Credit Card transactions Visa ending in March 19, 2025: $12.82 To view the status of your order, return to Order Summary . Conditions of Use | Privacy Notice © 1996-2020, Amazon.com, Inc. 101.2001.62002 Office supplies - drawer organizer for bus passes Final Details for Order #112-1633582-0026662 Order Placed: March 18, 2025 Amazon.com order number: 112-1633582-0026662 Order Total: $29.35 Business order information Charge Account Required: 101.2001.62002 Business Justification: Office Supplies for Finance Shipped on March 19, 2025 Items Ordered Price 1 of: Dry Erase Monthly Extra Large White board Calendar for Wall, 25" by 38", Jumbo Laminated Erasable One Month Wh iteboard Calendar, Huge Oversized Blank 30-Day Poster with Lines and Squares Sold by: paper studio (seller profile) Business Price Condition: New $26.99 Shipping Address: Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Shipping Speed: FREE Prime Delivery Item(s) Subtotal: $26.99 Shipping & Handling: $0.00 ----- Total before tax: $26.99 Sales Tax: $2.36 ----- Total for This Shipment:$29.35 ----- Payment information Payment Method: Visa | Last digits: Billing address Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Item(s) Subtotal: $26.99 Shipping & Handling: $0.00 ----- Total before tax: $26.99 Estimated Tax:$2.36 ----- Grand Total:$29.35 Credit Card transactions Visa ending in March 19, 2025: $29.35 To view the status of your order, return to Order Summary . Conditions of Use | Privacy Notice © 1996-2020, Amazon.com, Inc. 101.2001.62002 Office supplies - dry erase calendar board for Revenue team Final Details for Order #112-4385133-0741028 Order Placed: March 20, 2025 Amazon.com order number: 112-4385133-0741028 Order Total: $361.32 Business order information Charge Account Required: 101.2003.62010 Business Justification: Headset for Revenue Shipped on March 20, 2025 Items Ordered Price 1 of: Jabra Engage 65 SE (Second Edition) Wireless Headset, Single-Ear - Telephone Headset with Industry-Leading Wireless Perf ormance, Advanced Noise-Cancelling Microphone, All Day Battery Life - Black Sold by: Amazon (seller profile) Business Price Condition: New $332.25 Shipping Address: Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Shipping Speed: FREE Prime Delivery Item(s) Subtotal: $332.25 Shipping & Handling: $0.00 ----- Total before tax: $332.25 Sales Tax: $29.07 ----- Total for This Shipment:$361.32 ----- Payment information Payment Method: Visa | Last digits: Billing address Michelle Karpovich 990 PALM ST SAN LUIS OBISPO, CA 93401-3219 United States Item(s) Subtotal: $332.25 Shipping & Handling: $0.00 ----- Total before tax: $332.25 Estimated Tax:$29.07 ----- Grand Total:$361.32 Credit Card transactions Visa ending in March 20, 2025: $361.32 To view the status of your order, return to Order Summary . Conditions of Use | Privacy Notice © 1996-2020, Amazon.com, Inc. 101.2003.62010 New headset for Revenue team