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Home My WebLink AboutER000259395534Page 1 of 3 Expense Report Report Number ER000259395534 Confirmation Expense report number ER000259395534 for 1,775.18 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 07/02/2025 Expense Dates 05/07/2025 - 06/25/2025 Report Status Paid Reimbursable Total 1,775.18 USD Purpose Rick Scott June 2025 CC Expense Items Expense Type Expense Template Date Expense Class Source Description Receipt Missing Receipt Required Reimbursable Amount (USD) Trips and Meetings SLO_Expense s 06/25/2025 Business Card Coffee IFC Meeting 17.34 Trips and Meetings SLO_Expense s 06/23/2025 Business Card Coffee with City DEI Team 12.50 Education and Training SLO_Expense s 06/17/2025 Business Card IACP - Denver Airfare 443.97 Education and Training SLO_Expense s 06/15/2025 Business Card Charging for EV - Cal Chiefs Trip 44.98 Page 2 of 3 Other Contract Services SLO_Expense s 06/14/2025 Business Card Miscellaneous Contract Services - Monthly Charge 15.99 Education and Training SLO_Expense s 06/13/2025 Business Card Uber Trip at Cal Chiefs SAC Trip 2.00 Education and Training SLO_Expense s 06/13/2025 Business Card Hotel - Cal Chiefs Trip 909.36 Education and Training SLO_Expenses 06/14/2025 Business Card Uber Trip at Cal Chiefs SAC Trip 7.92 Education and Training SLO_Expense s 06/14/2025 Business Card Charging for EV - Cal Chiefs Trip 25.87 Education and Training SLO_Expense s 06/12/2025 Business Card Uber Trip at Cal Chiefs SAC Trip 7.90 Education and Training SLO_Expense s 06/12/2025 Business Card Uber Trip at Cal Chiefs SAC Trip 9.96 Education and Training SLO_Expense s 06/11/2025 Business Card Uber Trip at Cal Chiefs SAC Trip 7.91 Education and Training SLO_Expense s 06/11/2025 Business Card Uber Trip at Cal Chiefs SAC Trip 2.00 Education and Training SLO_Expense s 06/10/2025 Business Card Charging for EV - Cal Chiefs Trip - Missing Receipt 28.00 Accommodations SLO_Expenses 05/07/2025 Business Card Refund for Oxnard Hotel -318.31 Maint & Minor Repair SLO_Expense s 06/05/2025 Business Card Emergency vehicle power supply 557.79 Amount Due to Card Issuer (Card-XXXXXXXXXXXX9219)1,775.18 USD Amount Due to You 0.00 USD Page 3 of 3 City of San Luis Obispo, Police Department, 1042 Walnut Street, San Luis Obispo, CA, 93401-2729, 805.781.7317, slocity.org MEMORANDUM July 14, 2025 To: Finance From: Rick Scott Subject: Missing Receipt Explanation: During my trip to the Cal Chiefs Meeting in Sacramento, I used Uber and can not find the receipt for one of the trips. Acct: 101.8001.63002 Transaction details: Date: 6/14/25 Vendor: Uber Total: $7.92 City of San Luis Obispo, Police Department, 1042 Walnut Street, San Luis Obispo, CA, 93401-2729, 805.781.7317, slocity.org MEMORANDUM July 2, 2025 To: Finance From: Rick Scott Subject: Missing Receipt Explanation: During my trip to the Cal Chiefs Meeting in Sacramento, I used the Electrify America charging kiosk to charge my city electric vehicle (EV). Unfortunately, the kiosk failed to print or email me a receipt. I am writing this memo to explain the situation. Transaction details: Date: 6/10/25 Vendor: Electrify America Charging Total: $28.00 ZACHARI DUNES ON MANDALAY BEACH, CURIO COLLECTION 2101 MANDALAY BEACH ROAD OXNARD, CA 93035 United States of America TELEPHONE 805-984-2500 FAX 805-270-5562 Reservations www.hilton.com or 1 800 HILTONS Ledesma, Laura Room No: 807/K1RVU1 Arrival Date: 5/6/2025 7:15:00 PM 251 S SEA STREETQ Departure Date: 5/7/2025 11:32:00 AM Adult/Child: 2/0 OXNARD CA 93030 Cashier ID: MLAPIZCO UNITED STATES OF AMERICA Room Rate: 243.46 AL: HH # VAT # Folio No/Che 138099 A Confirmation Number: 3261619770 ZACHARI DUNES ON MANDALAY BEACH, CURIO COLLECTION 6/2/2025 2:32:00 PM DATE DESCRIPTION ID REF NO CHARGES CREDIT BALANCE 5/6/2025 DAILY RESORT CHARGE AKOSTY1 820530 $35.00 5/6/2025 SUITE TAX AKOSTY1 820530 $3.50 5/6/2025 CA TOURISM TAX AKOSTY1 820530 $0.11 5/6/2025 VTA COUNTY TOURISM ASSESSMENT AKOSTY1 820530 $0.70 5/6/2025 OTMD ASSESSMENT AKOSTY1 820530 $0.70 5/6/2025 GUEST ROOM AKOSTY1 820531 $243.46 5/6/2025 SUITE TAX AKOSTY1 820531 $24.35 5/6/2025 CA TOURISM TAX AKOSTY1 820531 $0.75 5/6/2025 VTA COUNTY TOURISM ASSESSMENT AKOSTY1 820531 $4.87 5/6/2025 OTMD ASSESSMENT AKOSTY1 820531 $4.87 6/2/2025 MC * VACI 845645 ($318.31) **BALANCE** $0.00 CREDIT CARD DETAIL APPR CODE 030267 MERCHANT ID 8040573324 CARD NUMBER VS * EXP DATE 05/27 TRANSACTION ID 820819 TRANS TYPE Sale Page:1 Hotel for Trip to Oxnard for Panel 101.8001.63003 Hotel made a mistake and charged SLO City card when they should have Oxnard PD's Card. Refund issued $-318.31 The Hotel could not provide a receipt for charge to our card only the charge to Oxnard MC * 101.8001.63003 Total $9.91 June 10, 2025 From:Scott, Rick To:Hopkins, Tiffany Subject:FW: [Business] Your Tuesday evening trip with Uber Date:Thursday, June 12, 2025 8:30:50 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 ride. Thank you, Rick From: noreply=uber.com@mgt.uber.com <noreply=uber.com@mgt.uber.com> On Behalf Of Uber Receipts Sent: Wednesday, June 11, 2025 11:35 AM To: Scott, Rick <rscott@slocity.org> Subject: [Business] Your Tuesday evening trip with Uber Total $9.91 In December 2024 in California, roughly 32% 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 6/11/25 5:38 AM Work Account 6/11/25 11:35 AM Switch Payment Method Transportation Network Company: Uber Technologies, You rode with ZAFAR 4.99 Rating Has passed a multi-step safety screen Trip fare $4.22 Subtotal $4.22 Tip $2.00 CA Driver Benefits $0.86 Clean Miles Standard Regulatory Fee $0.09 Booking Fee $2.64 Access for All Fee $0.10 Payments $7.91 $2.00 Download PDF Inc. When you ride with Uber, your trips are insured in case of a covered accident. Learn more 6:41 PM 100 Capitol Mall, Sacramento, CA 95814, US 6:44 PM 405 K St Ste 100, Sacramento, CA 95814, US UberX 1.09 miles | 3 min Report lost item Contact support Contact support My trips Forgot password Privacy Terms Uber Technologies 1725 3rd Street, San Francisco, California 94158 Read about our zero tolerance policy. Report a zero tolerance complaint by visiting help.uber.com Total $9.96 June 11, 2025 Here's your updated Wednesday morning ride receipt. Thanks for tipping, Rick From:Scott, Rick To:Hopkins, Tiffany Subject:Fwd: [Business] Your Wednesday morning trip with Uber Date:Wednesday, June 11, 2025 6:26:27 PM Capitol trip for CPCA. R. Scott Begin forwarded message: From: Uber Receipts <noreply@uber.com> Date: June 11, 2025 at 17:51:59 PDT To: "Scott, Rick" <rscott@slocity.org> Subject: [Business] Your Wednesday morning trip with Uber Reply-To: no-reply@replies.uber.com Total $9.96 In December 2024 in California, roughly 32% 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 $4.27 Subtotal $4.27 Work Account 6/11/25 5:50 PM 4.82 Rating Has passed a multi-step safety screen Transportation Network Company: Uber Technologies, Inc. You rode with ATIQ When you ride with Uber, your trips are insured in case of a covered accident. Learn more 11:30 AM 1021 O St, Sacramento, CA 95814-5704, US 11:36 AM 100 Capitol Mall, Sacramento, CA 95814, US UberX 1.00 miles | 6 min Tip $2.00 Access for All Fee $0.10 Clean Miles Standard Regulatory Fee $0.09 CA Driver Benefits $0.86 Booking Fee $2.64 Payments $9.96 Switch Payment Method Download PDF Report lost item Contact support My trips Forgot password Privacy Terms Uber Technologies 1725 3rd Street, San Francisco, California 94158 Read about our zero tolerance policy. Report a zero tolerance complaint by visiting help.uber.com From:Scott, Rick To:Hopkins, Tiffany Subject:EV fast charge receipt Date:Sunday, June 15, 2025 12:35:39 PM Thank you for charging with Electrify America. For assistance, call us 24 hours a day at 1-833-632-2778. 06/13/2025 9:54:06 PM Foods Co 387 2443-H DELA ROSA SR ST Soledad, California 93960 Charger: #110059-02 Session ID: 57558960 Total paid: $25.87 Plan: N/A Charging pricing: $0.56/kWh (pre-tax) Idling: $0.00 ($0.40/min) Sales tax (0.0%): $0.00 Discount: $0.00 End state of charge: 59% Total energy delivered: 46.2720 kWh Energy Billed: 46.2000 kWh Power Type: DC Max charging speed: 147.00 kW Charge Start Time: 9:31:20 PM Charge Stop Time: 9:53:52 PM Charging time: 00:22:32 Grace period: 00:00 min Idle Start Time: 00:00:00 Idle Stop Time: 00:00:00 Paid idle time: 00:00 Thank you, R. Scott EMBASSY SUITES SACRAMENTO 100 CAPITOL MALL SACRAMENTO, CA 95814 United States of America TELEPHONE 916-326-5000 FAX (916) 326-5001 Reservations www.embassysuites.com or 1 800 EMBASSY SCOTT, RICK Room No: 426/KNGN Arrival Date:6/10/2025 12:01:00 PM 1042 WALNUT STREET Departure Date:6/13/2025 5:05:00 PM Adult/Child:1/0 SAN LUIS OBISPO CA 93401 Cashier ID: JHINKLE4 UNITED STATES OF AMERICA Room Rate: 229.00 AL: HH # 1432509360 BLUE VAT # Folio No/Che 1363685 A Confirmation Number: 81201080 EMBASSY SUITES SACRAMENTO 6/13/2025 5:04:00 PM DATE REF NO DESCRIPTION CHARGES 6/10/2025 8107247 PARKING 780-924 $36.00 6/10/2025 8107248 GUEST ROOM $229.00 6/10/2025 8107248 TOT-OCCUPANCY TAX $27.48 6/10/2025 8107248 STMD-CITY TOURISM ASSESSMENT $7.90 6/10/2025 8107248 STID ASSESSMENT $2.29 6/10/2025 8107248 CA TOURISM ASSESSMENT $0.45 6/11/2025 8107869 PARKING 780-924 $36.00 6/11/2025 8107870 GUEST ROOM $229.00 6/11/2025 8107870 TOT-OCCUPANCY TAX $27.48 6/11/2025 8107870 STMD-CITY TOURISM ASSESSMENT $7.90 6/11/2025 8107870 STID ASSESSMENT $2.29 6/11/2025 8107870 CA TOURISM ASSESSMENT $0.45 6/12/2025 8108468 PARKING 780-924 $36.00 6/12/2025 8108469 GUEST ROOM $229.00 6/12/2025 8108469 TOT-OCCUPANCY TAX $27.48 6/12/2025 8108469 STMD-CITY TOURISM ASSESSMENT $7.90 6/12/2025 8108469 STID ASSESSMENT $2.29 6/12/2025 8108469 CA TOURISM ASSESSMENT $0.45 6/13/2025 8109108 VS * ($909.36) **BALANCE** $0.00 EXPENSE REPORT SUMMARY 6/10/2025 6/11/2025 6/12/2025 STAY TOTAL ROOM AND TAX $267.12 $267.12 $267.12 $801.36 MISCELLANEOUS $36.00 $36.00 $36.00 $108.00 DAILY TOTAL $303.12 $303.12 $303.12 $909.36 CREDIT CARD DETAIL APPR CODE 065073 MERCHANT ID 8029892901 CARD NUMBER VS * EXP DATE 05/27 TRANSACTION ID 8109108 TRANS TYPE Sale Page:1 Total $9.90 June 11, 2025 Here's your updated Wednesday evening ride receipt. Thanks for tipping, Rick From:Scott, Rick To:Hopkins, Tiffany Subject:Uber receipt Date:Friday, June 13, 2025 9:07:37 AM Ride. Thank you, R. Scott Begin forwarded message: From: Uber Receipts <noreply@uber.com> Date: June 13, 2025 at 09:04:48 PDT To: "Scott, Rick" <rscott@slocity.org> Subject: [Business] Your Wednesday evening trip with Uber Reply-To: no-reply@replies.uber.com Total $9.90 In December 2024 in California, roughly 32% 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 $4.21 Subtotal $4.21 Work Account 6/12/25 9:03 AM Work Account 6/13/25 8:54 AM 4.97 Rating Has passed a multi-step safety screen Transportation Network Company: Uber Technologies, Inc. You rode with William When you ride with Uber, your trips are insured in case of a covered accident. Learn more 10:06 PM 1230 J St, Sacramento, CA 95814, US 10:12 PM 100 Capitol Mall, UberX 1.24 miles | 5 min CA Driver Benefits $0.86 Booking Fee $2.64 Access for All Fee $0.10 Tip $2.00 Clean Miles Standard Regulatory Fee $0.09 Payments $7.90 $2.00 Switch Payment Method Download PDF Sacramento, CA 95814-3244, US Report lost item Contact support My trips Forgot password Uber Technologies 1725 3rd Street, Privacy Terms San Francisco, California 94158 Read about our zero tolerance policy. Report a zero tolerance complaint by visiting help.uber.com From:Scott, Rick To:Hopkins, Tiffany Subject:EV Fast Charge Receipt #2 Date:Sunday, June 15, 2025 4:46:56 PM Thank you for charging with Electrify America. For assistance, call us 24 hours a day at 1-833-632-2778. 06/15/2025 3:59:02 PM Costco Pleasanton (Pleasanton, CA) 7200 Johnson Drive Pleasanton, California 94588-8005 Charger: #701419-02 Session ID: 57686570 Total paid: $44.98 Plan: N/A Charging pricing: $0.49/kWh (pre-tax) Idling: $0.00 ($0.00/min) Sales tax (0.0%): $0.00 Discount: $0.00 End state of charge: 99% Total energy delivered: 91.8717 kWh Energy Billed: 91.8000 kWh Power Type: DC Max charging speed: 186.00 kW Charge Start Time: 2:40:13 PM Charge Stop Time: 3:58:49 PM Charging time: 01:18:36 Grace period: 00:00 min Idle Start Time: 00:00:00 Idle Stop Time: 00:00:00 Paid idle time: 00:00 Thank you, R. Scott United Airlines Manage my trip From:United Airlines To:Scott, Rick Subject:Your United Airlines booking confirmation O0WRW0 Date:Tuesday, June 17, 2025 11:40:28 AM  Thanks Richard for choosing United! Confirmation number: O0WRW0  You'll receive a second email with your receipt once we're done processing your reservation. If you don't receive your receipt with 24 hours, contact us .  Purchase summary Fare $384.53 Taxes and Fees $59.44 Total $443.97 Credit card payment: $443.97 (Visa **  Flight to Denver Oct 17, 2025 Nonstop 12:59 PM 4:36 PM SBP 2h 37m DEN San Luis Obispo, CA, US Denver, CO, US FLIGHT INFO Duration: 2h 37m UA 4787 SKYWEST DBA UNITED EXPRESS Bombardier CRJ 700 United Economy Snacks for Purchase   Flight to San Luis Obispo Oct 21, 2025 Nonstop 7:09 PM 8:52 PM DEN 2h 43m SBP Denver, CO, US San Luis Obispo, CA, US FLIGHT INFO Duration: 2h 43m UA 1550 Airbus A320 United Economy Snacks for Purchase   Travelers Richard Scott Email: rs**tt@slocity.org Phone number: ******** Known Traveler/Pass ID: ********* Seats: SBP to DEN: 16C DEN to SBP: 30C  Calculate bag charges FLIGHT FIRST BAG SECOND BAG WEIGHT PER BAG San Luis Obispo, CA, US (SBP) to Denver, CO, US (DEN - International) October 17, 2025 $40/per traveler $50/per traveler 50 (23kg) Denver, CO, US (DEN - International) to San Luis Obispo, CA, US (SBP) October 21, 2025 $40/per traveler $50/per traveler 50 (23kg)  These are estimates of additional bag service charges that may apply to your itinerary. Service charges may vary by traveler, depending on status or memberships. First and second bag service charges do not apply to active duty members of the U.S military and their accompanying dependents. For additional information, visit united.com/baggage.  United accepts the following items, per customer, to be carried on the aircraft at no charge: One carry-on bag no more than 45 linear inches or 114 linear centimeters One personal item (such as a shoulder or laptop bag) nDue to FAA regulations, operating carriers may have different carry-on requirements. Please check with the operating carrier for more information or go to united.com/baggage.  Baggage Policies: View current baggage acceptance allowances. Passport and Visa Information: International Travel Documentation requirements  RealId  Starting May 7, 2025, TSA requires passengers 18 and older to have REAL ID- compliant identification to fly within the U.S. This includes a REAL ID-compliant state-issued enhanced driver s license, state ID, or a passport. Don t have a REAL ID? You may face delays, additional screening, and possibly denied entry at the security checkpoint. More info here: https://www.tsa.gov/travel/security- screening/identification. Ease your travel experience by arriving early and planning ahead to minimize potential delays at the TSA security checkpoint. We look forward to seeing you on board. Reservations Deals & offers MileagePlus® My account This email was sent to rscott@slocity.org by United Airlines. Please do not reply to this email. We cannot accept electronic replies to this email address. © 2025 United Airlines. All rights reserved. United Airlines, Inc. 233 S. Wacker Drive Chicago, IL 60606 Contact us | Email preferences | Privacy policy +2.00 Tip $12.50 Trips & Meetings 8001.63003 From:Scott, Rick To:Hopkins, Tiffany Subject:Fwd: Receipt from Scout Coffee Date:Wednesday, June 25, 2025 5:00:06 PM IFC meeting. R. Scott Begin forwarded message: From: Scout Coffee <messenger@messaging.squareup.com> Date: June 25, 2025 at 3:17:48PM PDT To: "Scott, Rick" <rscott@slocity.org> Subject: Receipt from Scout Coffee Reply-To: Scout Coffee via Square <CAESRRIAGjdyX29pendteXp6Z2F5ZGVuZGRncXpnZW5kYmdycnRzemp0Z3kzZGVuZGdnaXpka3kzY2d5M2RnIghkaWFsb2d1ZSIgQTQTVABVmSIKTJI8CtFYjVgAMMir9AQR63fpsDEET7w=@reply2.squareup.com> Scout Coffee Let Scout Coffee know how your experience was $17.34 12 oz. Latte $5.45 12 oz. double shot (default) Iced Vanilla Bean ($0.20) Iced Tea $4.00 classic black Scout Cookie $5.25 Purchase Subtotal $14.70 Sales Tax (8%) $0.44 Tip $2.20 Total $17.34 Scout Coffee 880 E Foothill Blvd San Luis Obispo, CA 93405 (805) 439-2823 Shop Online Visa (Contactless)Jun 25 2025 at 3:17 PM #pAW2 Auth code: 002374 AID: A0000000031010 Return Policy: Refunds and exchanges are accepted with proof of purchase. All clothing must have tags still attached and most be unworn. All jewelry is final sale. All sale items are final sale. Coffee beans are final sale. Thank you for choosing Scout, we appreciate you! Receipt Settings Not your receipt?Manage preferences Report message to Square © 2025 Square Privacy Policy 1955 Broadway, Suite 600 Oakland, CA 94612 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 Sacramento, CA 2 + 2 TDs $1,243.35 PURPOSE - Description Payment Method Amount Registration Air Fare Lodging credit card 801.35 Meals per diem 150.00 Mileage - Personal Veh City Vehicle credit card 140.00 Rental Car Training Materials Parking credit card 152.00 TOTAL 1,243.35 Departure Date/Time Date/Time San Luis Obispo 6/10/25 noon 6/10/25 5pm Sacramento 6/13/25 2pm 6/13/25 7pm Employee Date Date Hopkins for Scott 1/21/2025 Department Head Date Date San Luis Obispo Embassy Suites by Hilton (4)$38 Supervisor Arrival APPROVALS ITINERARY (3) B + (3) L+ (2) 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) Sacramento 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 none 8001-63002 Account No. Department Position Police Chief Docusign Envelope ID: C664E601-8C00-435B-A0BE-E3E8B310F401 1/21/2025 | 2:43 PM PST Use the reverse side of this form for reporting actual expenses within 10 working days after your return. Docusign Envelope ID: C664E601-8C00-435B-A0BE-E3E8B310F401 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: C664E601-8C00-435B-A0BE-E3E8B310F401 Employee Rick Scott Destination No. of Days Amount Denver, CO` 5 days +1TD $2,480.00 PURPOSE - Description Payment Method Amount Registration credit card 225.00 Air Fare credit card 500.00 Lodging credit card 1,500.00 Meals per diem 255.00 Mileage - Personal Ve City Vehicle Rental Car Training Materials Parking TOTAL 2,480.00 Departure Date/Time Date/Time San Luis Obispo 10/17/25 @12pm 10/17/25 @4:30pm Denver 10/21/25 @7pm 10/21/25 @9pm Employee Date Date Hopkins for Scott 6/16/2025 Department Head Date Date San Luis Obispo Grand Hyatt Denver (4 nights) Supervisor Arrival APPROVALS ITINERARY (4) B + (5) L+ (4) D IACP Conference 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) Denver 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 - Speaker Rate United Airlines Account No. Department Position Police Chief Docusign Envelope ID: F2D2F47A-1F2C-4A00-A664-DF2042E70307 6/16/2025 | 3:06 PM PDT 8001.63002 Use the reverse side of this form for reporting actual expenses within 10 working days after your return. Docusign Envelope ID: F2D2F47A-1F2C-4A00-A664-DF2042E70307 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: F2D2F47A-1F2C-4A00-A664-DF2042E70307 PURCHASE MADE WITH CREDIT CARD*:YES *attach receipt Do not complete this section QTY UNIT PRICE TOTAL 1 557.79 $557.79 $557.79 Service Fee $557.79 REASON FOR PURCHASE: EmergencyBackup vehicle power supplyfor Cityelectric vehicle DATE: M. Ellsworth EmergencyBackup vehicle power supply VENDOR NAME: ACCOUNT:8006-61011 NAME ON CREDIT CARD: DESCRIPTION SLOPD PURCHASE REQUISITION FORM Subtotal INVOICE TO BE SENT TO PD: 5-Jun-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 5-Jun-25 TAX Tip Delivery TOTAL