HomeMy WebLinkAboutInv# 2025-00000676 - BANK OF AMERICA - 06/30/2025City of Dania Beach
P-Card Monthly Sign-Off Sheet
Invoice Batch #:
Last 4 digits of credit card number: xxxx-xxxx-xxxx- Statement Month:
P-Card Monthly Sign-Off Sheet (this page)
Bank of America statement
Electronic scans of original receipts – (must be in order as they appear on the Bank of America statement)
Host Account Summary form for food expenditures (if applicable)
By signing below, I certify that I have reviewed and approve all charges as in compliance with the rules
and regulations set forth in the “P-Card Policy”and “P-Card Acknowledge Form”.
Cardholder (print) Signature Date
Reconciler (print) Signature Date
Department Head (print) Signature Date
Purchasing Reviewer Signature (print name) Signature Date
After review, sign and forward your packet via email to tstevens@daniabeachfl.gov
Complete your monthly P-Card Reconciliation Packet in this Order
Signatures: Cardholder, Reconciler, and Department Head signatures are required. The cardholder signs as
the cardholder. If Dept. Head is also the cardholder you must sign in both places. The reconciler will sign as
the approving party of transactions listed on the BOA statement. The cardholder and reconciler cannot be
the same person. If Dept. Head is also the reconciler you must sign in both places as the approving party of
transactions listed on the BOA statement.
TO BE COMPLETED BY FINANCE
Title: P-Card Host Authorization Form
Revised: 12-27-19
CITY OF DANIA BEACH
P-Card Host Authorization Form
FOOD EXPENDITURES FOR MONTH OF: _____________________
NAME OF CARDHOLDER: __________________________ SIGNATURE: ________________________
*Attach signed copy to monthly account statement retained by cardholder and monthly paperwork submitted to Finance.
PRINT NAME OF DEPARTMENT HEAD: ____________________________________
SIGNATURE: ____________________________________
Date Restaurant / Vendor Nature of the Event Total
Amount
# of
Guests
Food Provided
Refreshments Breakfast Lunch Dinner
Invoic e
Ship To:CITY OF DANIA BEACH
100 W DANIA BEACH BLVD
DANIA BEACH, FL 33004
USA
Phone Due Dat e
954-924-6800 x3607
Invoice Number:
83824
Invoice Date:
Jun 19, 2025
Sold To:CITY OF DANIA BEACH CITY
MANAGER
100 W DANIA BEACH BLVD
DANIA BEACH, FL 33004
USA
Cust omer PO/Nam e Payment Terms
7/19/25
Page
Sales Rep ID
MAXINE Net 30 Days
1
Quantit y Item Descr iption Unit Price Extension
1.00 FILENAME CITYOFDANIABEACHMANA - 141232
4.00 DIGITAL 4' x 8' Mesh Banners, Single 224.00 896.00
Sided w/ Seams & Grommets.
1.00 NOTES Back to School Beach Clean-up
Banner
896.00
896.00
Payment Received
Total Invoice Amount
TOTAL
Sales Tax
Check No:
Subtotal 896.00
Note: Signs remain property of Sign Studio until paid in full.