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Inv# 2025-00000731 - BANK OF AMERICA - 07/31/2025
City 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 Final Details for Order #112-5363335-6482625 Order Placed: July 9, 2025 Amazon.com order number: 112-5363335-6482625 Order Total: $29.98 Business order information Omnia: R-TC-17006 Shipped on July 13, 2025 Items Ordered Price 1 of: Brewin CHEFILOSOPHI Japanese Chef Knife Set 5 PCS with Elegant Red Pakkawood Handle Ergonomic Design,Professional Ultra Sharp Kitchen Knives for Cooking High Carbon Stainless Steel Sold by: Cherrying-US (seller profile) Condition: New $29.98 Shipping Address: Christine Lottier 100 W DANIA BEACH BLVD DANIA BEACH, FL 33004-3643 United States Shipping Speed: FREE Prime Delivery Item(s) Subtotal:$29.98 Shipping & Handling:$0.00 ----- Total before tax:$29.98 Sales Tax:$0.00 ----- Total for This Shipment:$29.98 ----- Payment information Payment Method: Visa | Last digits: 2569 Billing address Christine Lottier 100 W DANIA BEACH BLVD DANIA BEACH, FL 33004-3643 United States Item(s) Subtotal:$29.98 Shipping & Handling:$0.00 ----- Total before tax:$29.98 Estimated Tax:$0.00 ----- Grand Total:$29.98 Credit Card transactions Visa ending in 2569: July 13, 2025: $29.98 To view the status of your order, return to Order Summary . Conditions of Use | Privacy Notice © 1996-2020, Amazon.com, Inc. Need a copy of our W-9? View UFLEF W-9 (PDF) Subtotal 0.00 Tax Payable 0.00 Total Amount Payable-US 395.00 Payments Received-US 395.00 Balance Due-US 0.00 University of Florida Leadership and Education Foundation, Inc. (UFLEF) UF/IFAS Office of Conferences & Institutes (OCI) PO Box 110750 / 2311 Mowry Road Building 78 Gainesville, FL 32611-0750 Phone: (352) 392-5930 Fed. ID: 59-3104978 State of Florida MFMP#: F593104978-002 | UF Supplier#: 0000002114 Bill to: Candido Sosa-Cruz City of Dania Beach 100 West Dania Beach Blvd Dania Beach FL 33004 United States Phone: 954-924-6800 Invoice Number: 2504-4705 Southeast Florida Climate Leadership Summit December 16, 2025 - December 17, 2025 Invoice Date: 2025-07-22 12:53:36 Due upon receipt Payment Options - US Dollars : 028000024 | 021000021ACH Routing Wire Routing: 20000045740280 | : CHASUS33Account Number:SWIFT Code JPMorgan Chase New York, NY 10017Bank Reference Address: : UF Leadership & Education Foundation IncAccount Name Inv# 2504-4705Reference: : UF Leadership & Education Foundation, Inc. (UFLEF)Check Payable to UF/IFAS Office of Conferences & Institutes (OCI)Mail to: PO Box 110750 | 2311 Mowry Road Building 78 Gainesville, FL 32611-0750 USA Call 1-352-392-5930 | UFLEF ConferencesCredit Card:Merchant Name: Detail Date Amount Qty Tax Total Government/Non-Profit Attendee Early 07/22/2025 12:51 PM 395.00 1 0.00 395.00 Payments Christine Lottier (Visa 2569)07/22/2025 12:53 PM 395.00 1 0.00 395.00 Total 0.00 395.00