Loading...
HomeMy WebLinkAboutInv# PC - 21024 - BANK OF AMERICA - 10/22/2024DANIA BEACH SEA IT, LIVE IT. LOVE IT, Lost/Missing Receipt Form for P-Card The City of Dania Beach expects your best efforts to obtain original receipts. In the rare event that a receipt cannot be obtained, or is lost, this form may be used to document your purchase. Excessive use of this form could result in suspension of purchasing privileges. Supervisor approval is required. Card Holder Information Vendor Information Name: Debbie Sabino Last 4 of CC: 2316 Name: TEZ United Parking Group Department: Community Development Phone #: 954-924-6805 x3643 Purchase Date: Oct. 22, 2024 Purchase Information Please provide details as to why the original receipt is not available and how the problem will be avoided in the future. Parking at the Breast Cancer Event at the Marriott Hotel in Dania Pointe I certify this purchase is a valid City expense © I certify this purchase will not be submitted on any other form for reimbursement Line Item Detail: Please provide the item description, quantity, and total for each item on the receipt. Quantity Item description Individual amount Total 1 TEZ United Parking Group 22.05 22.05 r Cardholder's Signature Department Head or Direct Supervisor's Signature Date Updated June 2019 `j06 %�� Shipping: Invoice Total: 122.05 *If more items were purchased, please continue on separate page.