Travel Authorization & Expense Reporting Form
Instructions: Prior to any travel, complete Part I of this form to have travel and anticipated expenses approved. Submit a copy of this approved form with each payment expense submitted. Upon returning from travel, complete Part II of this form to confirm total expenses including any approved adjustments.
Submit form to Accounts Payable within 15 days of the travel end date. Always use the most up-to-date Travel Form located on the City's Intranet mployee signall Immediate Supervisor Signature
Part I - Travel Authorization
Name: Elena Baca-Santa Cruz Purpose of Trip: NALEO 41st Annual Conference Out of State?
Job Title: Council Member Destination: Las Vegas, NV
Enter below the departing date and time then the return date and time. Per diem travel days will Division: Council
automatically be calculated.
GL Org Sets) % Split Departure 6/17/245:00 PM Example:
Date & Time: 1/2/18 7:30 AM
1010-10-01-1001 100% Split Total Equals
Return Example
6/20/24 2:00 PM 12/18 5:30 PN
100% Date & Time:
CAL-Card?
Expense Type Account # Description of Expenses Amount If Yes Registration: (620510) NALEO's Registration Fee $800.00 Lodging : (620510) Bellagio Las Vegas $823.14
Mileage: (620510) Miles: Rate: $0.67
Airfare: (620510) Frontier Airlines $155.96
*Per Diem: (620510) Las Vegas, NV $69 Check box to decline Per Diem, whereby actual
Total Travel Days (Enter # of Days) >>> 4 receipts must be submitted *To receive per diem, travel must include an overnight stay. Total Per Per diem on first and last day are to be calculated at 75% of daily per diem rate. Diem: $215.63 Misc. Other: (620510)
Business Meals: (620510)
Division Manager Approval Total Anticipated Expenses: $1,994.73 4/4/2024 City Manager Approval (as required) Date
Department Head Approval Date
Jane Falsear × 4/9/2022 This 419124
Par Il - Expense Reporting (Please check the appropriate box below and provide details) No adjustments are necessary. Anticipated expenses match actual expenses incurred.
Advance payments exceeded the actual expenses incurred. Attached is my receipt as evidence of) reimbursement to the City. (Explain below, use negative numbers Actual expenses exceeded the anticipated original request. Additional funds are required as listed below.
Expense Details Expenditure Code CAL-Card?
Lyft Rideshare 1010-10-01-10011-620510167.49
Q05_ -10-01-10011-62051Q1154 .00
1010-10-01-1001 | 82,275.22
1 cream cal and or Signature: Au I certify that this document is GL Org Set 8 J Split Totals:
travel expenses for official
City business. Date: Ext.
Division Manager Approval Date Final Total Expenses: $2,216.22 R City Manager Approval (as required) Date
Department Head Approval Date
Anchan 7/8/24
Owner: Finance Version 4.0
4/2/2024
Brian Mohan
From: Mike Lee
Sent: Wednesday, July 3, 2024 9:27 AM
To: Executive Team_DG; City Clerk Staff_DG
Cc: Vanessa Leccese; Angel Galache
Subject: Mike out on vacation
Honorable Mayor and Members of the City Council (via bcc), I will be on vacation the week of July 7 and will be back in the office on Monday, July 15. In my absence, ACM Mohan will be in charge.
Respectfully,
Mike
Mike Lee
City Manager
City Manager's Office
City of Moreno Valley
p: 951.413.3020 | e: [email protected] w: www.moval.org
14177 Frederick St., Moreno Valley, CA, 92553
Mera fou Per Diem Worksheet
Travel Destination: Las Vegas, NV
(City, State)
Total Travel Days: 4
(# of Days)
Per Diem Rate: $69.00
(Daily M&IE Rate)
Breakdown
Travel Days Rate
First Day E Check if you began travel after $25.88
12:00PM (Noon)
Travel Days $138.00
Last Day ~ Check if you ended travel befor $51.75
- 12:00PM (Noon
Total Per Diem $215.63
Hotel Information and Reservations The deadline to make reservations at the NALEO group rate is Tuesday, May 14, 2024. NALEO reserved a block of rooms for attendees at the Bellagio Hotel, where the Conference will be taking place. The NALEO room rate is $203.00 (plus tax and resort fee) a night. Room rates may vary from standard Conference dates. To make reservations at the Bellagio Hotel, use this link NALEO Conference hotel reservations.
Cancellations For cancellation requests, please contact Elizabeth Barrera at [email protected]. A $200 processing fee will be charged. The last day to submit a registration cancellation is Friday, June 7, 2024. All reimbursements will be processed post-Conference.
If Paying By Check
Registration will be considered complete when payment is received in full. If you need an invoice to be sent to you, please send a request to Elizabeth Barrera at [email protected]
Make check payable to: NALEO Educational Fund
RE: NALEO 41st Annual Conference/Registrants Name 1000 Corporate Center Drive, Ste. 310 Monterey Park, CA 91754
Event: NALEO 41st Annual Conference
Number in Party: 1
Time: 8:00 AM
Date: June 18, 2024
Location: Bellagio Las Vegas
Address: 3600 Las Vegas Boulevard South, Las Vegas, Nevada, 89109, USA Group Confirmation Number: ZYNTYHRGD6Y
Group Registrant 0 (Elena Baca-Santa Cruz)
Confirmation Number: WVNLYQSPX4H
Elena Baca-Santa Cruz
Order Date Order Type Amt Ordered Amt Paid Amt Due
20-Mar-2024 5:34 PM PT 032024-0384 Online Charge Member Rate Admission Item $800.00 $800.00 Amt Ordered Amt Paid Amt Due
Total $800.00 $800.00 $0.00
Home Agenda Hotel Fees FAQS About Us REGISTER
Media
Already Registered?
REGISTRA
NALEO
2024
TION
JUNE 18-20 • LAS VEGAS, NV
NOW
OPEN
CONFERENCE OVERVIEW
About the NALEO Annual
Conference
Get ready for the NALEO 4]st Annual
Conference! The nation's largest and
most prestigious gathering of Latino
elected and appointed officials and
their supporters is coming to the
brightest city in the world!
Join us at the NALEO 47st Annual
Conference - an unparalleled
convening that brings together
leaders from across political.
perspectives in service to our nation,
1E.
the American people, and our
community. Come and connect with
Latino leaders from across the
country, engage in substantive policy
conversations, and share with and
learn alongside other thought
leaders representing diverse sectors
— all in the heart of Las Vegas.
Specifically tailored for Latino elected
and appointed officials, the NALEO
Annual Conference is a unique
professional development
opportunity that provides a venue for
the meaningful exchange of ideas
and solutions to today's most
pressing policy issues.
JUNE 18-20, 2024 ADD TO CALENDAR
Dynamic Sessions that Drive Creativity and
Foster Solutions
Conference sessions are designed to
enhance participants' governance
skills and deepen understanding of
critical policy issues in a cross-
jurisdictional context.
• Hear from prominent national
leaders and presidential
candidates.
• Get up-to-date information on
timely issues, including the 2024
Presidential Election, the economy,
education, emergency
preparedness, economic mobility
and workforce development,
health, and more.
• Explore policy solutions and best
practices in peer-to-peer
discussions.
• Learn strategies and best practices
for personal safety and self-care for
elected officials.
Increasing Access and Building
Connections
In bringing together more than 1,000 Latino policymakers, private sector representatives, and other Latino leaders, attendees will:
• Have access to our nation's top executive and legislative leaders; • Engage in cross-jurisdictional policy discussions;
• Build a network of Latino leaders from diverse backgrounds and perspectives; and
• Meet representatives from the public and private sectors.
Make a Strong Case to Attend the NALEO
Annual Conference
Do you need help making the case with your jurisdiction on why it is important for you to attend the NALEO Annual Conference? We have drafted a sample letter you can use to demonstrate that attending the NALEO Conference is an investment in your leadership development, policy knowledge, skills and your commitment to being an effective policymaker for the constituents you serve.
DOWNLOAD SAMPLE LETTER
LOCATION
Bellagio Las Vegas
3600 Las Vegas Boulevard South
Las Vegas, NV 89109
MAP
THANK YOU TO OUR SPONSORS
PRESENTING SPONSORS
WELLS
So State Farm FARGO
From: NALEO 41st Annual Conference
To: City Clerk
Subject: egistration Confirmed - NALEO 41st Annual Conferenc Date: 'ednesday, March 20, 2024 5:34:48 PI
Some people who received this message don't often get email from [email protected]. Learn why this is important
Warning: External Email - Watch for Email Red Flags!
Dear Sonia,
Please save this email for future reference.
Thank you for registering for the NALEO 41st Annual Conference scheduled for June 18-20, 2024, in Las Vegas, Nevada at the Bellagio Hotel.
Sonia Gomez
Subject: FW: Your Reservation Confirmation at Bellagio
MGM Resorts is Excited to Welcome You
BELLAGIS
L A
Your Reservation Has Been Confirmed
We look forward to seeing you soon as part of NALEO 41 st Annual Conference
It is our pleasure to confirm the following reservation:
YOUR RESERVATION
Confirmation Number: 8LE0BMIH
Guest name: Elena Baca-Santa Cruz
Bellagio Resort & Casino
Room type: Premier King
No. of Guests: 1
Arrival: Jun 17, 2024 Departure: Jun 20, 2024
Grand Total: $823.14
1 PASSENGER OPTIONS & EXTRAS DETAIL
Elena Baca-santa Cruz
Outbound Checked Bag 1 $49.00
Return Checked Bag 1 $49.00
TAXES AND CARRIER IMPOSED FEES
US Transportation Tax $0.27
Carrier Interface Charge *Non-Refundable $10.00
US Domestic Flight Segment Tax ONT-LAS $5.00
US Passenger Security Fee $5.60
Passenger Facility Charge ONT-LAS $4.50
US Transportation Tax $0.27
Carrier Interface Charge *Non-Refundable $10.00
US Domestic Flight Segment Tax LAS-ONT $5.00
US Passenger Security Fee $5.60
Passenger Facility Charge LAS-ONT $4.50
PURCHASE TOTAL
Airfare $7.22
Options $98.00
Taxes and Carrier-Imposed Fees $50.74
Grand Total $155.96
PAYMENT: VISA
Total $155.96
Payment Date 03-21-2024
Payment Type VISA
***Approved*** XXXXXXXXXXXX0982
4 Sonia Gomez
Subject: FW: Your Flight Confirmation Code XYYK4F
FRONTIER
PURCHASE CONFIRMATION
Thank you for your purchase with us!
Your flight confirmation code is: XYYK4F
You can check-in and retrieve your boarding pass 24 hours before your flight.
Need to update or cancel/ change your flight?
ACCESS YOUR BOOKING
PURCHASE SUMMARY
AMOUNT PAID: $155.96
FLIGHTS Subtotal: $57.96
DEPARTING FLIGHT 2232
Ontario (ONT) to Las Vegas (LAS)
Depart: 6/17/2024 5:30 PM | Arrive: 6/17/2024 6:43 PM
Total Duration: 1 hr 13 min
1 RETURNING FLIGHT 1357
Las Vegas (LAS) to Ontario (ONT)
Depart: 6/20/2024 12:53 PM | Arrive: 6/20/2024 2:02 PM
Total Duration: 1 hr 9 min
PASSENGERS
ADULT (S)
1 - Elena Baca-santa Cruz
Not a FRONTIER Miles™ Member? Sign Up!
BUNDLES
BUNDLE AND SAVE
Bundle your trip and save!
Get a Checked Bag, Carry-on Bag, Assigned Seat, Priority Boarding, Flight Flexibility and more! Buy Now And Save!
SERVICE Subtotal: $0.00
Self-Service
$0.00 | No Pre-Purchased Airport Agent
Assistance
FREE - You have chosen Self-Service and will
not need assistance from an airport agent
Please download our mobile app or visit
flyfrontier.com.
If you prefer Agent Assistance at the airport
ticket counter for things like checking in and
2 rinting your boarding pass, you may purchase
that now. See exclusions.
1 Reminder, bags and seats cost more at
the airport.
SEATS Subtotal: $0.00
You have not purchased a seat assignments)
You will be randomly assigned seat (s) at check-in.
Buy Seat Assignments Now!
BAGS Subtotal: $98.00
NEW: Checked Bags Limited to 40lbs
BAGS - ONT to LAS
1 - Elena Baca-santa Cruz
Carry-On | Qty 0
Checked | Qty 1
BAGS - LAS to ONT
1 - Elena Baca-santa Cruz
Carry-On | Oty 0
Checked | Qty 1
LOOKING FOR TRAVEL INSURANCE? Be Prepared!
Protect your trip with Travel Guard™ travel insurance Pack a travel insurance plan.
AIG GET A QUOTE
3 Patrick Killion
From: Elena Santa Cruz <[email protected]>
Sent: Friday, June 21, 2024 4:54 PM
To: Elena Baca-Santa Cruz - Council Member - District 1 Subject: Fwd: Your ride with William on June 17
You don't often get email from [email protected]. Learn why this is important Warning: External Email - Watch for Email Red Flags!
---------- Forwarded message ---------
From: Lyft Receipts <[email protected]>
Date: Tue, Jun 18, 2024 at 5:44 PM
Subject: Your ride with William on June 17
To: <[email protected]>
lyn
JUNE 17, 2024 AT 6:13 PM
Thanks for riding with William!
100% of tips go to drivers. Add a tip
Lyft fare (4.43mi, 15m 50s) $23.29
NV Cost Recovery Fee $0.70
*Pay/Apple Pay (MasterCard) $23.99
You've already paid for this ride.
changes.
1 Patrick Killion
From: Elena Santa Cruz < [email protected]>
Sent: Friday, June 21, 2024 4:54 PM
To: Elena Baca-Santa Cruz - Council Member - District 1 Subject: Fwd: Your ride with Darryl on June 18
You don't often get email from [email protected]. Learn why this is important Warning: External Email - Watch for Emait Red Flags!
---- Forwarded message ---------
From: Lyft Receipts <[email protected]>/
Date: Tue, Jun 18, 2024 at 8:39 PM
Subject: Your ride with Darryl on June 18
To: <[email protected]>
lyn
JUNE 18, 2024 AT 5:46 PM
Thanks for riding with Darryl!
100% of tips go to drivers. Add a tip
Lyft fare (2.08mi, 14m 11s) $10.64
NV Cost Recovery Fee $0.32
Tip $2.00
*pay Apple Pay (MasterCard) $12.96
You've already paid for this ride.
This total may not match the charge on your account statement. The payment for this ride might be combined with any other rides you took on June 18, 2024. Keep in mind that the cost of this ride and the total charge may not reflect refunds, credits, or other 1 Patrick Killion
From: Elena Santa Cruz <[email protected]>
Sent: Friday, June 21, 2024 4:53 PM
To: Elena Baca-Santa Cruz - Council Member - District 1 Subject: Fwd: Your ride with Tyrone on June 18
You don't often get email from [email protected]. Learn why this is important Warning: External Email - Watch for Email Red Flags!
-------- Forwarded message -------.
From: Lyft Receipts <[email protected]>
Date: Tue, Jun 18, 2024 at 9:03 PM
Subject: Your ride with Tyrone on June 18
To: <[email protected]>
lyn
JUNE 18, 2024 AT 8:39 PM
Thanks for riding with Tyrone!
100% of tips go to drivers. Add a tip
Lyft fare (2.04mi, 13m 54s) $11.41
NV Cost Recovery Fee $0.34
Tip $2.00
*PaY Apple Pay (MasterCard) $13.75
You've already paid for this ride.
1 Patrick Killion
From: Elena Santa Cruz < [email protected]>
Sent: Friday, June 21, 2024 5:00 PM
To: Elena Baca-Santa Cruz - Council Member - District 1 Subject: Fwd: Your ride with Mckay on June 20
You don't often get email from [email protected]. Learn why this is important Warning: External Email - Watch for Email Red Flags!
----- Forwarded message ---------
From: Lyft Receipts <[email protected]>
Date: Fri, Jun 21, 2024 at 11:37 AM
Subject: Your ride with Mckay on June 20
To: <[email protected]>
lyn
JUNE 20, 2024 AT 11:16 AM
Thanks for riding with Mckay!
100% of tips go to drivers. Add a tip
Lyft fare (3.64mi, 14m 15s) $16.30
NV Cost Recovery Fee $0.49
«Pay Apple Pay (MasterCard) $16.79
You've already paid for this ride.
1 ONTARIO AIRPORT
RECEIPT
OUT: 20.06.24 14:15
AMOUNT: $ 96.00
CC-DATA:
AMEX
XXXXXXXXXXX9311
XXXXX 201
AUTH. CODE 51802
FRONTIER
PURCHASE CONFIRMATION
Thank you for your purchase with us!
Your flight confirmation code is:
SF2TKW
You can check-in and retrieve your boarding pass 24 hours before your flight.
Need to update or cancel/change your flight?
ACCESS YOUR BOOKING
FLIGHTS Subtotal: $28.98
DEPARTING FLIGHT 1358
Ontario (ONT) to Las Vegas (LAS)
Depart: 6/17/2024 12:54 PM | Arrive: 6/17/2024 2:05 PM
Journey Duration: 1 hr 11 min
Boarding ends 20 min before flight departure.
PURCHASE SUMMARY
AMOUNT PAID: $86.98
PASSENGERS Subtotal: $0.00
SEATS - ONT to LAS
1 - Elena Santa Cruz
Seat Assignment: 10B
BAGS Subtotal: $58.00
NEW: Checked Bags Limited to 40lbs
BAGS - ONT to LAS
1 - Elena Santa Cruz
Carry-On | Qty 0
Checked | Qty 1
LOOKING FOR TRAVEL INSURANCE?
Protect your trip with Travel Guard™ travel insurance
AIG
Be Prepared!
Pack a travel insurance plan.
GET A QUOTE
PASSENGER OPTIONS & EXTRAS DETAIL
Elena Santa Cruz
Outbound Checked Bag 1 $58.00
4 TAXES AND CARRIER IMPOSED FEES
US Transportation Tax $0.27
Carrier Interface Charge *Non-Refundable $10.00
US Domestic Flight Segment Tax ONT-LAS $5.00
US Passenger Security Fee $5.60
Passenger Facility Charge ONT-LAS $4.50
PURCHASE TOTAL
Airfare $3.61
Options $58.00
Taxes and Carrier-Imposed Fees $25.37
Grand Total $86.98
PAYMENT: MASTERCARD
Total $28.98
Payment Date 06-10-2024
Payment Type Mastercard
***Approved*** XXXXXXXXXXXX3120
PAYMENT: MASTERCARD
Total $58.00
Payment Date 06-17-2024
Payment Type Mastercard
***Approved*** XXXXXXXXXXXX3120
5