Travel Authorization & Expense Reporting Form
structions: Prior 10 any travel, complete Part of this form to have travel and anticipated expenses approved. Submit a copy of this approved fom wit ach payment expense submitted. Upon returning from travel, complete Part Il of this form to confirm total expenses including any approved adjustmen Submit form to Accounts Payable within 15 days of the travel and date. Aiways use the most up-to-date Travel Form located on the City's Intranet Emplovee Signature Immediate Supervisor Signature
Part | - Travel Authorization
Name: Ulises Cabrera Purpose of Trip: Cal Cities - City Leaders Summit Out of State?
Job Title: Mayor Destination: 1401 K St, Sacramento, CA 95814 Enter below the departing date and time then the retum date and time. Per diem travel days will Division: City Council
automatically be calculated.
GL Org Sets) % Split Departure 4/22/254:00 PM Example:
1010-10-01-10015 100% Split Total Equals Date & Time: 1/2/18 7:30 AM Return Example:
4/26/255:30 PM
100% Date & Time: 1/2/185:30 PM
CAL-Card?
Expense Type Account # Description of Expenses Amount
Be If Yes
Registration: (620510) Cal Cities - City Leaders Summit $650.00 Lodging : (620510) Hyatt Regency - Sacramento $801.36
Mileage: (620510) Miles: Rate: Г
Airfare: 620510) Southwest ONT - SMF $542.475
*Per Diem: (620510) Sacramento, CA $86 Check box ta decline Per Diem, whereby actual
Total Travel Days (Enter # of Days) >>> 5 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: $354.75 Misc. Other: (620510) Г
Business Meals: (620510)
Division Manager Approval Date Total Anticipated Expenses: $2,349.08 City Manager Approval (as required) Date
Department Head Approval Date
41135
Part I/ - 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.
Expenditure Code CAl-Card?
Post-Trip - 70101501-0015 52,354.08-
Employee UC
1 certily that this document is 1 GL Org Set
a true and accurate record of Signature: X
travel expenses for official I Split Totals:
City business. Date: Ext.
Division Manager Approval Date Final Total Expenses: $2,344.08 City Manager Approval (as required) Date
Department Head Approval
× 4/30/25 x
Owner: Finance Version 4.0
4/7/2025
Per Diem Worksheet
Travel Destination: Sacramento, CA
(City, State)
Total Travel Days: 5
(# of Days)
Per Diem Rate: $86.00
(Daily M&IE Rate)
Breakdown
Travel Days Rate
First Day L Check if you began travel after $32.25
12:00PM (Noon)
Travel Days $258.00
Last Day DO Check if you ended travel before $64.50
12:00PM (Noon)
Total Per Diem $354.75
Patrick Killion
From: no-reply<[email protected]>
Sent: Monday, March 24, 2025 1:09 PM
To: Patrick Killion
Cc: Ulises Cabrera
Subject: Cal Cities Event Registration Confirmation
Warning: External Email - Watch for Email Red Flags!
Thank you for registering for the 2025 City Leaders Summit, taking place April 23 - 25 at the SAFE Credit Union Convention Center in Sacramento.
The room block is currently SOLD OUT; however, we recommend checking the link often as rooms may become available due to cancellations. You may also contact the hotel directly to book at the market rate.
HOTEL RESERVATION PAGE
REFUND POLICY: Advance registrants unable to attend will receive a refund of rate paid, minus a $75 processing charge, only when a written request is submitted to Megan Dunn and received on or before April 16. Refunds will not be available after this date. If you are unable to attend, you may substitute a colleague for your entire registration.
To request an accommodation or for inquiries about accessibility, please contact Megan Dunn. Every effort will be made to honor submitted requests.
Name: Ulises Cabrera
Company: Moreno Valley
Title: Mayor
Email: [email protected]
Registration: a) Full Conference - Member City Officials and Staff Session(s):
Price: $650.00
Discount: $0.00
Amount Paid: $650.00
SAFE Credit Union Convention Center
1 Patrick Killion
From: Brittani White < [email protected]>
Sent: Thursday, April 10, 2025 2:58 PM
To: Ulises Cabrera; Patrick Killion
Subject: City Leaders Summit and April Board of Directors Meeting Hotel Confirmation 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!
Greetings Ulises Cabrera,
We look forward to seeing you at the upcoming April 2025 Board of Directors Meeting! The hotel confirmation for your stay in Sacramento is now available. Please make note of the following details:
• Hotel: Hyatt Regency Sacramento, 1209 L St, Sacramento, CA 95814 • Confirmation #: 24781958-1
• Check in: Tuesday, April 22, 2025
• Check out: Saturday, April 26, 2025
Check in is at 4:00 p.m., and check out is at 11:00 a.m. You will be asked to provide a credit card upon checking in for incidentals. If any changes need to be made to your existing reservation or if you need to cancel, please reply to this email by Thursday, April 17%.
Please note, when you provide a credit card at check in you will be charged for any room nights) except for April 25th. If you would like to put a credit card on file before your stay, please visit this link.
Meeting Venue
The meeting will take place at the SAFE Credit Union Convention Center, 1401 K St, Sacramento, CA 95814. Please note the meeting is in a different room than 2024.
To access the meeting room, enter the convention center west lobby at 13'h Street and L Street and proceed up the escalators to the second floor. Continue down the hallway until you find Rooms 9-11 on your left. You can also enter through the east lobby on 15th Street and K Street, taking the escalators to the second floor. The rooms will be immediately to your right.
Safe Travels,
Brittani White
Event Coordinator
League of California Cities
Office: 916-658-8265
[email protected] www.calcities.org
LEAGUE OF
CALIFORNIA
CITIES
1 HYATT REGENCY®
CREDIT CARD AUTHORIZATION FORM
HOTEL NAME Hyatt Regency Sacramento
GUEST LAST NAME GUEST FIRST NAME CONFIRMATION NUMBER ARRIVAL DATE Cabrera Ulises 24781958-1 04/22/2025
CARDHOLDER CONTACT PHONE NUMBER 95141330008
CARDHOLDER E-MAIL ADDRESS [email protected]
I hereby authorize the following charges to be applied to the credit card indicated below (applicable sales taxes and fees may apply). Check all that apply:
ALL CHARGES • ROOM, TAX, and MANDATORY FEES / PARKING FOOD & BEVERAGE
GUEST AMENITY BANQUET CHARGE OTHER (SEE COMMENTS BELOW)
COMMENTS
The following credit card may be billed for the estimated charges at any time prior to the arrival date.
Payment information
collected on next step
Patrick Killion
SIGNATURE OF CARD HOLDER DATE 04/10/2025
[email protected]
/ I confirm that all guests listed above are age 18 or older.
D: 2025041017500520 All information is kept confidential and used only for the purposes as noted above. ertifi Electronic Signatur
Hyatt Regency Sacramento
at Capitol Park
HYATT 1209 L Street
REGENCY' Sacramento, CA 95814
Tel: 916-443-1234
Fax: 916-321-3779
INFORMATION INVOICE
Ulises Cabrera
1400 K Street, Suite 400 Room No. 0863
Sacramento CA 95814-3916 04-22-25
Arrival
United States
Departure 04-26-25
Confirmation No. 2478195801 Folio Window 2
Group Name 2025 City Leaders Folio No. 1570809
Description Charges Credits
Date
04-22-25 Accommodation 229.00
04-22-25 Occupancy Tax 27.48
04-22-25 Sacramento Tourism Assessment 7.90
04-22-25 CA Tourism Assessment 0.45
04-22-25 STID Assessment 2.29
04-23-25 Accommodation 229.00
04-23-25 Occupancy Tax 27.48
04-23-25 Sacramento Tourism Assessment 7.90
04-23-25 CA Tourism Assessment 0.45
229
04-23-25 STID Assessment
04-24-25 Accommodation 229.00
04-24-25 Occupancy Tax 27.48
04-24-25 Sacramento Tourism Assessment 7.90
04-24-25 CA Tourism Assessment 0.45
04-24-25 STID Assessment 2.29
04-30-25 Visa xxxxxxxxXXXx1014xxxx 801.36
Total 801.36 801.36
Guest Signature Balance 0.00
I agree that my liability for this bill is not waived and I agree to be held personally liable in the event that the indicated WE HOPE YOU ENJOYED YOUR STAY WITH US! person, company or association fails to pay for any part or the full amount of these charges.
Thank you for choosing Hyatt Regency Sacramento. We hope that you enjoyed your World of Hyatt Summary tay with us. Our goal is to exceed our guests' expectations. If you have any comment egarding your stay please share them with us
No Membership to be credited
Consumer Affairs: Divina Galban, 916-321-3566 or [email protected] Join World of Hyatt today and start
earning points for stays, dining and more. LOST & FOUND: www.ileftmystuff.com Visit www.worldofhyatt.com CLICK "Get it back now!"
Client Identification Number = 49317
Please remit payment to:
Hyatt Regency Sacramento
PO Box 202649
Dallas, TX 75320-2649
For inquiries concerning your bill please call 888-588-4384 Hyatt Regency Sacramento
at Capitol Park
HYATT 1209 L Street
REGENCY* Sacramento, CA 95814
Tel: 916-443-1234
Fax: 916-321-3779
INFORMATION INVOICE
Ulises Cabrera
1400 K Street, Suite 400 Room No. 0863
Sacramento CA 95814-3916 Arrival 04-22-25
United States
Departure 04-26-25
Confirmation No. 2478195801 Folio Window 2
Group Name 2025 City Leaders Folio No. 1570809
3/27/25, 11:36 AM Purchase Confirmation | Southwest Airlines & Log in | Create account Español
Southwesto FLIGHT | HOTEL | CAR | VACATIONS | CRUISES SPECIAL OFFERS RAPID REWARDS® Q Thanks for flying with us!
Trip summary
* Flight
CONFIRMATION#
3NU5ET
APR 22 - 26
ONT + SMF
FLIGHT TOTAL
$311.96
4/22 - Sacramento
APR 22 - 26
Ontario/LA, CA to Sacramento, CA
Confirmation # 3NU5ET
PASSENGERS EST. POINTS FLIGHT EXTRAS O FARE
ONT * SMF
+ 2,618 PTs Anytime
Ulises Cabrera
Rapid Rewards® Acct # 22245637643 SMF + ONT
Anytime
Anytime $123.89
Departing 4/22/25 Tuesday (Passenge
FLIGHT
DEPARTS 4:10 PM ONT 1476 ₽ + Q
Ontario/LA, CA - ONT SCHEDULED AIRCRAFT
Boeing 737-700
Subject to change
Nonstop
https://www.southwest.com/air/booking/confirmation.html 1/3 3/27/25, 11:36 AM Purchase Confirmation | Southwest Airtines
TRAVEL TIME SUBTOTAL
ARRIVES 5:35PM SMF 1hr 25min
Sacramento, CA - SMF $123.89
Anytime $137.84
Returning 4/26/25 Saturday (Passengerst)
FLIGHT
DEPARTS 4:05 pM SMF 33257+0
Sacramento. CA - SMF SCHEDULED AIRCRAFT
Boeing 737 MAX8
Subject to change
Nonstop
TRAVEL TIME SUBTOTAL
ARRIVES 5:25 PM ONT 1hr 20min $137.84
Ontario/LA. CA. ONT
Taxes & fees $50.23
Flight total $311.96
Icon legend
= WiFi available Live TV available EarlyBird Check-In*
Helpful information:
• Starting July 1, 2023 (12:00 a.m. CT). for Wanna Get Away® or Wanna Get Away Plus ™ reward travel reservations (booked with points): If you do no ancel your reservation at least 10 minutes before the flight's original scheduled departure time, any points used for booking will be forfeited, along with any taxes and fees associated with your reward travel reservation. For Anytime or Business Select® reward travel reservations: the points used for booking will be redeposited to the purchaser's Rapid Rewards® account, and any taxes and fees associated with the reward travel reservation will be converted into a Transferable Flight Credit™ for future use. • Please read the fare rules associated with this purchase. • When booking with Rapid Rewards points, your points balance may not immediately update in your account. • For more information regarding Cash + Points, visit Southwest.com/rrterms REAL ID Requirement: Do you have a REAL ID? Beginning May 7. 2025. you will need a state-issued REAL ID compliant license or identificatic rd. or another acceptable form of ID (such as a U.S, Passport), to fly within the United States, Visit www.tsa.govfor a list of acceptable forms of and additional information regarding REAL ID requirement.
Payment summary
PAYMENT INFORMATION AMOUNT PAID
Visa 1014 CARD HOLDER BILLING ADDRESS
VISA Patrick Killion 25180 Santiago Dr
xxXXXXXXXXXX1014 $311.96
Expiration: 8/27 Moreno Valley, CA US 92553
Total charged
https://www.southwest.com/air/booking/confirmation.html 2/3 & Login | Create account Español #
Southwest'® FLIGHT | HOTEL | CAR | VACATIONS | CRUISES SPECIAL OFFERS RAPID REWARDs® Q Change flight: Step 5 of 5
Change Select flights Price Review Confirmation
• Your change is complete! No need to call to confirm.
We're sending you a confirmation email to the address below. If the email hasn't arrived in 2 minutes, check your junk or spam folder. [email protected]
Trip summary
* Flight
CONFIRMATION#
3NU5ET
DEPART
4/22 ONT * SMF
Tuesday 4:10 PM 5:35 PM
RETURN
4/26 SMF + ONT
Saturday 10:20 AM 11:45 AM
PASSENGERS
Ulises Cabrera
See more passenger details >
AMOUNT PAID
$231.01 There was no fee to change
'0 your flight today.
See more flight details It's our way of saying thank you...today, and everyday. 4/26 - Sacramento
APR 26
Ontario/LA, CA to Sacramento, CA
Confirmation # 3NU5ET
PASSENGERS EXTRAS O FARE
Ulises Cabrera Anvtime
Rapid Rewards' Acci # 22245637643
Icon legend
Anytime
Departing 4/22/25 Tuesday (Passenger x1)
4:10 PM FLIGHT
DEPARTS ONT 14767 + 0
Ontario/LA. CA - ONT
Nonstop
TRAVEL TIME
ARRIVES 5:35 PM SMF 1hr 25min
Sacramento, CA - SMF
Anytime
Returning 4126/25 Saturday (Passenger x1)
FLIGHT
(x) DEPARTS 10:20 AM SMF 2045 7 + 0
Sacramento. CA - SMF
Nonstop
ONT TRAVEL TIME
ARRIVES 11:45 AM 1hr 25min
Ontario/LA, CA - ONT
WiFi available g Live TV available * EarlyBird Check-In Helpful Information:
• Starting July 1, 2023(12:00 a.m. CT), for Wanna Get Away® or Wanna Get Away Plus ™ reward travel reservations (booked with points): If you do not cancel your reservation at least 10 minutes before the flight's original scheduled departure time. any points used for booking will be forfeited. along with any taxes and fees associated with your reward travel reservation. For Anytime or Business Select® reward travel reservations: the points used for booking will be redeposited to the purchaser's Rapid Rewards® account. and any laxes and fees associated with the reward travel reservation will be converted into a Transferable Flight Credit ™ for future use. • Please read the fare rules associated with this purchase. • When booking with Rapid Rewards points, your points balance may not immediately update in your account. • For more information regarding Cash + Points, visit Southwest.com/rrterms • REAL ID Requirement: Do you have a REAL ID? Beginning May 7. 2025, you will need a state-issued REAL ID compliant license or identification card. or another acceptable form of ID (such as a U.S. Passport). to fly within the United States. Visit www.tsa.gov for a list of acceptable forms of ID and additional information regarding REAL ID requirement.
Pricing & funds summary
Visa 1014 CARD HOLDER BILLING ADDRESS
VISA Patrick Killion 25180 Santiago Dr
XXXXXXXXXXXX1014
Moreno Valley, CA US 92553 $231.01
Expiration: 8/27
$231.01
TOTAL PAID