Travel Authorization & Expense Reporting Form
MORENO VALIFY
structions: Pror to any travel, complete Part of this form to have fravel and anticipated expenses approved. Submit a copy of this approved form with each payment expense submitted. Upon returning from travel, complete Part Il 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 Jenslove Signature Immediate Supervisor Signature
Part I - Travel Authorization
Name: Ed Delgado Purpose of Trip: League of Cal Cities - Public Safety Committee • Job Title: Councilmember Out of State?
Destination: Sacramento, CA
Division: City Council Enter below the departing date and time then the return date and time. Per diem travel days will automatically be calculated.
GL Org Sets) % Split Departure Example:
1/23/26 7:00 AM
1010-10-01-10012 100% Split Total Equals Date & Time: 1/2/187:30 AM Return Example:
100% Date & Time: 1/23/26 7:35 PM
1/2/185:30 PM
Expense Type Account # Description of Expenses CAL-Card? Amount
Registration: (620510) League of Cal Cities - Public Safety Committee Lodging : (620510)
Mileage: (620510) Miles: Rate: $0.70
Airfare: (620510) Southwest Airlines $603.96
*Per Diem: (620510)
Chen who to deins per
Total Travel Days (Enter # of Days) >>> 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:
Misc. Other: (620510) Г
Business Meals: (620510) r
Division Manager Approval Date Total Anticipated Expenses: $603.96 X City Manager Approval (as required) Date
Disparent Head Approval Date
X
Part 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 Amount CAL-Card?
Vehicle Parking - Ontario International Airport 1010-10-01-10012-620510 $35.00 Post-Trip 1010-10-01-70012
I certify that this document is $633.45
Gorg Se
travel expenses for officiat Enli Totals
City business. Date: /Ext.
Division Manager Approval Date Final Total Expenses: $638.95 City Manager Approval (as required) Date
Department Head Approval Date
× 23/26
X
Owner. Finance Version 4.0
1/13/2026
LEAGUE OF
CALIFORNIA
CITIES
PUBLIC SAFETY POLICY COMMITTEE
Friday, January 23, 2026
10:00 a.m. - 2:00 p.m.
Hyaii Regency Hotel, Room: Regency F
Welcome and Introductions
Speakers: Chair, Scott Nassif, Mayor, City of Apple Valley Vice-Chair, Mark Kairis, Mayor, City of Hanford
.Public Comment
Ill. Committee Orienlation Informational
IV. Cal Cities 2026 Advocacy Priorities Informational
V. Panel Discussion on Public Safely Issues in 2026 Informational Karen Pank, Executive Director, Chief Probation Officers of California Jonathan Feldman, Legislative Advocate, California Police Chiefs Association Kim Stone, Lobbyist, Stone Advocacy for the California District Attorney's Association VI. Existing Policy and Guiding Principles (Attachment A) Action VIl. Adoption of 2026 Work Plan Action
To inform the work program, please fill out this brief survey in advance of this meeting.
VIII. Legislative and Budget Update Informational
A list of all the 2026 Cal Cities Public Safety bills can be found here IX. Adjourn
Next Meeling: Friday, March 27, (Hilton Orange County/Costa Mesa), 10:00 a.m. - 2:00 p.m.
Brown Act Reminder: The League of Califomia Cities' Board of Directors has a policy of complying with the spirit of open meeting laws. Generally. wo-thirds of the policy committee members find a need for immediate action exists and the need to take action came to the attention of the policy committee after the agenda was prepared (Note: If fewer than two-thirds of policy committee members are present taking up an off-agenda item requires a unanimous vote); or A majority of the policy committee finds an emergency (for example: work stoppage or disaster) exists.
A majorly of a city council may not, consistent with the Brown Act, discuss specific substantive issues among themselves at League meetings.
Any such discussion is subject to the Brown Act and must occur in a meeting that complies with is requirements.
ATTACHMENT A
Public Safety
Scope of Responsibility
The Committee on Public Safety reviews federal and state legislation and issues related to law enforcement, fire and life safety policies, emergency communications, emergency services, disaster preparedness, Indian gaming, and nuisance abatement.
Summary of Existing Policy and Guiding Principles
Fire Services
Cal Cities supports the fire service mission of saving lives and protecting property through fire prevention, disaster preparedness, hazardous-materials mitigation, specialized rescue, etc., as well as cities' authority and discretion to provide all emergency services to their communities.
Cal Cities supports and strives to ensure local control of emergency medical services by authorizing cities and fire districts to prescribe and monitor the manner and scope of pre- hospital emergency medical services, including transport through ambulance services, all provided within local boundaries for the purpose of improving the level of pre-hospital emergency medical service.
Cal Cities supports legislation to provide a framework for a solution to long-standing conflict between cities, counties, the fire service, and LEMSA's, particularly by local advisory committees to review and approve the EMS plan and to serve as an appeals body. Conflicts over EMS governance may be resolved if stakeholders are able to participate in EMS system design and evaluation and if complainants are given a fair and open hearing.
Cal Cities supports stored pressure dry chemical fire extinguishers to be serviced and recharged every six years or after each use, whichever occurs first. Additionally, Cal Cities supports requiring a licensed technician to perform the annual external maintenance examination of stored pressure dry chemical fire extinguishers.
Cal Cities opposes legislation, regulations, and standards that impose minimum staffing and response time standards for city fire and EMS services since such determinations should reflect the conditions and priorities of individual cities.
Cal Cities supports Emergency 911 systems to ensure cities and counties are represented on decisions affecting emergency response.
Cal Cities supports additional funding for local agencies to recoup the costs associated with fire safety in the community and timely mutual aid reimbursement for disaster 1 response services in other jurisdictions. Cal Cities also supports additional funding for local agencies to preposition "emergency response" personnel and equipment as well as coordinate notification systems with local and state agencies.
Cal Cities supports incentives for homeowners who undertake measures to "harden their homes."
Cal Cities supports increased transparency from insurance companies to consumers regarding their home insurance policies and the establishment of rates.
Emergency Services and Preparedness
Cal Cities supports the 2-1-1 California telephone service as a non-emergency, human and community services and disaster information resource.
Cal Cities supports "Good Samaritan" protections that include both medical and non- medical care when applicable to volunteer emergency, law enforcement, and disaster recovery personnel. Cal Cities also supports providing "Good Samaritan" protections to businesses that voluntarily place automated external defibrillators (AEDs) on their premises to reduce barriers to AED accessibility.
Emergency Communications Interoperability: Cal Cities supports activities to develop and implement statewide-integrated public safety communication systems that facilitate interoperability and other shared uses of public safety spectrum with local, state, and federal law enforcement, fire, emergency medical, and other public safety agencies.
Cal Cities supports a single, efficient, performance-based state department to be responsible for overseeing and coordinating emergency preparedness, response, recovery, and homeland security activities.
Cal Cities supports efforts to secure additional funding for local agencies to provide training opportunities for appropriate first responder personnel to improve their ability to respond to oil spills, fires, and other hazardous materials accidents.
Cal Cities supports legislation and additional state and federal regulation crafted to ensure that first responders can perform their duties during emergency response operations without interference from unmanned aerial systems, or drones.
Cal Cities supports the authorization of cities to approve and develop Community Paramedicine or Triage to Alternate Destination programs for their jurisdictions.
Cal Cities opposes policies that limit cities' ability to privately contract for emergency medical services.
Law Enforcement
Cal Cities supports the promotion of public safety through:
• Stiffer penalties for violent offenders, and
2 • Protecting state Citizens' Option for Public Safety (COPS) and federal Community Oriented Police Services (COPS) funding and advocating for additional funding for local agencies to recoup the costs of crime and increase community safety.
Cal Cities opposes booking fees and continues to seek their repeal, while encouraging localities to pursue resolution of the issues with their respective counties.
Cal Cities supports a local government's ability to double the fine for traffic violations in school zones in an attempt to reduce the speed of drivers and protect our youth.
Cal Cilies supports reimbursement by the federal government to local agencies, specifically cities, for the costs associated with incarcerating deportable criminals, including the direct costs associated with processing and booking at the time of arrest.
Cal Cities supports policies that promote a victim's right to seek restitution, create restrictions on the early release of state inmates from incarceration for the purpose of alleviating overcrowding, and limit parole hearing opportunities for state inmates serving a life sentence or paroled inmates with a violation.
Cal Cities supports parolee search and seizure terms, which aids local law enforcement's ability to manage paroled offenders.
Cal Cities supports increased penalties for metal theft and recognizes that statewide regulation is needed to discourage "jurisdiction shopping." Cal Cities also supports increased record-keeping and reporting requirements for junk dealers, including the collection of thumbprints from sellers.
Cal Cities supports accountabilily on the part of law enforcement agencies concerning police surveillance technology and policies, as well as related oversight by local governing bodies, but also strongly supports limits on disclosure of the full capabilities of such technology to the general public where such disclosure would compromise the effectiveness of the technology's law enforcement applications.
Cal Cities supports policies that require state government entities to notify local law enforcement about known individuals that are prohibited from owning or possessing a firearm.
Cal Cities supports policies that authorize law enforcement officers to administer opioid antagonist medications.
Cal Cities opposes policies that restrict law enforcement agencies from utilizing surveillance technology that would otherwise enhance their ability to prevent criminal activity.
In addition to the mental health screening provided by local hiring entities, Cal Cities supports resources and education to support the mental health needs of local public safety personnel.
3 Cal Cities recognizes the need to establish a peace officer decertification process through POST.
Cal Cities supports the implementation of the modern policing degree as long as there is flexibility on how to comply with the new requirement including other associate degrees.
Cal Cities supports the use of local, state, and federal collaborative prevention and intervention methods to reduce youth and gang violence.
Cal Cities supports efforts to provide additional tools and language to address prostitution while avoiding re-victimizing vulnerable individuals. This could include reinstating the misdemeanor offense of loitering with the intent to commit prostitution, as long as there are safeguards to ensure that victims can be contacted by law enforcement in a safe and appropriate way and provides access to services over incarceration when determined appropriate.
Cal Cities supports Proposition 36 and efforts to reduce retail theft and shoplifting. Cal Cities also supports efforts to reform Proposition 47 while avoiding the return to mass incarceration.
Mental Health/Substance Use Disorder
Cal Cities supports the promulgation of policies and the use of resources to increase collaboration between first responders and health agencies for incidents involving people living with mental illness or experiencing substance use disorders.
Cal Cities supports additional funding and resources to address the substance use crisis through appropriate prevention and intervention efforts, educational awareness campaigns, and increased access to life-saving overdose treatment aids such as naloxone.
Cal Cities supports resources for increased training and education for first responders to serve people living with mental illness or experiencing substance use disorders, as well as increased multidisciplinary collaboration.
Cal Cities supports transparency relating to sustained findings of officer misconduct.
Cal Cities supports transparency and oversight relating to criminal investigations of officer misconduct.
Cal Cities supports the completion and disclosure of findings relating to officer misconduct despite their voluntary separation from the employing agency.
Police Use of Force
Cal Cilies supports transparency on the part of law enforcement agencies regarding agencies' policies on the use of force.
4 CalCifies supports the establishment of minimum state standards on use of force that must be included in all California law enforcement agencies' use of force policies.
Cal Cities supports basic training requirements and guidelines for agencies and law enforcement officers on use of force, including, but not limited to training on the legal standards for use of force, one's duty to intercede, implicit and explicit bias and alternatives to the use of deadly force.
Cal Cities opposes modifications to the legal standard on use of force; to the extent, such proposed changes elevate the safety risk to law enforcement officers. Specific proposals in this area should be carefully reviewed so that the impacts of any changes are fully understood.
Cal Cities opposes the limitation of law enforcement discretion to utilize less-lethal tools for dispersing unruly or unlawful crowds.
Drones
Cal Cities supports policies that allow cities to impose reasonable time, place, and manner restrictions on the operation of drones in their jurisdictions.
Cal Cities supports policies that authorize local law enforcement to enforce state and local drone laws.
Cal Cities supports policies that promote the availability of information on state and local drone laws so that operators are aware of and accountable to local rules.
Cal Cities supports local agencies' ability to enact and enforce rules of general applicability, such as trespass, nuisance, or noise, in a manner that addresses unsafe drone operations.
Cal Cities supports the promotion of transparency to the public, and as technology permits, encourages local agencies to pursue the development and use of real-time drone tracking systems to ensure residents can look up the details of drones operating in a given area.
Cal Cities opposes state legislation or regulations that outright bans drones.
Cal Cities supports the establishment of governmental immunity for local jurisdictions that designate drone recreational areas, which notify the public that drones may be flying overhead, and that persons enter these designated areas at their own risk.
Fireworks
Cal Cities supports increased resources for local enforcement of illegal fireworks and aggressive interdiction efforts in collaboration with state agencies. 5 Wildland Urban Interface
Cal Cities supports activities to cooperate, coordinate, and communicate in the development of better land use policies and wildland fuel management programs to decrease impacts to public health and safety resulting from wildland urban interface fires.
Nuisance Abatement
Cal Cities supports enhanced local control over public nuisances including, but not limited to:
• Adult entertainment facilities;
Problem alcohol establishments; and
• Properties where illegal drugs are sold.
Indian Gaming
Cal Cities supports the following principles that are intended to balance tribal self-reliance with the local government mandate to protect public health and safety.
Require an Indian Tribe that plans to construct or expand a casino or other related businesses to seek review and approval of the local jurisdiction for such improvements consistent with state law and local ordinances including the California Environmental Quality Act, with the Tribal government acting as the lead agency and with judicial review in the California courts. • Require mitigation of off-reservation impacts consistent with environmental protection laws that are at least as stringent as those of the surrounding local community and CEQA.
• Require written agreements between tribes and affected local agencies to ensure tribes are subject to local authority related to the infrastructure needs and services outlined above.
• Require adequate compensation from the tribes to the local agency providing the government services that are required by the tribal casino or related businesses. • Ensure compensation to local agencies from the Special Distribution Fund for off- reservation mitigation coupled with other sources to ensure adequate compensation.
• Require a judicially enforceable agreement between tribes and local jurisdictions on all of these issues before a new compact or an extended compact may become effective.
• Establish appropriate criteria and guidelines to address future compact negotiations.
• The Governor should establish and follow appropriate criteria to guide discretion of the Governor and the Legislature when considering whether to consent to tribal gaming on lands acquired in trust after October 17, 1988 and governed by the Indian Gaming Regulatory Act (25 U.S.C. § 2719).
Gaming
CalCifies supports measures expanding local control over local gaming operations, including, but not limited to, management of the hours of operation and number of tables 6 in an establishment, as an effective tool to enhance related local revenue streams. Cal Cifies opposes as a restriction on those same revenue streams measures that would further restrict such local control, including, but not limited to, the extension of existing statewide gaming moratoriums.
Alcohol
Cal Cities supports policies that limit the ability of minors to engage in alcohol consumption, and limit youth access to alcoholic beverages, so long as related state- mandated programs or services provide for full reimbursement to all local agencies.
Cal Cities supports local policies that hold social hosts responsible for underage drinking that occurs on property under their possession, control, or authority.
Cal Cities supports additional penalties for repeat driving under the influence (DUI) offenders that include, but are not limited to, permanent revocation of an individual's driver's license.
Cal Cities supports legislation and other regulations intended to improve local governments' enforcement capability against alcohol licensees that are in violation of state law and local ordinances.
Cal Cities supports the ability of bars and restaurants to operate expanded outdoor premises with local and state approval.
Cal Cities supports the sale of alcoholic beverages for off-sale consumption if the beverages are in manufacturer prepackaged containers with local and state approval.
Cannabis Regulation
CalCifies regards as a vital interest the maintenance of local control over medical and adult-use cannabis businesses and supports measures that enhance and protect maximum local regulatory, land use, and enforcement authority in relation to such businesses.
Reaffirming that local control is paramount, Cal Cities holds that cities must retain the authority to regulate all medical and adult-use cannabis businesses if the regulation relates to location, operation, or establishment to best suit the needs of the community.
Cal Cities affirms that revenue or other financial benefits from creating a statewide tax structure on medical cannabis should be considered only after the public safety and health ramifications are fully evaluated and addressed.
While the value of cannabis as a physical or mental health treatment option is uncertain, Cal Cities recognizes the need for proactive steps to mitigate the proliferation of unlawful medical cannabis businesses and other access points acting outside state or local regulation.
7 Cal Cities supports cannabis regulation only to the degree that any such regulatory structure preserves and upholds local control and the police power of local governments pursuant to Article XI, Section 7 of the California Constitution.
Cal Cities opposes policies that prohibit local law enforcement from cooperating with federal authorities on investigations into matters involving violations or other criminal activity by cannabis licensees, including, but not limited to, money laundering, sales to minors and diversion.
Graffiti
Cal Cities endorses the "Tag You Lose" anti-graffiti campaign and encourages other cities to implement this program into their existing anti-graffiti programs.
Cal Cities supports increased authority and resources devoted to cities for abatement of graffifi and other acts of public vandalism.
Sex Offender Management
Cal Cities supports policies that will assist local law enforcement with the comprehensive and collaborative management of sex offenders, including tools for tracking the location of sex offenders within local jurisdictions, so long as state-mandated programs provide for full reimbursement to all local agencies.
Corrections
Cal Cities supports constitutional protections for state-funded corrections realignment programs, so long as it includes funding for local police department needs. Cal Cities also supports increasing city representation and participation in the Community Corrections Partnerships, wh are charged with developing local corrections plans.
Firearms
CalCifies recognizes that mental illness and firearms form a dangerous combination that Threatens public safety. Consequently, Cal Cities supports policies that restrict persons with mental health disorders from possessing or owning a firearm. Cal Cities supports policies that ultimately allow such persons to petition for retrieval of their firearms.
Cal Cities supports local law enforcement agencies retaining the discretion to issue a concealed carry weapon permit, and thereby opposes policies that mandate the issuance of such permits.
Cal Cities supports the honoring of Gun Violence Restraining Orders (GVROs) that are issued by other states.
Miscellaneous
8 Cal Cities opposes reductions to city authority to regulate needle and syringe accessibility and exchange programs.
Cal Cities asks any company manufacturing or marketing or planning to manufacture or market colored-tread tires in California to voluntarily abandon such a product line and thereby prevent the public safety, environmental and social problems these tires can potentially cause.
Cal Cities warns those individuals who advocate or perpetrate hate, not to test the cities' resolve to oppose them as each city is encouraged to vigorously pursue a course of investigation, apprehension, prosecution, conviction, and incarceration of all those who participate in hate crimes.
Note: Cal Cities will review new legislation to determine how it relates to existing Cal Cities policies and guiding principles. In addition, because this document is updated every two years to include policies and guiding principles adopted by Cal Cities during the previous two years, there may be new, evolving policies under consideration or adopted by Cal Cities that are not reilected in the current version of this document. However, all policies adopted by Cal Cities Board of Directors or Cal Cities General Assembly become Cal Cities policy and are binding on Cal Cities, regardless of when they are adopted and whether they appear in the current version of "Summary of Existing Policies and Guiding Principles."
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* Flight
CONFIRMATION #
BPWV52
JAN 23 - 24
ONT - SMF
FLIGHT TOTAL
$458.95
1/23 - Sacramento
JAN 23 - 24
Ontario/LA, CA to Sacramento, CA
Confirmation # BPWV52
PASSENGERS EST. POINTS FLIGHT EXTRAS FARE/SEATS
Edward Delgado +2,390 PTS ONT + SMF - Choice
Open seating
SMF + ONT - Choice
Open seating
Departing 1/2126 Friday Choice $199.14
(Passenger x1)
FLIGHT
DEPARTS 7:00 AM ONT 1560 = +0
Ontario/LA, CA - ONT SCHEDULED AIRCRAFT
Boeing 737-700
Subject to change
Nonstop
8:35 AM SMF TRAVEL TIME SUBTOTAL
ARRIVES 1hr 35min
Sacramento, CA - SMF $199.14
Returning Choice $199.14
1/24/26 Saturday (Passenger x1)
SMF FLIGHT
DEPARTS 2:55 PM 715 3 + 0
Sacramento, CA - SMF SCHEDULED AIRCRAFT
Boeing 737-700
Subject to change
Nonstop
4:20 PM TRAVEL TIME SUBTOTAL
ARRIVES ONT 1hr 25min
Ontario/LA, CA - ONT $199.14
Taxes & fees $60.67
Flight total $458.95
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Visa 5856 CARD HOLDER
VISA Eduardo Bautista
XXXXXXXXXXXX5856
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15670 Perris Blvd.
Moreno Valley, CA US 9255* $458.95
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Edward Delgado's 01/23 Sacramento trip (BPWV52): Your change is confirmed.
From Southwest Airlines <[email protected]> Date Tue 1/13/2026 1:53 PM
To Eddie Bautista <[email protected]>
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We've confirmed the change to your tip. Below youst find your updaced inerary, important travel information, and trip receipe, vich includes refund detalls, See you onboard soon,
JANUARY 23
ONT SMF
Ontario to Sacramento
Confirmation # BPWV52
Confirmation date: 01/13/2026
PASSENGER Edward Delgado
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TICKET # 5262121084440
EST. POINTS EARNED 1,195
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Your itinerary
Flights Friday, 01/23/2026 Est. Travel Time: In 35mm Choice
DEPARTS ARRIVES
FLIGHT
#1560 ONT 07:00AM SMF 08:35AM
Ontario Sacramento
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Air - BPWV52 January 13, 2026
Base Fare $ 199.14 Refund Amount $229.47
U.S. Transportation Tax $ 14.94 Refund to: Flight Credit U.S. 9/11 Security Fee 5.60 Transferable Flight Credit™ Amount: $229.47 U.S. Passenger Facility Ch 4.50 Flight Credit Amount: $0.00 U.S. Flight Segment Tax 5.30
Total $ 229.48 January 9, 2026
Credit from ticket #5262119829464 to
#5262121084440
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confirmation number.
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Your ticket number: 5262121084440
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You're going to Ontario on 01/23 (ADJWAA)!
From Southwest Airlines <[email protected]> Date Mon 1/12/2026 3:54 PM
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Hi Edward
Were looking forward to dying together! li can't come soon enough Betow youll find your Winerary, importam, cravel informotian, and trip receipt. See you onboard soon!
JANUARY 23
SMF ONT
Sacramento to Ontario
Confirmation # ADJWAA
Confirmation date: 01/12/2026
PASSENGER Edward Delgado
RAPID REWARDS # 22522485182
TICKET # 5262120773810
EST. POINTS EARNED 2,005
Rapid Rewards® points are only estimations.
Your itinerary
Flight Friday, 01/23/2026 Est. Travel Time: 1h 25m Choice
DEPARTS ARRIVES
FLIGHT SMF 06:10PM ONT 07:35PM
#1563
Sacramento Ontario
Payment information
Total cost Payment
Air - ADJWAA January 12, 2026
$ 334.03 Payment Amount $374.48
U.S. Transportation Tax 25.05 Visa ending in 0034
1.5. 9/11 Security Fee 5.60
J.S. Flight Segment Tax 5.30
U.S. Passenger Facility Ch $ 4.50
Total $ 374.48
Fare rules: if you decide to make a change to your current itinerary it may result in a fare increase. • Your ticket number: 5262120773810
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Cal Cities Event Registration Confirmation
From no-reply <[email protected]>
Date Fri 1/9/20268:52 AM
To Eddie Bautista <[email protected]>
Co Edward A. Delgado <[email protected]>
Warning: External Email - Watch for Email Red Flags!
Thank you for registering for the 2026 January Policy Committee Meetings, taking place in conjunction with the Mayors and Council Members Academy, Jan. 22-23 at the Hyatt Regency Sacramento, located at 1209 L Street, Sacramento, CA 95814.
More information will be sent via email the week prior to the meetings.
To request an accommodation or for inquiries about accessibility, please contact Megan Dunn.
Every effort will be made to honor requests submitted.
Name: Edward Delgado
Company: Moreno Valley
Title: Council Member
Email: [email protected]
Registration: Policy Committee Member
Price: $0.00
Discount: $0.00
Amount Paid: $0.00
AMOUNT $35 FOR
League of Cal - Citres
NO._
Public Safety Comn.tee
DATE 3/05/2026
PETTY CASH 1010-10-01-10012-620510 - AIRPORT PARKING
ACCOUNT NO._
APPROVED BY
Jasmin Ruera
RECEIVED BY
12-12
canal Minter Delgod. 4-115
-4109
Ontario Lot d
Ontario Lot 4
L4 EXT 42
DATE: 01/23/26
TIME: 04:47 PM
Receipt No. 166/48/92/4
* Original *
Ticket: 40307938
Entry : 01/23/26 05:40 AM
35.00 Amount 35.00
Credit:
Card No.: 8225824 xxxxxxxxxxxx9128
Card No.
Card Type: MASTER CARD
Coonanu Man• -2