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..... &:!!.� Travel Authorization & Expense Reporting Form Instructions: fcJsH:. !2 i!!!I! 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. LI.Qon ratumlng from travel, complete Part U of this form to confirm total expenses including any approved adjustments.
Submit form to Accounts Payable within 15 days of the travel end date. al�ill/11,1,e tb.e mas 1.1e;.to-datg ltilk'.lll ER.Clll. lawll.flll. aa tb.e �ttv•:i latlilaet Emeloxee Signature Immediate Su!!!!rvisor Signature
Part I - Travel Authorization
X ' X
Name: Ulises Cabrera Purpose of Trip: League of Cal Cities - Board of Directors Meeting Job Title: Mayor Destination: Redondo Beach, CA Out of State? r
Division: City Council Enter below the depa,tlrq date and time then the return date and time. Per diem travel days will automaticallv be calculated.
GL Org Set(s) %Split Departure
1010-10-01-10015 100% Split Total Equals Date &Time: 7/16/26 12:00 PM X
X
Return 7/18/26 3:00 PM 100% Date &Time:
Expense Type Account# Description of Expenses
Registration: (620510) Ma)IOf.....,reraattendldlheCOflfetMOl!ln /J/s capacttyas fie League otGalftlmla or/es.
Plesident "flhe t.a«no ca.iws.
Lodging : (620510) Sonesta Hotels, Resorts & Cruises
Mileage: (620510) Miles: 48 X Rate: $0.76
Airfare: (620510)
*Per Diem: (620510) Redondo Beach. CA $86
Total Travel Days (Enter# of Days) >» 3
•To receive per diem, travel must Include an overnight stay. Total Per Per fl.mi. aa first and las. �am ta bt: gi/_r;.u.lat.ed at. Z�2' gf � � d.imi. rate, Diem:
Misc. Other: (620510)
Business Meals: (620510)
Division Manager Approval Date Total Anticipated Expenses:
� X City Manager Approval (as required)
' De J Head Approval Date t,V (._ X �l1l� X
Example:
112/18 7:30 AM
Example:
112/18 5:30 PM
Amount CAL-Card?
dlfYes
$0.00 r-,
$1,011.05 r-,
$36.48 r
r
Check box to decine Per
r Diem, whereby actual
recei_pts must be submitted
$215.00
r·
r'
$1,262.53
Date
X
Par\ II ��v.&:.nse Reporting (Please check the appropriate box below and provide details) 0 No adjustments are necessary. Anticipated expenses match actual expenses incurred. @
Advance payments exceeded the actual expenses incurred. Attached is my receipt as evidence of J reimbursement to the City. (Explain below, use negative numbers n
Actual expenses exceeded the anticipated original reauest. Additional funds are reauired as listed below.
Expense Details Expenditure Code Amount CAL-Card?
Sonesta Hotels Parking Lot Fee 101 0-1 0-01-10015-62051 0 $95.69 r ----------------
Ir
Poar-Tttp Employee I GLOrg Set
1010-10-01-10015
---------
I certify that this document is I
a true and accuratereccrd of Signature: X
traloet expe,-s : Split Totals: for ollcial
City business. Date: 08/17/2026 Ext. ----_._ __ --------111---------- Division Manager Approval Date Final Total Expenses:
$1,358.22
X X City Manager Approval (as required) Date
De� �mz:teadQ. ,pproval - Date
X X &rt{� X X
O�F� Version4.0
7/2212CYJ.6
$1,358.22