Moreno Valley City Council
October 20, 2026

Name:

Job Title:

Out of State?
Division:
% Split
100%
Amount CAL-Card?
If Yes
$1,200.00
$356.72
Miles: X $0.76
13 $96.75
$2 129 48
$1,674.75
Amount CAL-Card?
$1,742.95
City Manager Approval (as required)
X
Employee Signature
Part I - Travel Authorization
Immediate Supervisor Signature
X X
X
Airfare:
(620510)
Rate:

Total Travel Days (Enter # of Days) >>> 2
Registration:

Misc. Other:

Total Per
Diem:
*To receive per diem, travel must include an overnight stay .

Per diem on first and last day are to be calculated at 75% of daily per diem rate.

NALEO 43rd Annual Conference
(620510)
Mileage:
(620510)
28 Account #
Travel Authorization & Expense Reporting Form
100%
Split Total Equals
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 Departure
Date & Time:

Mayor Pro Tem
GL Org Set(s)
1010-10-01-10013
Enter below the departing date and time then the return date and time. Per diem travel days will automatically be calculated. City Council
Example:
1/2/18 7:30 AM
Example:
1/2/18 5:30 PM
7/15/26 8:00 AM
X
Destination: Los Angeles, CA
Erlan Gonzalez Purpose of Trip: NALEO 43rd Annual Conference Return
Date & Time: 7/16/26 8:30 AM
Description of Expenses
(620510)
*Per Diem: (620510)
Expense Type
Lodging :

Los Angeles, CA $86
(620510)
InterContinental Los Angeles Downtown
Advance payments exceeded the actual expenses incurred. Attached is my receipt as evidence of ) Date
No adjustments are necessary. Anticipated expenses match actual expenses incurred.

Part II - Expense Reporting
Business Meals: (620510)
XX XX
Expense Details
Actual expenses exceeded the anticipated original request. Additional funds are required as listed below.

Date
(Please check the appropriate box below and provide details) City Manager Approval (as required)
reimbursement to the City. (Explain below, use negative numbers Total Anticipated Expenses:

Expenditure Code
Division Manager Approval Date
Department Head Approval
Department Head Approval
GL Org Set
Split Totals:

Employee
Signature: X
Date
Final Total Expenses:

XX X
Date
Division Manager Approval Date
1010-10-01-10013 Post -Trip
I certify that this document is
a true and accurate record of
travel expenses for official
City business.
$1,742.95
Date: Ext.

XX
13 Owner: Finance
7/7/2026
Version 4.0

InterContinental Los Angeles Downtown Valet Parking Receipts 1010-10-01-10013-620510 $68.20 84
84
$21.28
Travel Destination: Los Angeles, CA
(City, State)
Total Travel Days: 2
(# of Days)
Per Diem Rate: $86.00
(Daily M&IE Rate)
Travel Days Rate
First Day $64.50
Travel Days $0.00
Last Day $32.25
Total Per Diem $96.75
Breakdown
Per Diem Worksheet
Check if you ended travel before
12:00PM (Noon)
Check if you began travel after
12:00PM (Noon)












 









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InterContinental Hotel Los Angeles - Downtown
900 Wilshire Boulevard
Los Angeles, CA 90017
Telephone: (213) 688-7777 Fax: (213) 223-9255
07-16-26
Date Description Charges Credits
*Accommodation
Occupancy Tax
LATMD
CA Tourism
Los Angeles County Workforce
Occupancy Tax -Other
LATMD - Other
CA Tourism - Other
07-15-26
07-15-26
07-15-26
07-15-26
07-15-26
07-15-26
07-15-26
07-15-26
299.00

41.86 5.98

0.58 8.00

1.12 0.16

0.02 Total 356.72 0.00
Balance 356.72
Erlan Gonzalez
Arrival 07-15-26
Departure 07-16-26
Folio No. Room No. 5816
A/R Number
Company NALEO Educational Fund Conf. No.
:
:

Group Code NEZ
:
:
:
:
:
:

Rate Code :
20861891
Guest Signature:

I have received the goods and / or services in the amount shown heron. I agree that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer.

Page No. :

Membership No. :

Invoice No. :

1 of 1
 



 






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