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Home My WebLink AboutER000210846990Page 1 of 2 Expense Report Report Number ER000210846990 ConfirmationExpense report number ER000210846990 for 186.02 USD was submitted for approval. RECEIPT_LESS_AUDIT Submission Instructions1.To send required receipts to Accounts Payable, print this page and attach all required receipts.2.Make a photocopy of this page and the receipts for your records.3.Place this page and the receipts in an interoffice envelope, and send to Accounts Payable. �The expense report approver will be notified and requested to approve this expense report. Upon approval, a notification will be sent to you and Accounts Payable.�This expense report will be paid after it has been approved, and Accounts Payable has verified the receipts. Person Domini, Nickole (84320)Submission Date 11/22/2023 Expense Dates 11/14/2023 - 11/17/2023 Report Status Paid Reimbursable Total 186.02 USD Purpose Mileage reimbursement for CalPELRA conference 2023 Mileage Expense Items Expense Type Expense Template Date Expense Class Distance Description Receipt Missing Receipt Required Reimbursable Amount (USD) Mileage SLO_Expenses 11/17/2023 Business 142 Return from CalPELRA conference to HR office.93.01 Mileage SLO_Expenses 11/14/2023 Business 142 Mileage one way from HR office to CalPELRA conference location/hotel.93.01 Amount Due to You 186.02 USD Page 2 of 2 TRAVEL AUTHORIZATION This form should be typed or completed in legible handwriting or in Excel using the City's standard template Employee Department Position Nickole Domini Human Resources HR Director Destination No. of Days Account No.Amount Monterey, CA 4 101.3001.63002 $186.02 PURPOSE: Cash advancement for mileage to and from the CALPELRA conference the week of November 14 to 17, 2023. COST SUMMARY Description Vendor Payment Method Amount Mileage from SLO to Monterey (142 miles)Check 93.01 Mileage from Monterey to SLO (142 miles)Check 93.01 TOTAL 186.02 ITINERARY Departure Date/Time Arrival Date/Time 994 Mill St. Suite 200, SLO, CA 93401 11/14/22, 1:00 PM Portola Hotel & Spa at Monterey Bay (Two Portola Plaza, Monterey,11/14/22, 3:30 PM Portola Hotel & Spa at Monterey Bay (Two Portola Plaza, Monterey, CA 93940)11/17/22, 2:00 PM 994 Mill St. Suite 200, SLO, CA 93401 11/17/22, 5:00 PM APPROVALS Employee Date Supervisor Date Department Head Date City Manager (If Required)Date Nickole Domini 11/13/2023 Use the reverse side of this form for reporting actual expenses within 10 working days after your retu rn. TRAVEL EXPENSE REPORT This form should be completed in legible handwriting or in Excel using the City's standard template TRAVEL EXPENSE DETAIL Description Registration Air Fare Lodging Breakfast Lunch Dinner Gasoline Transportation & Parking 93.01 93.01 0.00 0.00 0.00 0.00 0.00 0.00 TOTAL $0.00 MILEAGE DETAIL - PERSONAL VEHICLE Departure/Destination Odometer Readings Trip MilesStarting Mileage Ending Mileage 994 Mill St. Suite 200, SLO, CA 93401 142 Portola Hotel & Spa at Monterey Bay (Two Portola Plaza, Monterey, CA 93940)142 0 Standard mileage tables provided in the City's travel Total Miles - Personal Vehicle 284 guidelines may be used in lieu of odometer readings Reimbursement @ $0.655 per mile $186.02 TRAVEL EXPENSE SUMMARY By signing this expense report, the employee certifies Total Travel Expenses that the amounts listed were incurred in conformance Voucher/Credit Card Purchases with the City's travel guidelines and that no part is Cash Expenses Paid By Employee claimed for reimbursement of a personal nature.Cash Advances to Employee Amount Due Employee (City) Employee Date Department Head Date Nickole Domini 11/22/2023 f f i f f l � � f f i � f f i � �� ! � " � � � # � $ � � � � " � %� � " � � � � & � � ’� ( � � ’) � * + � � , � � � � � � - . + � � / $ 0 1 2 1 � 3 4 � - � � 5 � 6 � � � 7 � 8 �� 6 � � � � � � 5 f f i 9 : : � 7 � � � � � 7 - ’� ( � � ’) � * + � � , � � � � � - . + � � / $ 0 1 2 1 � 3 � � � ; � < = 0 > ) � ? @� ( � � @� * + � A B @) � � %C DB 2 A � � % � � � � � � � , 4 E � � 5 f f i F � G H 5 6 8f f i I � J � 7 7 � : � � 7 � K � 5 L � : � � MN O P Q � R S T � UOV Q WX � T � Y N � T Z � UO[ \ \ , � � � � � K � ] � K f f i 7 � ^ 6 � - � _ ‘� - f f l � ] � J E � \ , � � � � a � 5 � � � f f i � b � � � � � c � K f f l f f i � f f i � � � 7 � � 5 � I � 4 f f i I ] � G 8 �� a � 5 � � � f f i � a � f f i d f f i ] � � 7 � � 5 � I ] � J E � \ \ , e OV Q f g Q � h i N � j k � Mi UO[ O � h i N � l f V mn o p q � r i [ h Q N Q [ r Q � R R s R S � t � R R s R u