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Expense Report
Report Number ER000223132605
ConfirmationExpense report number ER000223132605 for 422.62 USD was submitted for approval.
IMAGED_RCPT_BASED_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 Dietrick, Jacquelyn "Christine" (30065)Submission Date 05/01/2024
Expense Dates 04/18/2024 - 04/20/2024 Report Status Paid
Reimbursable Total 422.62 USD Purpose April 2024 JCD Cal Cities Board of Directors Meeting
Expense Items
Expense Type Expense
Template
Date Expense
Class
Source Description Receipt
Missing
Receipt Required Reimbursable
Amount (USD)
Meals SLO_Expenses 04/18/2024 Business Personal Funds 30.00
Mileage Expense Items
Expense Type Expense
Template
Date Expense
Class
Distance Description Receipt
Missing
Receipt Required Reimbursable
Amount (USD)
Mileage SLO_Expenses 04/18/2024 Business 586 392.62
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Amount Due to You 422.62 USD
Page 3 of 3
Christine Dietrick
4/18 4/19 4/20
Hotel- Christine went a day early 307.09 307.09
Hotel- other nights were paid by Cal Cities
Breakfast Provided Provided
Lunch Provided
Dinner 30.00 30.00
TOTAL $337.09
293
293
586
$0.670 per mile $392.62
$729.71
$307.09
$30.00
$422.62
Employee Date
Provided-
but did
not attend
Description
Date
TOTAL
TRAVEL EXPENSE REPORT
This form should be completed in legible handwriting or in Excel using the City's standard template
TRAVEL EXPENSE DETAIL
Receipts must be attached for all lodging expenses and any individual expenses in excess of $25.
MILEAGE DETAIL - PERSONAL VEHICLE
Departure/Destination
Odometer Readings
Trip MilesStarting Mileage Ending Mileage
San Luis Obispo to Sacramento
Sacramentio to San Luis Obispo
TRAVEL EXPENSE SUMMARY
Standard mileage tables provided in the City's travel Total Miles - Personal Vehicle
guidelines may be used in lieu of odometer readings Reimbursement @
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)
Date Department Head
DocuSign Envelope ID: 93B04B9E-7AA3-42DF-835E-C2AB84CB27CC
4/26/2024 | 10:39 AM PDT 5/1/2024 | 9:05 AM PDT
Hyatt Regency Sacramentoat Capitol Park1209 L StreetSacramento, CA 95814Tel: 916-443-1234Fax: 916-321-3779
COPY OF INVOICE
Christine Dietrick1400 K StreetFloor 4Sacramento CA 95814United States
Room No.0433
Arrival 04-18-24
Departure 04-20-24
Confirmation No.3313196601 Folio Window 1
Group Name League of California Cities Folio No.1471106
Date Description Charges Credits
04-18-24 Accomodation 229.0004-18-24 Occupancy Tax 27.4804-18-24 Sacramento Tourism Assessment 6.8704-18-24 CA Tourism Assessment 0.4504-18-24 STID Assessment 2.2904-18-24 Parking Overnight - Self 25.0004-20-24 Visa XXXXXXXXXXXX7484 XX/XX 291.0904-20-24 Guest Room Bottled Water 8.0004-20-24 Visa XXXXXXXXXXXX7484 XX/XX 16.0004-20-24 Guest Room Bottled Water 8.00
Total 307.09 307.09
Guest Signature Balance 0.00
I agree that my liability for this bill is not waived and I agreeto be held personally liable in the event that the indicated person, company or association fails to pay for any part or the full amount of these charges.
WE HOPE YOU ENJOYED YOUR STAY WITH US!
Thank you for choosing Hyatt Regency Sacramento. We hope that you enjoyed your stay with us. Our goal is to exceed our guests' expectations. If you have any comments regarding your stay please share them with us.
Consumer Affairs: Divina Galban, 916-321-3566 or divina.galban@hyatt.com
LOST & FOUND: www.ileftmystuff.comCLICK "Get it back now!"Client Identification Number = 49317
Please remit payment to:Hyatt Regency SacramentoPO Box 202649Dallas, TX 75320-2649
For inquiries concerning your bill please call 888-588-4384
World of Hyatt Summary
Membership:XXXXXX961NBonus Codes:Qualifying Nights: 1Eligible Spend:229.00Redemption Eligible: 25.00
Summary Invoice, please see front desk for eligibility details.
DocuSign Envelope ID: 93B04B9E-7AA3-42DF-835E-C2AB84CB27CC
DocuSign Envelope ID: 93B04B9E-7AA3-42DF-835E-C2AB84CB27CC
DocuSign Envelope ID: 93B04B9E-7AA3-42DF-835E-C2AB84CB27CC