HomeMy WebLinkAboutLt. Charley, FF Becker - Brush Truck Installation - 1/6/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1400-1346
TRAVEL REQUEST FY 2021_ BUDGETED $5,500
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST 95.00
LEFT AFTER THIS
REQUEST $4,250
DATE -Z2 /.2 3/-l�
Original-Clerk/Finance 7 Copy-Department
NAME(S)AND POSITION(S): DATE:
Lt. Charley And FF Becker December 31, 2020
NAME OF CLASS I MEETING: DESTINATION: New London, WI
Brush Truck Installation
DEPARTURE P0114T
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
Jan. 6, 2021 Jan. 6, 2021 Jan 6 2021
PURPOSE OF TRAVELITRAINING:
We are having a pump and tank installed in our new brush truck. We are delivering the truck to a location in New London,
WI for installation of pump and tank. WFR personnel will wait while skid is installed and then return to Waterloo.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-12-1400-1346
LODGING TAXI x GRANT REIMBURSABLE
30.00 MEALS PARKING YES NO
REGISTRATION AIRFARE x REQUIRED CERTIFICATION
65.00 MILEAGEIFUEL MISCITOLLS YES NO
TOTAL FOR ALL: $ 95.00 TOTAL: $ 47.50 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND 4"E ESSA D BE ICIAL TO
CIT WATERLOO
DEPARTMENT HEAD MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010