HomeMy WebLinkAboutM. Schipper - Hazardous Material sTechnician Recert - 9/17/2020 FINANCE DEPT STAFF ONLY
LINE ITEM USED 010-12-1415-1345
TRAVEL REQUEST FY��BUWETED ��� u✓
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST ?� C7
LEFT AFTER THIS 5v—
REQUEST
DATE S 0
Original-Clerk/Finance Co -Department
NAME(S)AND POSITION(S): DATE:
Mike Schipper September 15, 2020
NAME OF CLASS t MEETING: DESTINATION: Tipton, 1A
Hazardous Materials Technician Recert
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
September 17, 2020 September 17, 2020 September 17, 2020
PURPOSE OF TRAVELITRAINING:
Teach class at Xerxes Corporation in Tipton, lA
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
BUDGET LINE ITEM: 010-12-1415-1345
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE X REQUIRED CERTIFICATION
37.50 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 37.50 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NEC SSAR ND CIAL TO THE
CITY OR:ZATERL00 --�
DEPARTMENT HEAD MAYOR
DATE
DATE
K:1Shared Goodies\Forms\Travel Request Form ffanua y 2010