HomeMy WebLinkAboutJ. Welsh - Pick up Piano (Chelsea, IA) - 6/24/2020 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 6/a.ZG tfZG
TRAVEL REQUEST FY ALI BUDGETED ?pkv
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST f�
LEFT AFTER THIS
REQUEST
DATE �f�4/ d6'ld'hJ
Original-Clerk/Finance Copy-Department
NAME(S)AND POSITION(S): DATE:
Jason Welsh, Facilities Services Manager&Tom Klenske,
Preparator 6/23/20
NAME OF CLASS/MEETING: DESTINATION:
Pick up piano Chelsea IA
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S)OF MEETING:
6/24/20 6/24/20 6/24/20
PURPOSE OF TRAVEL/TRAINING:
Travel to pick up donated piano.
Travel to pick up donated piano.
Travel to pick up donated piano.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
BUDGET LINE ITEM: 26STG.OSG 010 26 4265 1346
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE X REQUIRED CERTIFICATION
50.00 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 50.00 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES UBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BE F)CIAL TO THE
CITY OF W TERLOO
r",— Iq A
D ARTME MAYOR
x (Z 31 Z O
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010