HomeMy WebLinkAboutM. Petersen - Lawyer Wellness WEBINAR - 12/30/2019 FINANCE DEPT. STAFF ONLY
LINE ITEM USED ae,) 0& F&UO /3e46
TRAVEL REQUEST FY; ,90 BUDGETED '76D a'
CITY OF WATERLOO EXPENDED YTD 'g3.5``—
THIS REQUEST y0
LEFT AFTER THIS
REQUEST u�%S
DATE yyw I,V- d.20
Original-Clerk/Finance Co - Department
NAME(S) AND POSITION(S): DATE:
Martin M. Petersen/City Attorney December 20, 2019
NAME OF CLASS/ MEETING: DESTINATION Webinar in Office
Lawyer Wellness-Iowa State Bar Association
Webinar(in office) DEPARTURE POINT
IF NOT WATERLOO: _
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
12/30/2019 12/30/2019 1230/2019 (12:00 to 1:00 pm)
PURPOSE OF TRAVEL:
To watch Webinar with Iowa State Bar Association regarding Lawyer Wellness. (1 hour)
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $
YES NO
METHOD OF TRAVEL:
No CITY VEHICLE N/A PRIVATE VEHICLE (both)
AIRFARE DEPARTING FROM: In house/Webinar
ESTIMATE OF COST: BUDGET LINE ITEM: 010-01-8600-1346
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
$40.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $40.00 TOTAL: $ $40.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO -
DEPARTMENT HEAD MAYOR
December 20, 2019
are oo ies orms ravel Request �orm January2010 DATE
1C hm4 (otic -fit` Assot,latiClll
The Iowa State Bar Association Invoice
Date Invoice#
12/20/2019 200050757
Bill To Ship To
city waterloo Martin Petersen
City of Waterloo City of Waterloo
715 mulberry street 715 Mulberry St
waterloo, 50703 Waterloo, IA 50703-5714
United States United States
PO Number Terms Due Date
Due on 12/20/2019
receipt
Qty Description Price Totals
1 2019 Lawyer Wellness Event Ticket- Martin $40.00 $40.00
Petersen
Sub-Total $40.00
Total $40.00
DAVO r1% 1 M
RIENT SIR AADJUSTME
Qty Description Price Totals
1 Payment via Credit Card (using card ($40.00) ($40.00)
xxxxxxxxxxxx0883)
Applied to invoice on 1212012019 10:13:08 AM
Total Payments/Adjustments ($40.00)
Balance Due $0,00
Please remit payment to:
625 East Court Avenue
Des Moines, IA 50309
THE IOWA STATE
EVENT CONFIRMATION
Event Information
Name of Event Lawyer Wellness(Live Webinar)
Date/Time 12/30/2019 12:00—1:00 p.m.
Location Live Webinar
Contact Christy Cronin (cle@iowabar.org)
Attendee/Guest Information
Name Martin Petersen Date Registered 12/20/2019
Registration ID/Badge# 15087677 Number Attending 1
Member
Number
Email Address martin.petersen@waterloo-ia.org
Address Line 1 715 Mulberry St
Address Line 2
City - Waterloo Location/State" Iowa
Zip/Postal 50703-5714
Code
Phone Area 319Phone' 291-4327
Code
Organ izati on/LaN City of Waterloo
Firm
Alternative E-
mail Address
Saecial
Considerations
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hear about this CLE Calendar
event?