HomeMy WebLinkAboutK. Shankle, Hatian American Museum - 12/6/2019 W �/ti FINANCE DEPT. STAFF O/N�LY
LINE ITEM USED /add
TRAVEL REQUEST FY A090 BUDGETED 10 0
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS _ 2f
REQUEST
DATE _� �/ 42 3/F
original-Clerk/Finance Co -Department
NAME(S) AND POSITION(S): DATE:
Kent Shankle, Director 12/1/19
NAME OF CLASS/ MEETING: DESTINATION: Chicago IL
Leve L event
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
12/6/19 12/7/19 12/6/19
PURPOSE OF TRAVELITRAINING:
Travel to participate in event for Haitian American Museum of Chicago. The event will feature Haitian artist Chantal
Bethel, who donated a significant work to the WCA collection. Shankle will be providing the introduction for the artist.
Costs will be paid by Friends of the Art Center.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
26STG.OSG 010 26
ESTIMATE OF COST: BUDGET LINE ITEM: 4265 1346
40.00 LODGING TAXI x GRANT REIMBURSABLE
MEALS 15.00 PARKING YES NO
REGISTRATION AIRFARE x REQUIRED CERTIFICATION
25.00 MILEAGE/FUEL 15.00 MISCITOLLS YES NO
TOTAL FOR ALL: $ $95.00 TOTAL: $ 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 AD MAYOR
i 21
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010