HomeMy WebLinkAboutM. Schipper - Haz Mat Task Force - 10/30/2019 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415-1345
TRAVEL REQUEST ?fEXPENDED YTD
FY BUDGETED
CITY OF WATERLOO --
THIS REQUEST (]
LEFT AFTER THIS
REQUEST 2 157. 01 w
DATE tt� I
Original-Clerk/Finance Copy-Department
NAME(S)AND POSITION(S): DATE:
Mike Schipper October 30, 2019
NAME OF CLASS/ MEETING: DESTINATION: Ames, IA
Haz Mat Task Force
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
October 30, 2019 October 31, 2019 October 31, 2019
PURPOSE OF TRAVELITRAINING:
To attend Haz Mat Task Force meeting and Haz Mat Symposium
All expenses will be paid by NIRG
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
MILEAGEIFUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ -0- TOTAL: $ PER PERSON
I BELIEVE.THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND I A ENEFICIAL TO THE
CITY7ATERL
DEPARTME HEAD MAYOR
If 7— It
DATE DATE
K:\Shared GoodiesWormsUravel Request Form January 2010