HomeMy WebLinkAboutL. Even, P. Thompson, R. Thompson, G. Bearbower - ACRT Inc. FINANCE DEPT. STAFF ONLY
LINE ITEM USED Old 3� q/&0 13V&
TRAVEL REQUEST FY god BUDGETED 3600 �—
CITY OF WATERLOO EXPENDED YTD 69 y�
THIS REQUEST ()d
LEFT AFTER THIS
REQUEST
DATES
Original-Clerk/Finance Copy- Department
NAME(S) AND POSITION(S): DATE: Cxcduc/Fw Grnvr "A-444 e-410j +
Luke Even, Phillip Thompson, Robert Thompson, Glenn 10/29/19
Bearbower
NAME OF CLASS / MEETING: DESTINATION: 1101 Campbell Avenue
ACRT Inc. Line Clearance Manual and recertification tests
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
N/A N/A N/A
PURPOSE OF TRAVEL/TRAINING:
Forestry is required to be certified to trim trees within the 10-foot safety zone of power lines. The training manual is
purchased for employees to learn and study. The certification/recertification tests are also purchased. This is OSHA
required training.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-37-4100-1346
400.00 tests TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGEIFUEL MISCITOLLS YES NO
TOTAL FORALL: $ 400.00 TOTAL: $ 100.00 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
�.UL7
DEPARTMENT H A MAYOR -"
DATE DATE
K:AShared Goodies\Forms\Travel Request Form January 2010