HomeMy WebLinkAboutD. Jenssen - Class A Drivers license training - 10/1/2019 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415-1345
TRAVEL REQUEST FY_BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATES
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Dave Jenssen September 30, 2019
NAME OF CLASS I MEETING: DESTINATION: Ft. Dodge, IA
Class A Drivers License Training
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S)OF MEETING:
October 1, 2019 October 1, 2019 October 1, 2019
PURPOSE OF TRAVELITRAINING:
Attend Class A Drivers License Training at Iowa Central Community College
All expenses will be paid byNIRG
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
MILEAGE/FUEL MISCITOLLS YES NO
TOTAL FOR ALL: $ -0- TOTAL: $ PER PERSON
I BELI RVES A PUB POSE I APPROVE THIS TRAVEL REQUEST
AN S NE SS RY A B IAL TO TH
CI OF WA R 00
I�.C,ti-IUGb'-L�
DEPARTMENT H AD MAYOR
DATE 1, DATE 16
K:1Shared Goodiefforniffravel Request Form January 2010