HomeMy WebLinkAboutA. Hostelka - Iowa's Trauma Conferenece - 8/28/2019TRAVEL REQUEST
CITY OF WATERLOO
NAME(S) AND POSITION(S):
Andrew Hostelka I PW 0. tAV O t
NAME OF CLASS I MEETING:
Iowa's Trauma Conference
DEPARTURE DATE:
August 28"', 2019
RETURN DATE:
August 28th, 2019
DATE:
FINANCE DEPT.
STAFF ONLY
LINE ITEM U5ED
Old /,2 /4/ti
FY;Z920 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
6 -
REQUEST
I.3
DATE
DATE
je'/G /f
•iginal - Clerk/Finance
Copy - Department
August 16"', 2019
DESTINATION: Des Moines, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
August 28t", 2019
PURPOSE OF TRAVEL/TRAINING:
This is excellent outside, up to date information on trauma resuscitation in the prehospital and hospital realms. Andrew
teaches occasionally for Waterloo Fire and this will aid in his qualifications as an instructor when providing credentials to
the Emergency Medical Services Learning Resource Center at the U of Iowa who approves our continuing education
classes.
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: 010-12-1410-1346
LODGING TAXI x GRANT REIMBURSABLE
MEALS PARKING YES NO
$65.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION
MILEAGEIFUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $65.00 TOTAL: $ 65.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND Y-A-I�II'bENEFI IAL�O THE
CIT OF WAT LOO
DEPARTMENT HEAD
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
MAYOR
S/
DATE