HomeMy WebLinkAboutOfcr R. Weber - Officer Injury Mileage Reimbursement - 1/13/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1345
TRAVEL REQUEST FY 2021 BUDGETED $3,367.00
CITY OF WATERLOO EXPENDED YTD $2,647.59
THIS REQUEST $ 64.96
LEFT AFTER THIS
REQUEST $ 654.45
DATEWI-MT—
Original-Clerk/Finance Co -Department
NAME(S)AND POSITION(S): DATE:
Officer Rhonda Weber 1/19/2021
NAME OF CLASS/MEETING: DESTINATION: Cedar Rapids, la.
Officer Injury Mileage Reimbursement DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
1/13/21 1/13/21 1/13/21
PURPOSE OF TRAVEUTRAINING:
Capt. Mohlis is requesting Mileage reimbursement for Officer Weber. Officer Weber was involved in an on duty
accident that caused her to travel to Cedar Rapids for a medical consult. Officer Weber traveled 119 miles
at the government rate of$.56 per mile. This request will not exceed $64.96.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $
YES NO
METHOD OF TRAVEL:
XXX-XX CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM: Waterloo PD
ESTIMATE OF COST: BUDGET LINE ITEM:
0.00 LODGING TAXI X GRANT REIMBURSABLE
0.00 MEALS PARKING YES NO
0.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
64.96 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 64.96 TOTAL: $ 64.96 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
Capt. Dave Mohlis
DEPARTMENT HEAD MAYOR
1/19/21 ';�
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010