HomeMy WebLinkAboutK. Shankle - pick up Timoun Ayiti artowrk - 2/26/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED �5
TRAVEL REQUEST FY ' ' BUDGETED �% rj 00,0d ✓
CITY OF WATERLOO EXPENDED YTD O
THIS REQUEST /OD, 0
LEFT AFTER THIS s
REQUEST
DATE ;?-//-10
Original-Clerk/Finance Co -Department
NAME(S) AND POSITION(S): DATE:
Kent Shankle 2/11/21
NAME OF CLASS/MEETING: DESTINATION: Chicago IL
Timoun Ayiti, exhibit pick-up
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
2/26/21 2/26/21 2/26/21
PURPOSE OF TRAVEL/TRAINING:
Travel to pick up Timoun Ayiti, an exhibit of Haitian art from the WCA collection which has been on view at the Haitian
American Museum of Chicago.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: 26STG.OSG 010 26
BUDGET LINE ITEM: 4265 1346
LODGING TAXI x GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE x REQUIRED CERTIFICATION
80.00 MILEAGE/FUEL 20.00 MISC/TOLLS YES NO
TOTAL FOR ALL: $ $100.00 TOTAL: $ 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
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DEPARTMENT HEAD MAYOR
2111 � / Z I
DATE DATE
K:\Shd Goodies\Forms\Travel Request Form January 2010