HomeMy WebLinkAboutInstructors - Operations Recertification Class (Shell Rock) 1/17/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415-1345
TRAVEL REQUEST FY 2 BUDGETED
CITY OF WATERLOO EXPENDED YTD O
THIS REQUEST �) •D D __
LEFT AFTER THIS
REQUEST
DATE
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Instructors January 7, 2021
NAME OF CLASS I MEETING: DESTINATION: Shelf Rock, IA
Operations Recertification Class DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S)OF MEETING:
January 17, 2021 January 17, 2021 January 17, 2021
PURPOSE OF TRAVELITRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
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
21.00 MILEAGE/FUEL MISCITOLLS YES NO
TOTAL FOR ALL: $ 21.00 TOTAL: $ PER PERSON
1 BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WAT O
DEPARTMENT HEAD MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010