HomeMy WebLinkAboutInstructors - Operations Recertification Class (Kalona) 1/15/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415-1345
TRAVEL REQUEST FY 2,1 BUDGETED 3566• 0-0
CITY OF WATERLOO EXPENDED YTD .D D
THIS REQUEST — .0 0
LEFT AFTER THIS 2
REQUEST 3, 1 tp•pb
DATE 2.1 alm E 6
original-Clerk/Finance -Copy-Department
NAME(S)AND POSITION(S): DATE:
Lucas King January 7,2021
NAME OF CLASS I MEETING: DESTINATION: Kalona, IA
CPR Training
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATES)OF MEETING:
January 15, 2021 January 15, 2021 January 15, 2021
PURPOSE OF TRAVEUTRAINING:
CPR Class at Gingrich Well in Kalona
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
75.00 MILEAGEIFUEL MISCITOLLS YES NO
TOTAL FOR ALL: $ 75.00 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 WAT O
r �nn
j DEPARTMENT HEAD MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
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