HomeMy WebLinkAboutJ. Welsh - Hand Sanitizer order pick up - 5/27/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED - 4i,'yb5 -/3 5'w
TRAVEL REQUEST FY )/ BUDGETED $7006)
CITY OF WATERLOO EXPENDED YTD �y
THIS REQUEST 6
LEFT AFTER THIS 5'
REQUEST
DATE
Original-Clerk/Finance Co - Department b
NAME(S) AND POSITION(S): DATE:
Jason Welsh 5/27/21
NAME OF CLASS/ MEETING: DESTINATION: Cedar Rapids IA
Hand Sanitizer order pick-up
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
5/27/21 5/27/21 5/27/21
PURPOSE OF TRAVELITRAINING:
Travel to pick up hand sanitizer supply. Travel supported by grant funds from Iowa Department of Cultural Affairs.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$
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
-3B-e&5),O MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $30-eTOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BE FICIAL TO THE
CITY OF WATERLOO
DEPART
NTHEADMAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010