HomeMy WebLinkAboutLt.T. Petersen - Take pickup to Des Moines area - 6/22/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1400 1533
TRAVEL REQUEST FY 21 BUDGETED 40,366
CITY OF WATERLOO EXPENDED YTD 24,153.29
THIS REQUEST 25.00
LEFT AFTER THIS ,,�--
REQUEST 1'`H�-2-9 I,!,1 SI 7
DATE
Original-Clerk/Finance Copy-Department
NAME(S) AND POSITION(S): DATE:
Lt. Todd Petersen 6-18-21
NAME OF CLASS/MEETING: DESTINATION: Des Moines, Iowa
Taking pickup to Des Moines Area DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S)OF MEETING:
6-22-21 6-22-21 6-22-21
PURPOSE OF TRAVEL/TRAINING:
We are having a pick up bed sprayed with a material and the dealer who has the state bid is in
Des Moines. Lt. Petersen is on light duty due to injury and will take the truck down and wait.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-12-1400-1533
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE X REQUIRED CERTIFICATION
25.00 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 25.00 TOTAL: $ 25.00 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
Pat Treloar 6-18-21 �
DEPARTMENT HEAD MAYOR
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DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010