HomeMy WebLinkAboutInstructors - Operations Recertification Class - Waverly - 7/15/2021TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FYo'IOZ BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-12-1415-1345
3,6ao
11 'r
.8'2
2- 2u 7'l3-W
Co. - De..rtment
NAME(S) AND POSITION(S):
Instructors
DATE:
July 12, 2021
NAME OF CLASS / MEETING:
Operations Recertification Class
DEPARTURE DATE: RETURN DATE:
July 15, 2021 July 15, 2021
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
DESTINATION: Waverly, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
July 15, 2021
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
YES
X COST $
NO
METHOD OF TRAVEL:
CITY VEHICLE
X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING
MEALS
REGISTRATION
17.25 MILEAGE/FUEL
TOTAL FOR ALL: $ 17.25
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1415-1345
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
rki,i )C.V
DEPARTMENT HEAD
1- 0,21
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE