HomeMy WebLinkAboutSupplemental Attachments - 8/30/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1400 1346
TRAVEL REQUEST FY22 BUDGETED 5,500.00
CITY OF WATERLOO EXPENDED YTD 0.00
THIS REQUEST 650.00
LEFT AFTER THIS
REQUEST 4,850.00
DATE 08-10-2021
Original-Clerk/Finance Copy- Department
NAME(S) AND POSITION(S): DATE:
Brock Weliver, Fire Marshal August 10,2021
Jeremiah Van Dyke, Fire Investigator
NAME OF CLASS I MEETING: DESTINATION: Cedar Rapids, Iowa
Iowa Chapter of International Association of Arson DEPARTURE POINT
Investigators Seminar&Annual Meetin IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
09-07-2021 09-09-2021 September 7th_ 9th 2021
PURPOSE OF TRAVEL:
To attend three (3) days of the Iowa Chapter of International Association of Arson Investigator's annual conference and
educational seminar in Cedar Rapids, Iowa.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM: Waterloo Fire Rescue Station 1
ESTIMATE OF COST: BUDGET LINE ITEM: 010-12-1410 1346
LODGING TAXI x GRANT REIMBURSABLE
MEALS PARKING YES NO
650.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION
MILEAGE/FUEL MISCITOLLS YES NO
TOTAL FOR ALL: $ 650.00 TOTAL: $ 325.00 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, Fire Chief cZVZ14" H�r-4
DEPARTMENT HEAD MAYOR
08-16-2021 8/30/2021
DATE DATE
I FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1410 1346
TRAVEL REQUEST FY 22 BUDGETED 6,000
CITY OF WATERLOO EXPENDED YTD o
THI5 REQUEST $3,270
LEFT AFTER THIS
REQUEST $2,730
DATE
Original-Clerk/Finance Copy- Department
NAME(S) AND POSITION(S): DATE:
Pat Treloar, Fire Chief 8-17-21
Jason Hernandez, Medical Supervisor
NAME OF CLASS/ MEETING: DESTINATION: Atlanta, GA
EMS WORLDS EXPO and Training Conference DEPARTURE POINT ALO or area airport
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
October 4, 2021 October 7, 2021 October 5-7, 2021
PURPOSE OF TRAVEL/TRAINING:
To attend national conference focusing on EMS training and ambulance billing.We will attend training
in pandemic response, EMS documentation, ET3 Model implementation, billing, and EMS leadership
principles.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
X AIRFARE DEPARTING FROM: Waterloo or area airport
ESTIMATE OF COST: BUDGET LINE ITEM: 010-12-1401346
$1,250-00 LODGING $60.00 TAXI X GRANT REIMBURSABLE
$200.00 MEALS PARKING YES NO
$990.00 REGISTRATION $770.00 AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $3,270.00 TOTAL: $ $1,635.00 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 e F H"4
DEPARTMENT HEAD MAYOR
August 17, 2021 8/30/2021
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010