HomeMy WebLinkAboutT. Mork - Ornamental & Trufgrass CEU Course - 11/10/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED &0 3-7 41A0 13q&
TRAVEL REQUEST FY.Z42-BUDGETED /,ova
CITY OF WATERLOO EXPENDED YTD 3;
THIS REQUEST 36'�
LEFT AFTER THIS
REQUEST 53 U
DATE
Original-Clerk/Finance Copy- Department
NAME(S) AND POSITION(S): DATE:
Taylor Mork, GM II 11/10/2021
NAME OF CLASS/MEETING: DESTINATION: Black Hawk County Extension
Ornamental & Turfgrass Applicators CEU Course DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
11/10/21 11/10/21 11/10/21
PURPOSE OF TRAVEL/TRAINING:
To attend Pesticide Applicator class to maintain license as required in the job description.
Price is $35 if registered by November 3, 2021
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST$
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-37-4120 1346
LODGING TAXI x GRANT REIMBURSABLE
MEALS PARKING YES NO
$35.00 REGISTRATION AIRFARE x REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 35.00 TOTAL: $ 35.00 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
Paul Fluting
DEPARTMENT HEAD MAYOR
09/21/2021
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DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010