HomeMy WebLinkAboutM. Schipper - Bettendorf, IA - 9/22/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415-1345
TRAVEL REQUEST FY a�O �eunETEO
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS r
REQUEST 3,3s9
DATE Yhc✓ 9 rZ3 '�f
Original-Clerk/Finance Co -be artment
NAME(S) AND POSITION(S): DATE:
Mike Schipper September 16, 2021
NAME OF CLASS/MEETING: DESTINATION: Bettendorf, IA
Pick up of donated materials
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
September 22, 2021 September 22, 2021 September 22, 2021
PURPOSE OF TRAVEL/TRAINING:
Mid American energy is closing a facility in Bettendorf and has offered us an opportunity to receive a number of fire
Extinguishers from them as a donation. This donation includes 7 large, wheeled fire extinguishers which would work
Well for our industrial parograms
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST: BUDGET LINE ITEM: 010-12-1415-1345
LODGING TAXI X GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE X REQUIRED CERTIFICATION
99.00 MILEAGE/FUEL MISCITOLLS YES NO
TOTAL FOR ALL: $ 99.00 TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND BENEFICIAL TO THE
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CITY O RLO
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DEPARTMENT HEAD MAYOR
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DATE DATE
K:AShared Goodies\Forms\Travel Request Fortn January 2010