HomeMy WebLinkAboutSupplemental Attachments - 11/15/2021 I FINANCE DEPT. STAFF ONLY
LINE ITEM USED 521-07-7830-1346
TRAVEL REQUEST FY 22 BUDGETED $3,500.00
CITY OF WATERLOO EXPENDED YTD $0.00
THI5 REQUEST $620.00
LEFT AFTER THIS
REQUEST $2,880
DATE 11/03/2021
Original-Clerk/Finance Copy- Department
NAME(S) AND POSITION(S): DATE:
Sarah Kempen, Storm Water Specialist October 21, 2021
Cameron Agan, Storm Water Specialist
NAME OF CLASS/ MEETING: DESTINATION: Cedar Rapids, IA
Erosion Control Technician Certification DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
March 23, 2022 March 23, 2022 March 21, 22, & 23, 2022
PURPOSE OF TRAVEL/TRAINING:
To attend Erosion Control Technician Certification
March 21 & 21, 2022 - virtual
March 23, 2022 test in person in CR
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: 521-07-7830-1346
LODGING TAXI X GRANT REIMBURSABLE
$ 20.00 MEALS PARKING YES NO
$600.00 REGISTRATION AIRFARE X REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $620.00 TOTAL: $ 310.00 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
Jamie Knutson
DEPARTMENT HEAD MAYOR
10/21/2021 11/15/2021
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010