HomeMy WebLinkAboutHintzman, Hodgin - 12/13/2021 FINANCE DEPT. STAFF ONLY
LINE ITEM USED
TRAVEL REQUEST FY _BUDGETED
CITY OF WATERLOO EXPENDED YTD
THIS REQUEST r�
LEFT AFTER THIS
REQUEST
DATE 711�&j /,2_/a -20.2/
Original-Clerk/Finance Coy-Department
NAME(S)AND POSITION(S): DATE:
Craig Hintzman-Signal Tech II December 13, 2021
Brandon Hodgin-Signal Tech I
NAME OF CLASS/MEETING: DESTINATION: West Union, IA
Pick up spools of Fiber DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: 16ATES)OF MEETING:
12/13/21 12/13/21 12/13/21
PURPOSE OF TRAVEL/TRAINING:
To pickup spools of fiber to replace broken fiber on Hwy 218 from 9th to 11th and on W. 11th for fuel site
To pick up spools of fiber to replace broken fiber on Hwy 218 from 9th to 11th and on W. 11th for fuel site
To pick up spools of fiber to replace broken fiber on Hwy 218 from 9th to 11th and on W. 11th for fuel site
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:
LODGING TAXI GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 0.00 TOTAL: $ 0.00 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
Sandie Greco
DEPARTMENT HEAD MAYOR
12/13/21
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010