HomeMy WebLinkAboutInstructors - Operations Recertification Class - Shell Rock - 1/16/2022TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY )2- BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori.inal - Clerk/Finance
STAFF ONLY
010-12-1415-1345
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Co. - De•artment
NAME(S) AND POSITION(S):
Instructors
DATE:
December 22, 2021
NAME OF CLASS / MEETING:
Operations Recertification Class
DEPARTURE DATE: RETURN DATE:
January 16, 2022 January 16, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
DESTINATION: Shell Rock, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
January 16, 2022
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST$
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE
X PRIVATE VEHICLE
DEPARTING FROM:
ESTIMATE OF COST:
LODGING
MEALS
REGISTRATION
20.25 MILEAGE/FUEL
TOTAL FOR ALL: $ 20.25
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1415-1345
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF
t....1A1A7
DEPARTMENT HEAD
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
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