HomeMy WebLinkAboutInstructors - Operations Recertification Class - Veterans Hospital Waukon, IA - 1/12/22TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415-1345
FY 27--- BUDGETED %0 0. O 0
EXPENDED YID 331
THIS REQUEST Ln9
LEFT AFTER THIS
REQUEST "Mq i • 2S
DATE l I �I z z- ECG
Ori.inal- Clerk/Finance Co. be.artment
NAME(S) AND POSITION(S):
Instructors
DATE:
December 22, 2021
NAME OF CLASS / MEETING:
DESTINATION: Veterans Hospital Waukon, IA
Operations Recertification Class DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
January 12, 2022 January 12, 2022 January 12, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING TAXI
MEALS PARKING
REGISTRATION AIRFARE
69.75 MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 69.75
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 ANDICIAL TO THE
CITY OF W
I APPROVE THIS TRAVEL REQUEST
DEPARTMENT HEAD MAYOR
l I
3 / 2_o zZ.
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010