HomeMy WebLinkAboutInstructors - Operations Recertification Class - Waukon - 1/3/22TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY -2 BUDGETED
EXPENDED YID
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori.inal- Clerk/Finance
STAFF ONLY
010-12-1415-1345
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10.50
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Co. De.artmen
NAME(S) AND POSITION(S):
Instructors
DATE:
December 22, 2021
NAME OF CLASS / MEETING:
Operations Recertification Class
DEPARTURE DATE: RETURN DATE:
January 3, 2022 January 3, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
DESTINATION: Waukon, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
January 3, 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
70.50 MILEAGE/FUEL
TOTAL FOR ALL: $ 70.50
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
1 BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF TAT+ ! %%
DEPARTMENT HEAD
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
MAYOR
1/
DATE