HomeMy WebLinkAboutK. Shankle - Minnesapolis - 1/19-20/2022 FINANCE DEPT. STAFF ONLY
LINE ITEM USED 6�/p ,?(j ��2i05 /3
TRAVEL REQUEST FYZJ-2?- BUDGETED 7000
CITY OF WATERLOO EXPENDED YTD $"g
THIS REQUEST j�p 0i
LEFT AFTER THIS
REQUEST
DATE �J7c✓ /�f X
Original-Clerk/Finance Co -Department
NAME(S) AND POSITION(S): DATE:
Kent Shankle 1/4/22
NAME OF CLASS/ MEETING: DESTINATION: Minneapolis MN
Class supply pick-up
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
1/19/22 1/20/22 1/19-20/22
PURPOSE OF TRAVEL/TRAINING:
Travel to pick up clay supplies for ceramics classes. Travel supported by grant funds from Iowa Department of Cultural
Affairs.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: x COST $
YES NO
METHOD OF TRAVEL:
x CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
26STG.OSG 010 26
BUDGET LINE ITEM: 4265 1346
LODGING TAXI x GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE x REQUIRED CERTIFICATION
100.00 MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ $100.00 TOTAL: $ 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 '
DEPARTMENT HEAD MAYOR
i / L4 /,112 ;-? D �Z6Z,Z.
DATE DATE
K:AShared Goodies\Forms\Travel Request Form January 2010