HomeMy WebLinkAboutInstructors - Operations Recertification Class - Decorah - 1.19.22FINANCE DEPT. STAFF ONLY
TRAVEL REQUEST
CITY OF WATERLOO
LINE ITEM USED
FY 3 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori.inal - Clerk/Finance
010-12-1415-1345
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NAME(S) AND POSITION(S):
Instructors
DATE:
January 3, 2022
NAME OF CLASS / MEETING:
Operations Recertification Class
DEPARTURE DATE: RETURN DATE:
January 19, 2022 January 19, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
DESTINATION: Decorah, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
January 19, 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
62.25 MILEAGE/FUEL
TOTAL FOR ALL: $ 62.25
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 W0
DEPARTMENT HEAD
(— c,(_a—
I APPROVE THIS TRAVEL REQUEST
MAYOR
t(c7-12-6-E'
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010