HomeMy WebLinkAboutOperations Level Class - Waukon - 1/26-27/2022TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 2' BUDGETED
EXPENDED YTb
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori. final - Clerk/Finance
STAFF ONLY
010-12-1415-1345
z 15
(1zeJ ? Z,
Co. - De.ortment
NAME(S) AND POSITION(S):
Instructor(s)
DATE:
January 17, 2022
NAME OF CLASS / MEETING:
Operations Level Class
DEPARTURE DATE:
January 26 & 27, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Class for Northeast Iowa Response Group
DESTINATION: Veterans Hospital Waukon, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
RETURN DATE:
January 26 & 27, 2022
January 26 & 27, 2022
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
x COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE
x
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING
MEALS
REGISTRATION
140.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 140.00 (2 trips)
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1415-1345
YES
YES
x GRANT REIMBURSABLE
NO
x REQUIRED CERTIFICATION
NO
TOTAL: $ 70.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARYBEN f L TO THE
CITY OF WATER
DEPARTMENT HEAD
I APPROVE THIS TRAVEL REQUEST
MAYOR
2- I Z-Z.
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010