HomeMy WebLinkAboutInstructors - Operations Recertification Class - St Lucas - 2/9/2022TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE JTEM USED
FY CBUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori•inal - Clerk/Finance
STAFF ONLY
010-12-1415-1345
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Co. - be..rtment
NAME(S) AND POSITION(S):
Instructors
DATE:
January 17, 2022
NAME OF CLASS / MEETING:
Operations Recertification Class
DEPARTURE DATE: RETURN DATE:
February 9, 2022 February 9, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
DESTINATION: St Lucas, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
February 9, 2022
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING
MEALS
REGISTRATION
42.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 42.00
TAXI
PARKING
AIRFARE
MISCITOLLS
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 WATERLOO
DEPARTMENT HEAD
I APPROVE THIS TRAVEL REQUEST
r-)A i Q
MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010