HomeMy WebLinkAboutQuentin Hart - CV United Way Breakfast - 4/5/2022DESTINATION:
K:\Shared Goodies\Forms\Travel Request Form January 20] 0
TRAVEL REQUEST
CITY OF WATERLOO
NAME(S) AND POSITION(S):
Quentin Hart, Mayor
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 1345
FY 2022 BUDGETED $6,000 ✓
EXPENDED YTD 2934.42 ,-•
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Ori.inal - Clerk/Finance
25.00
3040.58
3/3/22 Ma- 3 6-2
Co. - De.. rtment
NAME OF CLASS / MEETING:
Cedar Valley United Way Breakfast
DEPARTURE DATE:
4/5/22
PURPOSE OF TRAVEL/TRAINING:
CVUW Breakfast of Champions
DATE:
3/3/22
RETURN DATE:
4/5/22
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DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
4/5/22
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
METHOD OF TRAVEL:
X COST $
YES NO
CITY VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING TAXI
$25 MEALS PARKING
REGISTRATION AIRFARE
MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 25
PRIVATE VEHICLE
BUDGET LINE ITEM: 010-01-8200-1345
GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 25 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Quentin Hart
DEPARTMENT HEAD
3/3/22
I APPROVE THIS TRAVEL REQUEST
LLL).-°'
MAYOR
DATE
DATE
3/7 /
RECEIVED MAR 0 3 2022
W Cedar Valley United Way
CedarValleyUnitedWay.org
ammi
425 Cedar Street, Suite 300
Waterloo, IA 50701
T: 319.235.6211
F: 319.233.6963
Date
March 2, 2022
LIVE UNITED
United
Way
To
City of Waterloo
Attn: Mayor Quentin Hart
715 Mulberry St.
Waterloo, IA 50703
Return to
Cedar Valley United Way
425 Cedar Street, Suite 300
Waterloo, IA 50701
Quantity Description Unit Price Total
1 Ticket for CVUW Breakfast of
Champions
$25.00
$25.00
Total Due $25.00
Make Checks Payable to the Cedar Valley United Way.
Thank you for your support and LIVING UNITED!