HomeMy WebLinkAboutShellhorn, Craig-Urbandale Pschology Associates FINANCE DEPT. STAFF ONLY
LINE ITEM USED
TRAVEL REQUEST FY 22 BUDGETED
CITY OF WATERLOO EXPENDED YTD ^/
THIS REQUEST
LEFT AFTER THIS
REQUEST Mc* 4'ic,2.
DATE 04-21-2022
Original-Clerk/Finance Copy-Department
NAME(S)AND POSITION(S): DATE:
Craig Schellhorn 04-21-2022
NAME OF CLASS/MEETING: DESTINATION: Urbandale, Iowa
Psychology Associates I Dr. Asheman DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE: RETURN DATE: DATE(S) OF MEETING:
04-21-2022 04-21-2022 04-21-2022
PURPOSE OF TRAVEL/TRAINING:
Member currently on administrative leave - meeting initiated for fit for duty testing.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: X COST$ 0.00
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM: City of Waterloo
ESTIMATE OF COST: BUDGET LINE ITEM:
LODGING TAXI GRANT REIMBURSABLE
MEALS PARKING YES NO
REGISTRATION AIRFARE REQUIRED CERTIFICATION
MILEAGE/FUEL MISC/TOLLS YES NO
TOTAL FOR ALL: $ 0.00 TOTAL: $ 0.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE I APPROVE THIS TRAVEL REQUEST
AND IS NECESSARY AND EFICIAL TO T
CITY OFER
na_,C-QAtt ).
DEPARTMENT HEAD / MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010