HomeMy WebLinkAboutJensson, Dave + other team member - Pick up donated materials-05.20.2022TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415-1345
FY BUDGETED
EXPENDED YTD
THIS REQUEST /l/J
LEFT AFTER THIS
REQUEST
DATE 7 25 ) `may
Ori.inai - Clerk/Finance Co. - be.artment
NAME(S) AND POSITION(S):
Dave Jensson + Other Team Member
DATE:
May 17, 2022
NAME OF CLASS / MEETING:
Pick up of donated materials
DEPARTURE DATE:
May 20, 2022
DESTINATION: Rickardsville (Durango), IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
May 20, 2022
RETURN DATE:
May 20, 2022
PURPOSE OF TRAVEL/TRAINING:
Taking 385 (Ford Haz Mat Vehicle) to have flat bed placed on vehicle.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING TAXI
MEALS PARKING
REGISTRATION AIRFARE
0.00 MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 0.00
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 ANRB.F_AI.EFICIAL T
CITY OF
DEPARTMENT HEAD
I APPROVE THIS TRAVEL REQUEST
MAYOR
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010