HomeMy WebLinkAboutInstructors - Operations Recertification Class - Sumner - 6/17/2022TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 21.. BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-12-1415-1345
1 22 4 rr
7i5-7o
Og q . S
(4)1002 E
Copy - Department
18NAME(S) AND POSITION(S):
Instructors
DATE:
June 10, 2022
NAME OF CLASS / MEETING:
Operations Recertification Class
DEPARTURE DATE: RETURN DATE:
June 17, 2022 June 17, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
DESTINATION: Surnner, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
June 17, 2022
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE
X PRIVATE VEHICLE
DEPARTING FROM:
ESTIMATE OF COST:
LODGING
MEALS
REGISTRATION
25.50 MILEAGE/FUEL
TOTAL FOR ALL: $ 25.50
TAXI
PARKING
AIRFARE
MISC/TOLLS
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 NECESSAnNCIAL�THE
O
CITY OF WAT
DEPARTMENT HEAD
- (3 -
DATE
K:AShared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
MAYOR
6 /wl 2-6
DATE