HomeMy WebLinkAboutSupplemental Attachments - 12/5/2022FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-01-8200 1345
TRAVEL REQUEST
CITY OF WATERLOO
FY 23 BUDGETED $6,000.00
EXPENDED YTD $412.75
THIS REQUEST $2,100.00
LEFT AFTER THIS
REQUEST $3,487.25
DATE 11/30/2022
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Quentin Hart, Mayor
DATE:
11/29/2022
NAME OF CLASS / MEETING:
US Conference of Mayors
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
Washington, DC
DEPARTURE DATE:
1/18/2023
RETURN DATE:
1/20/2023
DATE(S) OF MEETING:
1/18-20/2023
PURPOSE OF TRAVEL/TRAINING:
91 st Winter US Conference of Mayors
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$1,200.00 LODGING $100.00
$150.00
MEALS
REGISTRATION
MILEAGE/FUEL
$650.00
TOTAL FOR ALL: $ 2,100.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-01-8200-1345
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $ 2,100.00 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
Querdia 9(arf
MAYOR
12/5/2022
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-11-1100-1346
TRAVEL REQUEST
CITY OF WATERLOO
FY 2023 BUDGETED $123,416.00
EXPENDED YTD $48,371.78
THIS REQUEST $29,250.00
LEFT AFTER THIS
REQUEST $45,794.22
DATE 11/17/22
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Officer Hunter Saul, Rodney Dieser, Adam Gilbaugh
DATE:
11/17/22
NAME OF CLASS / MEETING:
Iowa Law Enforcement Academy Camp Dodge
DESTINATION: ,Johnston, la.
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
1/3/23
RETURN DATE:
4/21/23
DATE(S) OF MEETING:
1/3/23 - 4/21/23
PURPOSE OF TRAVEL/TRAINING:
Lt. Bose is requesting to send Officers Saul, Dieser, Gilbaugh to the Basic Officer Certification Course sponsored by the Iowa
Law Enforcement Academy (Camp Dodge) on January 3, 2023. This course is required to certify officers in the
State of Iowa. The cost of the Training will not exceed $29,250.00
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
XXX CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
0.00 LODGING
7,200.00 MEALS
21 ,300.00 REGISTRATION
750.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 29,250.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM:
X GRANT REIMBURSABLE
YES NO
x
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 9,750.00
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
I APPROVE THIS TRAVEL REQUEST
Lt. Steve Bose Querduz 9%rt
DEPARTMENT HEAD MAYOR
11/17/22
12/5/2022
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 2023 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-11-1100-1346
$123,416.00
$77,621.78
$420.00
$45,374.22
11/17/22
Copy - Department
NAME(S) AND POSITION(S):
Sergeant Koontz
DATE:
11/22/22
NAME OF CLASS / MEETING:
Gracie Survival Tactics Level 1 Instructor
DESTINATION: ,Johnston, la.
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
12/12/22
RETURN DATE:
12/16/22
DATE(S) OF MEETING:
12/12/22 to 12/16/22
PURPOSE OF TRAVEL/TRAINING:
Lt. Bose is requesting to send Sergeant Koontz to Gracie Survival Tactics Level 1 Instructor Certification Course.
This course is being held near Camp Dodge, Johnston Iowa. The registration is being covered without city funds.
The only cost to the city is Lodging, Meals and Fuel not to exceed $420.00
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
XXX CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
$150.00 LODGING
$195.00 MEALS
$0.00 REGISTRATION
$75.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 420.00
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM:
X GRANT REIMBURSABLE
YES NO
x
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 420.00 PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
I APPROVE THIS TRAVEL REQUEST
Lt. Steve Bose Quert6ri 9ir�
DEPARTMENT HEAD MAYOR
11/22/22 12/5/2022
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415 1345
TRAVEL REQUEST
CITY OF WATERLOO
FY 23 BUDGETED 3,500.00
EXPENDED YTD 371.60
THIS REQUEST 216
LEFT AFTER THIS
REQUEST
2540.80
DATE 11/22/2022
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Instructor(s)
DATE:
11/22/2022
NAME OF CLASS / MEETING:
Operations Level Class
DESTINATION: Lansing, Iowa
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
01/11/2023
RETURN DATE:
01/11/2023
DATE(S) OF MEETING:
01/11/2023
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Class for Northeast Iowa Response Group
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING TAXI
MEALS PARKING
REGISTRATION AIRFARE
216 MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 216
BUDGET LINE ITEM: 010-12-1415 1345
X GRANT REIMBURSABLE
YES NO
X
YES NO
TOTAL: $ 216
REQUIRED CERTIFICATION
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
I APPROVE THIS TRAVEL REQUEST
Pat Treloar Ouert-Cuz
DEPARTMENT HEAD MAYOR
11-22-2022 12/5/2022
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1415 1345
TRAVEL REQUEST
CITY OF WATERLOO
FY 23 BUDGETED 3,500.00
EXPENDED YTD 143.60
THIS REQUEST 228
LEFT AFTER THIS
REQUEST
3128.40
DATE 11/22/2022
Original - Clerk/Finance Copy - Department
NAME(S) AND POSITION(S):
Instructor(s)
DATE:
11/22/2022
NAME OF CLASS / MEETING:
Operations Level Class
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
New Albin, Iowa
DEPARTURE DATE:
01/11/2023
RETURN DATE:
01/11/2023
DATE(S) OF MEETING:
01/11/2023
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Class for Northeast Iowa Response Group
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
X PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
ESTIMATE OF COST:
LODGING TAXI
MEALS PARKING
REGISTRATION AIRFARE
228 MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 228
BUDGET LINE ITEM: 010-12-1415 1345
X GRANT REIMBURSABLE
YES NO
X
YES NO
TOTAL: $ 228
REQUIRED CERTIFICATION
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
I APPROVE THIS TRAVEL REQUEST
Pat Treloar auercirr
DEPARTMENT HEAD MAYOR
11/22/2022
12/5/2022
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010