HomeMy WebLinkAboutT. Henrich - IAPMO - 11/12/2022FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-22-8800-1346
TRAVEL REQUEST
CITY OF WATERLOO
FY 23 BUDGETED $2,000.00
EXPENDED YTD $ 0.00
THIS REQUEST 165.00
LEFT AFTER THIS
REQUEST $1,835.00
DATE
Ori•inal - Clerk/Finance Copy - be.artment
NAME(S) AND POSITION(S):
Todd Henrich - Building Maintenance
DATE:
9/21/2022
NAME OF CLASS / MEETING:
IAPMO
(International Assoc of Plumbing/Mechanical Officials)
DEPARTURE DATE:
11/12/2022
DESTINATION: Waterloo, Iowa (Elks Club)
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
11/12/2022
RETURN DATE:
11/12/2022
PURPOSE OF TRAVEL/TRAINING:
Continuing Education Class for 2023 State License Renewal
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
LODGING TAXI
MEALS PARKING
X REGISTRATION AIRFARE
MILEAGE/FUEL MISC/TOLLS
TOTAL FOR ALL: $ 165.00
BUDGET LINE ITEM: 010-22-8800-1346
X GRANT REIMBURSABLE
YES NO
X
YES NO
TOTAL: $ 165.00
REQUIRED CERTIFICATION
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Greg Ahlhelm - Building Official
I APPROVE THIS TRAVEL REQUEST
DEPARTMENT HEAD MAYOR
9/21/2022
/ t
DATE DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
Iowa Chapter of IAPMO
Continuing Education Class for 2023 State License Renewal
8 Hours Plumbing Track Cost: $165.00
Optional 2021 Uniform Plumbing Code Book $105.00
Class contains: State approved 2 Hours Safety, 2 Hours Code, 4 Hours Discipline
Box Lunch will be provided. Door Prizes: TV, Power tool kit and more.
Please mail application and check no later than 10/22/2022 to.
Please make checks payable to "Iowa Chapter of IAPMO"
Classes are limited so mail your check early.
Please retain a copy of your registration for your records, confirmations will not be mailed
back.
Location: Elks Club
407 East Park,Waterloo,la,50703
8:00 AM - 4:30 PM
Date: November 12, 2022, Seating limit is 50
0
Brian Hamner
640 Bradford Dr.
Norwalk, IA 50211
November 12,2022 Waterloo Class.
First
iC�t_a M S Last H5-Iv2«k
License # /.2 772,
Street 202 S L4N
City / &/,gUel,t2 State LA Zip Code S66-77
E-mail Address % ,gyp. Nix/e,J GuR:4-ie./od /4-Oie
Phone # 7 /1 Si . l
Class i( Code Book Total 11o5 0°
Questions Contact:
Brian Hamner- bjhamner@dmgov.org or 515-208-0343