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NAME(S) AND POSITION(S):
DATE:
NAME OF CLASS / MEETING:
DESTINATION:
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
RETURN DATE:
DATE(S) OF MEETING:
PURPOSE OF TRAVEL/TRAINING:
.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL: COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE PRIVATE VEHICLE
AIRFARE DEPARTING FROM:
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: $
TOTAL: $ PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Date Approved by Finance Committee:
DEPARTMENT HEAD
DATE
DATE
FINANCE DEPT. STAFF ONLY
LINE ITEM USED
FY ____ BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original – Clerk/Finance Copy – Department
TRAVEL REQUEST
CITY OF WATERLOO
426-08-6280 2103
25 250,000.00
118,908.59
4,000.00
127,091.41
5/2/25
Quent Hart, Mayor
May 1, 2025
SelectUSA
May 10, 2025 May 13, 2025 May 10-13 2025
National Funding source
x
x Waterloo, IA
1,500.00 200.00
426-08-6280-2103
x
150.00
1,350.00 800.00 x
4,000.00 4,000.00
Quentin Hart May 1, 2025
Washington DC
Docusign Envelope ID: 8202D003-D80A-4A25-87DC-2F813329F2BA
May 5, 2025 (May 1
incorrect date)