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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
010-37-4180-1346
25 954.00
145.00
300.00
509.00
4/29/25
Brianne Boss, Aquatics/Safety Services Specialist
4/21/2025
Lifeguard Instructor (LGI)
Cedar Falls, IA
May 17, 2025 May 17, 2025 May 17, 2025
Required for position to train lifeguards and CPR/AED/First Aid
X
X
Cedar Falls, IA
010-37-4180-1346
X
X$300.00
$300.00 300.00
Todd Derifield
4/21/2025
Wartburg, Waverly, IA
Docusign Envelope ID: 8202D003-D80A-4A25-87DC-2F813329F2BA
May 5, 2025