HomeMy WebLinkAboutTR_Van_DykeDocusign Envelope ID: 370181 E5-D555-41 B0-90C7-CB4944731 DAB
FINANCE DEPT. STAFF ONLY
LINE ITEM USED 010-12-1400-1346
TRAVEL REQUEST
CITY OF WATERLOO
FY 26 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
5,000.00
55.00
575.00
4,370.00
08/19/2025
Copy - Department
NAME(S) AND POSITION(S):
JD Van Dyke, LT Fire Inspector
DATE: 08/19/2025
NAME OF CLASS / MEETING:
2025 HSFSA Fire & Building Safety Conference
DESTINATION: Des Moines, IA 50309
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
11/05/2025
RETURN DATE:
11/06/2025
DATE(S) OF MEETING:
11/05/2025 - 11/06/2025
PURPOSE OF TRAVEL/TRAINING:
To attend the 2025 HSFSA Fire & Building Safety Conference, an annual event dedicated to
advancing fire and building safety education, in Des Moines.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
X CITY VEHICLE
AIRFARE
DEPARTING FROM:
PRIVATE VEHICLE
ESTIMATE OF COST:
140.00 LODGING
120.00 MEALS
265.00 REGISTRATION
50.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 575.00
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 010-12-1400 1346
X GRANT REIMBURSABLE
YES NO
X
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 575.00
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:
Bill Beck 9/2/2025
DEPARTMENT HEAD
08/19/2025
DATE
K: \Shared Goodies\Forms\Travel Request Form
DATE
,-Signed by:
1321;0(par Wood
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