HomeMy WebLinkAboutTR_PayneDocusign Envelope ID: DC93182E-EFC3-468E-9821-2C5F19E6OADB
TRAVEL REQUEST
CITY OF WATERLOO
FINANCE DEPT.
LINE ITEM USED
FY 26 BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
STAFF ONLY
010-11-1100-1346
$120,000
$39,282
$1,710
$79,008
09/04/2025
Copy - Department
NAME(S) AND POSITION(S):
Officer Nikolai Payne
DATE: 09/4/2025
NAME OF CLASS / MEETING:
ILEA Driving Instructor School
DESTINATION:
Des Moines, IA
DEPARTURE POINT
IF NOT WATERLOO:
DEPARTURE DATE:
October 26, 2025
RETURN DATE:
October 31, 2025
DATE(S) OF MEETING:
October 27-31, 2025
PURPOSE OF TRAVEL/TRAINING:
Lt. Girsch is requesting to send Officer Nikolai Payne to the ILEA Driving Instructor School. This week
long school will certify Officer Payne as a driving instructor for the WPD to train our current personnel
in safe vehicle operations to fulfill state mandated training. This is a required certification school.
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
XX
YES NO
COST $
METHOD OF TRAVEL:
XXX CITY VEHICLE
AIRFARE
PRIVATE VEHICLE
DEPARTING FROM: Waterloo, Iowa
ESTIMATE OF COST:
$550.00 LODGING
$235.00 MEALS
$625.00 REGISTRATION
$300.00 MILEAGE/FUEL
TOTAL FOR ALL: $ 1710.00
TAXI
PARKING
AIRFARE
M ISC/TOLLS
BUDGET LINE ITEM: 010-11-1100 1346
X GRANT REIMBURSABLE
YES NO
X
YES NO
REQUIRED CERTIFICATION
TOTAL: $ 1710.00
PER PERSON
I BELIEVE THIS TRIP SERVES A PUBLIC PURPOSE
AND IS NECESSARY AND BENEFICIAL TO THE
CITY OF WATERLOO
Lt. Michael Girsch
DEPARTMENT HEAD
9/4/2025
DATE
K: \Shared Goodies\Forms\Travel Request Form
Date Approved by Finance Committee:
10/6/2025
DATE
,—Signed by:
Birietpar Woo et
`—IJ88E184FDAS1-48A...