HomeMy WebLinkAboutOut of State Travel Request - Renew (002)I
GRANT. COUNTY
COMMISSIONERS AGENDA. MEETING REQUEST FORM
to.the Clerk Nustbe'submitted erk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT. Renew
REQUEST SUBMITTED BY.Anna Serrano
CONTACT PERSON ATTENDING ROUND T -ABLE.
CONFIDENTIAL. INFORMATION- DYES
ONO
DATE; 2/6/24
PHONE:* 509) 765-9239. Ext. 5,353
DATE OF ACTION: _--r-?
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
1
DEFERRED OR CONTINUED TO:,
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DAP Vouchers
FlAppointment Reappointment
DARPA Related
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D Bid Opening Scheduled
FlBoards' / Committees
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nG.rants — Fed/State/County
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ElPetty Cash
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11 Proclamations
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El.Support Letter
nSurplus Req.
n.Tax' Levies
El-Thank'Yo.4s
nTax Title Prope Ov
DVLCB-
Kali
Out of state travel for 'Marisol Gonzalez, 5/4/24 to 5/10/24,.AAS National Conference,
La,s -Vegas, NV, tot.aldost, of'$3,327,13
Funding Code 108,15G.00,9000.566.51.4917
DATE OF ACTION: _--r-?
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
1
DEFERRED OR CONTINUED TO:,
216/24, 3:04 PM
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Marlsol Gonzalez
Departure Date*
=5/4/20.24
08:00 AM
Dept/Committee*
Renew
lei
Return Date*
5/10l202 4
05:00 PM
Grant County, WA
Date of Request*
E2/6:/,2'024-
-
Grant*
Yes
Travel Type*
Out of State Travel Y
Fund/Dept*
ARPA
.......... lei
Destination (City, County, State)* Purpose of Travel*
. ... ......
Las Vegas, NV American Association of Sulcidology Conference
Hotel - GSA Rate*
.--- ---------- -- WPM - -
$120.00
-- - -
-----------
Hotel Total*
Hotel . Nightly Rate* Cost Application*
$154.00 Conference Rate
----------------- -- -
Conference Fee* Daily MME at
. ..............
$11217P73 $1,149.00 Destination*
$69.00
................
M
Rental Car Required
No Y
Rental Car Cost per
day*
$0
Explanation for Rate (required if hotel cost is greater than Der diem. or anvarnment rnfal*
--
----------------- -- --
No GSA rate rooms, conference rate only.
Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)*
...........
Delta $300 $31327.23
Xe
Preparees Name* Preparet's Title*
Anna Serrano
Accounting Technician
----------- ---- -- --
Preapproved by E0/DH?
Yes V
https://www.granteountywa,govIFormCenteriPrint?formlD=86&Proview=YES&Save=False&savedProgresslD= 1/2
TRAINING "EUESTTRAVEL REQUEST
STAFF NAME: .,`���
01 QnZjC)j EMAILADDRESS:.� '�i'1ZCLt�,Z '(-�-�
NAME OFTRA INING:
n A -M 9
LOCATION: tJ-AS as
LOCATED IN WA STATE? ❑Yes. FqNo
DATES OF TRAINING; 15 through
DEPARTING DATE & TIME
L4
RETURNING DATE .& TIIVIEO
TRAVEL PURPOSE:
• cen_! ,C(a
jD RECEIVED
JAN 3-21- 2024
Z3
RENEW
HOTEL NEEDED? [Yes [:]No?re
[ y -C tv,,S
�okcA
AIRFARE NEEDED? .'R Yes []No
FLIGHT PREFERENCES:
REGISTRATION NEEDED? pYes r--JNo—Already Registered
>(�I will, registermyse 'If
WHO WILL BE IMPACTED BY THIS TRAINING?
nEmployee E]7eam Members ❑Other Agency Staff FlAll Agency g n cy Staff
WHAT WILL YOU BE ABLE TO B, team, BRING B.ACKTO THE AGENCY? (What can you then- train your ea other
,
te,a.m,s,. agency leadership; and other groups on'?)
,
NOT TO BE COMPLETED BY EMPLOYEE
MANAGER APPROVALTO TAKE PERSONAL CAR: Manager initials
MANAGER APPROVAL (CIRCLE ONE): Send form. to Leadership for fur'ther approval
NO, Training is denied Manager initialscjQD�.
ESTIMATED COST.;
Funding Source: �j (���
LEADERSHIP APPROVAL (CIRLCE ONE): NO
.1
ITALS 684-
7/27/23