HomeMy WebLinkAboutOut of State Travel Request - Public WorksGRANT COUNTY
COMMISSIONERS AGENDA MEETING REQUEST FORM
(Must be submitted to the Clerk of the Board by 12:00pm on Thursday)
REQUESTING DEPARTMENT: PUBLIC WORKS
REQUEST SUBMITTED BY: SHILO NELLIS
CONTACT PERSON ATTENDING ROUNDTABLE: SAM GASTRO
CONFIDENTIAL. INFORMATION: ❑YES ®NO
DATE: 03/07/2024
PHONE:509-754-6 82
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
11,1111 �
❑Agreement /Contract
❑AP Vouchers
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ment
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OFacilifies Related
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❑WSLCB
=gag 10119
101 i1=141
Request for out-of-state travel for Gravel Road Construction and Maintenance,
Thursday April 11, 2024, to Post Falls, ID, for Chris Adame, Thomas Hanson,
Carey Tabert
DATE OF ACTION:
APPROVE: DENIED ABSTAIN
D1:
D2:
D3:
DEFERRED OR CONTINUED TO:
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name*
Chris Adame
Departure Date*
4/11/2024
07:30 AM
Dept/Committee* Date of Request,
Public Works 3/6/2024
Return Date* Grant*
4/11/2024 No
04:30 PM
Travel Type*
Out of State Travel
Fund/Dept*
101
4.
Destination (City, County, State)* Purpose of Travel*
Post Falls, Idaho Gravel Road Construction & Maintenance Training
41
Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required
$0.00 $0.00 Regular Rate --.Select One
Hotel Total* Conference Fee* Daily M&IE at Rental Car Cost per day*
Destination*
$0.00 $0.00 $0.00
$0.00
40
Explanation for Rate (required if hotel cost is greater than per diem, or government rate)*
N/A
Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)*
N/A $0.00 $0.00
Preparer's Name* Preparer's Title*
John Brissey Road District Supervisor
X.
Preapproved by EO/DH?* Use of travel card to fill a rental vehicle gas tank prior to its
Yes 4V return is recommended.
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name* Dept/Committee* Date of Request"k, Travel Type*
Thomas Hanson Public Works 3/:6/2024 Out of State Travel
Departure Date* Return Date* Grant* Fund/Dept*
4/11/2024 4/11/2024 No .101
07:30 AM I 0420PM.
]
Destination (City, County, State)* Purpose of Travel*
Post Falls, Idaho Gravel Road Construction & Maintenance Training
4
Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required
$0.00 $0.00 Regular Rate Select One
Hotel Total* Conference Fee* Daily M&IE at Rental Car Cost per day*
$0.00$0.00 Destination* $0.00
$0.00
14,
Explanation for Rate (required if hotel cost is greater than per diem, or government rate)*
Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)*
N/A $0.00 $0.00
X 4 le
Preparer's Name* Preparer's Title*
John Brissey Road District Supervisor
Xo- :
Preapproved by EO/DH?* Use of travel card to fill a rental vehiclegas tank prior to its
Yes 4V return is recommended.
OUT OF STATE TRAVEL REQUEST APPLICATION
Traveler's Name* Dept/Committee* Date of Request..
Carey Tabert Public Works 3/6/2024
Departure Date* Return Date* Grant*
4/11/2024 4/11/2024 j No
07:30 AM 04:30 PM -
j
Travel Type*
Out of State Travel IV
Fund/Dept*
101
L— 4.
Destination (City, County, State)* Purpose of Travel*
Post Falls, Idaho Gravel Road Construction & Maintenance Training
Hotel - GSA Rate* Hotel - Nightly Rate* Cost Application* Rental Car Required
$0.00 $0.00 Regular Rate Select One
4101
Explanation for Rate (required if hotel cost is greater than per diem, or government rate)*
Air Carrier* Cost of Flight* Total trip cost (Include all cost totals)*
N/A $0.00 $0.00
4! 4
Preparer's Name* Preparer's Title*
John Brissey Road District Supervisor
X
Preapproved by EO/DH?* Use of travel card to fill a rental vehiclegas tank prior to its
Yes *.## return is recommended.