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2021 ASM Conf. Registration
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2021 ASM Conf. Registration
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7/26/2021 11:29:22 AM
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o ' .4: COUNTY OF DANE <br /> ° U'j' Conference/Training & Education and Outreach Request <br /> Employee requests are to be submitted to their Department Head for approval <br /> Board & Committee members' requests are to be submitted to the County Board Chair for approval <br /> NAME OF ATTENDANT(S) BOARD/COMMITTEE/COMMISSION/DEPARTMENT PHONE <br /> Troy Everson Planning and Development 608-261-9750 <br /> 4 NAME OF CONFERENCE/TRAINING or OUTREACH EVENT <br /> Wisconsin Real Property Listers Association - Annual State Meeting <br /> LOCATION IF STATE ISA PROHIBITED TRAVEL STATE,ATTACH CHAPTER 20.16 EXCEPTION <br /> Landmark Resort,4929 Landmark Dr,Egg Harbor WI MEMO APPROVED BY FINANCE.CONTACT DEPT OF ADMIN FOR CURRENT LIST. <br /> DATES OF CONFERENCE/TRAINING or OUTREACH EVENT: #OF WORK DAYS <br /> From: Through 3 <br /> 9/15/21-9/17/21 <br /> ESTIMATED COST INFORMATION <br /> LU 1.TRAVEL ✓ Auto 1___7 Air E Other(specify) 226.24 <br /> o NOTE:If two or more persons are making the same trip,travel shall be in the least number of vehicles. $ <br /> W 2. LODGING 164.00 <br /> Q3. REGISTRATION FEES 140.00 <br /> 4. PER MEAL ALLOWANCE($8.00 MORNING,$10.00 MIDDAY AND$20.00 EVENING) <br /> CO 5.FOOD PURCHASES FOR DEPARTMENT SPONSORED TRAINING(CO.ORD 20.14(3))WITH A <br /> aMAXIMUM PER MEAL COST OF$10.00 <br /> W NUMBER OF ATTENDEES:• . <br /> 1J <br /> 11 6.OTHER(specify) <br /> 2 <br /> O TOTAL ESTIMATED COSTS $ 530.24 <br /> 0 BRIEFLY OUTLINE OBJECTIVES TO BE ACCOMPLISHED BY CONFERENCE ATTENDANCE <br /> m To gain knowledge and network with peers throughout the state. <br /> 0 <br /> H <br /> I hereby request approval to attend the above described event and I have reviewed and understand the county's reimbursement <br /> policies for conference and training and outreach expenses. <br /> ATTEN S GNATURE DATE <br /> • M 7- z6. - zt <br /> DEP TMENT HEAD A'PROVAL (FOR EMPLOYEE, DEPT SPONSORED TRAINING&IN-STATE DEPT HEAD REQUESTS) <br /> DEPARTMENT HEAD'S SIGNATURE DATE <br /> ,rw.a t. -1(w...44,34 1 <br /> Zoo 2.1 <br /> COUNTY EXECUTIVE'�4PPROVA (FOR DEPARTMENT HEAD OUT OF STATE REQUESTS AND OUT EACH VENTS) <br /> COUNTY EXECUTIVE'S SIGNATURE DATE <br /> 4 <br /> Attach copy of this form with each payment request submitted to the Controller's Office <br /> REVD 02/19/2020 <br /> A <br />
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