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Kittitas County <br />Travel Authorization <br />Request for hereby made for authorization for travel at county expense for <br />MARK RICKEY <br />Employee s Name <br />February 15, .2010 through February 19, 2010; <br />Start Date End Date <br />t0 <br />VANCOUVER, WA AND PORTLAND, OR <br />Destination <br />The purpose of the trip: <br />EMERGENCY VEHICLE OPERATOR COURSE INSTRUCTOR UPDATE <br />Cost of Training <br />Registration <br />$500.00 <br />Travel <br />$202.50 <br />Hotel <br />$0.00 <br />Salary <br />$0.00 <br />Total <br />$702.50 <br />The expense of training/travel may be subject to reimbursement by the employee if they <br />leave employment within a specific period of time following the event. (Select one). <br />® Employee reimbursement for training does not apply in this situation. <br />❑ A "Training Reimbursement Agreement" is attached. <br />Signed this _L�day of OCIU a'44 --\o r <br />Approved <br />--1�--- <br />Departnt Head Signature <br />This request approved by the Board of County Commissioners on this day of <br />Chairman <br />Commissioner <br />Commissioner <br />Distribution of form: <br />1. Original sent to Commissioners for approval <br />2. Signed copy returned to Department <br />3. Copy must be attached to travel reimbursement request, hotel bill or registration form <br />