APPLICATION TO THE BOARD OF COUNTY COMMISSIONERS OF MEDINA COUNTY, OHIO
FOR APPROPRIATION TO ATTEND MEETING, CONFERENCE, SEMINAR
The undersigned respectfully makes application for a total appropriation of $ __________________
The probable cost to said County of the actual and necessary expenses in attendance at the:
(name of meeting/conference/seminar)_________________________________________
on the date(s) of ______________________________________________
The attendance of the undersigned at the aforesaid meeting/conference/seminar is necessary for the
The following employee(s) are authorized to attend the above stated meeting:
If applicable, _______________________ has been designated as an alternate by the elected official or
department head and is authorized to attend out of state training on behalf of the elected official.
Requirement or need for travel must be documented and attached to this application.
Department Head Signature
Typed Name and Title of Department Head
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