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5,1---1c,-. <br /> GIG. )'72.7 <br /> 12./9_8[ 17 <br /> OCT EXPENSE REIMBURSEMENT FORM <br /> Guidelines for Expense Reimbursement: Any reasonable lodging and mileage expenses <br /> that an OCT director may incur to attend quarterly OCT Board of Directors meetings and other <br /> OCT business. Detailed policies appear on the back of this page. <br /> Reimbursement Procedure: Return this form with receipts to OCT, P.O. Box 13074, Salem, <br /> Oregon, 97309-1074. Please keep a copy for your own records. If you have questions, <br /> contact Rick Zenn, Treasurer. <br /> Name: City of Eugene (Eric DeBord) <br /> • <br /> Phone: 541, • 4000000w, -682-4854 Fax <br /> , Email Address: eric.m.debord@ci.eugene.or.us <br /> 1820 Roosevelt Blvd. <br /> Address.. <br /> City Eugene St, OrZip Code.... 97402 <br /> * ` SI nature ../Z7, 6/7 Date 12/28/17 <br /> t9 <br /> er <br /> Travel Expense Items: <br /> Dates of Travel 11/14-11/17/17 <br /> Destination Tulsa <br /> Travel Purpose Partners in Community Forestry Amount <br /> Accommodations <br /> Mileage Reimbursement (total miles x$0.14) <br /> Other (specify) Registration $379.00 <br /> Miscellaneous Expenses (list): <br /> ie— <br /> TOTAL REIMBURSEMENT REQUESTED: .....$.37.9,OR... cl..-C1/- <br />