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To: Larsen, Jessica[Jessica.Larsen@heritage.org] From: Larsen, Jessica Sent: Fri 5/5/2017 11:59:55 PM Subject: Reimbursement Form for 2017 Resource Bank Speaker Expense Reimbursement Form.docx Hello, Thank you so much for participating as a speaker at 2017 Resource Bank. After the meeting concludes, please fill out the attached form and submit with: J Receipts for your expenses (if you have already sent me your flight receipt you do not need to re-submit) L J A copy of your W-9 Please let me know if you have any questions or concerns. Thank you again for all your contributions to 2017 Resource Bank! Sincerely, Jessica Jessica Larsen Event Pliifiner 1 he Heritage Foundation 214 Massachusetts Avenue. NE Washington. DC 20002 heritage.org 17cv01906 Sierra Club v. EPA ED 001523B 00005775-00001 rix e Hefitage Foundation SPEAKER EXPENSE REIMBURSEMENT FORM Please return this form to The Heritage Foundation Special Events department for reimbursement of approved expenses no later than Friday, May 26. Receipts are required for all items. Speaker Name: Organization: Check payable to: Address to send check: CHECK INFORMATION EXPENSE TYPE Airfare Hotel & Lodging (The Heritage Foundation will cover one night's room and tax to the master account) Ground Transportation Other Items (please specify: ) TOTAL REIMBURSEMENT DUE AMOUNT $ $ $ $ $ Please return form and receipts as an email attachment to Jessica Larsen at Jessica.Larsen@heritage.org or via postal mail no later than Friday, May 26 to: The Heritage Foundation Attn: (Mary Swift), Special Events 214 Massachusetts Ave NE Washington, D.C. 20002 Thank you for your participation in Resource Bank 2017! 17cv01906 Sierra Club v. EPA ED 001523B 00005776-00001