Arbor Day Accomplishment Report And Reimbursement Request - Washington State Department Of Natural Resources - 2017 Page 2
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35. List the number and kind of tree(s) you planted as part of the Arbor Day celebration:
(Make sure the cost of these trees has been included in the expenses detailed above.)
Number of
Types of Tree(s)
(seedling purchases are not reimbursable)
Trees
6. Where did you plant the tree(s) _____________________________________________________
7. Are there overhead utilities in the vicinity? If yes, did you plant trees that mature at 25 feet or less?
______ Or are trees sufficiently sited so they will not interfere with overhead lines? ____________
8. Who has the responsibility to water and care for the tree(s) ________________________________
9. Number of people who were involved in your celebration __________________________________
10. Share any unique activities or anything else you would like us to know about your celebration. Your
celebration may be highlighted in the Tree Link newsletter.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Please include a photo of the tree(s) and any newspaper clippings, handouts or other materials used in
your Arbor Day celebration. (Note: We love photos of children; however DNR requires a signed
parental consent form in order to publish the photo. See attached photo release form.)
Signature of Contact Person: ________________________________________________________
Remit reimbursement to: Name ______________________________________________________
Address: __________________________________________________________________________
City: _________________________________________________ Zip:_____ ___________________
City Tax ID # ______ __________________
City DUNS # _______________________________
Thanks for participating and KEEP UP THE GOOD WORK!
Return this form and all attachments to:
Linden Lampman, Urban & Community Forestry Program Manager
Washington State Department of Natural Resources
P. O. Box 47037; Olympia, WA 98504
Funds for this grants were provided through a U. S. Forest Service grant under CFDA# 10.664
in partnership with DNR, an equal opportunity provider.
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