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2. 
4. Category *
   -- Select One --FundedNon-ProfitQualified Human ServiceElected Officals
5. Rate/Hour
6. Maximum Seat Capacity (20 Including Wheel Chairs)
8. Department Name*
9. Department Representative *
11. Department Address*
13. City*
14. State*
15. Zip Code*
17. Department Phone Number*
18. Fax Number
20. Trip Date*
    Trip Date
21. Trip Start Time *
    Trip Start Time
22. Trip End Time*
    Trip End Time
24. Trip Destination*
25. Trip Purpose*
27. Important Trip Details*
29. Justification*
    -- Select One --Ensure a community network of basic human services and infrastructureImplement planning and economic development policiesPromote an interactive and engaging system of governanceInvest in quality County facilities, a diverse work force, and technologyCreate, preserve, and protect a natural environmentEnsure a high quality of life and lifelong learning
30. Department Budget Account Number*
31. Cost of Trip*
33. Electronic Signature *
34. Date*
    Date
36. DO NOT WRITE BELOW THIS POINT
38. OCTS Departmental / Staff Information
40. Bus Number
41. Operator's Name
42. Date
    Date
43. Completed By
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