Inline block: Submission #36

Submission Number: 36
Submission ID: 2068
Submission UUID: 4af4cb01-12f3-4175-834b-016b3545c9cb
Submission URI: /Travel-Disclosure

Created: Mon, 07/20/2026 - 13:45
Completed: Mon, 07/20/2026 - 13:45
Changed: Thu, 07/23/2026 - 10:21

Remote IP address: 163.123.87.28
Submitted by: Anonymous
Language: English

Is draft: No
Webform: Travel
Submitted to: Inline block
Approved
Rachelle Gustafson
Board Member-ND State Board of Dental Examiners
Travel Information
Fargo, ND
2026-07-17
2026-07-17
Board Meeting--ND State Board of Dental Examiners
State funds
$$ 124.20
0
Ground Transportation, Meals
I certify the information provided in this travel disclosure form is true, correct, complete, and of my own personal knowledge. I further certify I am the public official named or the public official’s authorized representative and will fully cooperate in the process regarding the filing of this travel disclosure form.
Rachelle Gustafson
2026-07-20
Signature
{Empty}