Mileage Report

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                                                  01-31-11)



                                   Queen Anne's County Board of Education

        Travel and Expense Report for Period                            to

                                                            TRANSPORTATION                     MISCELLANEOUS
    DATE                 ACTIVITY & PLACE             MILEAGE       TOTAL    TOLLS-PARKING   MEALS-SUPPLIES   AMOUNT   TOTAL




                                                                                  TOTAL REQUEST FOR REIMBURSEMENT



Please print name                                                                             Employee #
Please sign name                                                                             Date
Principal's Approval                                                                         Date
Supervisor's Approval                                                                        Date
Assistant Superintendent's Approval                                                          Date
Finance Officer's Approval                                                                   Date
Account Number                                                                               Amount
Account Number                                                                               Amount
Account Number                                                                               Amount
                                                                                             Total

Mileage Rate is $.51 a mile. Submit to finance monthly with receipts.

				
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posted:9/15/2012
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