Complete this form and print. You may also print blank form and complete by Directions: hand. Send completed form through required signature channels. (revised 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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