NORTH BOLIVAR SCHOOL DISTRICT TRAVEL VOUCHER BY PRIVATE VEHICLE - DOC by vSTnB6

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									                       NORTH BOLIVAR SCHOOL DISTRICT TRAVEL VOUCHER

Name:                                                                   Date:
                                                                        _____________________
                                                                       From: Month/Day/Year
Position:                                                              _____________________
                                                                        To:     Month/Day/Year
School/Program: Broad Street High School                                   ____________________

                                      ITINERARY
   DATE               TO             FROM                            PURPOSE OF TRIP




                                               Method of Travel
                                               (Circle one below.)
                                                  District Van
                                                   Rental Car
Pickup Date : ______________ Pickup Time: _______ A.M/P.M. Drop Off Date _____________________
Contact Phone Number: ______________________________
Number of Passengers Traveling : ________
Please Circle Applicable Vehicle Type (Based on Availability):
1-2 Passengers: Sub Compact/Compact/Intermediate                       $34.00
3-4 Passengers: Full Size                                              $43.00
5+ Passengers: Mini-Van/Medium-Size Sport Utility                      $63.00
Pickup/Dropoff Location: **Cleveland        **Clarksdale
                                             **Enterprise Car Rental
                                            Car Rental Calculation
 Total Days            @              Amount Per Day                        Total Car Rental Cost




                                                      Meals
                        (Reimbursement Issued on Docket Upon Receiving Meals Receipts)
Breakfast - $7.20 Lunch - $10.80 Dinner - $18.00
MEALS                                  days @ $36.00 per day -----------------          $

MOTEL                                                                                   $
              (See attached receipts)
_____/____________/_______/_______________
FUND FUNCTIION OBJECT SCHOOL CODE

TOTAL EXPENSES CLAIMED FOR REIMBURSEMENT -----------------------                        $_______

_________________________         ___________________________ ______________________________
     Employee’s Signature         Principal’s/Supervisor’s Signature Superintendent’s Signature


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