FREDERICKTOWN LOCAL SCHOOL DISTRICT
Travel/Meeting Mileage Reimbursement Form
Name _________________________________ Approved P.O. No. ___________________
(Employee)
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Service
Performed/Meeting Attended |
Total Mileage |
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TOTAL MILEAGE |
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@ 40.5 cents/mile TOTAL
REIMBURSEMENT |
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Date _______________________________
Signature ___________________________ Approved by ________________________
(Employee) (Supervisor)