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Employee:________________________________________
Month:______________________
2026
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WS to MS.5 Mile0
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WS to CS.9 Mile0
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WS to HS1.1 Mile0
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WS to Admn.8 Mile0
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CS to HS.7 Mile0
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CS to MS.4 Mile0
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CS to WS.9 Mile0
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CS to Admn.2 Mile0
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MS to CS.4 Mile0
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MS to HS.6 Mile0
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MS to WS.5 Mile0
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MS to Admn.2 Mile0
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HS to CS.7 Mile0
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HS to MS.6 Mile0
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HS to WS1.1 Mile0
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HS to Admn.8 Mile0
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Total Mileage
0
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Mileage must be summitted by December 31st and the last day of school in May.
Current Mileage Rate
0.725
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It is your responsibility to track your daily mileage.
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Total Reimbursement
0.000
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______________________________
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Employee Signature
Supervisor Signature
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