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COLUMBIA COUNTY SCHOOL BOARD
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TRAVEL REIMBURSEMENT FORM FOR IN-COUNTY TRAVEL @ 70.0 cents
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Name:
School or Center Name:
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Account to be Charged:
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Address:
FundFunctionObjectFacilityProjectSubProjectProgram
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0330
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0330
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0330
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DateLocationTime ofLocationTime of ArrivalPurpose of TravelMiles Traveled
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mm/dd/yyTraveled FromDepartureTraveled To
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I hereby certify that above expenses were actually incurred by me as necessary traveling expenses in the performance of my official duties and that this claim is true and correct in every material matter and same conforms in every respect with the requirements of Section 112.061, Florida Statutes.
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Total Tolls*$0.00
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Signature of Payee Elena J HighlandDate: Total Mileage0
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Mileage Reimb@$.70/mi$0.00
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Signature of Supervisor Date: Total Expenses Claimed$0.00
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Signature of Project Manager (if applicable) Date:
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Checked At School/Center by
Date
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Signature of Superintendent/Designee Date:
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CCSD 1100 (Rev. 8/93; 10/03; 6/06; 1/07; 7/08; 1/11; 7/11; 1/13; 7/15; 1/16; 1/17; 1/19; 1/20; 1/21; 1/22; 1/23; 1/24; 1/25)
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