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Mileage to be submitted monthly
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REVISED 1/01/2024-New Rate/Mile ~ 0.67
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Name:Title/Position:
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Address:School:
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Account Number:
Date Submitted:
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Date TraveledFrom LocationTo LocationMilesPurpose
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1/1/2024Street or Road Address, Town, StateStreet or Road Address, Town, State100Describe Purpose
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Total Miles0.000 Total Amount$0.00
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Supervisor Approval:Date:
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Principal Approval:Date:
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For Business Office Use Only:Reviewed by:Date:
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Approved by:Date:
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