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MILFORD EXEMPTED VILLAGE SCHOOL DISTRICT
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EMPLOYEE'S MILEAGE REPORT 2026
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Q1 07/1 - 09/30
Q3 01/1 - 03/31
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Q2 10/1 - 12/31
Q4 04/1 - 06/30
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NAME:ASSIGNMENT:
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Date (mo/day/yr)(Location) FROM(Location) TO Total MilesPURPOSE OF TRIP
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TOTAL MILES:0
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I hereby certify that the foregoing is a true and correct mileage consumed in operation of my automobile in the discharge of business for the Milford Exempted Village School District, and further that this certificate is made for the purpose of securing reimbursement for
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0miles at .725 cents per mile, totaling $0
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Date: ___________
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Signature of Employee
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Date: ___________
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Signature of Principal/Supervisor
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