MILEAGE FORM.xlsx

	A	B	C	D	E	F	G	H	I	J	K	M	O	R
1	MILEAGE REIMBURSEMENT FORM									DATE	ORIGIN	DESTINATION	REASON	MILEAGE
2	CALENDAR YEAR:			2025		MONTH:
3	VENDOR:
4	MUNIS ORG/OBJ/PROJ
5	EMPLOYEE NAME:
6	LOCATION OR SCHOOL
7	IRS PER MILE RATE $0.70
8	EMPLOYEE SIGNATURE						DATE:
9
10	SUPERVISOR SIGNATURE						DATE:
11
12	WETHERSFIELD PUBLIC SCHOOLS MILEAGE MATRIX
13	BLDG	C.O	CW	HC	HN	EW	WB	SDMS	WHS
14	C.O	-	0.7	3.8	-	2.0	2.6	0.7	1.6
15	CW	0.7	-	3.5	0.7	1.7	2.3	0.7	1.3
16	HC	3.8	3.5	-	3.7	2.6	1.9	3.1	2.9
17	HN	-	0.7	3.7	-	1.9	2.5	0.6	1.5
18	EW	2.0	1.7	2.6	1.9	-	0.8	1.3	0.8
19	WB	2.6	2.3	1.9	2.5	0.8	-	2.0	1.4
20	SDMS	0.7	0.7	3.1	0.6	1.3	2.0	-	0.9
21	WHS	1.6	1.3	2.9	1.5	0.8	1.4	0.9	-
22
23	TOTAL MILEAGE:		0.0		TOTAL REIMBURSEMENT:			$0.00
24
25	FINANCE DEPT. APPROVAL						DATE:
26	TOTAL MILES FOR MONTH:													0.00
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