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Name:
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Building Assignment:
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Google Maps directions are REQUIRED for any trips not listed on district mileage chart.
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Effective January 1, 2024, the reimbursable mileage rate is .67 cents per mile.
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DateDescriptionTolls*StartingStop AStop BEndingRT?Mileage
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*EZ Pass Statement/Toll Receipt with supervisor's initials REQUIRED for toll reimbursement
Total Mileage
0.00
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Rate
0.67
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Reimbursement Total - Tolls$0.00
Reimbursement Total - Mileage
$0.00
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