State Form 23151 - Report Of Local Travel For Official Travel In Personal Car - Indiana

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REPORT OF LOCAL TRAVEL FOR OFFICIAL TRAVEL
IN PERSONAL CAR
State Form 23151 (R4 / 7-94)
FM Form 1703
Complete in triplicate and attach to travel voucher.
County
Name of employee
Car license
Month and year
OFFICIAL TRAVEL
ODOMETER READING
MILES
DATE
TO (complete address)
Beginning
Ending
TRAVELED
FROM (complete address)
TOTAL MILES TRAVELED

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