Lsi Mileage Log - Family Outreach Center For Understanding Special Need
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Family Outreach Center for Understanding Special‐Need, Inc.
LSI Mileage Log
Employee
Individual
Date
Destination
Total Miles
0.0
Total Miles
Reimbursement Rate
$ 0.535
$ 0.00
Total Amount
Individual's /Guardian’s Signature
Employee Signature
Finance Designee Approval
*** Mileage should not exceed 50 miles per day or 250 miles per pay period. ***
*** Mileage reports must be summited with in 45 day after the pay period. ***
*** Late mileage reports will not be paid. ***
LSI Mileage Log Rev APRIL 2017
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Parent category: Miscellaneous