Monthly Travel Expense Log

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PR#___________________
VENDOR#_____________
Pearsall Independent School District
MONTHLY TRAVEL EXPENSE LOG
Revised
01/17/2017
Name:
Campus:
DATE
DESTINATION
PURPOSE
MILEAGE
TOTAL MILEAGE
0.00
TOTAL DUE @
MILE
.535
0.00
PLEASE ATTACH ALL RECEIPTS TO THIS PAGE
CHARGE TO ACCOUNT NUMBER:________________________________________________
EMPLOYEE SIGNATURE:________________________________________________________
PRINCIPAL/DIRECTOR APPROVAL:_______________________________________________
BUSINESS OFFICE APPROVAL:___________________________________________________
Due by the first of each month AND use one form per month.
Reimbursements will be made once each month.
CHECK #_________________ DATE OF PAYMENT________________ CK AMOUNT______________

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