Vehicle Mileage Reimbursement
Peninsula Bible Church Cupertino
Name: _________________________________________________
Mileage arr.
Date:
Business Purpose:
Mileage dep. Trip miles:
Vehicle Mileage Reimbursement.doc
TOTAL MILES:
MULTIPLY BY MILEAGE RATE for 2016:
X $0.54
REIMBURSEMENT AMOUNT:
$
Signature: _______________________________________________________ Date: __________________