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School District of Desoto
Travel Reimbursement - Out of District
8/22/2019
Name:
Job Loc:
Purpose:

Date

From

To

Mileage

Date

From

To

Mileage

Date

From

To

Mileage
Departure Time:
Return Time:
Vicinity Miles:
Section "A" - Mileage Expense
Total Miles:
@ $0.445 per mile = $:

Note: Please complete Section "B" or "C", but not both.

Section "B" - Itemized Expenses
Registration Fee:
Meals:
Brkfst $6; Lunch $11; Dinner $19
Hotel:
Tolls/Parking:
Air fare:
Other:
Amount

Description
Total Itemized Expenses = $:
Section "C" - Quarterly Expenses
Number of Quarters:
@ $20.00 per quarter = $:
Grand Total
Total amount to be reimbursed $:
Account Coding

Fund

Type

Function

Object

Facility

Project

Subproject

Program

Percent

Fund

Type

Function

Object

Facility

Project

Subproject

Program

Percent

Fund

Type

Function

Object

Facility

Project

Subproject

Program

Percent

Employee Signature: ______________________________________________  Date: _______________
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