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School District of Desoto
Travel Reimbursement - In District
6/17/2019
Section 1 -- To be completed by the employee:

Month & year for which you're requesting reimbursement:

*
*
If you're submitting multiple pages for the month indicated, click here.  
Applicant Name: *
Job Title:

  Date of Travel              Point of Origin                Destination                 Round Trip?   Miles Traveled




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  




Yes  

Total Miles:
x $0.445 per mile
= $:
By submitting this form, I certify that I have traveled the above stated mileage on official business in the performance of my duties.


Section 2
 -- To
be completed by the Secretary or Bookkeeper:

Coding:
Fund

Location

Function

Program

Project

Object
P.O. #:
Complete the information below to route your form  Show Instructions
Your Name:*
Your E-mail:*
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Your Routing Level: (Please refer to routing instructions)
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Verification Code:*
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