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BE #6
REV 12/15
Vendor # Name Month
Day of Total Day of Total
Month Miles Month Miles
1 17
2 18
3 19
4 20
5 21
6 22
7 23
8 24
9 25
10 26
11 27
12 28
13 29
14 30
15 31
16
@ $0.535 per mile = $
Treasurer
Account For Each
Budget CodeDepartment / Building
The Troy Schools
Monthly Travel Report
Account For Each
Day Of Month
Total Miles For Month
Day Of Month
Date
Superintendent
Reimbursement: Total Miles
Signature:
Approved: Principal/Director
directed for such purpose and is in the Treasury or in process of collection to the credit of
the fund free from any obligation or certification now outstanding.
Treasurer's Certificate
It is hereby certified that the amount required to meet the contract, agreement, obligation,
payment or expenditure for the above has been lawfyully appropriated or authorized or
PLEASE PRINT ON GREEN PAPER!
Mileage rate current for 2017
You may save this form, add to it throughout
the month, and let it auto-calculate for you.
0
0
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