Fairbanks North Star Borough School District
In-District Mileage Report - 2021
Employee F#
Location
Name - Last, First MI
Month/Year
Account Number
**Mileage Report must be submitted by the 10th working day following the end of the month for which the
reimbursement is required. See negotiated agreements/board policy. **
Day Locations Visited Mileage Day Locations Visited Mileage
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 TOTAL MILES
Employee Signature
Supervisors Signature
Date
Date
Payroll Use Only
Revised: 02/2021
Total Miles
@ $.56 per mile
0
0
$ 0.00
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