Fillable PURPOSE DATE FROM TO MILEAGE (Wharton County Junior College)

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PURPOSE DATE FROM TO MILEAGE (Wharton County Junior College)

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*Effective 01/01/2020
MONTHLY MILEAGE REPORT (Reg 484) MONTH___________________ YEAR_______________
DATE FROM TO MILEAGE
TOLLS
PARKING
PURPOSE
Receipt Required
TOTAL MILES FOR MONTH
Mileage Rate
Totals
Grand Total
Budget Account Number Charged
Check box for campus mail
Name of Person to Be Reimbursed ___________________________
Banner ID @ ___________________________
Employee’s Signature ________________________________ Date _______________
Supervisor’s Signature ________________________________ Date _______________
Vice President / Dean Signature _________________________ Date _______________
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PURPOSE DATE FROM TO MILEAGE (Wharton County Junior College)

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Completed 27 July 2020

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