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VERMILION PARISH SCHOOL BOARD
MONTHLY REPORT OF OFFICIAL IN PARISH TRAVEL
Facility / School
DATE
FROM
MONTH______________20______
TO
SERVICE RENDERED
Total Miles
Reimbursement Rate
Total Reimbursement Request
MILES*
____________
____________
____________
I certify that the above is an accurate report of the travel made in the performance of my duties as approved by the School Board and
that all travel for which payment is requested was made in my own vehicle.
___________________________
Staff Member (print)
___________________________
Home Address – Street
___________________________
Home Address – City, State
*Please use adopted mileage chart
____________________________________
Staff Member (signature)
Date
____________________________________
Employee Number
APPROVAL:____________________________________
Date
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