6320H - MILEAGE REIMBURSEMENT

Complete Form 6320H F1 as follows:

** Date                                            Type date of mileage requesting reimbursement took place.

** From/To                                       From what location to what destination.

** Mileage                                        Miles driven.

** Total Mileage                                Total all miles driven.

** Total Mileage Reimbursement         Total miles x $0.33 per mile.

** Employee Signature                       Must have signature or will be returned.

** Principal/Supervisor Signature        Must have signature or will be returned.

** Account Number                            Principal or supervisor will assign account number.

When completed, submit two (2) copies of the form to accounts payable.