Travel Log July 2015
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Chesapeake Public Schools ITEMIZED STATEMENT LOCAL TRAVEL FOR THE MONTH OF July 2015 Name: Kaan Taylor Position: Student Social Security Numb School: Edwards Wilson Center Mailing Address: 3200 Morningside Dr Chesapeake, Va. 23321 INSTRUCTIONS Williamsburg / James City County, Hampton, Newport News and Franklin. 2. Indicate starting point, final destination and all points between. If travel is to a non-Chesap facility, indicate purpose of the trip. Use more than one line if necessary. 3. Receipts should be attached for tolls when available. Attach explanation if receipts are 4. Submit to appropriate central office department head during first week of following month. Date Nature of Expenditures and Purpose Miles Tolls Amount 6-Jul Two round trips to PSA from Morningside Dr 111.2 7-Jul Two round trips to PSA from Morningside Dr 111.2 8-Jul Two round trips to PSA from Morningside Dr 111.2 9-Jul Two round trips to PSA from Morningside Dr 111.2 10-Jul Two round trips to PSA from Morningside Dr 111.2 13-Jul Two round trips to PSA from Morningside Dr 111.2 15-Jul Two round trips to PSA from Morningside Dr 111.2 16-Jul Two round trips to PSA from Morningside Dr 111.2 17-Jul Two round trips to PSA from Morningside Dr 111.2 20-Jul Two round trips to PSA from Morningside Dr 111.2 21-Jul Two round trips to PSA from Morningside Dr 111.2 22-Jul Two round trips to PSA from Morningside Dr 111.2 23-Jul Two round trips to PSA from Morningside Dr 111.2 24-Jul Two round trips to PSA from Morningside Dr 111.2 27-Jul Two round trips to PSA from Morningside Dr 111.2 28-Jul Two round trips to PSA from Morningside Dr 111.2 29-Jul Two round trips to PSA from Morningside Dr 111.2 30-Jul Two round trips to PSA from Morningside Dr 111.2 31-Jul Two round trips to PSA from Morningside Dr 111.2 2112.8 2112.8 Miles at $0.445 Tolls 0 per mil $940.20 Grand Total $940.20 Account Code Applicant must sign below. CENTRAL OFFICE USE ONLY To the Accounting Office: Date Signature Date Signature CS-116/R-93 York County, Summary of Totals: correct. Assurance is given that all reimbursement requested is a result of expenditures incurred con- ducting school business. The undersi
description
Milage travel log
Transcript of Travel Log July 2015
Chesapeake Public Schools
ITEMIZED STATEMENT
LOCAL TRAVEL FOR THE MONTH OF July 2015
Name: Kaan Taylor Position: Student
Social Security Numbe School: Edwards Wilson Center
Mailing Address: 3200 Morningside Dr
Chesapeake, Va. 23321
INSTRUCTIONS
1. Local travel is defined as travel in Chesapeake, Norfolk, Portsmouth, Suffolk, Virginia Beach, York County, Williamsburg / James City County, Hampton, Newport News and Franklin.2. Indicate starting point, final destination and all points between. If travel is to a non-Chesapeake Public Sc facility, indicate purpose of the trip. Use more than one line if necessary.3. Receipts should be attached for tolls when available. Attach explanation if receipts are not available.4. Submit to appropriate central office department head during first week of following month.
Date Nature of Expenditures and Purpose Miles Tolls Amount
6-Jul Two round trips to PSA from Morningside Dr 111.2
7-Jul Two round trips to PSA from Morningside Dr 111.2
8-Jul Two round trips to PSA from Morningside Dr 111.2
9-Jul Two round trips to PSA from Morningside Dr 111.2
10-Jul Two round trips to PSA from Morningside Dr 111.2
13-Jul Two round trips to PSA from Morningside Dr 111.2
15-Jul Two round trips to PSA from Morningside Dr 111.2
16-Jul Two round trips to PSA from Morningside Dr 111.2
17-Jul Two round trips to PSA from Morningside Dr 111.2
20-Jul Two round trips to PSA from Morningside Dr 111.2
21-Jul Two round trips to PSA from Morningside Dr 111.2
22-Jul Two round trips to PSA from Morningside Dr 111.2
23-Jul Two round trips to PSA from Morningside Dr 111.2
24-Jul Two round trips to PSA from Morningside Dr 111.2
27-Jul Two round trips to PSA from Morningside Dr 111.2
28-Jul Two round trips to PSA from Morningside Dr 111.2
29-Jul Two round trips to PSA from Morningside Dr 111.2
30-Jul Two round trips to PSA from Morningside Dr 111.2
31-Jul Two round trips to PSA from Morningside Dr 111.2
2112.8
2112.8 Miles at $0.445
Tolls 0
per mile $940.20
Grand Total ###
Account Code
Applicant must sign below. CENTRAL OFFICE USE ONLY
To the Accounting Office:
Date
Signature Date
Signature
CS-116/R-93
Summary of Totals:
I certify that the information provided on this form iscorrect. Assurance is given that all reimbursementrequested is a result of expenditures incurred con-
The undersigned hereby
