Mileage Reimbursement Form - Chittenden East Supervisory Union

Chittenden East Supervisory Union Mileage Reimbursement Requisition
Employee Name:
Date Submitted:
One-way Mileage Chart
CESU
MMU
BRMS
CHMS
BPMS
JES
RES
SMS
UCS
UID
MA
CESU MMU BRMS
-7.3
9.9
7.3
-2.6
9.9
2.6
-0.8
6.5
9.1
9.8 17.1 19.7
11.2 3.9
3.1
0.8
6.5
9.1
6.3 13.6 16.2
13.1 5.8
3.2
9.9
2.6
0
9.9
2.6
1.4
DATE
CHMS
0.8
6.5
9.1
-10.6
10.4
0
7.1
12.3
9.1
9.1
BPMS
9.8
17.1
19.7
10.6
-21.0
10.6
16.1
22.9
19.7
19.7
JES
11.2
3.9
3.1
10.4
21.0
-10.4
17.5
6.3
3.1
1.7
RES
0.8
6.5
9.1
0
10.6
10.4
-7.1
12.3
9.1
9.1
SMS UCS
6.3 13.1
13.6 5.8
16.2 3.2
7.1 12.3
16.1 22.9
17.5 6.3
7.1 12.3
-19.4
19.4
-16.2 3.2
16.2 4.6
DESTINATION(S)
Round-trip Mileage Chart
UID
9.9
2.6
0
9.1
19.7
3.1
9.1
16.2
3.2
-1.4
MA
9.9
2.6
1.4
9.1
19.7
1.7
9.1
16.2
4.6
1.4
--
CESU
MMU
BRMS
CHMS
BPMS
JES
RES
SMS
UCS
UID
MA
CESU
-14.6
19.8
1.6
19.6
22.4
1.6
12.6
26.2
19.8
19.8
MMU
14.6
-5.2
13.0
34.2
7.8
13.0
27.2
11.6
5.2
5.2
BRMS
19.8
5.2
-18.2
39.4
6.2
18.2
32.4
6.4
0
2.8
CHMS
1.6
13.0
18.2
-21.6
20.8
0
14.2
24.6
18.2
18.2
BPMS
19.6
34.2
39.4
21.6
-42.0
21.2
32.2
45.8
39.4
39.4
JES
22.4
7.8
6.2
20.8
42.0
-20.8
35.0
12.6
6.2
3.4
RES
1.6
13.0
18.2
0
21.2
20.8
-14.2
24.6
18.2
18.2
SMS UCS
12.6 26.2
27.2 11.6
32.4 6.4
14.2 24.6
32.2 45.8
35.0 12.6
14.2 24.6
-38.8
38.8
-32.4 6.4
32.4 9.2
REASON
UID
19.8
5.2
0
18.2
39.4
6.2
18.2
32.4
6.4
-2.8
MA
19.8
5.2
2.8
18.2
39.4
3.4
18.2
32.4
9.2
2.8
--
MILES
Employee signature:
Total miles:
Authorization:
Per mile charge:
Account Code:
Total amount due: