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Get PA School District SEH-195 - Philadelphia City 2014-2024

,or.-d:"'/i". I DAY I I PRINT OR TYPE ALL INFORM INFORMA ATION YEAR I EMPLOYEE ID NUMBER: NAME: I SCHOOL/DIVISION: FUND TYPE OF REIMBURSEMENT D D TRAVEL II MONTH DATE HEADQUARTERS AGENCY SUB-ORG. ACTIVITY D $ OTHER AUTO REASON FOR EXPENDITURE MILES TRAVELLED (IF TRAVEL: FROM AND TO AND PURPOSE OF TRIP) I I OBJ. I I SUB-OBJ. I I JOB/PROJ. RPT.CAT. TOTAL REIMBURSEMENT REQUESTED COMMUTING MILES D I FUNCTION I I I I 0 . 0 0 I I OTHER EXPENSES (STA.

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