November Mileage
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MILEAGE REIMBURESMENT FORM SHU’ON JANOUBIYA MAGAZINE Citizen Lebanon Project
Date
Name
From
To
PURPO SE
No. of Kms
November 17, 2009 November 17, 2009 November 17, 2009
Khalil Basma
Tyr
Beirut
TRAINING
90
Khalil Basma
Beirut
Tyr
TRAINING
90
Dany Kalakech Dany Kalakech Layla Serhan
Tibneen
Beirut
TRAINING
125
Beirut
Tibneen
TRAINING
125
Nabatieh
Beirut
TRAINING
75
Layla Serhan
Beirut
Nabatieh
TRAINING
75
November 17, 2009 November 17, 2009 November 17, 2009
Total Kilometers Standard mileage reimbursement rate Total Payment amount in US dollars I certify that the above record is true and correct
Ahmad Al-Amin Supervisor’s Name
November 20, 2009 Supervisor’s Signature
/
Date
580 x 0.3 $ 174
Date
Name
From
To
PURPO SE
No. of Kms
November 17, 2009 November 17, 2009 November 17, 2009
Khalil Basma
Tyr
Beirut
TRAINING
90
Khalil Basma
Beirut
Tyr
TRAINING
90
Dany Kalakech Dany Kalakech Layla Serhan
Tibneen
Beirut
TRAINING
125
Beirut
Tibneen
TRAINING
125
Nabatieh
Beirut
TRAINING
75
Layla Serhan
Beirut
Nabatieh
TRAINING
75
November 17, 2009 November 17, 2009 November 17, 2009
Total Kilometers Standard mileage reimbursement rate Total Payment amount in US dollars I certify that the above record is true and correct
Ahmad Al-Amin Supervisor’s Name
November 20, 2009 Supervisor’s Signature
/
Date
580 x 0.3 $ 174
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