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VALENCIA COMMUNITY COLLEGE
DFA-1 Rev. 07-07
IN-DISTRICT TRAVEL REPORT VOUCHER
DATE
NAME (print or type) _____________________________________
Mail Code ______________
HOME ADDRESS (If applicable)
________________________ City, State Zip code
______________________________________ Street
FROM LOCATION
TO LOCATION
REASON FOR TRAVEL
TOTALS ______________________________ SIGNATURE OF TRAVELER
_______________ VID #
___________ DATE
APPROVED BY: ________________________________ SIGNATURE Charge to:
___________ DATE
INDEX__________ /ACCT__________
(or)
MILEAGE
0.00 ___________
TOLLS/ PARKING
$0.00 __________
-$0.00 MILEAGE X RATE = $_____________ -$0.00 TOTAL AMOUNT DUE $_____________
FUND__________ ORG__________ ACCT__________ PROG__________
Please attach a printout from Yahoo, Mapquest, Google, etc. for travel to/from non-campus locations Please include home address on the form, if traveling from or to home and claiming excess miles Submit to: Accounts Payable DTC-3