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        <p>NELSON COUNTY BOARD OF EDUCATION<lb /><lb />Educetiona and Extra Curricular Trip Invoice -<lb /><lb />NAME OF natn Kea Fi Ike 150 va} Waal, Bad let BUS NUMBER , 104 + S/<lb />DaTeortAP _ /P-25° + JN=2b<lb /><lb />scHoor_297" Outoloor Jama Cov DEPARTMENT<lb />pestinaTION OLY. Ark DinwerTealy Foyp ;<lb /><lb />: Ps 3 a tS<lb />MILEAGE- DEPARTURE @VIniryunn Chare 2S. Adley Rr Lach bus = /0d:<lb /><lb />MILEAGE - RETURN TOTAL MILES TRAVELED<lb /><lb />TIME DEPARTURE TIME RETURN GALLONS OF GASOLINE TO FILL UP<lb />3 __ ON RETURN<lb /><lb />DRIVING TIME =<lb />Hours x Rate<lb /><lb />WAITING TIME Nels 23% 5 hs = 67, 7S<lb /><lb />, Hours x Rate ~-7 y 9 G0<lb />TOFAL AMOUNT DUE DRIVER Adri rivevs ot 19,??T z AW) oe 3<lb /><lb />DRIVER??TS SIGNATURE<lb /><lb />APPROVED FOR PAYMENT BY Ent pad v rp. SA. Le<lb />? Director of Transportation i 2<lb /><lb />atc ete Dus rev | J OD,<lb /><lb />Director of Transportation - White<lb /><lb />Sioa pg | P| rive as | / 4 7 '<lb />SY 7 me<lb /><lb />a ABIL AL<lb /><lb />Reta alu es 2 #3 |<lb /><lb />70<lb /><lb />??oOudy : :<lb />Disrveqnrd any bill, you vecieved below This owe<lb />Tay<lb />CAS «<lb /><lb /></p>
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