Trumbull Public Schools

Form BF-001
Itinerant Travel Reimbursement Request

Employee #: 7565
Payable to (Employee): Michaela Natal, CCC-SLP
Select One Ac# Account Description
X 01011200-55801 SPED
01422520-55804 Technology
01842610-55803 Facilities
01401203-55801 All Others

Travel Date (mm/dd/yy) Miles Rate From

4/17/24 2.00 0.670 Middlebrook
4/17/24 2.00 0.670 Christian Heritage
4/22/24 #REF! 2.00 0.670 Middlebrook
4/22/24 Err:504 2.00 0.670 Christian Heritage
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670
0.670

Total Miles 8.00

Total Travel $ $ 5.36

Employee Signature________________________________Date_____________
 Trumbull Public Schools
Form BF-001
Itinerant Travel Reimbursement Request

Administrator Signature_____________________________Date______________

Once signed by Employee & Administrator please forward to the Payroll Department
 Trumbull Public Schools
Form BF-001
Itinerant Travel Reimbursement Request

To
Christian Heritage
Middlebrook
Christian Heritage
Middlebrook