EMPLOYEE: %employee_name% (%employee_id%)

%date1%

%begin1%

%end1%

%miles1% miles

Reason for Travel : %Whom1%

%date2%

%begin2%

%end2%

%miles2% miles

Reason for Travel : %Whom2%

%date3%

%begin3%

%end3%

%miles3% miles

Reason for Travel : %Whom3%

%date4%

%begin4%

%end4%

%miles4% miles

Reason for Travel : %Whom4%

%date5%

%begin5%

%end5%

%miles5% miles

Reason for Travel : %Whom5%

%date6%

%begin6%

%end6%

%miles6% miles

Reason for Travel : %Whom6%

%date7%

%begin7%

%end7%

%miles7% miles

Reason for Travel : %Whom7%

______________________________________________________________________________________________________

FOR OFFICE USE ONLY

Invoice #:_______________	Invoice Date:_______________		TOTAL MILES:	%totalmiles%	x $0.45 =	$ %amount%

Requested by:___________________________________	Approved by:___________________________________
Form Submission Time: %_sfm_form_submision_time_%