Attachment F Odometer Log Project Number: Grantee: Period: From: To: License Begin End Total License Begin End Total Date Date Number Mileage Mileage Mileage Number Mileage Mileage Mileage X $0.54 per mile = Total Mileage = $ This certifies that the mileage and reimbursement claimed are a result of project related activities. Traveler’s Signature: Date: Supervisor’s Date: Signature:
Attachment F Odometer Log Project Number: Grantee: Period: From: To: Date License Number Begin Mileage End Mileage Total Mileage Date License Number Begin Mileage End Mileage Total Mileage Total Mileage = X $0.54 per mile = $ This certifies that the mileage and reimbursement claimed are a result of project related activities. Traveler’s Signature: Date: Supervisor’s Signature: Date:
BSPE%20600-F.docx