05 Attachment C - OVR Driver Expense Log.docx

DOCX document 20 KB Posted

Attached to
12 OVR Non-Emergency Transport Services
Solicitation number
6100057835
Issued by
Adams County, Pennsylvania

About this file

This document is an Expense Log form (Attachment C) for the Pennsylvania Department of Labor and Industry (DLI), Office of Vocational Rehabilitation (OVR) Non-Emergency Business Transport Services contract. The form is used by OVR employees to record expenses for transportation services provided under this contract, including mileage, tolls, parking, and meals.

The related state and local contract opportunity is for DLI, OVR to procure professional, on-demand Non-Emergency Business Transport Services for its Bureau of Vocational Rehabilitation Services (BVRS) and Bureau of Blind and Visual Services (BBVS) offices throughout the Commonwealth of Pennsylvania. The contract is reserved for registered DGS Small Businesses and the services required include transporting OVR employees who are blind, visually impaired, or have other disabilities that prevent them from driving themselves for Commonwealth business. The contract term and renewal options are not specified.

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Text version

OVR-140 5/10

ATTACHMENT C

EXPENSE LOG for Invoice #

Vendor Name OVR Employee Name

Date
Time Begin
Time End
Hours
Purpose of Travel
Odometer Start
Odometer Finish
Mileage

Note: Time must be calculated in increments of 15 minutes, i.e. 1 hour 15 minutes would be 1.25 Nh oters: .All trips are considered to be round trips unless otherwise noted. Total Hours

Total Miles

Pick Up County/Hourly Rate Total Hourly Reimbursement

(Line item #1)

Mileage Reimbursement Rate

Tolls

Parking

Meals

Lodging

Total Mileage Reimbursement Total Misc. Expenses

Receipts Attached? Total (Line item #2)

File details come from the government source that posted it. Updated .