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MTL100-05_C-RF-SF-P-02-002_formulaire kilométrage
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- Ville de Montréal. Section des archives via Archives de Montréal (Ville de Montréal)
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- DocumentExpense ClaimFormGovernmentTableTypewrittenTagged automatically by a vision model; may contain mistakes.
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- A blank printed form in French titled 'Déplacements ponctuels - suivi du kilométrage', marked 'Annexe B' in the upper right corner. It is a landscape table with columns headed Date, Adresse de départ, Adresse d'arrivée, Raison, Km and Stationnement, with empty rows, a 'Total du kilométrage' line, and a rate scale listing per-kilometre amounts with blank boxes for the sum, total and signature lines ('Demandé par' and 'Autorisé par').Described automatically by a vision model; may contain mistakes.
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- ANNEXE BDÉPLACEMENTS PONCTUELS - SUIVI DU KILOMÉTRAGEPour le mois de :DateAdresse de départAdresse d'arrivéeRaisonKmStationnementTotal du kilométrageJusqu'à un maximum de 320 km :0,413 $/kmPlus de 320km jusqu'à un maximum de 1280km :0,345 $/kmPour tout kilomètre additionnel à 1280km :0,27 $/kmSomme dueTotal dûDemandé par :Autorisé par :Date :0,41 $/km0,34 $/kmRead automatically; may contain mistakes.
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- 2026-10-16T15:48:21Z · source datestamp n/a · ead
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- pdfOpen original at source ↗MTL100-05_formulaire_kilom__trage.pdfRead here