panarchive
  1. Ville de Montréal. Section des archives
  2. Fonds Direction générale (2001-)
  3. Politiques, directives et procédures. - 2002-2022
  4. C-OG-DG-D-10-002 : Octroi de contrats pour l'achat de biens, de services ou pour l'exécution de travaux d'urgence.(DIRECTIVE). - 14 octobre 2010
  5. MTL100-05_C-RF-SF-P-02-002-003

MTL100-05_C-RF-SF-P-02-002-003

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MTL100-05_formulaire_kilom__trage.pdfOpen full screen ↗

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Ville de Montréal. Section des archives · view and cite at source ↗

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Ville de Montréal. Section des archives via Archives de Montréal (Ville de Montréal)
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Document
What the image shows
A blank printed form titled "Annexe B" in the top right corner, headed "Déplacements ponctuels - suivi du kilométrage" with a line for the month. The form is a grid-ruled table with columns for date, departure address, arrival address, reason, kilometres and parking, and below it are rate lines, a total, sum-due boxes, and signature lines for "Demandé par" and "Autorisé par" plus a date field. It is a scanned black-and-white document, with the entry rows left empty.Described automatically by a vision model; may contain mistakes.
In the picture
DocumentExpense ClaimFormPrintedTableTypewrittenTagged automatically by a vision model; may contain mistakes.
Text in the image
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 :0,415 $/kmRead automatically; may contain mistakes.
Harvested
2026-10-16T15:48:21Z · source datestamp n/a · ead

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Original metadata as harvested (ead)