Mileage Log Template

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MILEAGE LOG
_______________________________
__________________________
Project Name
Project Number
_______________________________
Name of Person Claiming Mileage
M
ILEAGE MAY ONLY BE CHARGED UP TO THE FEDERAL MAXIMUM
.
ALLOWABLE RATE PER MILE AS OF THE DATE OF TRAVEL AS DOCUMENTED
Miles
Mileage
Miles Driven
Date
Destination/Purpose
Driven
Rate
x Rate
Total Mileage Claimed $
______________________________________
________________
Signature of Person Claiming Mileage
Date
______________________________________
________________
Supervisor Verifying Accuracy
Date
*If not legible, please print name next to date.

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