Mileage Log Sheet Template
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1
2
3Exhibit E
MILEAGE LOG SHEET
Name:
Month:
Department:
Acct. Number:
#
DATE
LOCATION, DUTIES
TIME
MILEAGE
MILEAGE
MILES CLAIMED
PERFORMED, PERSONS CONTACTED
LEFT/ARRIVE
BEGINNING
ENDING
APPROVAL
EMPLOYEE'S SIGNATURE / DATE
0
x
.405 =
$0.00
TOTAL MILES
RATE
SUPERVISOR'S SIGNATURE / DATE
Pg. 1
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