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MILEAGE LOG

Employee ID : Name :

Title : Dept. :

Vehicle ID : CAL 11022 Period : 5-Jun-21 to 10-Jun-21

Rate : 0.5 USD per Mile Total Mileage : 64 Total Rate : USD 32

Date Starting Place Destination Purpose Start Mile End Mile Mileage Rate
5-Jun-21 ABC Company Wall Street Building Meeting 75993 76050 57 28.5
5-Jun-21 Wall Street Building Kentucky Building Meeting 76050 76057 7 3.5

Notes :

Signature of Employee : Date:

Signature of Supervisor : Date:

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