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Tomahawk Area Interfaith Volunteers
MONTHLY MILEAGE AND HOURS REPORT
MONTH
VOLUNTEER NAME
MILES (include drive time)
HOURS
CARE RECEIVER(S)
ACTIVITY
DATE 
**If you drove your receiver anywhere please indicate, locations and drive time**
                                         ONE SHEET PER VISIT PLEASE
MONTHLY MILEAGE AND HOURS 

In order to maintain accurate records, please submit your volunteer hours and mileage on a monthly basis.  There are three ways to submit records.  

Fill out the gas/mileage form and submit to TAIV Office.  
Email:   taivcaregivers@gmail.com
Mail to: TAIV, 113A So. Tomahawk Ave.Tomahawk, 54487.  

Thank you for your dedicated volunteer service.

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