Tomahawk Area Interfaith Volunteers
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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.  Email: taivcaregivers@hotmail.com or mail to: TAIV, Inc., 602 S Tomahawk Ave, Tomahawk, 54487.  Thank you for your dedicated volunteer service.

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