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TCS Mileage Report - Tega Cay Speaks

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TCS Mileage Report - Tega Cay Speaks Powered By Docstoc
					Mileage Log and Reimbursement Form

                                        Rate Per Mile                      $0.50
  Therapist
                                          For Period
                                        Total Mileage                        0
                                 Total Reimbursement                       $0.00

                                                        Less IRS Miles
   Date       Client Last Name   Miles Driven              Allowed       Mileage       Reimbursement

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00

                                                              15                                $0.00
                                                                                   0           $0.00

				
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posted:12/3/2011
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