36C25519Q0482-0002001.xlsx
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- 36C25519Q0482
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36C25519Q0482 0002 D8 Attachment 8_Mileage Log.xlsx
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|---|---|---|
| 36C25519Q0482-0002000.docx | DOCX document | |
| 36C25519Q0482-0001000.docx | DOCX document | |
| 36C25519Q0482-0001000.docx | DOCX document | |
| 36C25519Q0482-002.docx | DOCX document | |
| 36C25519Q0482-001.docx | DOCX document | |
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| 36C25519Q0482-008.doc | DOC document | |
| 36C25519Q0482-007.doc | DOC document | |
| 36C25519Q0482-005.pdf | ||
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| 36C25519Q0482-006.pdf | ||
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| 36C25519Q0482-005.pdf | ||
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Text version
Mileage Log Mileage Log
| Total mileage recorded: |
| 0.0 |
| Date | Time | Therapist | Purpose | From | To | Odometer | ||||||
| Start | Odometer | |||||||||||
| Finish | Mileage Driven | Electronic Standard Highway Mileage Guide | Submitted Mileage | |||||||||
| 8/1/18 | 8:30 AM | Jane Smith | Alternate Work Site | John Cochran | St. Charles CBOC | 33,489.1 | 33,521.4 | 32.3 | 0.0 | 0.0 | ||
| 8/23/18 | 12:00 PM | John Doe | Alternate Work Site | John Cochran | VASTHLC Primary Care Team 1 | 33,521.4 | 33,523.8 | 2.4 | 0.0 | 0.0 | ||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 | ||||||||||
| 0.0 | 0.0 | 0.0 |
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