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Board Member Travel Log

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Date *

Date you are submitting TRAVEL LOG

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Trips *

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Trip 1 Date *

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Trip 1 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 1 Beginning Odometer / Tripometer Reading *

Trip 1 Ending Odometer / Tripometer Reading *

Trip 1 Total Trip Mileage *

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Trip 2 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 2 Beginning Odometer / Tripometer Reading *

Trip 2 Ending Odometer / Tripometer Reading *

Trip 2 Total Trip Mileage *

Trip 3 Date *

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Trip 3 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 3 Beginning Odometer / Tripometer Reading *

Trip 3 Ending Odometer / Tripometer Reading *

Trip 3 Total Trip Mileage *

Trip 4 Date *

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Trip 4 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 4 Beginning Odometer / Tripometer Reading *

Trip 4 Ending Odometer / Tripometer Reading *

Trip 4 Total Trip Mileage *

Trip 5 Date *

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Trip 5 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 5 Beginning Odometer / Tripometer Reading *

Trip 5 Ending Odometer / Tripometer Reading *

Trip 5 Total Trip Mileage *

Trip 6 Date *

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Trip 6 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 6 Beginning Odometer / Tripometer Reading *

Trip 6 Ending Odometer / Tripometer Reading *

Trip 6 Total Trip Mileage *

Trip 7 Date *

Trip 7 Destination *

Trip 7 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 7 Beginning Odometer / Tripometer Reading *

Trip 7 Ending Odometer / Tripometer Reading (copy) *

Trip 7 Total Trip Mileage *

Trip 8 Date *

Trip 8 Destination *

Trip 8 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 8 Beginning Odometer / Tripometer Reading *

Trip 8 Ending Odometer / Tripometer Reading *

Trip 8 Total Trip Mileage *

Trip 9 Date *

Trip 9 Destination *

Trip 9 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 9 Beginning Odometer / Tripometer Reading *

Trip 9 Ending Odometer / Tripometer Reading *

Trip 9 Total Trip Mileage *

Trip 10 Date *

Trip 10 Destination *

Trip 10 Purpose *

ie: Board Meeting / Committee Meeting / Event

Trip 10 Beginning Odometer / Tripometer Reading *

Trip 10 Ending Odometer / Tripometer Reading *

Trip 10 Total Trip Mileage *

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Administration: 206 3rd Ave
Radford, Va. 24141
Phone: (540) 633-5133
Fax: (540) 633-2585

Serving Floyd County
Giles County
Montgomery County
Pulaski County
Radford City

USDA is an equal opportunity provider, employer, and lender.

This website is supported by Grant Number 03CH012600 from the Office of Head Start within the Administration for Children and Families, a division of the U.S. Department of Health and Human Services. Neither the Administration for Children and Families nor any of its components operate, control, are responsible for, or necessarily endorse this website (including, without limitation, its content, technical infrastructure, and policies, and any services or tools provided). The opinions, findings, conclusions, and recommendations expressed are those of New River Community Action and do not necessarily reflect the views of the Administration for Children and Families and the Office of Head Start.

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