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ADDRESS/CITY/STATE/ZIP CODE: Date Afterschool Trips $45.00 Field /Athletic Trips $16.00/hr SAMPLE 00/00/2004 Beginning Time Ending Time TOTAL HOURS 6:00 PM 7:30 PM 1.5 Hrs. 6:00 PM (Indicate Destination & Sport/Activity) 7:30 PM 1.5 Hrs. Torreon Mission And Ojo Encino 00/00/2004 Aztec (Girls BB) TOTAL PAY THIS TIME CARD AFTERSCHOOL TRIPS: $45.00/Trip to Torreon, Ojo Encino, Mission, La Jara, Regina, and Counselor Routes. FUNDING SO.

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