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    Scan 19

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    & ae CSN Volunteer Time Sheet In order to have your volunteer hours recorded, time sheets must be turned in on a regular basis. You must take this form with you, and have the volunteer supervisor sign each time you volunteer. CSN Serves will contact agencies as needed in order to verify hours submitted and participation. Semester: Fall X(Spring| vel Ql Volunteer Name: ASV WKS sue wel (26 04 10) mat Address. WY WKY 8 IW. CL (| Aer Primary Contact #. WL111-9U cross_LOW! |! teencor VN YALL WEEE *66V olunteer “a Information***** Agency Name;, Oi 060) (bu \ tow a Phone Number: AW 744 10 Supervisor's Name: KA nie NAG. WE

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