Motor Vehicle Trip Log
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1William J. Hughes Technical Center
MOTOR VEHICLE TRIP LOG
Motor Vehicle Program Office
VEHICLE NUMBER:
OFFICE ROUTING SYMBOL:
VEHICLE DESCRIPTION:
LOG START DATE: ___________
MONTH:
MOTOR VEHICLE DISPATCH RECORD
Date
Routing
Phone
Purpose of
Time
Time
Return
Odometer Readings
Driver's Name
Destination
Start
Symbol
Ext.
Trip
Out
In
Date
Starting Mileage | Ending Mileage
NG Form 4670-4 (02/17)
Electronic (Adobe)
*Forward Copy to MVPO By 5th of Each Month
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Parent category: Miscellaneous