Daily Vehicle Mileage And Fuel Report Form - 2000 Page 3
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SAMPLE
DAILY VEHICLE MILEAGE AND FUEL REPORT
(IRP and IFTA Vehicles Only)
Record the odometer reading: (1) At the beginning of each day or trip; (2) When leaving each jurisdiction; and (3) At the end of each day or trip.
AL
Power Unit Vehicle Identification Number
Power Unit Fleet Number
Fuel Type
Name (Fuel Filer/IRP Registrant)
Fuel User Name if other than Registrant
Name of Owner(s)
AK
AZ
AR
TRIP INFORMATION
MILEAGE INFORMATION
FUEL INFORMATION
CA
Odometer
Jurisdiction Miles
CO
Trip
Origin
Destination
Highways
Jurisdiction
Gallons
Vendor Name
CT
Reading
IFTA
IFTA
DE
Date
Used
Name
Received
DC
Begin
Tax Exempt
Taxable
FL
GA
IO
IL
IN
IA
KS
KY
LA
ME
MH
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
VI
WA
WV
WI
WY
MX
AB
BC
NB
NK
NF
NT
NS
CN
PE
PO
SK
YT
TOTAL TRIP MILES
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Parent category: Financial