DR 0734 (12/19/07)
MONTHLY FLEET MILEAGE AND FUEL SUMMARY
COLORADO DEPARTMENT OF REVENUE
Name (IFTA or IRP Registrant)
Report Month
Report Year
IFTA or IRP Account Number
Fleet Number
COLORADO
(
)
TOTAL
Fuel
Power Unit
IFTA
IFTA Tax
Fuel (Gallons)
IFTA
IFTA Tax
Fuel (Gallons)
Fuel (Gallons)
Vehicle Identification Number
Type
Miles
Taxable Miles
Exempt Miles
Received
Taxable Miles
Exempt Miles
Received
Received
TOTALS
Page ______________ of ______________