Payroll Sheet Page 3
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4MOTOR VEHICLE OPERATOR'S DAILY LOG
Date:
Motor Carrier:
Odometer Finish
Principal Address:
Vehicle Plate or Unit #:
Odometer Start:
Home Terminal Address:
Total Distance Driven Today
km/ml
HOUR AT WHICH DAY BEGINS (Midnight)
Use Time Standard at Home Terminal
Total Hours
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Off-duty time
other than in
sleeper berth
Off-duty time in
sleeper berth
Driving time
On-duty time
other than
driving time
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
Total
REMARKS
Other Motor Carrier (Name & Address)
PERSONAL USE OF COMMERCIAL VEHICLE
Start
End
Odometer
Odometer
Name of Co-Driver
PREVIOUS DAYS' TIME RECORDS
Printed Name of Driver
Previous Day (first = 1)
1
2
3
4
5
6
7
8
9
10 11
12 13 14
Total Hours On-Duty
Total Hours Off-Duty
Signature of Driver (Certified True & Correct)
2011/05/16
Page 3 of 4
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