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~1/11~,~W<<....,~~ <br />C~Z~ ~ ~~ ~~ <br />City of Eugene <br />MILEAGE REPORT of PRIVATE AUTOMOBIL~S used in CITY BUSINESS <br />1. Month d eaz 2. Name o river 3. Title <br />J = -~,i r~~r-- ~c~/ZGc1a~~ ir.~ <br />4. Dep me 5. Division 6. Caz License Number <br />'~~j~~ GV(r-I~i G~~.t~t - 20_a. // r' <br />/o <br />, <br />Date Speedome ter Reading Miles Trip Points Purpose of Trip <br /> art n rom o <br />. 2 - r~2~~ ~~Z ~3~ ~~ ~ G~l~'.~,~,~ ,~ w1~ ~ ~ <br />~2t ~ o v ~ l. ~i Gc%P-P~~ ~iy.~..~-~.. <br />~l o ~aSG ~~~ /~r~ <br /> <br /> <br /> <br /> <br /> <br /> , , <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />Total miles ~O ?i <br />Code_ ~ ~ ( ~ ~ ~ ~ ~ ' ~ ( ~ ~ I <br />Approved by: <br />t <br />@ ~ s8 Per Mile S 3~ ~ 3~ <br />I certify that this vehicle was used <br />for official business only. <br />Signature <br />