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n ~ o i.~"l~l~~ ~ <br /> ~ City of Eugene <br /> MILEAGE REPORT of PRIVATE AUTOMOBILES used in CITY BUSINESS <br /> 1. Mon[h and Year 2. Name of Driver 3. Title <br /> J!-~ <br /> D~ ~.er~^ / <br /> ~G1Z~~f ~jY~(i~-~ <br /> 4. De aztm t 5. Division <br /> P <br /> . Car License Number <br /> wti~~u1 ~ a3G-~ <br /> Date Speedometer Reading Miles Trip Points Purpose of Trip <br /> tart n rom <br /> 0 <br /> i ~ `TZy.(o 7¢2I LAS Gt/~r~b~,vr'~~ GE ~ ~ <br /> ~ s l ~ ~3 3 Seam , -P-r/~~ <br /> <br /> i <br /> - ~ v 55 ~ X336.°5 <br /> Total miles @ Per ile . S_ ~ , <br /> Code ~ 6 ~ ~ ~ I certify that this vehicle was used <br /> for official business only. <br /> Approved by: <br /> Department Head ~gnature of Driver <br /> _ <br /> <br />