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City of Eugene <br />MILEAGE REPORT of PRIVATE AUTOMOBILES used in CITY BUSINESS <br />1. Month and Year 2. N arqe f Driver 3. Title <br />4. Department 5. Division . Car License Number <br />A 41• W0+15 Al,-,z4 t t S AL~ O 3G lcb A <br />New <br />G! 2~ 2 0 g2~ tj <br />a610 a II ail <br />io <br />1 <br />Total miles ! @ 5S Per Mile S 2# g~ <br />Code ( - j I certify that this vehicle was used <br />for official business only. <br />Approved by: <br />Department <br />Signature <br />