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City of Eugene <br />MILEAGE REPORT of PRIVATE AUTOMOBILES used in CITY BUSINESS <br />1. Month and Year 2. Name Driver 3. Tij~e <br />4 AzoLo 0J.-CCa,,V1 1h.L1I_,,mL,4 N <br />4. Dep fineat 5. Dihsion 6. ar License Number <br />lrZl uJ(Jrk a44AA . o ` 9:D <br />oq <br />iHI, <br />Date <br />Speedometer Reading <br />Miles <br />Trip Points <br />Purpose of Trip <br />art <br />n <br />rom <br />o <br /> <br />IVN <br />rF. <br />2or of s 2 <br />Total miles <br />Code 011 - OTC)- (o V1 R <br />Approved by. <br />Per Mile S_/'l 7, <br />1 certify that this vehicle was used <br />for official business only. <br />