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City of Eugene <br />MILEAGE REPORT of PRIVATE AUTOMOBILES used in CITY BUSINESS <br />1. Mo th and Year 2. Name o n r 3. Tole <br />,CD i J"- t-; Zo/0 <br />4 D <br />u6artment 5. Division / 6. Car License Nub <br />Dater <br />Speedometer Reading <br />Miles <br />Trip Points <br />Purpose of Trip V <br />n <br />rom <br />O <br />~1 <br />. <br />I Q(J <br />Total miles @_ (52,5c,2 Per Mile S <br />Code ► - 8 I - (p l j 1 <br />Approved by. <br />I certify that this vehicle was used <br />for official business only. <br />Department Head <br />