Furniture Galaxy Personnel
*
TRUCK
*
Time
*
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
Minutes
AM
PM
AM/PM Option
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Kms on Truck
*
Liters to Fill
*
Fuel Cap Secured
*
YES
MISSING
Picture of Outside of Truck
*
Browse Files
Cancel
of
Picture of Fuel Receipt
*
Browse Files
Cancel
of
Picture of Odometer Reading on Dash
*
Browse Files
Cancel
of
Submit
Should be Empty: