Mileage Log
Employee Name
*
First Name
Last Name
Employee ID
*
Pay Cycle Start
*
-
Month
-
Day
Year
Date
Pay Cycle End
*
-
Month
-
Day
Year
Date
Rate Per Mille
*
Detailed Report
*
Date
Truck #
Starting Location
Destination
Trip Miles
Layover
Detention Hours
Driver Assist
125
150
175
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
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Signature
*
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