Day Ten Upload completed trip ticket information here. Bus Captain / Chauffeur*CHOOSE ONE BELOW:1 New or Unlisted ChauffeurBarbosa, Carol - ID#3-CarolBarBarbosa, Sammy - ID#264-SammyBaumbach, Joseph – ID#484-JBaumbBrown, Tim – ID#429-TimBroCook, Mike – ID#503-MRCookCooley, Liaketa - ID#545-LiakeCDaniels, Veronica - ID#542-VeronDDePremo, Margaret - ID#301-MDePreEthridge, Wesley – ID#495-WEthriFauber, James - ID#123-JamesFFerguson, Barbara – ID#497-BFerguFerreira, Andre - ID#4-AndreGregory, Richard - ID#540-RichGrHairston, Carl – ID#492-CHairsHall, Sheryl - ID#332-SherHaHamblen, Tom – ID#529-THamblHayes, Steve – ID#509-SHayesHickman, Jim – ID#266-JHickmHill, Nathan – ID#504-NaHillHouff, David - ID#512-DHouffJenkins, Luther - ID#458-LutheJJohnson, Brian - ID#479-BJohnsJohnson, Michele - ID#543-MicheJKilpatrick, Michael - ID#539-MikeKiLeFon, David - ID#283-DLefonLeFon, Connie – ID#517-ConniLLehner Jr, Frank - ID#541-FrankLLogan, Barrett - ID#544-BLoganMassie, Jerry - ID#16-JerryMaMcNeilus, Tom – ID#506-TMcNeiPatterson, Dennis - ID#209-DennisPrice, Richard – ID#526-RPriceRodriguez, Julie - ID#538-JulieRShifflett, Shawna – ID#494-ShawnaShuff, Robert – ID#491-RShuffSlattery, Galen - ID#149-GalenSSmith, Tim – ID#486-TimothThomas, Terrence – ID#522-TerrThThompson, Vaden - ID#523-VadenTWebb, Kim - ID#524-KAWebbWhite, Bill – ID#502-BHWhitWilliams, Isabella – ID#521-IsabeWWilson, Larry – ID#467-LWilsoWorley, Jamie – ID#499-JWorleYoung, Jackie – ID#488-JYoungIf you would like a copy of this ticket enter your email here Trip Number*Trip Number:Vehicle Number*CHOOSE ONE BELOW:1 Rental or Other Bus Other Bus Other Tag5401 Bus Volvo 9700 P1624125402 Bus Volvo 9700 P1628515404 Bus Volvo 9700 Temp5603 Bus MCI J4500 P1620465605 Bus MCI J4500 P1624155607 Bus Volvo 9700 P1624145608 Bus MCI J4500 P1626195610 Bus MCI J4500 P1628175611 Bus Volvo 9700 P1628525614 Bus MCI J4500 P1632445615 Bus MCI J4500 P1632455616 Bus MCI J4500 P1632465617 Bus MCI J4500 P1632505618 Bus MCI J4500 P1633485619 Bus MCI J4500 P1635591 Rental or Other Minibus Other Minibus Other Tag2103 Minibus Ford E450 H5311462104 Minibus Ford E450 H5311472303 Minibus Ford E450 H5315332418 Minibus Ford E450 H5311232419 Minibus Ford E450 H5311212420 Minibus International 3000 H5311752421 Minibus International 3000 H5311762422 Minibus Ford E450 Temp1 Rental or Other Sedan Other Sedan Other Tag347 Sedan Chrysler 300 H5309431 Rental or Other SUV Other SUV Other Tag615 SUV GMC Yukon H525325618 SUV Chevy Suburban H531537620 SUV Lincoln Navigator H531945622 SUV Ford Expedition H5319461 Rental or Other Van Other Van Other Tag1106 Van Ford E350 H5311101414 Van Ford E450 H5311481415 Van Ford E450 H5312801 Non VehicleStart Date* MM slash DD slash YYYYTerminal Start Time* : Hours Minutes AM PM AM/PMDeparted Terminal : Hours Minutes AM PM AM/PMOnsite* : Hours Minutes AM PM AM/PMPassenger On Board* : Hours Minutes AM PM AM/PMStop Details & NotesReleased* : Hours Minutes AM PM AM/PMPark Time at Location/Terminal : Hours Minutes AM PM AM/PMEnd Location/Terminal* : Hours Minutes AM PM AM/PMBeginning Odometer*End Odometer*State with Miles*CHOOSE ONE IF NEEDED.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMiles in That State*Please enter a number from 1 to 999.Other State with MilesCHOOSE ONE IF NEEDED.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMiles in That StatePlease enter a number from 1 to 999.Other State with MilesCHOOSE ONE IF NEEDED.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMiles in That StatePlease enter a number from 1 to 999.Other State with MilesCHOOSE ONE IF NEEDED.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMiles in That StatePlease enter a number from 1 to 999.Other State with MilesCHOOSE ONE IF NEEDED.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMiles in That StatePlease enter a number from 1 to 999.Other State with MilesCHOOSE ONE IF NEEDED.AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingMiles in That StatePlease enter a number from 1 to 999.Missing MilesState of Fuel Purchase #1CHOOSE ONE IF NEEDEDAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPaid By Company Paid Personally Paid Gallons to 3 digitsFuel Cost (if known)State of Fuel Purchase #2CHOOSE ONE IF NEEDEDAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPaid By Company Paid Personally Paid Gallons to 3 digitsFuel Cost (if known)State of Fuel Purchase #3CHOOSE ONE IF NEEDED.VirginiaAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingPaid By Company Paid Personally Paid Gallons to 3 digitsFuel Cost (if known)Total GallonsTotal Fuel CostTotal Miles Per OdometerTotal Miles By Adding States (Must Match)Non-Fuel Expenses Zero Non-Fuel Expenses On This Trip Some Non-Fuel Expenses On This Trip Expense Type #1CHOOSE BELOWAccess FeeClient Amenity (Note in Description)Dump CommodeFuel Not Paid by Company (Note Gallons in Description)Hotel StayOil/Antifreeze/FluidsParking ChargeToll FeeVehicle WashWater/IceOther (Note in Description)Paid By Company Paid Personally Paid Expense Amount #1Expense Description #1Expense Type #2CHOOSE BELOWAccess FeeClient Amenity (Note in Description)Dump CommodeFuel Not Paid by Company (Note Gallons in Description)Hotel StayOil/Antifreeze/FluidsParking ChargeToll FeeVehicle WashWater/IceOther (Note in Description)Paid By Company Paid Personally Paid Expense Amount #2Expense Description #2Expense Type #3CHOOSE BELOWAccess FeeClient Amenity (Note in Description)Dump CommodeFuel Not Paid by Company (Note Gallons in Description)Hotel StayOil/Antifreeze/FluidsParking ChargeToll FeeVehicle WashWater/IceOther (Note in Description)Paid By Company Paid Personally Paid Expense Amount #3Expense Description #3Additional Trip NotesImage Upload Drop files here or Select filesAccepted file types: jpeg, jpg, gif, png, pdf, mov, Max. file size: 8 GB.Certification* Certified True With Concerns I certify that the information contained herein is true and correct.EmailThis field is for validation purposes and should be left unchanged.
