Day Three Upload completed trip ticket information here. "*" indicates required fields Bus Captain / Chauffeur*CHOOSE ONE BELOW1 New or Unlisted ChauffeurAguilar, Ricardo - 578-RAguilBarbosa, Carol - 3-CarolBarBarbosa, Sammy - 264-SammyBrown, Tim - 429-TimBroColon, Deanna - 590-DeannCook, Michael - 503-MRCookCooley, Liaketa - 545-LiakeCDePremo, Margaret - 301-MDePreDugger, Randall - 589-RDuggeEdwards, Charles - 598-EddieEFauber, James - 123-JamesFFerguson, Barbara - 497-BFerguFerreira, Andre - 4-AndreFunkhouser, David - 586-DFunkhGausman, Curt - 591-CGausmGoff, Ana - 1ReginaGoff, Danny - 2-DanGoffGrande, Samuel - 535-SGrandHall, Sheryl - 332-SherHaHast, Douglas - 365-DOHastHayes, Steven - 509-SHayesHill, Nathan - 504-NaHillLeFon, Constance - 517-ConniLLeFon, David - 283-DLefonLehner Jr, Frank - 541-FrankLMassie, Jerry - 16-JerryMaMcClain, Tiffani - 554-TiffanMcNeilus, Thomas - 506-TMcNeiPatterson, Dennis - 209-DennisRawlings, Ricky - 563-RickyRRowe, Carla - 534-CarlaRShifflett, Gator - 012-GatorSSmith, Timothy - 486-TimothThompson, Vaden - 523-VadenTWebb, Kimberly - 524-KAWebbWhite, Benjamin - 595-BenWhiWhite, William - 502-BHWhitWilds, Melissa - 592-MWildsWilson, Larry - 467-LWilsoYoung, Jackie - 488-JYoungIf you would like a copy of this ticket enter your email here Trip Number*Trip Number: Vehicle Number*CHOOSE ONE BELOW:347 Sedan 2019 Chrysler C300 Black H531943620 SUV 2017 Lincoln Navigator L Black H531945623 SUV 2017 Lincoln Navigator L Gray H5320221208 Van 2019 Ford Transit Black H5339562103 Minibus Lugg 2012 Ford E450 White H5311462104 Minibus Lugg 2001 Ford E450 White H5311472418 Minibus 2013 Ford E450 White H5311232420 Minibus Lift 2013 International IC3000 White H5311752422 Minibus 2013 Ford E450 White H5319482424 Minibus 2015 Ford E450 White H5329532425 Minibus 2012 Ford E450 White H5329522428 Minibus 2014 Ford E350 White H5329862511 Minibus 2015 Ford E4500 White H5339695405 Bus 2006 MCI J4500 Black P1638025603 Bus 2004 MCI J4500 Black P1620465608 Bus 2006 MCI J4500 Black P1626195614 Bus 2009 MCI J4500 Black P1632445616 Bus 2007 MCI J4500 Black P1632465622 Bus 2010 MCI J4500 Black P1638155703 Bus 2007 Van Hool C2045 Black P1639765705 Bus 2007 Van Hool C2045 Black P1639185706 Bus 2007 Van Hool C2045 Black P1638545707 Bus 2007 Van Hool C2045 Black P164071Rental Bus MotorCoach PremiumRental Minibus Minibus LuxuryRental Sedan Sedan LuxuryRental SUV SUV LuxuryRental Van Van LuxuryNo Vehicle NonVehicleStart Date* MM slash DD slash YYYY Terminal Start Time* Hours : Minutes AM PM AM/PM Departed Terminal Hours : Minutes AM PM AM/PM Onsite* Hours : Minutes AM PM AM/PM Passenger On Board* Hours : Minutes AM PM AM/PM Stop Details & NotesReleased* Hours : Minutes AM PM AM/PM Park Time at Location/Terminal Hours : Minutes AM PM AM/PM End Location/Terminal* Hours : Minutes AM PM AM/PM Beginning Odometer*End Odometer*State 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 files Accepted 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.PhoneThis field is for validation purposes and should be left unchanged.
