MV2693 MONTHLY FLEET MILEAGE AND FUEL SUMMARY Wisconsin Department of Transportation Example Name (Fuel Filer/IRP Registrant) Report Year Report Month 1 2 3 Fuel or IRP Account Number Fleet Number 4 5 Illinois Indiana WISCONSIN ( ) ( ) POWER UNIT 8 TOTAL VEHICLE IDENTIFICATION NUMBER MILES FUEL (GALLONS) MILES FUEL (GALLONS) MILES or FUEL FUEL RECEIVED RECEIVED UNIT NUMBER (GALLONS) (GALLONS) RECEIVED RECEIVED 6 7 9 TOTALS 1 1 (Use additional pages for additional jurisdictions) Page of
MONTHLY FLEET MILEAGE AND FUEL SUMMARY MV2693 Wisconsin Department of Transportation Example Name (Fuel Filer/IRP Registrant) 1 Report Month 2 Report Year 3 Fuel or IRP Account Number 4 Fleet Number 5 POWER UNIT VEHICLE IDENTIFICATION NUMBER or UNIT NUMBER WISCONSIN ( Illinois ) ( Indiana ) TOTAL 8 MILES FUEL (GALLONS) RECEIVED MILES FUEL (GALLONS) RECEIVED FUEL (GALLONS) RECEIVED MILES FUEL (GALLONS) RECEIVED 6 7 TOTALS 9 (Use additional pages for additional jurisdictions) Page 1 of 1
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