STATE OF SOUTH CAROLINA STATE FLEET MANAGEMENT Page 1 of pages. 1430 Senate Street, 3rd Floor Columbia, SC 29201-3710 VEHICLE TAG NUMBER YEAR MONTH AGENCY CODE MONTH ENDING MILEAGE IDLE TIME DOWN TIME CONDITION COMMUTING MILEAGE STARTING MILEAGE MILES USED I certify that all entries are true and correct in every matter and conforms with the requirements of State law, rules and regulations. ______________________________ ______________________________________ Signature of Driver Signature of Approving Supervisor Odometer Reading Travel No. of Date Driver’s Name Job Function Performed Beginning Ending From To Pass.
STATE OF SOUTH CAROLINA STATE FLEET MANAGEMENT 1430 Senate Street, 3rd Floor Columbia, SC 29201-3710 Page 1 of pages. VEHICLE TAG NUMBER YEAR MONTH AGENCY CODE MONTH ENDING MILEAGE IDLE TIME DOWN TIME CONDITION COMMUTING MILEAGE STARTING MILEAGE MILES USED I certify that all entries are true and correct in every matter and conforms with the requirements of State law, rules and regulations. ______________________________ ______________________________________ Signature of Driver Signature of Approving Supervisor Date Driver’s Name Odometer Reading Travel Job Function Performed No. of Pass. Beginning Ending From To
SASS-003C%203.06.18.docx