Transcription of Individual Vehicle Mileage And Fuel Report - …
1 Individual Vehicle Mileage AND fuel Report (IRP AND IFTA VEHICLES ONLY)NOITAMROFNITINUDNAREVIRD elciheVtinUrewoPrebmuNtinUforebmuNtinUre woPrebmuNteelFepyTleuF)rehtO/tnartsigeRP RI/reliFleuF(emaNemaN)s(revirDIMEGALNOIT AMROFNINOITAMROFNILEUFNOITAMROFNIPIRTeta DpirTdesUsyawhgiHemaNnoitcidsiruJretemod OgninnigeBretemodOgnidnEseliMnoitcidsiru JsnollaGdevieceRemaNrodneVnigirOnoitanit seDLAKAZARAACOCTCEDCDLFAGDILINIAISKYKALE MDMAMIMNMSMOMTMENVNHNJNMNYNCNDNHOROAPIRC SDSNTXTTUTVAVAWVWIWYWXMBACBBNKNFNTNSNNOE PQPKSTYTOTAL TRIP MILESSEE INSTRUCTIONS ON REVERSE SIDER evenueDivision of Motor Vehicles445 East Capitol AvenuePierre, SD 57501-3185(Rev. 10/03) PR-IRP9 NOITAMROFNITINUDNAREVIRD elciheVtinUrewoPrebmuNtinUforebmuNtinUre woPrebmuNteelFepyTleuF)rehtO/tnartsigeRP RI/reliFleuF(emaNemaN)s(revirDIMEGALNOIT AMROFNINOITAMROFNILEUFNOITAMROFNIPIRTeta DpirTdesUsyawhgiHemaNnoitcidsiruJretemod OgninnigeBretemodOgnidnEseliMnoitcidsiru JsnollaGdevieceRemaNrodneVnigirOnoitanit seDLAKAZARAACOCTCEDCDLFAGDILINIAISKYKALE MDMAMIMNMSMOMTMENVNHNNJMNYNCNDNHOROAPIRC SDSNTXTTITVAVAWVWIWYWXMBACBBNKNFNTNSNNOE PQPKSTYINSTRUCTIONSGENERAL INFORMATION1.
2 An Individual Vehicle Mileage and fuel Report must account for all miles traveled and all fuel If you use a substitute Vehicle , prepare a seperate Individual Vehicle Mileage and fuel Report to account for the miles traveled and fuel received by the substitute INSTRUCTIONS1. Vehicle identification number of unit number of power Fleet number of power fuel Type:(D) diesel, (G) gasoline, (P) propane, (GH) gasohol(NG) natural Legal name of the IRP registrant or fuel tax Driver(s) name(s). Mileage INFORMATION6. Trip Highways used - routes of travel8. Jurisdiction name - abbreviation of the jurisdication in which your vechicle is - 9b. Odometer reading: Record at the beginning of each day or trip. When leaving or entering a jurisdiction, record your beginning and ending Jurisdiction miles - record the Mileage traveled in each jurisdiction trip Total trip miles - record total trip milesFUEL INFORMATION12.
3 Gallons Vendor name (name of whom you received fuel ).TRIP INFORMATION14. Origin - Where trip started15. Destination - Where trip TRIP MILES15
