PREFEITURA MUNICIPAL DE CAMPINAS

SECRETARIA MUNICIPAL DE ADMINISTRAO

DEPARTAMENTO DE TRANSPORTES INTERNO - DETI

PLANILHA DE CONTROLE DE UTILIZAO INDIVIDUAL DE VECULO

MS / ANO:

SECRETARIA:

_______________________________________________________________________________________________________________________________________________
MODELO DO VECULO:
UNIDADE DE LOTAO DO VECULO:
MARCA DO VECULO:
ANO:
_______________________________________________________________________________________________________________________________________________
DIA

NOME DO SERVIDOR

HORA INICIAL

HORA FINAL

KM INICIAL

KM FINAL

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01
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02
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03
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04
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05
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06
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07
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08
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09
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10
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11
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12
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13
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14
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15
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16
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17
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18
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19
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20
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21
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22
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23
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24
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25
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26
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27
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28
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29
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30
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31

ASSINATURA DO SERVIDOR / DATA:

ASSINATURA DA CHEFIA IMEDIATA / DATA:

FO165/OUT/99 - CODIFICADO EM MAR/03 - SMA - VIA NICA - FORMATO A4 (210X297) - CD. MATERIAL: 29.515