PREFEITURA MUNICIPAL DE CAMPINAS
CONTROLE DIÁRIO DE UTILIZAÇÃO DE VIATURAS
CARRO N°:
DATA:
LOCAL DE SAÍDA:
HORÁRIO ODÔMETRO USUÁRIO:
KM DESTINO (S)
SAÍDA CHEGADA SAÍDA CHEGADA
NOME / HORÁRIO
OBSERVAÇÕES
COMBUSTÍVEL NÍVEL DE COMBUSTÍVEL FECHAMENTO DO RELATÓRIO
ABASTECIMENTO
1/2 1/2
KM PERCORRIDO:
1/4 3/4 1/4 3/4
CONTROLE:
LITROS: NOME DO MOTORISTA
V C
KM: C V
INÍCIO TÉRMINO
ASSINATURA
FO110/MAI/99/SMS - VIA ÚNICA - FORMATO A4 - (210x297) - CÓD. MATERIAL: 18642
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