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12 Camia Street, Ultra Homes Subdivision, Matina Aplaya, Davao City

Contact No: 09657567323 , 09482489335


Email Add: yeeglennpaul@gmail.com

MOTOR VEHICLE TRIP TICKET

LESSEE: ADDRESS: CONTACT DETAILS:

NAME OF DRIVER: DEPART FROM: DESTINATION:

TYPE OF VEHICLE: PLATE #:

Signature of Manager / Owner: “I have authorized the driver/s signing below to use this vehicle as indicated herein”

Date Issued Time Out Mileage out

Date Returned Time In Mileage In

Was the vehicle involved in an accident Comments:


while in your custody?

___Yes ___No

Signature of Driver: Name and Signature of Passenger:

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