FORMAT F-P02

MAINTENANCE LOG
VEHICLE:

BRAND MODEL: PLATES: INVENTORIES:

ASSIGNMENT AREAS

GUARDANT:

DATE AMOUNT KM DESCRIPTION OF MAINTENANCE PERFORMED USER NAME AND

SIGNATURE

TOTAL

_______________________ _______________________
ELABORATED: Vo.Bo.
HEADLINE HOLDER OF THE
ADMINISTRATIVE ENTITY
 DIRECTORATE OF GENERAL SERVICES
UNIVERSITY VEHICULAR CONTROL DEPARTMENT
MAINTENANCE AND SERVICES SERVICE FMyS-6

DATE

DAY MON YEAR

TH
DEPENDENCE________________________________

VEHICLE_______________________________ BRAND_________________ MODEL_______________

PLATES_________________________________ KM______________________________ GASOLINE

Y NO
E
A
H
MATS
STEREO
CROSS KEY
HYDRAULIC JACK
SPARE WHEELS
OTHERS
OBSERVATIONS_____________________________________

_________________________________________________

___________________________________________