You are on page 1of 7

Taxed Purchases

Month Year

DO NOT ENTER DATA FOR GASOLINE PURCHASES

Date Supplier Purchase Type Fuel Type Invoice # Gallons Purchased


Ex-Tax Purchases

Month Year

DO NOT ENTER DATA FOR GASOLINE PURCHASES

Date Supplier Purchase Type Fuel Type Invoice # Gallons Purchased


Vehicle Taxable Gallons

Month Year
DO NOT ENTER DATA FOR GASOLINE VEHICLES

Beginning Ending Off Out of Motor Total Exempted Taxable Total Gallons Taxable
Plate # Total Miles Student MPG
Odometer Odometer Road State Carrier Miles Miles Used Gallons
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
0 0 0 #DIV/0! #DIV/0!
Vehicle Taxable Gallons

Month Year
DO NOT ENTER DATA FOR GASOLINE VEHICLES

Beginning Ending Off Out of Motor Total Exempted Taxable Total Gallons Taxable
Plate # Total Miles Student MPG
Odometer Odometer Road State Carrier Miles Miles Used Gallons
Vehicle Log

Vehicle Plate Number

Begining Ending Motor Out of Gallons of Fuel Put


Date Total Miles From To Off Road Student Charter
Odometer Odometer Carrier State Into Vehicle
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
0
Vehicle Log

Vehicle Plate Number

Begining Ending Motor Out of Gallons of Fuel Put


Date Total Miles From To Off Road Student Charter
Odometer Odometer Carrier State Into Vehicle
Fuel Consumption Record

Tank Name Month


Type of Fuel Year

Beginning Inventory
Gallons Purchased
Ending Inventory

Date Initials Used For Gallons

You might also like