REPORT OF LOCAL TRAVEL FOR OFFICIAL TRAVEL IN PERSONAL CAR
State Form 23151 (R4 / 7-94) FM Form 1703
Complete in triplicate and attach to travel voucher.
Name of employee County Car license Month and year
DATE
ODOMETER READING Beginning Ending
MILES TRAVELED
OFFICIAL TRAVEL FROM (complete address) TO (complete address)
TOTAL MILES TRAVELED
DATE
ODOMETER READING Beginning Ending
MILES TRAVELED
OFFICIAL TRAVEL FROM (complete address) TO (complete address)
TOTAL MILES TRAVELED