Title Page
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Conducted on
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Prepared by
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Tier Rate
- Tier 1 (First 14,000km across 1 year)
- Tier 2 (Any travel above 14,000km across 1 year)
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Vehicle Type
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Enter Starting Kilometers (start of day)
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Enter Ending Kilometers (end of day)
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Kms Owed
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$ Owed (Based on $1.04)
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Vehicle Type
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Enter Starting Kilometers (start of day)
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Enter Ending Kilometers (end of day)
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Kms Owed
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$ Owed (Based on $0.35)
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Enter Starting Kilometers (start of day)
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Enter Ending Kilometers (end of day)
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Kms Owed
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$ Owed (Based on $0.21)
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Enter Starting Kilometers (start of day)
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Enter Ending Kilometers (end of day)
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Kms Owed
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$ Owed (Based on $0.12)
