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Get MO Individual Vehicle Mileage and Fuel Record Form

 Origin­Jurisdiction Lines­Town  Destination  State Ending  Odometer  Beginning State & Odometer Reading  Miles by  Jurisdictiion  Highways or  Routes  Traveled  Name of Fuel Stop  and Location  Gallons  Purchased  All other odometer reading will be ending readings.  Total Trip Miles  **  Total Fuel Purchases  Total Jurisdictional Miles  **  Odometer Miles, Total Trip Miles  &  Total  Jurisdictional Miles  Must Agree  Ju.

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