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Employee k C Selland Construction, Inc. <br />Employee Name _ _ r <br />Beginning Odometer I Gallons of Fuel: On -Hwy_ Off - <br />Hwy -Ending Odometer 1 <br />Accident: Yes_ No If Accident wasTruck/Trailer Loaded: Yes No <br />STAPTTIMEJAJ.1 STOP TIME a'IZ <br />lJAA-ZM P �M <br />Employee Signatum a✓ � Foreman Approval <br />