planilha de controle de utilizaÇÃo individual de … · prefeitura municipal de nova esperanÇa...

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PREFEITURA MUNICIPAL DE NOVA ESPERANÇA DO SUL SECRETARIA MUNICIPAL DE ADMINISTRAÇÃO DEPARTAMENTO DE TRANSPORTES INTERNO PLANILHA DE CONTROLE DE UTILIZAÇÃO INDIVIDUAL DE VEÍCULO MÊS / ANO: _______________________________________________________________________________________________________________________________________________ MODELO DO VEÍCULO: _______________________________________________________________________________________________________________________________________________ SECRETARIA: UNIDADE DE LOTAÇÃO DO VEÍCULO: DIA ____ 01 ____ 02 ____ 03 ____ 04 ____ 05 ____ 06 ____ 07 ____ 08 ____ 09 ____ 10 ____ 11 ____ 12 ____ 13 ____ 14 ____ 15 ____ 16 ____ 17 ____ 18 ____ 19 ____ 20 ____ 21 ____ 22 ____ 23 ____ 24 ____ 25 ____ 26 ____ 27 ____ 28 ____ 29 ____ 30 ____ 31 ASSINATURA DO SERVIDOR / DATA: ASSINATURA DA CHEFIA IMEDIATA / DATA: MARCA DO VEÍCULO: ANO: NOME DO SERVIDOR ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ ______________________________________________________ HORA INICIAL __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ 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__________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ KM FINAL __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________ __________________

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PREFEITURA MUNICIPAL DE NOVA ESPERANÇA DO SULSECRETARIA MUNICIPAL DE ADMINISTRAÇÃODEPARTAMENTO DE TRANSPORTES INTERNO

PLANILHA DE CONTROLE DE UTILIZAÇÃO INDIVIDUAL DE VEÍCULOMÊS / ANO:

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MODELO DO VEÍCULO:

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SECRETARIA:

UNIDADE DE LOTAÇÃO DO VEÍCULO:

DIA

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ASSINATURA DO SERVIDOR / DATA: ASSINATURA DA CHEFIA IMEDIATA / DATA:

MARCA DO VEÍCULO: ANO:

NOME DO SERVIDOR

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