EXHIBIT_B_-_Daily_Trip_Ticket_Report.dotm

Department of State Driver Trip Ticket Report

Date : 03/15/2013 Time : 07:02

Motor Pool - LONDO - LONDON, ENGLAND, UNITED KINGDOM Trip Ticket Number - LONDO000237710C Title/Description -

Pickup Date:

Itinerary Description:

Pickup Time:

Special Requirements:

Pickup Point:

Make:

Model:

Address:

Tag #:

Car Phone:

Passenger Name:

Passenger Office Phone Number:

Passenger Mobile Phone Number:

Drop Off Point:

Passenger Signature:

Address:

Dispatcher Name:

Driver Signature:

Department of State Embassy Seal

Driver:

Driver Wait at Drop Off:

# of Passengers:

Actual Trip Start Date:

Actual Trip Start Time:

Starting Odometer (Miles):

Starting Odometer (KM):

Ending Odometer (Miles):

Ending Odometer (KM):

Actual Trip End Date:

Actual Trip End Time:

This email is UNCLASSIFIED.

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