ࡱ> =@< sbjbjR|R| 3 00]tt8,F.bbbbb]._._._._._._.$03..bbH.Lbb].].re)TA*b ٳhd%)I..0.)z*4*4A**4A*...*4t : REPORT B "BUSINESS COMMUTE PURPOSE ONLY" USE OF STATE OF MAINE VEHICLES (Commuting Use Allowed) Elected Officials or Government Employees Earning $150,200 or More in 2016 must file Report C. Department_______________________________________________________ Agency/Division____________________________________________________ Vehicle License Plate, Vehicle Year, Make and Model______________________ Employee's Name__________________________________________________ TAMSID (Preferred) or Social Security Number_____________________________________________ Number of Days Vehicle is used to commute _________X $3.00 =____________ Do not report 0.00, complete Report A. Report A does not include your social security number. Mileage November 1, 2015 through October 31, 2016 ______________ _______________ ______________ Start Stop Total I understand that this vehicle is assigned for State business purposes, other than de minimis use, and commuting to and/or from work. During non-business use the vehicle is stored at ______________________________________________________ This information is to satisfy substantiation record requirements in accordance with PL 99-44. Employee's Signature_____________________________ Date__________ Supervisor's Signature___________________________ Date__________ The original should be sent to the Office of the State Controller, SHS#14, Attn: Tom Randall. 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