Month                               Year             

Date	Mileage	Gasoline       No. Gals	Price       Per Gal	Total       Cost	Miscellaneous
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31