DRIVER’S DAILY LOG
Carrier
S.G. SHEPPARD TRUC
KING & GRAIN LTD.
Principal Address
:
Month
Cycle 1 70 hrs in 7 days Truck Unit #
Trailer Lic. #
Midnight 1
2
3
4
Date:
Cycle 2 120 hrs in 14 days
Ending Odometer Reading
5
6
7
Name
8
9
10
11
12
KM Driven Today
1
(Noon)
2
3
4
5
6
7
8
9
10
11
4. On Duty (not driving)
Midnight 1
2
3
4
5
6
7
8
9
SETUP
Two, Three, Four or Five part forms. Glued or padded. Optional Holes.
QUANTITIES Starting at 100. 10
11
12
(Noon)
REMARKS
3 PART FORMS
24 lb carbonless.
Total Hours
3. Driving
White & Canary
STOCK
(For Each Duty Status)
2. Sleeper Berth
d work complete Description of
w: 5.5“ x h: 8.5” w: 8.5“ x h: 11” Custom sizes available.
Year
x
Starting Odometer Reading
Truck Unit #
is true and correct 001 Co-Driver’s
INVOICE No
DUTY STATUS 1. Off Duty
2 PART FORMS
Day
SIZE
Truck Unit #
Trailer Lic. #
I certify that this information
Driver’s Name
Sold To:
Original: Carrier Copy Duplicate: Driver Copy
Truck/Tractor Licence Plate #
1152 CONCESSION 2, RR 1, SELKIRK, ON N0A 1P0 N1A 2X5 , Dunnville, ON P.O. Box 292 1152 CONCESSION 2, RR 1, SELKIR K, ON N0A 1P0 060 Driver’s Signature om 289.209.7 vice@hotmail.c mckaystreeser Home Terminal Address
Full Colour or Black & White
1
2
3
4
5
6
7
8
9
10
11
4238 24 905-892nd ConcTotal Hours 4-4030 essio n www. Road, Sher ks aveens tra.co ton, ON L0 m S 1R0
Acct.
To Addres s Date
White, Canary & Pink
BILL OF LADING #
QTY
4 PART FORMS
BAGS
White, Canary, Pink & Gold
Shipping Document No.(s)
Start Odometer
Prov.
1. Truck
Odometer
ON
2. Trailer
ON 3. Trailer
N/A
ON
Vehicle
Code
N/A
Defects
Yes
No
Yes
No
Yes
Status
No Authorized Person
Signature Repaired
Not a Defect
Name of the person who
conducted the inspection
Signature Signature
I declare that the vehicle(s
) shown above has (have) Signature of the person
been inspected in accordan
Drive
RIPTIO
ce with the applicable
who conducted the inspection
Driver`s Signature
r
N
Email: scott@sgsheppardtrucking.ca
TOTA
L
TARE HST NETL TOTA
2% PER MONT H
@
Schedul @ e.
The current driver of the vehicle must the inspection was conducted sign here in cases when by another person.
Total SubG ROSS 1RT0001
HST # 82312665
DESC
Commodity
VEHICLE INSPECTION Licence Plate
ROAS
TED CO BAGS RN ROAS PRIC TED SO E BAGS YBEA @ OATS NS BAGS @ ROLLED OATS BAGS @ DRY M Off Duty Deferral Total IX BAGS Day 1 @ SWEE Day 2 T MIX BAGS - 12% @ SWEE T MIX Operator (Company) SHEPP BAGS.G. - 14 ARD TRUCK Time S SW ING % & GRAIN@LTD. Date EET M Location IX - 16 AM BAG S STRA % : @ / / 20 PM W PE LLETS BAGS @ BEET AM PELLET : / 20 BAGS / S PM @ ALFALF AM A PELL BAGS / : ET S @ SCRA/ 20 PM TCH BAGS Date Comments @ HI FA T BA/GS / 20 - HI FIBRE @ OF BE EF MAK BAGS ER / O/ F20 @ BEDD ING BAGS @ CUST OM M / / 20 IX
Shipper(s) or
Personal Vehicle Use End Odometer
FULL COLOUR PRINTING - ROLL LABELS, DECALS, NCR FORMS & BOOKLETS
NCR Forms
COLOUR
INTER
EST ON ACCO
UNTS
5 PART FORMS
White, Green, Canary, Pink & Gold
OVER
30 DA YS
SHIPPER PER
DRIVER / NAME DRIVER / SIGNATURE
PER
S.G. SHEPPARD TRUCKING & GRAIN LTD.
Booklets & Magazines COLOUR
Full Colour or Black & White
SIZE
w: 5.5“ x h: 8.5” w: 8.5“ x h: 11” Custom sizes available.
STOCK
24 lb bond, 100 lb text gloss / silk, 10 pt coated / uncoated.
SETUP
Saddle Stich - 8 pg min. up by 4. Coil Bound - 8 pg min. up by 2 or Wire-O.
©2021 Sticker-It Signs Graphics Print.
13