Volunteer Car Allowance Mileage Record

Police Badge
600 East Walnut
Columbia, MO 65201-4491
573-874-7652/FAX: 573-874-3142

The mission of the
Police Department
is to reduce crime and improve public safety by enforcing the law, solving problems, providing crime prevention education and encouraging citizens to take responsibility for community safety and quality of life.

Columbia Police Volunteer
Car Allowance Mileage Record

Month: Year:

Volunteer:
Email:
Address:
City:
State:
Zip:

Date	Beginning Mileage	Ending Mileage	# of Miles Driven

Miles Driven: X 50 cents = (Total Due)

By submitting this form you are certifying that the foregoing statements and figures are true and correct and represent actual mileage driven while serving as a volunteer of the City of Columbia, Missouri, for the Citizens on Patrol Program.

Columbia Police Volunteer Car Allowance Mileage Record

Columbia Police Volunteer
Car Allowance Mileage Record