CITY OF ATLANTA

VEHICLE USE OUT OF STATE

TRAVEL REQUEST

Chief Administrative Officer

68 Mitchell Street

2nd Floor, City Hall

Atlanta, GA 30303

(Position Title)
(Name)
Is required to travel out of State to

for the period of	to

Travel in City-owned vehicle number	is required.

(Explanation on Back)

(Department Head)

Chief Administrative Officer
Disapproved

Approved
Date

FOR MOTOR TRANSPORT USE ONLY:

Copies

Department Head (White)

Bureau of Motor Transport Services (Yellow)

11-M-194

CITY OF ATLANTA

AJordan

2003-12-18

Atlanta Police Department