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1. 2. 3. Vehicle is to be rented for more than 30 days. Vehicle is to be driven more than 1,000 miles each month. If mileage is expected to be less than 1,000 per month, please explain in detail why a waiver should be granted. Departmental approval must come from the Dean or other management authority. Please type or print REQUEST Name of Requestor Title Email Address Department Campus Mail Phone Type of Vehicle Requested Rental Period Beginning: Ending: Budget Number Budget Name R.

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