DRIVER SETTLEMENT STATEMENT

Delta Advanced Trucking, Inc.
2475 Laver Rd. Mansfield, OH 44905
EARNINGS
Date Load # Origin Destination Miles Rate Amount FSC
ADDITIONAL EARNINGS
Description Amount
DEDUCTIONS
Description Amount

CURRENT PERIOD SUMMARY

Total Earnings: $0.00
Total Deductions: $0.00
Net Pay: $0.00

YEAR-TO-DATE TOTALS

Total Earnings YTD: $0.00
Total Deductions YTD: $0.00
Net Pay YTD: $0.00
Driver Signature
Date: _______________
Dispatcher Signature
Date: _______________
Accounting Signature
Date: _______________