Please fill all required fields
EXPENSE REPORT
Last Name
First Name
Department
Year
Employee Number
-- select
Marketing/Admin
Parts Support
Sales
Sales Coord
Service
Training/Comm
2009
2010
2011
2012
Expenses Paid by Employee
Date
Client
Description of Expenses
Miles
Travel
Hotel
Food
Entertain.
Other
Account
Month
Day
Wday
(Nature of Expense)
(Tolls, Park)
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
-- select
29881
54360
36525
34344
69915
56490
33100
68460
$ per mile
0.296
Total mile
Total Expenses
Temporary advance
Amount due
I hereby certify that the above expenditures were spent for legitimate Company business only and include no items of a personal nature.
Signature
Date
Approved By
Date
Receipts must be attached for all expenditures.
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