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                        EXPENSE REPORT  
    Last Name
    First Name Department
    Year Employee Number
    Expenses Paid by Employee
    Date
    Client Description of Expenses Miles Travel Hotel Food Entertain. Other Account
    Month Day Wday
    (Nature of Expense)
    (Tolls, Park)
    $ 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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