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.