Company Name

For Office Use Only

Expense Report
STATEMENT
PURPOSE: NUMBER: PAY PERIOD: From 12/30/1899

To 12/30/1899
EMPLOYEE INFORMATION:

Name Position SSN

Department Manager Employee ID

Date Account Description Hotel Transport Fuel Meals Phone Entertainment Misc Total
$ -
Total $ - $ - $ - $ - $ - $ - $ - $ -
Subtotal $ -
Cash Advances
APPROVED: NOTES: Total $ -

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