EXPENSE REPORT

NAME DEPARTMENT PERIOD ENDING

ROSENDO RIVAS
TRANSPORTATION LOCAL TAXI, TOLLS & PUB LIC TRANSIT

Braden Mexico

6-Apr-14

ITEMIZE ALL REIMBURSABLE EXPENSES IN APPROPRIATE BLANKS - ITEMIZE ANY NON-REIMBURSABLE EXPENSES ON REVERSE OF LAST COPY.

Laundry DATE CITY AND STATE LODGING

Telephone

AUTO EXPENSES
Itemize Below

BUSINESS MEALS
Itemize Below

ENTERTAINMENT DINNER
Itemize Below

MISC. EXPENSES
Itemize Below

BREAKFAST

LUNCH

DAILY TOTAL

4-Apr-2013 6-Apr-2013 4-Apr-2013 6-Apr-2013

MONTERREY - REYNOSA REYNOSA -MONTERREY VIADUCTOS DE PEAJE VIADUCTOS DE PEAJE 692.00

1,420.00 1,420.00

1,420.00 1,420.00 692.00 -

CATEGORY TOTAL $

692.00

3,532.00

ITEMIZED ENTERTAINMENT AND BUSINESS MEALS

% OR $'s

NUMBER OF DAYS AWAY FROM HOME

ALLOCATED

DATE

NAME OF PERSON(S) ENTERTAINED; COMPANY, TITLE

TIME & PLACE

NATURE & PURPOSE OF ENTERTAINMENT

AMOUNT

TO BUSINESS

NUMBER OF DAYS AWAY ON PERSONAL AFFAIRS % OF TOTAL DAYS AWAY FOR PERSONAL AFFAIRS NATURE OR PURPOSE OF TRAVEL

Fabrication in Mexico

METHOD OF REIMBURSEMENT: Wire to: Mexico Fabrication CHARGE TO JOB #: DATE ITEMIZED AUTOMOBILE EXPENSES MILEAGE, GAS, PARKING, REPAIRS, ETC. AMOUNT ITEMIZED MISCELLANEOUS EXPENSES DATE ITEMS AMOUNT 04/04 04/06 338 KM * 0.3416 *12.3 338 KM * 0.3416 *12.3 1,415.00 1,415.00 My Account

ADVANCE EXPENSES REINBURSEMENT ING ROSENDO RIVAS LOPEZ

SIGNATURE

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