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Expense Report

Employee Information Company Information Report Information


Name: ID: Department: Manager: [Company Name] [Street] [City, State/Province], [Postal Code] [Phone][Fax][Web] Purpose: Statement No: Report Period: From 4/11/16 to 4/13/16 Mileage Rate: $0.40 (per mile)

Details

Accomodations

Transportation Miles (Personal Car) 100 $ $ $ 100 $

Other Currency Exchange Rate 1 1 1

Exchange & Total

Date 4/11/2016 4/12/2016 4/13/2016 Totals

Account Account 1 Account 2 Account 1

Description Location 1 Location 2 Location 3

$ $ $

Hotel 100.00 130.00 230.00

$ $ $

Meals 50.00 45.00 95.00

Air/Ground $ $ 300.00 300.00

Mileage Cost 40.00 40.00

Phone $ $ $ $

Misc 20.00 20.00 40.00

$ $ $ $ Subtotal: $ Less Cash Advance: Total: $

Expense Currency US US US

Total 210.00 495.00 705.00 705.00 705.00

Approvals

Employee: Authorized by:

Date Submitted: Date Approved:

Page 1 of 2

Date Printed: 3/29/2013

Account Account 1 Account 2

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