SA Supreme Appliances, Inc.

Travel Expense Voucher

Forward completed form to: Accounting Department
14 Shady Lane
Rochester, NY 14623
Tel (585) 623-9874 Fax (585) 623-9870


Name:
Amanda Quevedo
Employee Number:
9756152

Direct Deposit: Yes No

Mail Check To:


Destination (City, Country): Dallas, USA

Date Departed: Sept 1 Date Returned: Sept 5

Airline Ticket(s): $ 615.00

Hotel: 4 nights @ $ 180.00 $ 720.00

Meal/Food expenses: [ 5 days x $50/per diem = $250.00 ]

Personal car: miles @ 48.5 cents per mile $

Rental car fee :$ 106.20

Gasoline/Fuel: $

Parking: $

Other expenses (taxi, train, registration fee): $ 36.50 Taxi
$ 321.40 Entertainment
$ 12.48 Briefcase
TOTAL EXPENSES $ 1,446.58
Amanda Quevedo
Sept 8, 2014
Signature of Traveler (Person requesting reimbursement) Date
Approved by:

Signature Date