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Software Technology, Inc.

Expense Reimbursements

Employee Name: Date:


Motel Expense:
Date Time Out Time In Location Client Name Business Purpose Nights

Total Nights: 0 At $90.00 per night = $0.00

Mileage Reimbursements:
Date Starting Point Destination Business Purpose Miles

Total Miles: 0 At $0.405 per mile = $0.00

Miscellaneous Expenses:
Date Location Business Purpose Amount

Total Miscellaneous Expenses: 0.00

Total Expenses: $0.00


Less Advances Issued: Check Number:
Balance Due (Overpayment): $0.00 Check Number: Date:

Signed: Approved By: