[Insert Company Logo] Expense Report

PURPOSE: COST CENTER: Vendor

EMPLOYEE INFORMATION: Batch
Name New Address? Ref
Address Phone PAY PERIOD From
To
Date
Meals & Entertainment Sun Mon Tues Wed Thurs Fri Sat Chg to Co Total Account
Breakfast $0.00
Lunch $0.00
Dinner $0.00
Entertainment $0.00
Tips $0.00
Total: $0.00
Date
Auto Expenses Sun Mon Tues Wed Thurs Fri Sat Chg to Co Total Account
Rental $0.00
Fuel $0.00
Parking $0.00
Milage $0.00
Total: $0.00
Date
Other Expenses Sun Mon Tues Wed Thurs Fri Sat Chg to Co Total Account
Hotel $0.00
Airfare $0.00
T&E Other $0.00
Office Supplies $0.00
Other $0.00
Other $0.00
Total: $0.00
Phone/Internet Month Account # Amount Chg to Co Total Account
Cell Phone $0.00
Interenet $0.00
Home Phone $0.00 Total T &E: $0.00
Hotel Phone $0.00 Less Advance
Hotel Internet $0.00 Net due to EE: $0.00
Total: $0.00

1. All expenses should be supported by attached original receipt.

Employee Signature 2. All expenses should be detailed on a separate sheet or next to receipt.
3. Expenses listed on this report should include:
a. Items charged to and to be paid by the company.
b. Charges an employee has paid and should be reinbursed for.
 1. All expenses should be supported by attached original receipt.
2. All expenses should be detailed on a separate sheet or next to receipt.
3. Expenses listed on this report should include:
Manager Approval a. Items charged to and to be paid by the company.
b. Charges an employee has paid and should be reinbursed for.
Accounting Approval
 Auto Milage
Date From To Miles Rate Client Amount
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
0 Total $0.00

Entertainment/Meals/Tips
Date No. Names/Account/Title Place/Purpose Amount

Total $0.00

Other Expenses
Date Description Place Purpose Amount

Total $0.00
Receipts
Name:

SSN:

Receipt No. Date Place/Service Explanation Amount

Total: $0.00