Technician Expense Report

Please mail with the original receipts to the Home Office Attention Steve Parks

Company Name: U.S. Quality Furniture Services Pay Period Ending ____/____/____
Employee Name:
Detailed Expenses
Transportation Sun Mon Tue Wed Thu Fri Sat Totals
Miles Driven
Reimbursement
Parking and Tolls
Auto Rental
Taxi / Limo
Other (Rail or Bus)
Airfare
Totals
Lodging Sun Mon Tue Wed Thu Fri Sat Totals
Totals
Food Sun Mon Tue Wed Thu Fri Sat Totals
Breakfast
Lunch
Dinner
Other
Totals
Miscellaneous Sun Mon Tue Wed Thu Fri Sat Totals
Supplies / Equipment
Phone, Fax
Entertainment
Other
Other
Other
Totals
Detailed Entertainment Record
Date Place Name & Location Business Purpose Amount

Summary of Expenses
Total Expenses Prepared By: Date:
Less Cash Advance ___/___/___
Less Company Charges
Amount Due to Employee Approved By: Date:
Amount Due to Company ___/___/___