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Company Name

Company Name
For Office Use Only

Expense Report

PURPOSE: STATEMENT NUMBER: PAY PERIOD: From

To
EMPLOYEE INFORMATION:

Name Position SSN/EIN

Department Manager Employee ID

Date Account Description Hotel Transport Fuel Meals Phone Entertainment Misc Total

$ -

$ -

$ -

$ -

$ -

$ -

$ -

Total $ - $ - $ - $ - $ - $ - $ - $ -

Subtotal $ -

Cash Advances

Total $ -

APPROVED: NOTES:

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