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For Office Use Only

EXPENSE REPORT
PURPOSE: STATEMENT NUMBER: PAY PERIOD:FROM
TO
EMPLOYEE INFORMATION:
NAME POSITION SSN
DEPARTMENT MANAGER EMPLOYEE ID

Date Account Description Hotel Transport Fuel Meals Phone Entertainment Misc. Total
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Total $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
SUBTOTAL $0.00
APPROVED: NOTES: ADVANCES $0.00
TOTAL $0.00

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