NALCO CHEMICAL COMPANY PLEASE PRINT IN INK OR TYPE EXPENSE REPORT R2.

0
NAME (FIRST M.I. LAST) SOCIAL SECURITY NUMBER GROUP & DIST./DEPT. CHARGE NUMBER SPECIAL VEHICLE NUMBER PERIOD
EXP. CODE FROM TO
Jorge Leandro Quiñonez Amaya 91391501 Barichara (STDER) ENERGY UPSTREAM 10/1/2019 10/31/2019
EMP. PAID CAR OWN MEALS HOTELS TAXI/TOLL TEL. & POSTAGE MISCELLANEOUS DAILY
DATE CITY BUSINESS PURPOSE
AIRFARE RENTAL NO. AMOUNT AMOUNT PARKING FAX & SUPPLY DESCRIPTION AMOUNT TOTALS
EXPENSE CODES - - - - - - - - - - - - - - - - - - - - - - - - - - 467 468 463 464 464 502 464 464
10/01/19 SCC Asistencia Técnica -
10/02/19 SCC Asistencia Técnica -
10/03/19 SCC Asistencia Técnica -
10/04/19 SCC Asistencia Técnica -
10/05/19 SCC Asistencia Técnica -
10/06/19 SCC Asistencia Técnica -
10/07/19 SCC Asistencia Técnica -
10/08/19 SCC Asistencia Técnica -
10/09/19 SCC Asistencia Técnica -
10/10/19 SCC Asistencia Técnica -
10/11/19 SCC Asistencia Técnica -
10/12/19 SCC Asistencia Técnica -
10/13/19 SCC Asistencia Técnica -
10/14/19 SCC Asistencia Técnica -
10/15/19 SCC Asistencia Técnica -
10/16/19 SCC Asistencia Técnica -
10/17/19 SCC Asistencia Técnica -
10/18/19 SCC Asistencia Técnica -
10/19/19 SCC Asistencia Técnica -
10/20/19 SCC Asistencia Técnica -
10/21/19 SCC Asistencia Técnica -
10/22/19 SCC Asistencia Técnica -
10/23/19 SCC Asistencia Técnica -
10/24/19 SCC Asistencia Técnica -
10/25/19 SCC Asistencia Técnica -
10/26/19 SCC Asistencia Técnica -
10/27/19 SCC Asistencia Técnica -
Servicio para instalacion y adecuacion electrica
2,586,956.0
10/28/19 SCC Asistencia Técnica contenedores 2,586,956.0
10/29/19 SCC Asistencia Técnica -
10/30/19 SCC Asistencia Técnica -
10/31/19 SCC Asistencia Técnica -
Are value added tax receipts enclosed?
Y N
Are spousal travel expenses on report? - - - - - - - 2,586,956.0 2,586,956.0
Y N
Original signatures ARE required in ink. SUB-TOTALS Company Paid Airfare Amount
Facsimile or electronic signatures will not be allowed. Enter Amount of Permanent Advance --> A. BUSINESS MEALS 466 -
RECONCILIATION OF ADVANCES AND EXPENSES B. ENTERTAINMENT 441 -
Employee Signature Date 1. Total of Expenses from Line H 2,586,956.0 C. AUTO EXPENSE 675 -
I HAVE REVIEWED THIS EXPENSE REPORT AND ALL EXPENSES ARE 2. Temporary Advance(s) D. CONVENTIONS 451
ORDINARY AND NECESSARY BUSINESS EXPENSES.
3. Company Paid Airfare E. DISTRICT EXPENSES 691
4. Total Advances (2+3) 2,000,000.0 EXPENSE HOT LINES: F. DISTRICT RENT 583
Approved By Date 5. Net Due Employee 586,956.0 Naperville 630-305-1433 or 1048 G. TOTAL COMPANY PAID AIRFARE -
CALL REPORTS HAVE BEEN 6. Net Due Company (Enclose Check) - Sugarland/Plant 281-263-7438 H. TOTAL EXPENSES 2,586,956.0
SUBMITTED, IF APPLICABLE INITIALS CC:Mail Hot Line: Expense Reports - Nalco Sugarland/Other 281-263-7441
AUTO EXPENSE REPORT (FOR COMPANY CARS ONLY)
NAME PERIOD CAR NUMBER
Jorge Leandro Quiñonez Amaya FROM 10/1/2019 TO 10/31/2019
GASOLINE OIL & OIL CHANGES MAINT. TIRES & PARKING
DATE TOTAL TOTAL BUS COST & TIRE WASHING MISC. TOTAL
GALS. LITERS ONLY QTS. COST REPAIR REPAIRS TOLLS
10/1/2019 -
10/2/2019 -
10/3/2019 -
10/4/2019 -
10/5/2019 -
10/6/2019 -
10/7/2019 -
10/8/2019 -
10/9/2019 -
10/10/2019 -
10/11/2019 -
10/12/2019 -
10/13/2019 -
10/14/2019 -
10/15/2019 -
10/16/2019 -
10/17/2019 -
10/18/2019 -
10/19/2019 -
10/20/2019 -
10/21/2019 -
10/22/2019 -
10/23/2019 -
10/24/2019 -
10/25/2019 -
10/26/2019 -
10/27/2019 -
10/28/2019 -
10/29/2019 -
10/30/2019 -
10/31/2019 -
11/1/2019 -
TOTAL DOLLARS - 0.00 0.00 0.00 0.00 0.00 0.0
TOTAL QUANTITY 0.0 0.0 0 TOTAL $
01 02 03 04 05 06 07 08 Report in C
ENDING ODOMETER READING 1 21 - IMPORTANT -
DO NOT INCLUDE ANY COSTS PAID FOR DIRECTLY BY NALCO
BEGINNING ODOMETER READING 2 (LIST REDEEMABLE EXPENSES ONLY) ENCLOSE RECEIPTS FOR ITEMS $25.00 AND OVER

TOTAL MILES THIS PERIOD 3 A. Is the car used for commuting? Distance (if yes): Yes No
BUSINESS MILES 4 B. Is another vehicle available for personal use? Yes No
PERSONAL MILES (3 MINUS 4) C. Do you have records for sufficient evidence to support the business claims? Yes No
 BUSINESS MEALS Jorge Leandro Quiñonez Amaya. 10/1/2019 10/31/2019
NAME OF CUSTOMER BUSINESS RELATIONSHIP TYPE OF RESTAURANT
DATE BUSINESS DISCUSSED AMOUNT
OR PROSPECT (POSITION AND CO.) MEAL (NAME AND LOCATION)

B-BREAKFAST L-LUNCH D-DINNER TOTAL $ (REPORT IN BOX A) -

General Include receipts for motels, hotels as well as items $25.00 and over. Use separate schedule for business meals (Form CD-79) if necessary.
Instructions: Report preparation, policy and procedures for reporting travel, entertainment and similar expenses are explained within Form 685.
ENTERTAINMENT (See expense reporting instructions, Form 685) #NAME?
DATE NAMES TITLE AND COMPANY PLACE & NATURE OF ENTERTAINMENT AMOUNT

LOCATION OF BUSINESS DISCUSSED DURATION SPECIFIC BUSINESS DISCUSSED

DATE NAMES TITLE AND COMPANY PLACE & NATURE OF ENTERTAINMENT AMOUNT

LOCATION OF BUSINESS DISCUSSED DURATION SPECIFIC BUSINESS DISCUSSED

DATE NAMES TITLE AND COMPANY PLACE & NATURE OF ENTERTAINMENT AMOUNT

LOCATION OF BUSINESS DISCUSSED DURATION SPECIFIC BUSINESS DISCUSSED

USE SEPARATE SCHEDULE FOR ENTERTAINMENT FORM(CD-80) IF NECESSARY. TOTAL $ REPORT IN BOX B 0.00
 Help

NALCO CHEMICAL COMPANY

EXPENSE REPORT
RELEASE 2.0

The Expense Reporting Policy and Procedures for Travel, Entertainment and Similar Expenses Manual
should be used for reference to questions pertaining to what and how to fill out an expense report.

EXPRPT.XLT is the Nalco Chemical Company Expense Report template. When a template is opened,
Excel creates a copy of the template for you to work with. This leaves the original template intact for the
next time you need it.

The EXPRPT.XLT file may be used from a floppy drive, hard drive, or network drive. To copy the file to
another drive, start File Manager, choose File-Copy, and type the new path (ex: c:\excel\exprpt.xlt).
Always keep the original filename EXPRPT.XLT.

Personal Information that you enter will be stored on the hard drive of your computer if you choose 'Save
as Default'. Your personal information will automatically be brought in each time you re-use the
EXPRPT.XLT file on that same computer.

The Date Range dialog box allows you to enter a start and end date. If you would like the date range filled
in on both the Auto Report and Summary Report, choose the 'Fill-In Date Range' option.

The Main Menu can be accessed using Ctrl+m. The Main Menu will allow you to go directly to specific
reports, add additional pages to reports, print and save your expense report.

The Business Meals and Entertainment reports can be expanded to accept more information. To add
another page to one of these reports, use Ctrl+m to go to the Main Menu and then choose either the 'Add
Business Meals' or 'Add Entertainment Page' button.

The Print Menu allows you to print any combination of the expense reports. To access the Print Menu,
use Ctrl+M to go to the Main Menu and then choose the 'Print Menu' button.

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