Expense claim

PURPOSE AND DESTINATION: Date:

APPROVED BY :

EMPLOYEE'S DATA :
Name
Department  Employee's N°

Invoice Budget Totanl in

Date Vendor Description Currency Exch. rate Amount in USD
Number Code currency

USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -
USD 1.00 $ -

Sub-total $ -
Advances $ -
Total $ -