EMPLOYEE EXPENSE REPORT WITH MILEAGE TEMPLATE

REPORTING PERIOD AND TRAVEL INFORMATION

STARTING DATE ENDING DATE TRAVEL FROM TRAVEL TO PURPOSE

XX/XX/XX XX/XX/XX PA NC Quarter 1 owner deliverables

SUBMITTED BY SUBMITTED TO
NAME TITLE DEPARTMENT PHONE EMPLOYEE ID MANAGER MANAGER TITLE PHONE

Bert D. Sales Associate Sales XXX-XXX-XXXX 8954 Nora W. Sr. Associate XXX-XXX-XXXX

MILEAGE REIMBURSEMENT TRAVEL EXPENSE REIMBURSEMENT

REIMBURSEMENT RATE TOTAL MILES TOTAL MILEAGE REIMBURSEMENT TOTAL TRAVEL REIMBURSEMENT

$1.00 767 $767.00 $2,757.50

MILEAGE EXPENSE DETAILS

VEHICLE TYPE ODOMETER READINGS
DATE VEHICLE TOTAL MILES COMMENTS
RENTAL WORK PERSONAL START END

xx/xx/xx 2019 Honda Accord X 8762 8941 179 JV partners ride share with design team

xx/xx/xx 2022 Kia Sportage X 9241 9448 207 Enterprise Rental

xx/xx/xx 2020 Ford Ranger X 2001 2128 127

2001 2128 127

2001 2128 127

GENERAL EXPENSE DETAILS

DATE DESCRIPTION LODGING MEALS SUPPLIES PARKING AIRFARE TRANSPORTATION RENTAL VEHICLE OTHER DAILY TOTALS COMMENTS

XX/XX/XX Client meeting $ 150.00 $ 85.00 $ - $ 20.00 $ 700.00 $ 12.00 $ 300.00 $ - $ 1,267.00

Copy center supplies, donation to client

XX/XX/XX Proposal delivery $ 300.00 $ 120.00 $ 25.00 $ 6.50 $ 845.00 $ 44.00 $ 300.00 $ 50.00 $ 1,690.50 organization

$ - $ - $ - $ - $ - $ - $ - $ - $ -

$ - $ - $ - $ - $ - $ - $ - $ - $ -

$ - $ - $ - $ - $ - $ - $ - $ - $ -

$ - $ - $ - $ - $ - $ - $ - $ - $ -

$ - $ - $ - $ - $ - $ - $ - $ - $ -

CATEGORY TOTALS $ 450.00 $ 205.00 $ 25.00 $ 26.50 $ 1,545.00 $ 56.00 $ 600.00 $ 50.00

SUBTOTAL $ 2,957.50

*DON’T FORGET TO ATTACH ALL RECEIPTS* ADVANCES $ 200.00

TOTAL TRAVEL EXPENSES REIMBURSEMENT $ 2,757.50

ADDITIONAL NOTES - FOR OFFICE USE ONLY

APPROVAL
REQUESTED BY SIGNATURE DATE

Bert D. xx/xx/xx

APPROVED BY SIGNATURE DATE

Nora W. xx/xx/xx
EMPLOYEE EXPENSE REPORT WITH MILEAGE TE
REPORTING PERIOD AND TRAVEL INFORMATION
STARTING DATE ENDING DATE

XX/XX/XX XX/XX/XX

SUBMITTED BY
NAME TITLE DEPARTMENT

MILEAGE REIMBURSEMENT
REIMBURSEMENT RATE TOTAL MILES

$0.00 0

MILEAGE EXPENSE DETAILS

VEHICLE TYPE
DATE VEHICLE
RENTAL

xx/xx/xx

xx/xx/xx X

xx/xx/xx

GENERAL EXPENSE DETAILS

DATE DESCRIPTION

XX/XX/XX
 XX/XX/XX

CATEGORY TOTALS

*DON’T FORGET TO ATTACH ALL RECEIPTS*

ADDITIONAL NOTES - FOR OFFICE USE ONLY

APPROVAL
REQUESTED BY SIGNATURE

APPROVED BY SIGNATURE
WITH MILEAGE TEMPLATE

ENDING DATE TRAVEL FROM TRAVEL TO PURPOSE

XX/XX/XX

SUBMITTED TO
PHONE EMPLOYEE ID MANAGER MANAGER TITLE

TRAVEL EXPENSE REIMBURSEM

TOTAL MILEAGE REIMBURSEMENT TOTAL TRAVEL REIMBURS

$0.00 $0.00

VEHICLE TYPE ODOMETER READINGS

TOTAL MILES
WORK PERSONAL START END

X 0 0 0

0 0 0

X 0 0 0

0 0 0

0 0 0

LODGING MEALS SUPPLIES PARKING

$ - $ - $ - $ -
 $ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

SIGNATURE DATE

xx/xx/xx

SIGNATURE DATE

xx/xx/xx
 PURPOSE

MANAGER TITLE PHONE

L EXPENSE REIMBURSEMENT
TOTAL TRAVEL REIMBURSEMENT

$0.00

COMMENTS

AIRFARE TRANSPORTATION RENTAL VEHICLE OTHER

$ - $ - $ - $ -
$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

$ - $ - $ - $ -

SUBTOTAL

ADVANCES

TOTAL TRAVEL EXPENSES REIMBURSEMENT

 DAILY TOTALS COMMENTS

$ -
 Copy center supplies, donation to client
$ - organization

$ -

$ -

$ -

$ -

$ -

$ -

$ -

$ -
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