EXPENSE REPORT
STATEMENT NUMBER: PAY PERIOD: FROM TO
EMPLOYEE INFORMATION
NAME: POSITION: PURPOSE:
DEPARTMENT: MANAGER: EMPLOYEE ID:
DATE
DESCRIPTION
LODGING
TRANSPORT
FUEL
MEALS
PHONE
ENTERTAINMENT
OTHER
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
$0.00
$0.00
$0.00
$0.00
AUTHORIZED BY
NOTES
SUBTOTAL $0.00
ADVANCES
TOTAL REIMBURSEMENT $0.00