Sheet1
EXPENSE REPORT
Last Name First Name Department Year Employee Number
Expenses Paid by Employee
Date Client Description of Expenses Miles Travel Hotel Food Entertain. Other Account
Month Day Wday (Nature of Expense) (Tolls, Park)
$ per mile 0.296
Total mile Total Expenses
Temporary advance
Amount due
I hereby certify that the above expenditures were spent for legitimate Company business only and include no items of a personal nature.
Signature Date Approved By Date
Receipts must be attached for all expenditures.