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          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.  
                                       
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