Expense Report Sample
Expense Report Sample
Page 1 of 1
Date 12/5/2007 12/5/2007 12/8/2007 12/9/2007 12/10/2007 Page 1 Company
Items Location SUB 01
NYC NYC NYC NYC NYC TOTALS Totals ACCT NO
Mileage( explain on reverse) 0.00 0.00 74050
Airline (attach ticket copy) 1,215.00 1,215.00 1,215.00 74000
Auto Rental 0.00 0.00 74010
Hotel (attach folio & credit card receipt) 1,750.00 1,750.00 1,750.00 74030
Personal Meals B 15.00 15.00 15.00 45.00
(itemize each meal) L 0.00 45.00 74040
D 0.00
Business Meals B 0.00
(explain on reverse) L 66.28 66.28 176.79 74040
D 110.51 110.51
Entertainment (explain on reverse) 0.00 0.00 74020
Telephone 0.00 78340
Ground Trans. (taxis, parking , etc) 35.00 16.50 32.00 33.00 17.00 133.50 74070
Tips/Baggage Handling 5.00 5.00 10.00 10.00 74060
Other: (explain on reverse) 0.00 0.00
0.00 0.00
Employee Relations 745.00 745.00 745.00 72060
Rental car and medical visit 150.00 150.00 150.00 74060
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
0.00 0.00
Totals 1,321.28 127.01 792.00 198.00 1,770.00 0.00 0.00 4,108.79 4,225.29
Employee Signature Date Less: Outstanding Employee Adv.
23-Mar-11 Net Due Due Employee 4,225.29
Departmental Approval Due Company (attach check)
23-Mar-11
Finance Approval Date
23-Mar-11
Date of Report:
3/23/2011
Company Name
Title Number
7002
7002
7002
7002
7002
7002
7002
7002
"Company A" - Expense Report 0
3/23/2011