1. [Insert Company Logo] Expense Report
PURPOSE: COST CENTER: Vendor
EMPLOYEE INFORMATION: Batch
Name New Address? Ref
Address Phone PAY PERIOD From
To
Date
Meals & Entertainment Sun Mon Tues Wed Thurs Fri Sat Chg to Co Total Account
Breakfast $0.00
Lunch $0.00
Dinner $0.00
Entertainment $0.00
Tips $0.00
Total: $0.00
Date
Auto Expenses Sun Mon Tues Wed Thurs Fri Sat Chg to Co Total Account
Rental $0.00
Fuel $0.00
Parking $0.00
Milage $0.00
Total: $0.00
Date
Other Expenses Sun Mon Tues Wed Thurs Fri Sat Chg to Co Total Account
Hotel $0.00
Airfare $0.00
T&E Other $0.00
Office Supplies $0.00
Other $0.00
Other $0.00
Total: $0.00
Phone/Internet Month Account # Amount Chg to Co Total Account
Cell Phone $0.00
Interenet $0.00
Home Phone $0.00 Total T &E: $0.00
Hotel Phone $0.00 Less Advance
Hotel Internet $0.00 Net due to EE: $0.00
Total: $0.00
Employee Signature 1. All expenses should be supported by attached original receipt.
2. All expenses should be detailed on a separate sheet or next to receipt.
Manager Approval 3. Expenses listed on this report should include:
Accounting Approval a. Items charged to and to be paid by the company.
b. Charges an employee has paid and should be reinbursed for.

2. Auto Milage
Date From To Miles Rate Client Amount
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
$0.39 $0.00
0 Total $0.00
Entertainment/Meals/Tips
Date No. Names/Account/Title Place/Purpose Amount
Total $0.00
Other Expenses
Date Description Place Purpose Amount
Total $0.00

3. Receipts
Name:
SSN:
Receipt No. Date Place/Service Explanation Amount
Total: $0.00