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Statement number:

Expense Statement
Employee information

Pay period

Name

Department

Employee ID

From

Manager

To

Position

Date

Account

Description

Hotel

0.00

Approved by

For Office Use Only

Notes

Transport

0.00

Fuel

0.00

Meals

0.00

Phone

0.00

Entertain.

0.00

Misc.

0.00
Subtotal
Advances
TOTAL

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

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