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"Company A" Expense Report

Name (Last, First) Location Phone


x-1470
Business Purpose and Destination:

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

Business Meal and Entertainment Expense Record


Amount
Date Miles @ 32.5cents Place Person(s) Entertained: (Name/Title/Company) Business Purpose/Discussion Amount
12/5/2007 Dish of Salt 66.28
12/5/2007 Ben Bensons Royalty reporting. 110.51

Total 0.00 Total 176.79

Date Account No Miscellaneous Explanations/Remarks Amount


12/8/07 396-8500 employee event at the home depot center 745.00
12/9/07 396-4500 costs for rental car and medical treatment due to an accident at an employee event 150.00
0.00

Currency: Exchange rate $1 =

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