EMPLOYEE EXPENSE CLAIM

Kindly check/highlight corresponding box if expense is for reimbursement or liquidation.

TYPE: Reimbursement

NAME : SARAH MAE M. MABAYLAN DEPARTMENT : Supply Chain COST CENTER : 3120
PERIOD
COVERED PLATE NO. OF
April 14-April 21, 2017 COMPANY CAR :
:

STAFF TRAVEL (tolls, STAFF MEALS BUSINESS ENTERTAINMENT Communication OTHERS

DATE DETAIL gasoline, parking, etc) (exp.related for client entertainment) TOTAL FINANCE USE ONLY
1 2 3 4 Expense Type Amount
04/14/17 Waybill Fee for Soengrace Semen Sales Courier/LBC 526.25 526.25
04/14/17 Waybill Fee for First Republic Semen Sales Courier/LBC 596.60 596.60 Col A/C Code Cost Center Amount Accommo
04/15/17 Waybill Fee for Capas Agri-Top Semen Sales Courier/LBC 596.60 596.60 1 6010010 1,516.00 Car Parts
04/16/17 Waybill Fee for CSFI Semen Sales Courier/LBC 575.80 575.80 2 6020010 321.00 Car Wash
04/17/17 Waybill Fee for Soengrace Semen Sales Courier/LBC 526.25 526.25 3 6020016 0.00 Vulcanize
04/18/17 Motorcycle Fee (Excelsior Farm-Toledo) 150.00 150.00 4 6110010 0.00 Office Sup
04/18/17 Van Fare (Toledo-Cebu City) 100.00 100.00 5 6130010 0.00 Other Sup
04/18/17 Taxi Fare (Cebu City-Pier 1) 82.00 82.00 6 6015010 0.00 Courier/LB
04/18/17 Dinner 146.00 146.00 7 5725010 0.00 Airfare
04/18/17 Bus Fare for Suntory Semen Sales Courier/LBC 200.00 200.00 8 5725012 0.00 Promotion
04/18/17 LBC Fee for Androstar sent to 3J Courier/LBC 185.00 185.00 9 5725013 0.00 Other Sta
04/18/17 LBC Fee for Blood Sample sent to Optifarm Courier/LBC 285.00 285.00 10 6205010 0.00 Taxes - G
04/18/17 2GO Ticket Fare (Cebu-Cagayan de Oro City) 1,014.00 1,014.00 11 6295010 0.00
04/19/17 Breakfast 175.00 175.00 12 6125010 3,606.50
04/19/17 Cebu Port Terminal Fee 25.00 25.00 13 6005010 0.00
04/19/17 Bus Fare (Cagayan de Oro-Naawan) 145.00 145.00 14 6610010 0.00
04/21/17 LBC Fee for Documents sent to Main Office Courier/LBC 115.00 115.00 15 7995021 0.00
- 16 7310010 0.00
- 17 5505015 0.00
- 18
- 19
- 20
- 5,443.50
-
-
-
-
-
-
-
-

TOTALS 1,516.00 321.00 0.00 0.00 3,606.50 5,443.50

I CONFIRM THAT ALL EXPENSES RELATE TO BUSINESS MATTERS AND ALL RECEIPTS ARE ATTACHED. CASH ADVANCE

RETURN

EMPLOYEE'S SIGNATURE : DATE : 03/05/17 PAID 5,443.50 TOTAL PAID P5,443.50

CERTIFIED CORRECT/APPROVED
DATE :
BY :