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Expense

Reimbursement

Employee Name: LUCAS SANTOS Expense Period


ID: LSHP From: 2016
To: 2017
Manager Name:
Department:

Itemized Expenses [42]

DATE DESCRIPTION CATEGORY COST


1/02/2017 TRAVEL TO NEW WORK LOCATION ON DUTY TRAVEL 1050

SUBTOTAL $ - 1050
Note: Mileage reimbursement for personal car = $0.XX/mile Less Cash Advance
TOTAL
$ - 1050
REIMBURSEMENT
Don't forget to attach
receipts!

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