Expense Account Print Form
Employee Name:
Employee ID:
SLB Internet Business Solutions
Department: PO Box 131385
Springfield, IL
Expenses From (date): Any Country
62791-3185
Expenses To (date): Phone: 111-222-3333
Fax: 111-222-4444
http://www.slbibs.com
Expense Date Expense Description Cost Center Expense Amount Comments:
Total Expenses
Total Advance
Signature: Date: Total Reimbursement
Authorized By: Internal Use Only
Amount Paid Check No. Date