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MyExpense Reports Request

For Online Requests Submitted Through MyExpense





MyExpense reports are available to distribute to departments who need reporting

to provide visibility to expense reports submitted through the automated solution.





Reports may be provided at the Detailed and Summary levels or both, and can be

set up to be emailed at the frequency of one-time, weekly or monthly.



Please contact the MyExpense Administrator at MyExpense@ucsf.edu if you

have any questions regarding this form.

MyExpense Reports Request

This form requests MyExpense reports at the detailed and/or summary level to provide visibility to expense reports

submitted through the automated solution.





Requestor Name and Title





Requestor Email Address





Department





Detail Summary Both

Request report by



List the Dept Codes in the fields below. Attach additional sheets, if needed.









Frequency one-time





weekly





monthly









Signature Date









Email this form to your Finance Manager. Your Finance Manager will

then need to email the signed image copy to MyExpense@ucsf.edu.

Report Key Employee ID Employee Report Date Sent for Payment Date

227 99999999 LAST, FIRST, M Mar 22, 2011 Mar 26, 2011





543 99999999 LAST, FIRST, M Apr 6, 2011 Apr 6, 2011





820 99999999 LAST, FIRST, M Apr 20, 2011 Apr 21, 2011





1118 99999999 LAST, FIRST, M Apr 26, 2011 Apr 29, 2011









1134 99999999 LAST, FIRST, M Apr 26, 2011 May 3, 2011









1177 99999999 LAST, FIRST, M Apr 27, 2011 Apr 28, 2011









1249 99999999 LAST, FIRST, M Apr 28, 2011 Apr 29, 2011









1258 99999999 LAST, FIRST, M Apr 28, 2011 Apr 29, 2011





1261 99999999 LAST, FIRST, M Apr 28, 2011 Apr 29, 2011









1321 99999999 LAST, FIRST, M Apr 29, 2011 Apr 30, 2011





1356 99999999 LAST, FIRST, M Apr 29, 2011 May 2, 2011





1362 99999999 LAST, FIRST, M Apr 29, 2011 May 2, 2011





1385 99999999 LAST, FIRST, M May 2, 2011 May 4, 2011









1397 99999999 LAST, FIRST, M May 2, 2011 May 3, 2011





1448 99999999 LAST, FIRST, M May 3, 2011 May 4, 2011





1470 99999999 LAST, FIRST, M May 3, 2011 May 4, 2011









1474 99999999 LAST, FIRST, M May 3, 2011 May 3, 2011

1699 99999999 LAST, FIRST, M May 5, 2011 May 6, 2011





1843 99999999 LAST, FIRST, M May 6, 2011 Jun 24, 2011









2080 99999999 LAST, FIRST, M May 10, 2011 May 11, 2011

MyExpens

Report Name Purpose Approval Status

Team Meeting_March 16 2011 Team Meeting Approved





04/06/11 Long Distance Meeting Contact participants in program Approved





04/13/11 Intnl Tele (Moscow) Embassy Call re Visa Approved





Doe-Reimb_20110425 research supplies for XXX project Approved









REIMB-P.Doe Communications and parking for work-rel. meeting Approved









Doe-WashingtonDC Attend conference--Research Strategies Approved









Smith-Conference Travel Attend 6th XXXX conference June 19-22 Approved









Smith-WashingtonDC Attend the Conference Approved





Smith-Montreal Attend Workshop Approved









Doe-CXXX99X9 Book for research Approved





011111 Acad of Sci UCSF Event attendance by visiting scholars Approved





05/24/11 San Francisco To attend the Medical Retreat Approved





02/01/11 Lic.&Training Software license and training fee to execute work requirements Approved









4/30/11 Conf. Registration Fees To attend the 2011 Annual Research Meeting Approved





Michael Doe Reimbursement for farewell luncheon for John Doe Approved





05/03/11 Membership Renewal Americal Test Assoc. membership and subscription renewal Approved









05/03/11 Boston Attend the Test Conference Approved

05/05/2011 Membership Renewal Renew membership to American Test Society Approved





4/11/11 Doe-Travel Project site visits (Kenya-multiple sites) for Pilot Project Approved









5/6/2011 Course Fee + Parking Course Registration Fee + Parking-CME Approved

MyExpense - Detail Report

Payment Status Submitted by a Delegate Guest Reimbursement? Guest First Name Guest Last Name Dept Code

Payment Confirmed Y No 999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900

999900

Payment Confirmed Y No 999900





Payment Confirmed Y No 999900

999900





Payment Confirmed Y No 999900

999900

Fund Fund Year DPA Amount NCA Total Expense Amount Total Cash Advance Used

60547 999900 63.56 999900

63.56 0.00

80801 999900 49.76 999900

49.76 0.00

80801 999900 36.73 999900

36.73 0.00

32092 05 999900 274.66 999900

32092 05 999900 300.00 TBD

574.66 0.00

20186 999900 15.00 999900

20186 999900 92.82 TBD

107.82 0.00

33922 999900 238.58 999900

33922 999900 319.40 999900

557.98 0.00

32092 05 999900 865.56 999900

32092 05 999900 1,381.20 999900

2,246.76 0.00

32092 05 999900 319.40 999900

319.40 0.00

64565 999900 459.02 999900

64565 999900 898.78 999900

1,357.80 0.00

32092 999900 81.96 999900

81.96 0.00

80801 999900 113.00 999900



99999999 113.00 0.00

80172 999900 429.40 999900

429.40 0.00

71974 999900 345.00 999900

71974 999900 715.50 TBD

1,060.50 0.00

32092 05 999900 560.00 999900

560.00 0.00

60547 999900 89.20 999900

89.20 0.00

60547 999900 115.00 999900

60547 999900 150.00 999900

265.00 0.00

32092 05 999900 695.00 999900

32092 05 999900 1,150.91 999900

1,845.91 0.00

09545 999900 50.00 999900

50.00 0.00

83966 05 999900 2,221.72 999900

83966 05 999900 5,776.15 999900

7,997.87 0.00

32091 05 999900 73.50 999900

32091 05 999900 421.58 TBD

495.08 0.00

Total Cash Advance Returned Total Reimbursement





0.00 63.56





0.00 49.76





0.00 36.73









0.00 574.66









0.00 107.82









0.00 557.98









0.00 2,246.76





0.00 319.40









0.00 1,357.80





0.00 81.96





0.00 113.00





0.00 429.40









0.00 1,060.50





0.00 560.00





0.00 89.20









0.00 265.00









0.00 1,845.91

0.00 50.00









0.00 7,997.87









0.00 495.08

Delegate Report Legacy Key Submitted by a Delegate Employee ID Employee

227 Y

LAST, FIRST 999999999 LAST, FIRST M

LAST, FIRST 543 Y

LAST, FIRST 820 Y 999999999 LAST, FIRST M

LAST, FIRST 1118 Y

LAST, FIRST 999999999 LAST, FIRST M

LAST, FIRST 1134 Y

LAST, FIRST 1177 Y 999999999 LAST, FIRST M

LAST, FIRST 1249 Y

LAST, FIRST 1258 Y 999999999 LAST, FIRST M

LAST, FIRST 1261 Y

LAST, FIRST 1321 Y 999999999 LAST, FIRST M

LAST, FIRST 1356 Y

LAST, FIRST 1362 Y 999999999 LAST, FIRST M

LAST, FIRST 1385 Y

LAST, FIRST 1397 Y 999999999 LAST, FIRST M

LAST, FIRST 1448 Y

LAST, FIRST 1470 Y 999999999 LAST, FIRST M

LAST, FIRST 1474 Y

LAST, FIRST 1699 Y 999999999 LAST, FIRST M

LAST, FIRST 1843 Y

LAST, FIRST 2080 Y 999999999 LAST, FIRST M

LAST, FIRST 2145 Y

LAST, FIRST 2185 Y 999999999 LAST, FIRST M

LAST, FIRST 2206 Y

LAST, FIRST 2216 Y 999999999 LAST, FIRST M

LAST, FIRST 2218 Y

LAST, FIRST 2221 Y 999999999 LAST, FIRST M

LAST, FIRST 2376 Y

LAST, FIRST 2421 Y 999999999 LAST, FIRST M

LAST, FIRST 2424 Y

LAST, FIRST 2432 Y 999999999 LAST, FIRST M

LAST, FIRST 2465 Y

LAST, FIRST 2474 Y 999999999 LAST, FIRST M

LAST, FIRST 2475 Y

LAST, FIRST 2504 Y 999999999 LAST, FIRST M

LAST, FIRST 2514 Y

LAST, FIRST 2515 Y 999999999 LAST, FIRST M

LAST, FIRST 2567 Y

LAST, FIRST 999999999 LAST, FIRST M

LAST, FIRST 2575 Y

LAST, FIRST 2584 Y 999999999 LAST, FIRST M

2584 Y

LAST, FIRST

LAST, FIRST 2595 N 999999999 LAST, FIRST M

LAST, FIRST 2635 Y

LAST, FIRST 2648 Y 999999999 LAST, FIRST M

LAST, FIRST 2662 Y

LAST, FIRST 2701 Y 999999999 LAST, FIRST M

LAST, FIRST 2712 Y

LAST, FIRST 2731 Y 999999999 LAST, FIRST M

MyExpense Summary

Guest Reimbursement? Guest First Name Guest Last Name Report Name

No Team Meeting_March 16 2011





No 04/06/11 Long Distance

No 04/13/11 Intnl Tele

No Doe-Reimb_99999999





No REIMB-John Doe

No Doe-WashingtonDC

No Doe-Maastricht

No Smith-WashingtonDC

No Smith-Montreal

No Smith-CY9999999

No 099999 Acad of Sci

No 05/24/11 San Francisco

No 02/01/11 Lic.&Training

No 4/30/11 Conf. Registration Fees

No John Doe

No 05/03/11 Membership Renewal

No 05/03/11 Boston

No 05/05/2011 Membership Renewal

No 4/11/11 Smith Travels

No 5/6/2011 Course Fee + Parking

No 4/29/2011 Class Registr Fee

No TLZZ0999 - John Doe

No TLZZ0777 - John Doe

No TLZZ0555 - Jane Doe

No 5/6/2011 Seattle

No 5/4/2011 London

No 05/11/2011 Comp-keyboard Reimb

No 050511 Field Trip

No 05/13/2011 Pizza Seminar Drinks

No 05/13/2011 Ntwk Wiring

No TLZZ0222- Charles Doe

No 5/16/2011 Conference Reg Fee

No TLZZ0225 - Jane Doe

No 7/4/2011 Montreal

No TLZZ0666 - Michelle Doe

No 5/7/2011 Phoenix

No 4/29/11 - Washington DC





No 5/7/2011 Phoenix

No 5/7/11 - Phoenix, AZ

No 5/7/11 - Phoenix, AZ





No Costco Pre-paid calling cards

No 2/11/2011 Los Angeles

No 5/17/2011 Study Supplies Reimb

No Project Specific Supplies

No 5/16/2011 Poster reimb

No CLZZ000 - Theresa Doe

No TLZZ0888 - Merrill Lynch

MyExpense Summary Report

Purpose Approval Status Payment Status Created Date

Team Meeting Approved Payment Confirmed Mar 22, 2011





Contact participants in program Approved Payment Confirmed Apr 6, 2011

Embassy Call re Visa Approved Payment Confirmed Apr 20, 2011

research supplies for XXX project Approved Payment Confirmed Apr 26, 2011





Communications and parking for work-rel. meeting Approved Payment Confirmed Apr 27, 2011

Attend conference Approved Payment Confirmed Apr 27, 2011

Attend XXXXX conference Approved Payment Confirmed Apr 28, 2011

Attend the XXXXX Conference Approved Payment Confirmed Apr 28, 2011

Attend Workshop Approved Payment Confirmed Apr 28, 2011

Book for research Approved Payment Confirmed Apr 29, 2011

UCSF Event attendance by visiting scholars Approved Payment Confirmed Apr 30, 2011

To attend the Medical Retreat Approved Payment Confirmed Apr 30, 2011

Software license and training fee to execute work requirements Approved Payment Confirmed May 2, 2011

To attend the 2011 Annual Research Meeting Approved Payment Confirmed May 2, 2011

Reimbursment for farewell luncheon for John Smith Approved Payment Confirmed May 3, 2011

American Medical Assoc. membership and subscription renewal Approved Payment Confirmed May 3, 2011

Attend the Conference on Medical Infections Approved Payment Confirmed May 3, 2011

Renew membership to American Society of Testing Approved Payment Confirmed May 5, 2011

Project site visits (Kenya-multiple sites) Approved Payment Confirmed May 6, 2011

Course Registration Fee + Parking-CME Approved Payment Confirmed May 10, 2011

Registration fee for continuing medical education course Approved Payment Confirmed May 11, 2011

Travel Exp. Reimbursment to attend meeting in Washington DC Approved Payment Confirmed May 11, 2011

Travel to attend Steering Committee meeting in Chicago Approved Payment Confirmed May 11, 2011

Travel to attend Steering Committee Meeting in Chicago Approved Payment Confirmed May 11, 2011

Attend working group meeting in Seattle, WA Approved Payment Confirmed May 11, 2011

To attend XXX Meeting Approved Payment Confirmed May 11, 2011

Project-related customized work computer and ergonomic keyboard Approved Payment Confirmed May 13, 2011

Visiting Scholars Bay Area Field Trip Approved Payment Confirmed May 13, 2011

Refreshements for 5/13 Pizza Seminar Approved Payment Confirmed May 13, 2011

Reimb for wiring used to repair wireless network access pts Approved Payment Confirmed May 13, 2011

To travel and attend Steering Committee meeting in Chicago Approved Payment Confirmed May 16, 2011

Registration fee for Surgery Annual Mtg Approved Payment Confirmed May 16, 2011

To attend meeting in Bethesda, Maryland Approved Payment Confirmed May 16, 2011

To attend meeting Montreal, Quebec Approved Payment Confirmed May 16, 2011

To attend Steering Committee meeting in Chicago Approved Payment Confirmed May 16, 2011

To attend Medicine conference 2011 Approved Payment Confirmed May 16, 2011

Research and education translational research meeting Approved Payment Confirmed May 16, 2011





To attend the Medicine conference Approved Payment Confirmed May 16, 2011

Attended XXXX conference to present research and for education Approved Payment Confirmed May 16, 2011

Attended XXXX conference to present research and for education Approved Payment Confirmed May 16, 2011





purchase to support grant-related activities Approved Payment Confirmed May 17, 2011

Meeting with grant sponsor, Dr. Spock, at Cedars-Sinai Hospital Approved Payment Confirmed May 17, 2011

Reimbursement for supplies needed to execute study procedures Approved Payment Confirmed May 17, 2011

Printer cartridge and port adapter for for her office computer Approved Payment Confirmed May 17, 2011

Poster printing cost reimbursement for XXX Project Approved Payment Confirmed May 17, 2011

Membership fees Approved Payment Confirmed May 17, 2011

Travel reimbursement to attend Steering Committee meeting Approved Payment Confirmed May 17, 2011

First Submitted Date Total Report Amount Total Claimed Amount Total Approved Amount Total Cash Advance Used

Mar 22, 2011 63.56 63.56 63.56 0.00





Apr 6, 2011 49.76 49.76 49.76 0.00

Apr 20, 2011 36.73 36.73 36.73 0.00

Apr 26, 2011 574.66 574.66 574.66 0.00





Apr 27, 2011 107.82 107.82 107.82 0.00

Apr 27, 2011 557.98 557.98 557.98 0.00

Apr 28, 2011 2,246.76 2,246.76 2,246.76 0.00

Apr 28, 2011 319.40 319.40 319.40 0.00

Apr 28, 2011 1,357.80 1,357.80 1,357.80 0.00

Apr 29, 2011 81.96 81.96 81.96 0.00

Apr 30, 2011 113.00 113.00 113.00 0.00

May 2, 2011 429.40 429.40 429.40 0.00

May 2, 2011 1,060.50 1,060.50 1,060.50 0.00

May 2, 2011 560.00 560.00 560.00 0.00

May 3, 2011 89.20 89.20 89.20 0.00

May 3, 2011 265.00 265.00 265.00 0.00

May 3, 2011 1,845.91 1,845.91 1,845.91 0.00

May 5, 2011 50.00 50.00 50.00 0.00

Jun 3, 2011 7,997.87 7,997.87 7,997.87 0.00

May 10, 2011 495.08 495.08 495.08 0.00

May 11, 2011 250.00 250.00 250.00 0.00

May 11, 2011 1,859.84 1,859.84 1,859.84 0.00

May 11, 2011 521.20 521.20 521.20 0.00

May 11, 2011 594.38 594.38 594.38 0.00

May 11, 2011 352.55 352.55 352.55 0.00

May 11, 2011 133.98 133.98 133.98 0.00

May 31, 2011 4,114.08 4,114.08 4,114.08 0.00

May 13, 2011 311.20 311.20 311.20 0.00

May 13, 2011 20.35 20.35 20.35 0.00

May 13, 2011 19.60 19.60 19.60 0.00

May 16, 2011 580.01 580.01 580.01 0.00

May 16, 2011 530.00 530.00 530.00 0.00

May 16, 2011 1,242.26 1,242.26 1,242.26 0.00

May 16, 2011 1,025.02 1,025.02 1,025.02 0.00

May 16, 2011 518.76 518.76 518.76 0.00

May 16, 2011 599.10 599.10 599.10 0.00

May 19, 2011 1,788.20 1,788.20 1,788.20 0.00





May 16, 2011 2,141.29 2,141.29 2,141.29 0.00

May 19, 2011 1,807.79 1,807.79 1,807.79 0.00

May 19, 2011 1,807.79 1,807.79 1,807.79 0.00





May 17, 2011 59.97 59.97 59.97 0.00

May 17, 2011 433.46 433.46 433.46 0.00

May 17, 2011 266.15 266.15 266.15 0.00

May 17, 2011 139.22 139.22 139.22 0.00

May 17, 2011 135.71 135.71 135.71 0.00

May 17, 2011 245.00 245.00 245.00 0.00

May 17, 2011 525.51 525.51 525.51 0.00

Total Cash Advance Returned

0.00





0.00

0.00

0.00





0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

0.00

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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