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Atlas-Energy-Expenses-form

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Luchthavenweg 6b Wijkermeerstraat 32,

1786 PP Den Helder, The Netherlands 2131 HA Hoofddorp, The Netherlands

T: +31 223 67 03 70 T: +31 23 556 04 23

F: +31 223 63 37 65 F: +31 23 556 04 49

denhelder@atlasservicesgroup.com hoofddorp@atlasservicesgroup.com









EXPENSES





Name: Month:

Project:







AMOUNTS EXCHANGED INTO EUR

Receipt Amount Exchange Charge

number Date Description Type of expense Currency currency rate Hotel / meals Travel Telephone Others to client

1 Y/N

2 Y/N

3 Y/N

4 Y/N

5 Y/N

6 Y/N

7 Y/N

8 Y/N

9 Y/N

10 Y/N

11 Y/N

12 Y/N

13 Y/N

14 Y/N

15 Y/N

16 Y/N

17 Y/N

18 Y/N

19 Y/N

20 Y/N

21 Y/N

22 Y/N

23 Y/N

24 Y/N

25 Y/N

26 Y/N

27 Y/N

28 Y/N

29 Y/N

30 Y/N

31 Y/N

Checked by Approved by (AM) signature Signature employee

SUBTOTAL

initials







TOTAL

Please send in your expenses after completing a project or at least at the end of the month with all original receipts.



QAD015F • Issue 05 • Feb 2011 Page 1 of 1 Acc Director



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