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Sample Expense Account Statement form template

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Sample Expense Account Statement form template Powered By Docstoc
					Sample Expense Account Statement form template
Sample / example letter templates:
EXPENSE ACCOUNT STATEMENT

Employee:_________________________________________________________ For period ending:________________________________________________ REIMBURSABLE EXPENSES INCURRED Hotel/Lodging $_________________________ Meals $_________________________ Tax $_________________________ Travel [air, train, bus] $_________________________ Personal auto _____ miles x ___ cents $_________________________ Parking $_________________________ Phone $_________________________ Other [itemize]: _____________________ $_________________________ _____________________ $_________________________ _____________________ $_________________________ _____________________ $_________________________ Total: $_________________________

I certify the above is a true statement of incurred expenses in accordance with company policy. Receipts are attached.

_______________________________ Employee

Approved for payment:

By:_____________________________

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