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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