EXPENSE ACCOUNT REPORT Employee: ________________________________
Department: _______________________________ Expenses authorized by: _______________________
Period covered: _____________________________
Purpose of meal or trip: _______________________
Companies or individuals visited: _________________
SPECIFIC EXPENSES Hotels/Motels: _______________________________$ Meals: _____________________________________$
Tips: ______________________________________$
Auto Expense:
Mileage at ______ cents/mile ______________________$
Tolls __________________________________________$ Parking _______________________________________$
Telephone: ____________________________________$
Miscellaneous: _________________________________$
Entertainment:* ________________________________$
Total Expenses: ________________________________$
*List Persons entertained, nature of entertainment and results of the meeting: ___________________________________________________________________ ___________________________________________________________________
___________________________ Employee
Reviewed and approved: ________________________
Date: _______________