Expense Account Statement[2]

Expense Account Statement Employee: For period ending: REIMBURSABLE EXPENSES INCURRED Hotel/Lodging $ Meals $ Tax $ Travel [air, train, bus] $ Personal auto: ____ miles x ___ cents/mile = $ 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: