expense account statement

EXPENSE ACCOUNT STATEMENT Employee: _____________________________ For period ending: ______________________ Reimbursement Expense Incurred Hotels/Lodging $_______________ Meals $_______________ Tax $_______________ Travel (air, train, bus) $_______________ Personal auto (y/n)_____miles x_____ $_______________ Parking $_______________ Phone $_______________ Other (itemize): __________ $__________ __________ $__________ __________ $__________ __________ $__________ $_______________ Total $_______________ I certify the above is a true statement of incurred expenses in accordance with company policy. Receipts are attached to this statement. Employee______________________ Approved for payment: By:___________________________