Statement number:
Expense Statement
Employee information
Name Employee ID Position Department Manager
Pay period
From To
Date
Account
Description
Hotel
Transport
Fuel
Meals
Phone
Entertain.
Misc.
TOTAL
0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 Subtotal Advances TOTAL 0.00 0.00
Approved by
Notes
For Office Use Only