Expense Account Statement template

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:_____________________________