"Company A" Expense Report Name (Last, First) Business Purpose and Destination: Location Phone x-1470 Date of Report: 5/29/2008 Page 1 of 1 Date 12/5/2007 12/5/2007 12/8/2007 12/9/2007 12/10/2007 Page 1 SUB Company 01 Totals Company Name Items Mileage( explain on reverse) Airline (attach ticket copy) Auto Rental Location NYC NYC NYC NYC NYC TOTALS 1,215.00 1,750.00 15.00 1,215.00 1,750.00 45.00 Hotel (attach folio & credit card receipt) Personal Meals (itemize each meal) Business Meals (explain on reverse) Entertainment (explain on reverse) Telephone Ground Trans. (taxis, parking , etc) Tips/Baggage Handling Other: (explain on reverse) Employee Relations Rental car and medical visit ACCT NO Title Number 74050 1,215.00 74000 7002 74010 1,750.00 74030 7002 45.00 74040 B L D B L D 15.00 15.00 7002 66.28 110.51 66.28 110.51 176.79 74040 74020 78340 74070 74060 7002 35.00 5.00 16.50 32.00 33.00 5.00 17.00 10.00 133.50 10.00 7002 7002 745.00 150.00 745.00 150.00 745.00 72060 150.00 74060 7002 7002 Totals Employee Signature 1,321.28 Date 127.01 792.00 198.00 1,770.00 Less: Net Due 4,108.79 Outstanding Employee Adv. Due Employee Due Company (attach check) 4,225.29 29-May-08 4,225.29 Departmental Approval 29-May-08 Finance Approval Date 29-May-08 "Company A" - Expense Report 5/29/2008 Business Meal and Entertainment Expense Record Amount Date 12/5/2007 12/5/2007 Miles @ 32.5cents Place Dish of Salt Ben Bensons Person(s) Entertained: (Name/Title/Company) Business Purpose/Discussion Royalty reporting. Amount 66.28 110.51 Total Date Account No 12/8/07 396-8500 12/9/07 396-4500 Miscellaneous Explanations/Remarks employee event at the home depot center costs for rental car and medical treatment due to an accident at an employee event Total 176.79 Amount 745.00 150.00 Currency: Exchange rate $1 =