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Expense Account Report

Employee:

Department:

Expenses authorized by:

Period covered:

Purpose of meal or trip:

Companies or individuals visited:

SPECIFIC EXPENSES

Hotels/Motels:

Meals:

Tips:

Auto Expense:

Mileage at________ cents/miles

Tolls

Parking

Telephone:

Miscellaneous:

Entertainment:

Total Expenses:

* List Persons entertained, nature of entertainment and results of the meeting:

___________________________

Employee

Reviewed and approved: ________________________

Date: _______________