EXPENSE REPORT

Last Name

First Name

Department

Year

Employee Number

-- select Marketing/Admin Parts Support Sales Sales Coord Service Training/Comm

2003 2004 2005 2006

Expenses Paid by Employee

Date

Client

Description of Expenses

Miles

Travel

Hotel

Food

Entertain.

Other

Account

Month

Day

Wday

(Nature of Expense)

(Tolls, Park)

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

-- select 29881 54360 36525 34344 69915 56490 33100 68460

$ per mile

0.296

0.00

0.00

0.00

0.00

0.00

0.00

Total mile

0

Total Expenses

0.00

Temporary advance

Amount due

0.00

I hereby certify that the above expenditures were spent for legitimate Company business only and include no items of a personal nature.

7/4/2009

Signature

Date

Approved By

Date

Receipts must be attached for all expenditures.