Expense Report

Period
Purpose: From:
Statement #: To:
Date:
Name: Department:
Employee ID: Manager:
[42]
Date Description Air & Trans. Lodging Fuel / Mileage Local Travel Meal Entertainment Other Total person

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Subtotal ₹ -
Advances ₹ -
Note: Mileage reimbursement for personal car = 8/mile Total Reimbursement ₹ -
Itemized Expenses or Description for "Other" * Don't forget to attach receipts *

Date Description Amount

0.00
0.00

Authorized By Date

Total 0.00 For Office Use Only

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