Expense Reimbursement Template
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Software Technology, Inc. Expense Reimbursements
Employee Name:
Date:
Motel Expense: Date Time Out Time In
Total Nights:
0
Location
Client Name
At $90.00 per night =
Mileage Reimbursements: Date Starting Point
Destination
Total Miles:
At $0.405 per mile =
0
Miscellaneous Expenses: Date Location
Total Miscellaneous Expenses:
Total Expenses: $0.00 Less Advances Issued: Balance Due (Overpayment): Signed:
Business Purpose
Nights
$0.00 Business Purpose
Miles
$0.00 Business Purpose
Amount
0.00
$0.00
Check Number: Check Number: Approved By:
Date:
Employee Name:
Date:
Motel Expense: Date Time Out Time In
Total Nights:
0
Location
Client Name
At $90.00 per night =
Mileage Reimbursements: Date Starting Point
Destination
Total Miles:
At $0.405 per mile =
0
Miscellaneous Expenses: Date Location
Total Miscellaneous Expenses:
Total Expenses: $0.00 Less Advances Issued: Balance Due (Overpayment): Signed:
Business Purpose
Nights
$0.00 Business Purpose
Miles
$0.00 Business Purpose
Amount
0.00
$0.00
Check Number: Check Number: Approved By:
Date:
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