Sample Credit Card Expense Report Template
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1Credit Card Expense Report
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ACMC Highland Campus
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Return completed form with approvals & receipts to:
rOup
Jesse Saputra – Submit or Fax to 510-645-1173
AK ARE
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EDICAL
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CREDIT CARD HOLDER:
DEPARTMENT:
DATE:
ROUP
ADDRESS:
TELEPHONE:
CITY:
STATE:
ZIP:
BUSINESS MEALS AND ENTERTAINMENT
Date
Business Purpose
Location
List Attendees
Amount
Business Expense Total
$ 0.00
OTHER BUSINESS EXPENSE
Date
Description
Business purpose
Amount
Business Expense Total
$ 0.00
DEPARTMENTAL EXPENSE
Date
Description
Business purpose
Amount
Business Expense Total
$ 0.00
I certify that this reimbursement form is accurate regarding actual and necessary business expenses incurred.
TOTAL AMOUNT CHARGED
$ 0.00
Cardholder Signature: _____________________________________________________________ Date: ___________
CARD STATEMENT TOTAL
PRINT
SUBMIT
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Parent category: Business