Expense Report Template - Sample

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Town of Nantucket
37 Washington Street
E
R
XPENSE
EPORT
Nantucket, MA 02554
508.228.7200
508.228.7218 fax
Employee Name:
Purpose of Travel:
Dates of Travel:
Official documentation of the meeting,
seminar, etc., must be attached.
BUSINESS EXPENSES
Amount
Amount
Date of
Charged to
Paid Out-
Travel:
Town
of-Pocket
Breakfast
Lunch
Dinner
Lodging
Telephone
Car Rental
Taxi
Parking/Tolls
Gasoline
Airfare
Ferry
Meeting Fee
Miscellaneous
Mileage
Start:
End:
Total Miles ___________ x .575 = $_______
Total:
DETAIL OF ITEMS CHARGED TO TOWN
Vendor
Invoice #
Amount
Information for Accounts Payable:
Vendor #
Warrant Date
Invoice #
Employee Signature
Date
Department
Account
Purchase
Order
Amount
Department Head Approval
Date

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