Expense Account Statement 2
EXPENSE ACCOUNT STATEMENT



Employee:_________________________________________________________
For period ending:________________________________________________


REIMBURSABLE EXPENSES INCURRED

Hotel/Lodging $_________________________
Meals $_________________________
Tax $_________________________
Travel [air, train, bus] $_________________________
Personal auto _____ miles x ___ cents $_________________________
Parking $_________________________
Phone $_________________________
Other [itemize]:
_____________________ $_________________________
_____________________ $_________________________
Total: $_________________________
-------------------------

I certify the above is a true statement of incurred
expenses in accordance with company policy.  Receipts are
attached.


_______________________________
Employee


Approved for payment:


By:_____________________________

