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Date: |
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Name: |
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From: |
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To: |
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Mileage,* |
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Taxi, |
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Auto |
Business |
Interntet |
Fuel, |
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No |
Date |
Paid to |
Description |
Airfare |
Lodging |
Meals |
Entert. |
Rental |
& Tools |
Telephone |
Parking |
Supplies |
Other |
Total |
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1 |
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$0,00 |
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2 |
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$0,00 |
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3 |
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$0,00 |
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4 |
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$0,00 |
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5 |
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$0,00 |
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6 |
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$0,00 |
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7 |
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$0,00 |
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8 |
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$0,00 |
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9 |
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$0,00 |
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10 |
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$0,00 |
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11 |
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$0,00 |
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12 |
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$0,00 |
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13 |
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$0,00 |
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14 |
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$0,00 |
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15 |
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$0,00 |
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16 |
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$0,00 |
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17 |
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$0,00 |
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18 |
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$0,00 |
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19 |
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$0,00 |
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20 |
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$0,00 |
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21 |
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$0,00 |
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22 |
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$0,00 |
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$0,00 |
$0,00 |
$0,00 |
$0,00 |
$0,00 |
$0,00 |
$0,00 |
$0,00 |
$0,00 |
$0,00 |
$0,00 |
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Employee Signature |
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Subtotal |
$0,00 |
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Cash Advances |
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Total |
$0,00 |
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Approved by |
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Notes |
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Detail for Entertainment Expenses |
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Note: For Entertainment Expenses, please indicate business |
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purpose and who attended |
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*Mileage rate is 44.5 cents per mile per IRS |
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