Payee Information

Emp # Entity First Name Last Name Telnet

Expense Information

Bill To Entity

Item 1 Charge To Other Employee Home Location SE Dept SF/WF PT PL Emp # First Name Last Name

Reimbursement Category Acct # # Miles Vendor/Establishment, City State Select a Reimbursement Category Awards, Cash/Gift Certificate Awards, Food/Meals Awards, Other Batteries Book Celebration, Computer Science Corporation Employees Cellular/Mobile Phone Component Material Conference Registration Copies Customer Show Dues, Airline Club Dues, Club in Employee's Name Dues, Club in Computer Science Corporation's Name Dues, Professional Entertainment, Business Food, Business Food, Morale/Parties Freight Gas for Company Car Gas for Rental/Company Car Gift Certificate, Computer Science Corporation Employees Hardware, PC/Peripherals Licenses, Professional Life Event Gifts Meal, Business-Related Meal, Employee Morale/Social Mileage Misc Expenses Office Furniture/Equipment Office Supplies Parking Fees Passports/Visas Phone Charges Physical Exams Postage Project Material, R&D Recruiting Meal Recruiting, Non-Meal Rental Car Safety Equipment Social Event, Computer Science Corporation Employees Software, Non-Computer Science Corporation Subscription Tolls Training Class, Computer Science Corporation Employees

$ Amt (incl. Tax) $ Sales Tax Business Purpose (receipt date, item/event description, reason)

Item 2 Charge To Other Employee Home Location SE Dept SF/WF PT PL Emp # First Name Last Name

Reimbursement Category Acct # # Miles Vendor/Establishment, City State Select a Reimbursement Category Awards, Cash/Gift Certificate Awards, Food/Meals Awards, Other Batteries Book Celebration, Computer Science Corporation Employees Cellular/Mobile Phone Component Material Conference Registration Copies Customer Show Dues, Airline Club Dues, Club in Employee's Name Dues, Club in Computer Science Corporation's Name Dues, Professional Entertainment, Business Food, Business Food, Morale/Parties Freight Gas for Company Car Gas for Rental/Company Car Gift Certificate, Computer Science Corporation Employees Hardware, PC/Peripherals Licenses, Professional Life Event Gifts Meal, Business-Related Meal, Employee Morale/Social Mileage Misc Expenses Office Furniture/Equipment Office Supplies Parking Fees Passports/Visas Phone Charges Physical Exams Postage Project Material, R&D Recruiting Meal Recruiting, Non-Meal Rental Car Safety Equipment Social Event, Computer Science Corporation Employees Software, Non-Computer Science Corporation Subscription Tolls Training Class, Computer Science Corporation Employees

$ Amt (incl. Tax) $ Sales Tax Business Purpose (receipt date, item/event description, reason)

Item 3 Charge To Other Employee Home Location SE Dept SF/WF PT PL Emp # First Name Last Name

Reimbursement Category Acct # # Miles Vendor/Establishment, City State Select a Reimbursement Category Awards, Cash/Gift Certificate Awards, Food/Meals Awards, Other Batteries Book Celebration, Computer Science Corporation Employees Cellular/Mobile Phone Component Material Conference Registration Copies Customer Show Dues, Airline Club Dues, Club in Employee's Name Dues, Club in Computer Science Corporation's Name Dues, Professional Entertainment, Business Food, Business Food, Morale/Parties Freight Gas for Company Car Gas for Rental/Company Car Gift Certificate, Computer Science Corporation Employees Hardware, PC/Peripherals Licenses, Professional Life Event Gifts Meal, Business-Related Meal, Employee Morale/Social Mileage Misc Expenses Office Furniture/Equipment Office Supplies Parking Fees Passports/Visas Phone Charges Physical Exams Postage Project Material, R&D Recruiting Meal Recruiting, Non-Meal Rental Car Safety Equipment Social Event, Computer Science Corporation Employees Software, Non-Computer Science Corporation Subscription Tolls Training Class, Computer Science Corporation Employees

$ Amt (incl. Tax) $ Sales Tax Business Purpose (receipt date, item/event description, reason)

$ Total Amt

Authorizer Information

First Name Last Name $ Limit