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Per Diem Expense Report Template

This expense report summarizes expenses incurred by Ashvinkumar Chaudhari from April 18, 2012 to May 5, 2012 for a customer project trip. It details transportation, lodging, meal, and other expenses totaling $2,560.97. Expenses include airfare, taxis, hotel costs, and per diem meals. Additional expenses are itemized for items like a scanner cable and phone usage. The report requires signature and provides instructions to submit original receipts to the company accounts payable department.
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100% found this document useful (1 vote)
182 views8 pages

Per Diem Expense Report Template

This expense report summarizes expenses incurred by Ashvinkumar Chaudhari from April 18, 2012 to May 5, 2012 for a customer project trip. It details transportation, lodging, meal, and other expenses totaling $2,560.97. Expenses include airfare, taxis, hotel costs, and per diem meals. Additional expenses are itemized for items like a scanner cable and phone usage. The report requires signature and provides instructions to submit original receipts to the company accounts payable department.
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
  • Expense Report Details
  • Travel Expense Summary
  • Additional Information
  • Notes

Expense Report: Version.

General Information Section Last Name: CHAUDHARI Home Address: Purpose of Trip/Expense: Customer Project Name Trip Detail Section Receipt(s) City&State /Country
Attach airline passenger itinerary

Approver e-mail: Employee e-mail: First Name: ASHVINKUMAR WABA MARKET ALU Employee ID #: Project Code: VERALU1001 Meals (Actual Expenses) Period: From: 4/18/2012 To: Company Code: Expense Type: Trip Type: Travel Route: Daily Total

[Link]@[Link] 5/4/2012 Domestic

Transportation
Car rental & Refueling charges

Currency

Date 4/18/2012 4/19/2012 4/20/2012 4/21/2012 4/22/2012 4/23/2012 4/24/2012 4/25/2012 4/26/2012 4/27/2012 4/28/2012 4/29/2012 4/30/2012 5/1/2012 5/2/2012 5/3/2012 5/4/2012 5/5/2012 TOTAL

Air 303.10

Taxi, Tolls

Lodging

Breakfast

Lunch

Dinner 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD

47.74 60.29 48.71 67.10 53.12 59.24 54.84 68.64 58.50 63.86 24.64 303.10 0.00 606.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL DIRECT Paid by Verveba

USD USD USD USD USD USD USD

Meal per Diem Date(s)

City&State / Additional Information

# Days

Rates 35.00

TOTAL Meal per Diem TOTAL Paid by Employee

0.00

0.00

0.00

0.00

0.00

0.0 0.00

0.00

Additional Information Section for Entertainment & Business Meals, Miscellaneous Items, Non Travel Expenses and Mileage on Personal Auto. ENTERTAINMENT & BUSINESS MEALS -Primarily for the benefit of customer or client. Do Not place Working or Overtime meals here. Entertained - Person and Company Purpose Date Receipt # Amount

Currency USD USD USD USD USD

TOTAL MISCELLANEOUS ITEMS - Primarily for the travel purposes. Pre-Approved Date Receipt #

Description

Amount

Scanner cable bought to connect to laptop April Phone Personal Usage TOTAL OTHER AND NON TRAVEL EXPENSES Pre-Approved Date Receipt #

21.19 100.00

Currency USD USD USD USD USD USD USD

Description

Category

Amount

Currency USD USD

USD USD TOTAL

MILEAGE on PERSONAL AUTO Date

To / From Location

Miles

Amount 0.00 0.00 0.00 0.00 0.00 0.00

Currency USD USD USD USD USD USD

TOTAL SUBTOTAL from page 1 SUBTOTAL for Entertainment and Business Meals SUBTOTAL for Miscellaneous Items SUBTOTAL for Other and Non Travel Expenses SUBTOTAL for Mileage on Personal Auto TOTAL PAID BY EMPLOYEE I certify that the above is true and accurate accounting for money spent or expenses incurred by me on company business for travel and non travel related expenses. All business travel expenses are in accordance with Verveba Telecom Travel Policy. A H Chaudhari EMPLOYEE SIGNATURE 5/10/2012 DATE LESS CASH ADVANCE BALANCE DUE TO EMPLOYEE BALANCE DUE TO COMPANY GRAND TOTAL EXPENSE REPORT

0.00

Send a signed copy of expense report, travel authorization form and original receipts to: Verveba Telecom, c/o Account Payable, 2435 N. Central Expy, Ste 1050, Richardson, TX 75080

[Link]@[Link] Gray fields are mandatory Domestic

Exchange

Daily Total

Rate 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000

USD 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00

1,530.00 2,439.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

1.000 1.000 1.000 1.000 1.000 1.000 1.000

Exchange 1.000 1.000 1.000 1.000 1.000

Daily Total 0.00 0.00 0.00 0.00 0.00 0.00

Exchange 1.000 1.000 1.000 1.000 1.000 1.000 1.000

Daily Total 0.00 0.00 0.00 21.19 0.00 100.00 0.00 121.19

Exchange 1.000 1.000

Daily Total 0.00 0.00

1.000 1.000

0.00 0.00 0.00

Exchange 1.000 1.000 1.000 1.000 1.000 1.000

Daily Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.19 0.00 0.00 121.19 0.00 121.19 0.00 2,560.97

Approver
[Link]@[Link] [Link]@[Link] [Link]@[Link]

[Link]@@[Link]
[Link]@[Link]

Customer ALU AT&T Ericsson NSN T-Mobile VZW

Company Code Equipment Office Supplies Other Items Phone Allowance Printing Project Tools/Supplies Shipping/Postage Software

Expense Type Domestic International

Approver e-mail:
Expense Report: Version.
Employee e-mail:
General Information Section
First Name:
Period:  
From:
4/18/2012
USD
USD
TOTAL
MILEAGE on PERSONAL AUTO 
Date
Miles
Amount
Currency
0.00
USD
0.00
USD
0.00
USD
0.00
USD
0.00
USD
0.00
USD
TOTAL
0.00
SUBTOTA
Gray fields are mandatory
Exchange
Daily Total 
Rate
USD
1.000
90.00
1.000
90.00
1.000
90.00
1.000
90.00
1.000
90.00
1.000
90
1.000
0.00
1.000
0.00
0.00
Exchange
Daily Total 
1.000
0.00
1.000
0.00
1.000
0.00
1.000
0.00
1.000
0.00
1.000
0.00
0.00
0.00
0.00
121.19
0.00
0.00
121.1
Approver
Customer
Company Code
Len.Miyahira@Verveba.com (mailto:Len.Miyahira@Verveba.com)
ALU
Equipment
Manik.Arora@Verveba.c
Expense Type
Domestic
International

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