MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: Period Ending: Name: Period
Ending: Name: Period Ending:
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses ENTERTAINMENT DETAIL Total Expenditures
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses Date Type Meal Name of Person
and Co. / Entertainment Location & Purpose Cost Personal Expenditures
(Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) Total Company Expense
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed Signature:
Signature: Date:
Date: Approved:
Page 1 0 $0.00 12/03/05 Page 2 12/03/05 Approved: Page
3 12/03/05
Total Chargeable Miles Driven times per Mile = Total Automobile
Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 4 0 $0.00 12/03/05 Page 5 12/03/05 Approved: Page
6 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 7 0 $0.00 12/03/05 Page 8 12/03/05 Approved: Page
9 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 10 0 $0.00 12/03/05 Page 11 12/03/05 Approved: Page
12 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 13 0 $0.00 12/03/05 Page 14 12/03/05 Approved: Page
15 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 16 0 $0.00 12/03/05 Page 17 12/03/05 Approved: Page
18 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 19 0 $0.00 12/03/05 Page 20 12/03/05 Approved: Page
21 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 22 0 $0.00 12/03/05 Page 23 12/03/05 Approved: Page
24 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 25 0 $0.00 12/03/05 Page 26 12/03/05 Approved: Page
27 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 28 0 $0.00 12/03/05 Page 29 12/03/05 Approved: Page
30 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 31 0 $0.00 12/03/05 Page 32 12/03/05 Approved: Page
33 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
MILEAGE REPORT EXPENSE REPORT PERSONAL CREDIT CARD /
CASH EXPENSE REPORT COMPANY CREDIT CARD
& AUTOMOBILE EXPENSES
Name: 0 Period Ending: #VALUE! Name: 0 Period
Ending: #VALUE! Name: 0 Period Ending: #VALUE!
Date Beginning Odometer Ending
Odometer Miles Destination Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total Date Meals Lodging Transport Car
Rental Telephone Entertainment (Detail) Miscellaneous Expenses (Explain -
Shop Supplies, Hand Tools, etc.) Total
ENTERTAINMENT DETAIL Total Expense Report
Expenses $0.00 ENTERTAINMENT DETAIL Total Expenditures $0.00
Date Type Meal Name of Person and Co. / Entertainment Location &
Purpose Cost Total Automobile Expenses $0.00 Date Type Meal Name of
Person and Co. / Entertainment Location & Purpose Cost Personal
Expenditures (Subtract from Entry Above)
Total Expenses (Sum of the two Entries
Above) $0.00 Total Company Expense $0.00
Cash Advances (Subtract from Entry Above)
Total Amount to be Reimbursed $0.00 Signature:
Signature: Date:
Date: Approved:
Page 34 0 $0.00 12/03/05 Page 35 12/03/05 Approved: Page
36 12/03/05
Total Chargeable Miles Driven 0 times $0.000 per Mile = $0.00 Total
Automobile Expense
Total Miles Driven to Date 0 times $0.275 per Mile = $0.00 Total
Automobile Reimbursement
Total Miles Driven to Date 0 times $0.375 per Mile = $0.00 Total IRS
Automobile Deduction
$0.00