Expense Account Statement Form
Employee:___________________________________________________
For period ending:_____________________________________________
Reimbursable Expenses Incurred
* reimbursable = º¯Á¦[»óȯ]ÇÒ ¼ö ÀÖ´Â/ expense incurred = ¹ß»ý ºñ¿ë
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.
* certify = (ƯÈ÷ ¼¸éÀ¸·Î) Áõ¸íÇÏ´Ù/ receipt = ¿µ¼öÁõ
* in accordance with ~ = ~¿¡ ºÎÇյǰÔ, µû¶ó¼
_______________________________
Employee
Approved for payment:
By:_____________________________