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Expense Account Statement Form
Employee:___________________________________________________
For period ending:_____________________________________________
Reimbursable Expenses Incurred
* reimbursable = 변제[상환]할 수 있는/ expense incurred = 발생 비용
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 = (특히 서면으로) 증명하다/ receipt = 영수증
* in accordance with ~ = ~에 부합되게, 따라서
_______________________________
Employee
Approved for payment:
By:_____________________________
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