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Employee Expense Report
expensereport[email protected]
734-615-2000
Employee Information
Unique Name:
Approver Unique Name:
Shortcode:
Other Expenses
Date
Vendor
Name
City & State
Description
Dollar
Amount
Short Code
Business Purpose
*
Select Source of
Payment
*
:
Total $
*
Denotes Required Field in Table
NOTES:
Employee Expense Report
Please attach all receipts that are Required by your Department.
Revised 05/15/2015 1 of 1
Please note that fields are not character limited, however only visible
characters will come through to the SSC. Enter additional comments
in the notes section, or attach another sheet of paper to this form.
$ 0.00
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You must be the change you wish to see in the world. | Mahatma Gandhi