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Embed code for: 2015%20Technician%20Expense%20Report(4)
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2015 Technician Expense Report
Employee Signature /Date Tony W. Roach 4/24/2016
Tony W. Roach
I affirm these expenses to be true & correct. Tony W. Roach
$ MEALS $
PERSONAL CAR BUSINESS MILEAGE
AK Steel Middletown,OH/Leak Seal
TOTAL PER DIEM
Approver Name (Printed):
****Accounting: Code as credit to 520061. Equals
Less Advance Request ****
Advance Total on Debit Card Funding Request.
Net Due To /(FROM) Employee
* Receipt required
As per the Travel Expense Policy for Tech's Furmanite will not reimburse for meals when: A.) Breakfast - the tech leaves 10:00AM or later B.) Lunch - the tech returns before noon or leaves at 2:00PM or later C.) Dinner - the tech leaves at 6:00PM or later
Overnight Stay Required
Office Use Only
If money due from employee above please check one:
Week Ending Date (Invoice Number)________________________________
Processed Date ________________________________________
Check to request funds deducted from next Advance Funding
Batch Number ________________________________________
Reference Number ________________________________________
Check to request funds be reversed from Debit Card **
** Office only - submit request to Treasury
Check if funds are attached (money order, check, etc***)
*** Office only - submit funds with copy of report to Treasury