SAUDI ARABIA 414800669.

xls

Accounting Use Only

EXPENSE CLAIM FORM (SAUDI ARABIA) Petty Cash

Employee Name: MUHAMMAD ABU BAKAR BILAL Date of Claim: 1-Apr-18 AP Check
Staff Number: JZ-3436 Approved By: _________________________
Company No: Jacobs Zate - CO-293
* Separate Report For Each Job
* Separate Report For Each Payment Currency
Overall Business Purpose: Payment Currency:
Expense for Lunch and Fuel Consumed During Travel Between Al-Khobar & SASREF-Jubail.
Saudi Riyal SAR

Details of Claim

Jacobs Project Enter Billable (B) or

Charging project Jacobs PU Currency Exchange
Expense Type or Overhead? Number Task Code Receipted Total Non-Billable PAF NUMBER
Date Expense (If Overhead) of Receipt Rate
(8 Digits) Amount (X)
Incurred

22-Mar-18 Travel-Meals Project SAF00031 C0020 SAR 10.00 10.00 B

22-Mar-18 Travel-Meals Project SAF00031 C0020 SAR 47.00 47.00 B

###

22-Mar-18 Vehicle Fuel Project SAF00031 C0020 SAR 20.00 20.00 B

0.00
Please Enter E

0.00
Please Enter E

0.00
Please Enter E

0.00
Please Enter E

0.00
Please Enter E

0.00
###

0.00
###

0.00
###

0.00
###

0.00
###

0.00
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The following Expenses require input on page 2

Internal/External Promo - Meals: Provide Business Purpose and List of Attendees

Internal/External Promo - Other: Provide Description of Expense

Travel - Other/Misc Expense: Provide Description of Expense

Amount Due Employee 77.00 Saudi Riyal SAR

AUTHORIZATION OF CLAIM Please Note Currency of Reimbursement
Employee Signature: Authorized By: Print Name Date:

AYAZ MEER 1-Apr-18

414800669.xls
 SAUDI ARABIA 414800669.xls

PAGE 2
TRAVEL AND EXPENSES

REQUIRED EXPLANATIONS, DEFINITIONS AND INSTRUCTIONS Itemized Expenses

INTERNAL BUSINESS MEETING(S) AND MEAL(S)

DATE NAMES AND TITLES PURPOSE/DESCRIPTION EXPENSE

EXTERNAL PROMO/CLIENT ENTERTAINMENT

DATE NAMES, TITLES & COMPANY PURPOSE/DESCRIPTION EXPENSE

EXPLANATION OF OTHER/MISC. EXPENSES

DATE DESCRIPTION EXPENSE

414800669.xls
 FIELD / SITE VISIT FORM

Client : SASREF

Travel Time
Travel Date Name(s) of Personnel Destination Vehicle No.
From To

22-Mar-18 Muhammad Abu Bakar Bilal SASREF, Jubail 8:00:00 AM 5.30 PM DLJ-8732
Prepared By:
(Lead Engineer)

Date : 3-Aug-17
Service
Order No.

SAF000101
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 Version

Excel 97-2003