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Expense Report: Version.

General Information Section Last Name: CHAUDHARI Home Address: Purpose of Trip/Expense: Customer Project Name Trip Detail Section Receipt(s) City&State /Country
Attach airline passenger itinerary

Approver e-mail: Employee e-mail: First Name: ASHVINKUMAR WABA MARKET ALU Employee ID #: Project Code: VERALU1001 Meals (Actual Expenses) Period: From: 4/18/2012 To: Company Code: Expense Type: Trip Type: Travel Route: Daily Total

ashvin.chaudhari@verveba.com 5/4/2012 Domestic

Transportation
Car rental & Refueling charges

Currency

Date 4/18/2012 4/19/2012 4/20/2012 4/21/2012 4/22/2012 4/23/2012 4/24/2012 4/25/2012 4/26/2012 4/27/2012 4/28/2012 4/29/2012 4/30/2012 5/1/2012 5/2/2012 5/3/2012 5/4/2012 5/5/2012 TOTAL

Air 303.10

Taxi, Tolls

Lodging

Breakfast

Lunch

Dinner 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD USD

47.74 60.29 48.71 67.10 53.12 59.24 54.84 68.64 58.50 63.86 24.64 303.10 0.00 606.68 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

TOTAL DIRECT Paid by Verveba

USD USD USD USD USD USD USD

Meal per Diem Date(s)

City&State / Additional Information

# Days

Rates 35.00

TOTAL Meal per Diem TOTAL Paid by Employee

0.00

0.00

0.00

0.00

0.00

0.0 0.00

0.00

Additional Information Section for Entertainment & Business Meals, Miscellaneous Items, Non Travel Expenses and Mileage on Personal Auto. ENTERTAINMENT & BUSINESS MEALS -Primarily for the benefit of customer or client. Do Not place Working or Overtime meals here. Entertained - Person and Company Purpose Date Receipt # Amount

Currency USD USD USD USD USD

TOTAL MISCELLANEOUS ITEMS - Primarily for the travel purposes. Pre-Approved Date Receipt #

Description

Amount

Scanner cable bought to connect to laptop April Phone Personal Usage TOTAL OTHER AND NON TRAVEL EXPENSES Pre-Approved Date Receipt #

21.19 100.00

Currency USD USD USD USD USD USD USD

Description

Category

Amount

Currency USD USD

USD USD TOTAL

MILEAGE on PERSONAL AUTO Date

To / From Location

Miles

Amount 0.00 0.00 0.00 0.00 0.00 0.00

Currency USD USD USD USD USD USD

TOTAL SUBTOTAL from page 1 SUBTOTAL for Entertainment and Business Meals SUBTOTAL for Miscellaneous Items SUBTOTAL for Other and Non Travel Expenses SUBTOTAL for Mileage on Personal Auto TOTAL PAID BY EMPLOYEE I certify that the above is true and accurate accounting for money spent or expenses incurred by me on company business for travel and non travel related expenses. All business travel expenses are in accordance with Verveba Telecom Travel Policy. A H Chaudhari EMPLOYEE SIGNATURE 5/10/2012 DATE LESS CASH ADVANCE BALANCE DUE TO EMPLOYEE BALANCE DUE TO COMPANY GRAND TOTAL EXPENSE REPORT

0.00

Send a signed copy of expense report, travel authorization form and original receipts to: Verveba Telecom, c/o Account Payable, 2435 N. Central Expy, Ste 1050, Richardson, TX 75080

ashvin.chaudhari@verveba.com Gray fields are mandatory Domestic

Exchange

Daily Total

Rate 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000 1.000

USD 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00 90.00

1,530.00 2,439.78 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

1.000 1.000 1.000 1.000 1.000 1.000 1.000

Exchange 1.000 1.000 1.000 1.000 1.000

Daily Total 0.00 0.00 0.00 0.00 0.00 0.00

Exchange 1.000 1.000 1.000 1.000 1.000 1.000 1.000

Daily Total 0.00 0.00 0.00 21.19 0.00 100.00 0.00 121.19

Exchange 1.000 1.000

Daily Total 0.00 0.00

1.000 1.000

0.00 0.00 0.00

Exchange 1.000 1.000 1.000 1.000 1.000 1.000

Daily Total 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 121.19 0.00 0.00 121.19 0.00 121.19 0.00 2,560.97

Approver
Len.Miyahira@Verveba.com Manik.Arora@Verveba.com Nilesh.Katkade@Verveba.com

Romel.Ilagan@@Verveba.com
Rommel.Maneja@Verveba.com

Customer ALU AT&T Ericsson NSN T-Mobile VZW

Company Code Equipment Office Supplies Other Items Phone Allowance Printing Project Tools/Supplies Shipping/Postage Software

Expense Type Domestic International

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