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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
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
# Days
Rates 35.00
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
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
Description
Category
Amount
To / From Location
Miles
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
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
Daily Total 0.00 0.00 0.00 21.19 0.00 100.00 0.00 121.19
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
Company Code Equipment Office Supplies Other Items Phone Allowance Printing Project Tools/Supplies Shipping/Postage Software