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RCG/Hagler, Bailly, Inc. <br />' Expense Report <br />Employee Name ~~~ ~"~~SI Period Covered From I 3 - • To ~1 y `%~'- <br /> <br />Date <br />Description and Purpose of Expense <br />Job Code <br />US Dollars Co version <br />ate Foreign <br />Currency <br />a ~ - ~c~ttz , a~ ~ - ~ z I,~ .. ; . ~7 <br /> 7L'L ' ,c,4 GQCL-Z' ~ ~ZJ. S~~ <br /> <br /> <br />i 3 > -~ ~.~, ,r <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> /~O,G~Iv <br />Total Expenses q 5 <br />Less Advance nd/or Company Purchased Airline Tickets ~ ('~ <br />Amount Due o.or From Employee d/ <br />Summary of Cash Advances <br />Date <br />Received Amount <br />Employee Signature and Date <br />Payroll <br />Account M <br />Waite -Home Otnce <br />/L-. WL~ I <br />of Airline Tickets Purchased by th Company <br />rarv Ticket Number Amount Job Code <br />~l,L~ ~ ~~l~l~~ '.~7 APProved By~ <br />For Accounting Use Only ', <br />Log +i Voucher N P~pared ey <br />Code Debit Credit <br />0 <br />S _ <br />K <br />I <br />P <br />Yellow -Controller's Office Pink -Employee <br />