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Expense Claim Form

Tony Skinner submitted an expense claim form for work done in Bahrain from May 28th to June 11th, 2013. He incurred $846 in medical expenses and attached receipts. The form instructs claimants to submit separate reports for each job number with expenses itemized and numbered, along with attached receipts in corresponding order. It also notes to enter expenses in USD and include any applicable exchange rates. The form requires signatures from the claimant, project manager, and accounts personnel.

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bluefangtj
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78 views

Expense Claim Form

Tony Skinner submitted an expense claim form for work done in Bahrain from May 28th to June 11th, 2013. He incurred $846 in medical expenses and attached receipts. The form instructs claimants to submit separate reports for each job number with expenses itemized and numbered, along with attached receipts in corresponding order. It also notes to enter expenses in USD and include any applicable exchange rates. The form requires signatures from the claimant, project manager, and accounts personnel.

Uploaded by

bluefangtj
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as XLS, PDF, TXT or read online on Scribd
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PETROFAC FACILITIES MANAGEMENT INTERNATIONAL LIMITED EXPENSE CLAIM FORM

Instructions

Claimant Name: Badge Number: Job Number: Date Submitted:


Date Details

Tony skinner

1) Submit separate Expense Reports for each job number

2) Enter one item per line and number and attach receipts in same order

11-Jun-13
Reimbursable from customer (Yes / No) Location Receipt attached (Yes/ No) No Of Hours AMOUNT Currency Excha nge rate (1US$ = ?? Amount (US$) Amount in USD Entertainment

3) Enter expense 'Amount' in USD. Attach exchange rate details if applicable 4) Expense Reports submitted should be signed by Manager

Air passage

Boarding / Lodging

Transport

Visa / Government fees

Telephone

Others

Amount (US$)

Accounts use only

28/May/13

Pre-employment Medical

Bahrain

Yes

BHD

0.377

846.00 less flights paid $0.00 $0.00 $0.00 $0.00 $0.00

TOTAL USD

846.00

Request & Approval Signatures Claimant

Project Manager

Accounts

less advances less other deductions Balance to claimant

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