**Please attach ALL original receipts for ALL expenses.

**

Pride Technologies
MONTHLY EXPENSE REPORT - INTERNAL

ASSOCIATE NAME: BEGINNING DATE:

MAILING ADDRESS: ENDING DATE:

ONLY USE FOR TRIP EXPENSE TODAY'S DATE:

USE PAGE 2 & 3 FOR ALL OTHERS

Date from

Date to WEEKLY Office Use

LOCATIONS TOTAL Acct CODE

Airfare 76501

Auto Rental 76503

Ground Transportation (+Tip) 76503

Parking/Tolls 76503
Mileage Log TOTAL WILL FEED FROM ATTACHED MILEAGE LOG $13.50) 76503
TOTAL TRANSPORTATION $13.50)

Lodging (room & tax only) 76502

Phone/Fax 76000
Hotel/Baggage Handling/Tip 76502
TOTAL LODGING $0.00)

Breakfast (+Tip)

Lunch (+Tip)
Dinner (+ Tip)

TOTAL MEALS $0.00) 70500

Business Entertainment (Page 2) TOTAL FEEDS FROM ATTACHED BUSINESS ENTERTAINMENT LOG $0.00) 70501
Ground Transportation (page 2) TOTAL WILL FEED FROM GROUND TRANSPORTATION $0.00) 76503
Other Expenses (page 2) TOTAL WILL FEED FROM OTHER EXPENSES $0.00) page2

ASSOCIATE'S SIGNATURE: TOTAL EXPENSES: $13.50)

TODAY'S DATE:
DATE SUBMITTED TO
ACCTG:

MANAGER APPROVAL SIGNATURE:

Office Use ADP

Office Use EPT
 Pride Technologies
ASSOCIATE **ATTACH ALL ORIGINAL RECEIPTS FOR ALL EXPENSES**
NAME:

EXPLANATION OF BUSINESS ENTERTAINMENT EXPENSES Office Use

INCLUDE MEALS Acct Code
DATE OF NAME OF INDIVIDUAL(S) ENTERTAINED, BUSINESS TYPE OF
EXPENSE COMPANY NAME, TITLE PURPOSE ENTERTAINMENT AMOUNT

TOTAL CARRIED TO
EXP. RPT. FORM $0.00) 70501
EXPLANATION OF GROUND TRANSPORTATION
INCLUDE TOLLS, PARKING, ETC
DATE OF OTHER EXPENSE
EXPENSE EXPLANATION AMOUNT

TOTAL CARRIED TO
EXP. RPT. FORM $0.00) 76503
EXPLANATION OF OTHER EXPENSES
INCLUDE OFFICE EXPENSE, MISCELLANEOUS
DATE OF OTHER EXPENSE
EXPENSE EXPLANATION AMOUNT
TOTAL CARRIED TO
EXP. RPT. FORM $0.00)
 Pride Technologies
ASSOCIATE MILEAGE LOG
NAME: Sivaranjani Jeganathan

DATE CLIENT TRAVELLED TRAVELLED ODOMETER ODOMETER TRIP

M/D/Y NAME FROM TO START FINISH MILES
2/8/2016 Cardinal Health Office Post office 79980 79985 5
2/9/2016 Cardinal Health Office Post office 80002 80007 5
2/10/2016 Cardinal Health Office Post office 80035 80040 5
2/11/2016 Cardinal Health Office Post office 80074 80079 5
2/12/2016 Cardinal Health Office Post office 80095 80100 5

TOTAL MILES TRAVELLED 25

X $0.540 PER MILE 0.54

TOTAL REIMBURSABLE MILEAGE $13.50)

Office Use Acct Code 76503