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Expense Reimbursement Request
Payee Name Expense Period Start Date
Payee Address
City State Zip Expense Period End Date
Payee Signature Date
Business Purpose for Expenses
Expense Date Expense Description Amount
Total Amount:
Office Use Only
Received by: Reimbursement Approved: Yes
Name
No
Signature Date
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For all of its faults, it gives most hardworking people a chance to improve themselves economically, even as the deck is stacked in favor of the privileged few. Here are the choices most of us face in such a system: Get bitter or get busy. | Bill O’ Reilly