Spreadsheet: 03784afd-1111-4cbe-b75a-5125c3798857
Sheet: Expense Report 2014

The Institute of Electrical and Electronics Engineers, Inc. |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | For Period Ending: |  |  |  |  |  |  | Additional sheet for those who use:
Expense Report |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Pcard/OneCard
2014 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Itemized Expenses |  |  |  |  |  |  |  | IEEE Corporate American Express Card
Name: |  |  |  |  |  |  |  |  | For Period Ending: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | [NAME] and/or IEEE Corporate American Express Card
Send check to the following address : |  |  |  |  |  |  |  |  | Member of: |  | Other |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Transactions on this page. Record the totals on the front page of the expense report.
 |  |  |  |  |  |  |  |  | If Other, please describe : |  |  |  |  |  |  |  |  |  |  | Taxi/Bus (1) |  |  |  |  |  |  | On the expense report form all items should be recorded as expenses and also in the
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Note:  receipts are required for amounts over $25.00.  Enter daily totals on page 1. |  |  |  |  |  |  | Charged Direct to IEEE column. The total for Pcard/OneCard expenses should be
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | credited to account 17405 and American Express charges should be credited to
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date: |  | Fare: |  |  |  | To/From: |  |  |  |  | account 20160.
Member No. |  |  |  |  |  |  | Purpose of Trip - Note each day's activity
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | PCARD/ONECARD                  TRANSATIONS |  |  |  |  | IEEE CORPORATE AMERICAN EXPRESS CARD TRANSACTIONS
Supplier No.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | TRANS# | MERCHANT NAME |  | AMOUNT |  | MERCHANT NAME |  |  | AMOUNT
Site:
Provide details and full support
on items (1) through (6)
 |  | Date |  |  |  |  |  |  |  |  |  |  | Total | [NAME]. Dir.
Details |  | Town |  |  |  |  |  |  |  |  |  |  | Expense | to IEEE(7)
 |  |  |  | KM | Mile |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Meals/Self (2)
Personal Auto Usage : (Enter " X ") |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Receipts are required for amounts over $25.00. Daily amounts are automatically carried over to page 1.
Mileage Allowance ($0.56/Mile,$0.348/Km) in US$ |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Daily expenses are not to exceed $100.00 USD without written explanation -
Trans. - Tolls & Parking |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | ( see FOM.6 - BUSINESS EXPENSE REPORTING).
Taxi/Bus - See Itemized Expenses (1) |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date: |  | Breakfast |  | Lunch |  | Dinner |  | Social
Plane, Train, Auto Rental (Provide Backup)
Lodging - Self
Meals/Self - see Itemized Expenses (2)
Official Guest - see Itemized Expenses (3)
[NAME]. & Telegraph
Tips & Gratuities (4)
Other (5)
Other (6)
Total Expense w/o Mileage Allowance
 |  |  |  |  |  |  |  |  |  | Currency Conversion Rate |  |  | 1 |  |  |  |  |  |  | Meals/Official Guests (3)
 |  |  |  |  |  |  |  |  | Total Expenses wo/Mileage Allowance in US $ |  |  |  |  |  |  |  |  |  |  | Daily amounts are automatically carried over to page 1.
 |  |  |  |  |  |  |  |  | Mileage Allowance in US$ |  |  | w/Conversion
Provide details below and attach full support on items 5 & 6 |  |  |  |  |  |  |  |  |  | Less Charged Directly to IEEE in US$
(5) |  |  |  |  |  |  |  |  |  | Less Advance from IEEE in US$ |  |  | 0 |  |  | Date: |  | Amount: |  |  |  | Description
 |  |  |  |  |  |  | Total Balance due w/Mileage Allowance from(to) IEEEw/conversion
(6) |  |  |  |  |  |  | Total Balance due w/Mileage Allowance from(to) IEEE in US$
 |  |  |  |  |  |  | ENTITY | BUSI.UNIT | COST CTR | ACCT | PROJ |  | AMOUNT
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Tips & Gratuities (4)
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Note:  Please provide receipts for tips & gratuities over $25.00.  Enter daily totals on page 1.
 |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | Date: |  | Amount: |  |  |  | Description
 |  |  |  |  |  |  | [NAME] TOTAL
Originator's Signature: |  |  |  |  |  |  |  |  |  |  | Date: |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  | TOTAL |  |  |  |  | TOTAL
Approved By: |  |  |  |  |  | Approved By: |  |  |  |  | Date: