Free Reimbursement Payment Voucher Template
Reimbursement Payment Voucher
Voucher No: 1025
Date: 2055-07-10
1. Employee Details
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Name: Ben Baker
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Employee ID: EMP-2055-001
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Department: Marketing
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Contact Information: ben@email.com / 222 555 7777
2. Reimbursement Details
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Expense Category: Travel
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Purpose of Expense: Attendance at the Annual Marketing Conference
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Expense Date(s): 2055-06-15 to 2055-06-18
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Total Amount Requested: $1,580.00
3. Detailed Expense Breakdown
Date |
Description of Expense |
Receipt No. |
Amount (USD) |
---|---|---|---|
2055-06-15 |
Airfare |
RCPT-1001 |
$650.00 |
2055-06-16 |
Hotel Accommodation |
RCPT-1002 |
$450.00 |
2055-06-17 |
Meals and Entertainment |
RCPT-1003 |
$180.00 |
2055-06-18 |
Ground Transportation |
RCPT-1004 |
$300.00 |
Total |
$1,580.00 |
4. Supporting Documents
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Receipts Attached: Yes
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Other Documents: No
5. Payment Details
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Payment Method: Bank Transfer
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Bank Name: Prime Bank
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Bank Account Number: 1234567890
6. Approval and Authorization
Name |
Designation |
Signature |
Date |
---|---|---|---|
Ben Baker |
Requestor |
2055-07-10 |
|
Jane Love |
Department Head |
2055-07-11 |
|
Mark King |
Finance Officer |
2055-07-12 |
|
[YOUR NAME] |
Finance Manager |
2055-07-13 |
7. Notes/Comments
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All expenses align with the company’s travel reimbursement policy.
8. For Finance Department Use Only
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Voucher Processed By: Lisa Ray
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Date Processed: 2055-07-14
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Voucher Entered into Accounting System: Yes
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Voucher Number in System: FN-2055-145