Reimbursement Payment Voucher

Reimbursement Payment Voucher

Voucher No: 1025
Date: 2055-07-10


1. Employee Details

  • Name: Ben Baker

  • Employee ID: EMP-2055-001

  • Department: Marketing

  • Contact Information: ben@email.com / 222 555 7777

2. Reimbursement Details

  • Expense Category: Travel

  • Purpose of Expense: Attendance at the Annual Marketing Conference

  • Expense Date(s): 2055-06-15 to 2055-06-18

  • 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

  • Receipts Attached: Yes

  • Other Documents: No

5. Payment Details

  • Payment Method: Bank Transfer

  • Bank Name: Prime Bank

  • 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

  • All expenses align with the company’s travel reimbursement policy.

8. For Finance Department Use Only

  • Voucher Processed By: Lisa Ray

  • Date Processed: 2055-07-14

  • Voucher Entered into Accounting System: Yes

  • Voucher Number in System: FN-2055-145

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