Free 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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Manage reimbursements effectively with Template.net’s Reimbursement Payment Voucher Template. This customizable template provides a structured format for documenting reimbursement requests and approvals, ensuring all relevant details are clearly captured. Fully editable in our Ai Editor Tool, it allows you to customize sections for expenses, justification, and approvals. Get it now!
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