C & B Operations - Expense Report

Employee and Report Information

Employee Vendor Number:*

Employee Name:*

Employee Email:*

Supervisor Email:*

Location Department:*

Report Date:*

Invoice Number:

Business Purpose:*

Expense Report Instructions

Provide a clear business purpose and attach itemized receipts for all expenses. Additional explanations and attendee names are required when applicable.

Expenses — Seven-Day Layout

Each date is entered independently. Select any expense date from the calendar and the day of the week above it will update automatically. Blank amounts are ignored.

Expense Category	GL	Day 1	Day 2	Day 3	Day 4	Day 5	Day 6	Day 7	Category Total
Optional Expense Location
Business Travel
Airfare
Auto Rental
Hotel
Taxi / Parking / Tolls
Gas — Company Vehicle Only
Vehicle Number / Last 6 VIN (optional)
Entertainment
Purpose and Names of Attendees *
Meals
Breakfast
Lunch
Dinner
Business Meeting / Entertainment / Group Meals
Business Meeting / Group Meal
Purpose and Names of Attendees *
Room Rental / Material Expense
Other Expenses
Telephone
Small Tools & Equipment
Vehicle Maintenance
Vehicle Number / Last 6 VIN (optional)
Supplies & Accessories
Item Description (optional)
Merchandise for Resale
Purchase Order Number *
Miscellaneous
Explanation *
Freight on Merchandise for Resale
Daily Expense Total

Mileage

Enter starting and ending odometer readings to calculate Total Miles automatically, or enter Total Miles directly. You may change the calculated miles when needed.

Travel Date*	From*	To*	Business Purpose*	Starting Odometer	Ending Odometer	Total Miles*	Rate	Reimbursement

Receipts

Attach Receipts: Drag and drop receipt files anywhere in this box, or use Browse. You may add files more than once, files with the same name are allowed, and each receipt can be removed individually before submitting. No receipt files attached yet.

Totals

Expense Total
Mileage Total
Grand Total

I certify that these expenses were incurred for a legitimate
business purpose and that the information provided is accurate.

BILLINGS, MT
(406) 248-7787

BLACKFOOT, ID
(208) 785-0520
Map and Hours

CHAMBERLAIN, SD
(605) 234-5538

CIRCLE, MT
(406) 485-2145

CORSICA, SD
(605) 946-5444

CULBERTSON, MT
(406) 787-6201

EDGERTON, MN
(507) 442-4951

FREEMAN, SD
(605) 925-4241

GETTYSBURG, SD
(605) 765-2434

GLASGOW, MT
(406) 228-2496

GLENDIVE, MT
(406) 377-2533

IDA GROVE, IA
(712) 364-3105

IDAHO FALLS, ID
(208) 522-6372

JACKSON, MN
(507) 847-5832

LAKE PARK, IA
(712) 320-8039

LUVERNE, MN
(507) 283-4430

MILES CITY, MT
(406) 232-3211

MILLER, SD
(605) 853-2482

MITCHELL, SD
(605) 996-6633

PIPESTONE, MN
(507) 825-4203

PLATTE, SD
(605) 337-2661

PLENTYWOOD, MT
(406) 765-1531

POWELL, WY
(307) 754-5123

REXBURG, ID
(208) 356-5414

ROSCOE, SD
(605) 287-4281

SELBY, SD
(605) 649-7665

SHERIDAN, WY
(307) 673-4624

SIBLEY, IA
(712) 754-3741

SIOUX FALLS, SD
(605) 336-6331

SLAYTON, MN
(507) 836-8951

SPENCER, IA
(712) 262-5870

ST. JAMES, MN
(507) 375-3144

STORM LAKE, IA
(712) 732-5376

TRACY, MN
(507) 629-4740

TRUMAN, MN
(507) 776-2551

WAGNER, SD
(605) 384-4580

WORTHINGTON, MN
(507) 372-5080

YANKTON, SD
(605) 665-3762

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