EXPENSE CLAIM

EMPLOYEE NAME: CANADIAN PRESS ENTERPRISES INC:

LOCATION: PAGEMASTERS NORTH AMERICA INC:

DEPARTMENT:

REASON FOR EXPENSE:

Date Prov Total

1

2 ###

3 ###

4 ###

5 ###

6 ###

7 ###

8

9

10

11

12

13 ###

14 MILEAGE @ $0.54/km Number of km's ### -

15 PER DIEM @ $50.00/day Number of days ### -

Reimbursement ### -

FOR ACCOUNTING USE ONLY

ACCOUNT DESCRIPTION AMOUNT

###

Employee Signature: Initials Date

Approver Signature: Initials Date 4602 GST/HST

4603 QST

Description of Expense (e.g. meals/flight)

Reason for Expense (e.g. description of assignment)