ABCEGIJLMWXYZ
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STORE MANAGERS EXPENSE CLAIM FORM
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DATEEXPENSE TYPEACCOUNT NO.GST (Y/N)AMOUNT (INCL. GST)DESCRIPTIONATTENDEE/ RECIPIENT REQUIRED (Y/N)ATTENDEE/RECIPIENT NAME(S)
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N
6
N
7
N
8
N
9
N
10
N
11
N
12
N
13
N
14
N
15
N
16
N
17
N
18
N
19
N
20
N
21
N
22
N
23
N
24
N
25
N
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27
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AMOUNT DUE TO EMPLOYEE: $ - EMPLOYEE:
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Name:Store #:1685
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READY FOR SUBMISSION?
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GST OK
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Descriptions OK
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YesAttendees/Recipients OK
Store Name:
Month:December
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Expenses Being Claimed OK
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Claim Totals OKI declare that: 100% of the expenses included in this claim were for business purposes and are supported by an attached receipt.
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Signature:Date:
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SSG USE ONLY:
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VAT 17455-001$0.00
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VAT 27455-001$0.00
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VAT 17455-661$0.00APPROVAL:
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VAT 27455-661$0.00
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VAT 17455-999$0.00
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VAT 27455-999$0.00Name:G&A # :
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VAT 18306-001$0.00
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VAT 28306-001$0.00
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VAT 1Other$0.00I declare that: 100% of the expenses included in this claim were for business purposes, have been reviewed by me and are supported by a receipt.
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VAT 2Other$0.00
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TOTAL$0.00Signature:Date:
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100