PSN Timecard Expense Reimbursement Master 2018.xlsx
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**PLEASE ENTER DATA IN GREEN CELLS ONLY**
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PREMIER SPECIALTY NETWORK EXPENSE REPORT
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Name
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Expense Date From/To
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DayExpense ExplanationHotelMealsOther/MiscDaily Miles Traveled (roundtrip)2018 Mileage RateTotal Reimbursement
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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$0.545 $0.00
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TOTALS $ - $ - 0 $ -
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Less Advance
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Total Expense Reimbursement $ -
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Employee Signature:
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Approval Signature:
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