Expense Report

Expense Report
*Please use this form ONLY when using a Grumlaw Credit Card*
Last 4 Digits of Card Number*
Name of Person Submitting*
First Last
Email*
Supervisor
Supervisor Email
Itemized List*
Date of Purchase Store Name with Description Account Number Cost Location

Please fill in the columns with the correct info. Click + to add more rows. If you would like to split between accounts, please do a separate line for each account with the split total.
Please upload all receipts for purchases listed above.*
Drop files here or

Max. file size: 50 MB.
Missing Receipts?
- I have missing receipts
Missing Receipts
I am certifying that the above amounts below are appropriate ministry expenses incurred by me.
Missing Receipts
Date Amount Merchant Description Reason for missing receipt
Please include any notes here

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Date of Purchase	Store Name with Description	Account Number	Cost	Location

Date	Amount	Merchant	Description	Reason for missing receipt

Missing Receipts