ALLUNY EXPENSE REPORT

Name  __________________________________        Date   ___________________

Reason for trip:          ___________________________________________________

Lodging:         _________________________________________________________

Transportation:
            Airfare (attach stubs):           _________________________________

            Train (attach stubs):              _________________________________

            Taxi/cab (attach receipts):   _________________________________

            Automobile travel expenses:  _______miles at _________/mile = _________
           
From:  ___________________     To:       ________________________
 
            Tolls (attach receipts):          _____________________

            Parking (attach receipts):     _____________________

             
Miscellaneous:          _____________________________________________________

TOTAL EXPENSES: $_______________

Send by mail or email (with receipts attached/scanned) to:

Elaine M. Knecht
Director of Information Resources

Hiscock & Barclay, LLP
1100 M&T Center  •  3 Fountain Plaza  •  Buffalo, NY 14203
D: (716) 566-1595  •  F: (716) 846-1222  •  E: EKnecht@hblaw.com