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Receipt Reporting -Form Fill

Section One
Q1

Name*

First Name
Q2

Name*

Last Name
Q3

Your Email*
Q4

Type of receipt*
Q5

Merchant name*
Q6

Purchase Date*

Date
Q7

Description of purchase*
Q8

Purchase Amount*
Q9

Account*
Q10

Department*
Q11

Add another item to this receipt report. (E.g. if you bought Food and Cleaning Supplies with the same purchase/receipt, report the purchases and costs for their appropriate Department.)*