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Employee Reimbursement
Employee Reimbursement
Fields with asterisk are required.
First & Last Name *
LSC Employee ID# *
Expense Report # (If Applicable)
Budget Manager's Name
Pro Card Vendor/Merchant (If Applicable)
Description of charge
Fund *
Please select
10
14
20
50
Location *
Please select
0800
Cost Element *
Please select
0
1
4
5
6
9
Department *
Account *
PCBU
Project
Activity
Analysis Code
Please enter an amount:
The amount must be between $0.00 to $1,000.00
Qty:
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