> ## Documentation Index > Fetch the complete documentation index at: https://docs.formepdf.com/llms.txt > Use this file to discover all available pages before exploring further. # Expense Report > An expense report with an itemised claim table, category summary, and a settlement stack that nets company-card charges against the claim. Expense Report, page 1 An expense report with an itemised claim table, category summary, and a settlement stack that nets company-card charges against the claim. Change the items and recompute both summaries — category totals and the settlement must both reach 1,089.79 in the sample. The entertainment line carries its business-purpose annotation, as policy requires. **Engine features exercised:** @page margin boxes with page counters, six-column claim table, split columns via explicit widths, three-slot signature row. Render it: ```bash theme={null} npx @formepdf/html templates/expense-report/index.html -o expense-report.pdf ``` ```html index.html theme={null} Expense report EXP-3308 — Northmoor Industrial Group, Inc.
N
Northmoor
Finance — Travel & Expense
418 Ellingham Road, Suite 300
Rochester, NY 14604
Form F-22 rev. 4 · Jan 2026
Travel & expense · form F-22

Expense report

Report number
EXP-3308
Employee
Dana Whitcomb
Accounts Receivable
Employee no. 20417
Purpose
Site visit and collections meeting
Brightwater Foods, Cleveland OH
Period
02–04 September 2026
Submitted
07 September 2026
Approver
M. Okonjo, Controller
Cost centre
3100 · Finance
Date Description Category Paid by Qty Amount
02 SepAirfare, Rochester–Cleveland return, coachAir travelCompany card1412.80
02 SepTaxi, airport to plantGroundPersonal138.50
02 SepHotel, Ellsworth Inn, two nights at 168.00LodgingCompany card2336.00
03 SepMeals, individual, within 60.00 daily capMealsPersonal146.25
03 SepParking, plant visitor lotGroundPersonal124.00
03 SepMileage, personal vehicle, 62 mi at 0.67MileagePersonal6241.54
04 SepMeals, individualMealsPersonal151.80
04 SepClient dinner — M. Reyes, T. Ault, D. Whitcomb
Business purpose: payment plan for INV-4102 · itemised receipt attached		EntertainmentPersonal3138.90
Total expenses claimed8 items1,089.79

Category summary

Air travel412.80
Lodging336.00
Meals and entertainment236.95
Ground and mileage104.04
Total1,089.79
Total claimed1,089.79
Less charged to company card(748.80)
Less cash advance0.00
Due to employee340.99
Employee — D. Whitcomb
Approver — M. Okonjo
Date
``` ```css style.css theme={null} /* expense-report — page geometry and document-specific rules. * Spine comes from ../northmoor-shared.css. */ @page { size: Letter; margin: 52.5pt 57pt 40.5pt; /* 70px 76px 54px */ @bottom-left { content: "Expense report EXP-3308 · D. Whitcomb · 02–04 Sep 2026"; font-family: Helvetica, Arial, sans-serif; font-size: 5.625pt; letter-spacing: 0.14em; text-transform: uppercase; color: #8A857E; } @bottom-right { content: "Page " counter(page) " of " counter(pages); font-family: Helvetica, Arial, sans-serif; font-size: 5.625pt; letter-spacing: 0.14em; text-transform: uppercase; color: #8A857E; } } /* First-page 4px full-bleed accent head rule (escapes into the margin). */ .sheet { position: relative; } .atop { position: absolute; top: -52.5pt; left: -57pt; right: -57pt; height: 3pt; background-color: #7B2233; } .meta-doc { grid-template-columns: 1fr 1fr 1fr 1fr; } .items { margin-top: 22.5pt; } .twocol { display: flex; gap: 27pt; margin-top: 21pt; } /* 36px / 28px */ .sig-exp { padding-top: 22.5pt; } /* 30px */ .foot-after-sig { margin-top: 16.5pt; } /* Equal/ratio split columns: explicit widths (flex basis is not in * the subset; grow alone leaves intrinsic-width columns). */ .twocol > div { width: 47%; } ``` Both files assume [`northmoor-shared.css`](https://github.com/formepdf/forme/blob/main/templates/northmoor-shared.css) alongside them — the set's shared spine (type scale, tables, signature blocks, the accent). ```json data.json theme={null} { "issuer": { "name": "Northmoor Industrial Group, Inc.", "address": "418 Ellingham Road, Suite 300, Rochester, NY 14604", "phone": "(585) 274-0180", "ein": "16-1904472", "bank": { "name": "First Genesee Bank, Rochester NY", "account": "8841 002937", "routing": "021304559" }, "form": "F-22 rev. 4 · Jan 2026" }, "document": { "type": "expense-report", "number": "EXP-3308", "period": "02–04 September 2026", "submitted": "07 September 2026", "approver": "M. Okonjo, Controller", "costCentre": "3100 · Finance" }, "employee": { "name": "Dana Whitcomb", "departmentLine": "Accounts Receivable", "employeeNo": "20417" }, "purpose": "Site visit and collections meeting — Brightwater Foods, Cleveland OH", "items": [ { "date": "02 Sep", "description": "Airfare, Rochester–Cleveland return, coach", "category": "Air travel", "paidBy": "Company card", "qty": 1, "amount": 412.8 }, { "date": "02 Sep", "description": "Taxi, airport to plant", "category": "Ground", "paidBy": "Personal", "qty": 1, "amount": 38.5 }, { "date": "02 Sep", "description": "Hotel, Ellsworth Inn, two nights at 168.00", "category": "Lodging", "paidBy": "Company card", "qty": 2, "amount": 336.0 }, { "date": "03 Sep", "description": "Meals, individual, within 60.00 daily cap", "category": "Meals", "paidBy": "Personal", "qty": 1, "amount": 46.25 }, { "date": "03 Sep", "description": "Parking, plant visitor lot", "category": "Ground", "paidBy": "Personal", "qty": 1, "amount": 24.0 }, { "date": "03 Sep", "description": "Mileage, personal vehicle, 62 mi at 0.67", "category": "Mileage", "paidBy": "Personal", "qty": 62, "amount": 41.54 }, { "date": "04 Sep", "description": "Meals, individual", "category": "Meals", "paidBy": "Personal", "qty": 1, "amount": 51.8 }, { "date": "04 Sep", "description": "Client dinner — M. Reyes, T. Ault, D. Whitcomb", "note": "Business purpose: payment plan for INV-4102 · itemised receipt attached", "category": "Entertainment", "paidBy": "Personal", "qty": 3, "amount": 138.9 } ], "categorySummary": { "airTravel": 412.8, "lodging": 336.0, "mealsAndEntertainment": 236.95, "groundAndMileage": 104.04, "total": 1089.79 }, "settlement": { "totalClaimed": 1089.79, "companyCard": -748.8, "cashAdvance": 0.0, "dueToEmployee": 340.99 } } ``` *** MIT-licensed, free to copy — [source on GitHub](https://github.com/formepdf/forme/tree/main/templates/expense-report). Passes PDF/UA-1 validation (veraPDF) in CI; validation is a floor, not a certification.