ActivePure Enterprise AP Form

Sales Representative *

First

Last

Enter your first and last name

Enterprise Job Number *

Enter the Job number this expense is associated with. *Note If you are submitting an expense report type "expense report" as your job number.

If any portion of this expense will be paid for by the client, please select the appropriate response below. *

All of this expense will be recaptured as part of the total amount billed to the client.
ActivePure Corporate will pay a portion of this expense and the client will pay the remainder as part of the total amount billed to the client
ActivePure Corporate will pay this expense and it will not be reimbursed

Percentage or amount ActivePure Technology will pay. *

Enter the amount of this invoice that ActivePure corporate will pay toward this invoice.

Expense Details *

Provide details in the space above regarding how this expense relates to the job. (Example: This expense is for initial testing of a large prospect and has been approved by executive committe.)

Invoice Upload *

Click or drag a file to this area to upload.

Upload a copy of the invoice to be paid. If you are submitting an expense report upload a copy of your expense report for reimbursement.

Comments

Enter any additional comments related to this expense.