\documentclass[12pt,a4paper]{article} \usepackage[body={190mm,260mm}]{geometry} \usepackage{graphicx} \renewcommand{\rmdefault}{pbk} \begin{document} \thispagestyle{empty} \hfill\includegraphics[width=50mm]{logo} \section*{Expense Claim (2004r1) Re:} Dear \underline{\hspace{8cm}}, Please complete this form for any expenses incurred performing the above named task for AFFS. If you do not wish to be paid, please still complete this form (to help with future budgeting), put the full amount in the ``Donate to AFFS'' box below and accept my sincere thanks for your generosity. By default, donor names are published and the amount is not. When this form is complete, please return it to me at the address below. {\hfill-- MJ Ray, mjr@affs.org.uk} \bigskip \ \\\begin{tabular}{|p{20mm}|p{100mm}|p{10mm}|p{10mm}||p{10mm}|p{10mm}|} \hline Date & Description of expense & \multicolumn{1}{c}{Cost} & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{5mm} & & & & & \\ \hline \vspace{1pt}{\Huge X--X} & {\hfill \bf TOTAL} & & & & \\ \hline \vspace{1pt}{\Huge X--X} & {\hfill \bf Donate to AFFS} & & & & \\ \hline \end{tabular} \vfill {\sf www.affs.org.uk frontdesk@affs.org.uk}\\ AFFS c/o Turo Technology LLP, 79 Sir Lewis Street, King's Lynn, PE30 2AL. \end{document}