AHS Board and Executive Expense Report · 12/20/2017 $ 141.69 Hinton GSS Annoucement 1 1/10/2018 $...

Name Gregory CummingsTitle Chief Zone Officer, North ZoneLocation WestlockExpenses submitted during the month of January 2018

MMM-YYSource

Document Purpose Airfare Meals AccommodationOther Travel

Total Travel

Professional Development

(2)

Working Sessions

Hosting and Hospitality

(3)Other

(4)

Jan-18 P-Card Meetings 296 14 310 Jan-18 Expense Claim Meetings 238 274 51 563 Jan-18 Direct Billing Meetings 1,367 1,367

Total 1,367$ 238$ 570$ 65$ 2,240$ -$ -$ -$

Total for the Month $ 2,240

Maximum daily single meal expense claimed in the month 24$ Maximum daily base hotel rate claimed in the month 144$ Non economy air travel in the month -$

1) Travel expenses Includes local and out of province/country travel expenses. Other travel includes items such as taxis, parking mileage, car rental and other expenses related to travel.

2) Professional DevelopmentIncludes conference, seminar and course registration fees and material

3) Hosting and Hospitality expensesHospitality and Hosting expenses may be incurred to advance AHS' mission, vision and values. For example, may include working lunches with staff and prospective employees meetings with government officials, dignitaries, public interest groups, donors other public or private organizations.

4) OtherOther expenses include expenses incurred in the normal course of business that are required for work purposes. May include small item technology purchases, books, etc.

5) Remuneration, Allowances Reported in the Financial Statements Car allowance, honoraria, meeting fees, and any other employment benefits reported in the annual financial statements are excluded from this report.

Travel (1)

AHS Board and Executive Expense Report

Claimant Name Claimant Title Claimant Location

Expense Claim Total

CUMMINGS, GREGORY

Chief Zone Officer, North Zone Westlock $ 309.94

Expense Date Amount From Location

To Location

Justification # of days

# of Attendees

Attendee Name(s)

Trip Distance

12/20/2017 $ 141.69 Hinton GSS Annoucement 1

1/10/2018 $ 154.25 Provincial PCN Meeting 1

1/10/2018 $ 14.00 Provincial PCN Meeting 1

Provincial PCN Meeting AB - Other Zones

Accommodations

GORDON, DEBORAH A Approve 23-Jan-18

Provincial PCN Meeting AB - Other Zones

Parking

Approver(s) for the claim Approval Status Approval Date

AHS Public Disclosure P-Card

Business reason Expense Location

Expense Type

Hinton GSS Annoucement AB - North Zone

Accommodations

Accommodations $154.25Parking 14.00


Expense Claim Total

CUMMINGS, GREGORY

Chief Zone Officer, North Zone Westlock $ 298.71


To Location


# of Attendees

Attendee Name(s)

Trip Distance

1/2/2018 $ 13.00 Smoky Lake Site Tours and Safety MeetingLunch $13.00

1

1/3/2018 $ 13.00 Redwater/Radway Visit RE: OHS/UNALunch $13.00

1

1/7/2018 $ 24.00 Bonnyville Site Tours & MeetingsDinner $24.00

1

1/8/2018 $ 129.71 Site Visit, Tour and Meetings in Bonnyville

1

1/8/2018 $ 47.50 Bonnyville Site Tours & MeetingsBfast $10.50Lunch $13.00Dinner $24.00

1

1/9/2018 $ 24.00 NZ PCN and Prov. PCN MeetingsDinner $24.00

1

1/10/2018 $ 47.50 NZ PCN and Prov. PCN MeetingsBfast $10.50Lunch $13.00Dinner $24.00

1

AHS Public Disclosure Expense Claims

Business reason Expense Location

Expense Type

Smoky Lake Site Tours and Safety Meeting AB - North Zone

Meals Per Diem

Redwater/Radway Visit RE: OHS/UNA AB - North Zone

Meals Per Diem

Bonnyville Site Tours & Meetings AB - North Zone

Meals Per Diem

Site Visit, Tour and Meetings in Bonnyville AB - North Zone

Accommodations

Bonnyville Site Tours & Meetings AB - North Zone

Meals Per Diem

NZ PCN and Prov. PCN Meetings AB - Other Zones

Meals Per Diem

NZ PCN and Prov. PCN Meetings AB - Other Zones

Meals Per Diem

Approver(s) for the claim Approval Status Approval Date

GORDON, DEBORAH A Approve 22-Jan-18


Expense Claim Total

CUMMINGS, GREGORY

Chief Zone Officer, North Zone

Westlock $ 264.02


To Location


# of Attendees

Attendee Name(s)

Trip Distance

1/29/2018 $ 34.50 Project: IT-15-250-17Bfast $10.50Dinner $24.00

1

1/29/2018 $ 15.00 Project: IT-15-250-17 11/30/2018 $ 20.50 Project: IT-15-250-17 11/30/2018 $ 34.50 Project: IT-15-250-17

Bfast $10.50Dinner $24.00

1

1/30/2018 $ 144.52 Project: IT-15-250-17 11/30/2018 $ 15.00 Project: IT-15-250-17 1

GORDON, DEBORAH A Approve 6-Feb-18

Approver(s) for the claim Approval Status Approval DateEPIC Training in Calgary AB - Other Zones Parking - Lot or ParkadeEPIC Training in Calgary AB - Other Zones Accommodations

EPIC Training in Calgary AB - Other Zones Meals Per DiemEPIC Training in Calgary AB - Other Zones Parking - Lot or ParkadeEPIC Training in Calgary AB - Other Zones Parking - Lot or Parkade

AHS Public Disclosure Expense Claims

Business reason Expense Location Expense Type

EPIC Training in Calgary AB - Other Zones Meals Per Diem

Purpose of This Form:

The information will be used for public disclosure reporting.

Expenses Paid Directly to Third Party Vendors:

Examples include but are not limited to hotels, travel agencies, car rental agencies, conferences, courses and expenses reimbursed from a petty cash fund.

Indicate whether you have expenses to report in this section for this reporting period:

Name : Reporting Period for the Month of :

Total Paid in the Month

Name of Vendor Amount Paid

The purpose of this form is to report expenses incurred on behalf of a designated Executive or an AHS Board Member and paid for by a third party vendor.

AHS may have established accounts with certain vendors used to book travel and other expenses that are billed directly to AHS.

It is mandatory to include in monthly reports these expenses that pertain to each member. AHS is required to disclose expenses for allapplicable receipts and back up must be attached.

Enter all items related to expenses incurred while conducting AHS business and paid for via a third party vendor

1,366.84$

January 29th Flight to Calgary for EPIC Training (Ticket# Marlin Travel 326.96

(i.e. accommodations, airline tickets, car rentals, hosting events and working sessions) Enter all expenses pertaining to professional development such as conferences and courses, etc. Enter all expenses paid by AHS not mentioned above.

Information will be used for reporting purposes only. A personal cheque must be attached to cover expenses deemed ineligible.

Jan-18

YES

Gregory Cummings

DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense

206.96

Direct Billing

18-Jan-2018

18-Jan-2018 153.00

Airline Ticket February 7th Flight to Fort McMurray for Progress in Minds and SOO Meeting. (Air Canada # 246.96

Direct Billing Airline Ticket

Marlin TravelJanuary 29th Flight to Calgary for EPIC Training (Ticket#Airline TicketDirect Billing

Expense Report Direct Bill Summary

4-Jan-2018

Copies of invoices and other relevant back up must be attached, approvals for hosting events/working sessions that exceeds $600 must be provided.

Direct Bill Report

19-Jan-2018 Direct Billing Airline Ticket Feb 20 Flight to Grande Prairie for Meeting and Site Tours

8-Jan-2018 Direct Billing Airline Ticket Jan 31st Flight to Calgary for QSO Meeting Marlin Travel

Marlin Travel

432.96 Marlin Travel

Invoice

Booking Date:

Client:

Agent:

ALBERTA HEALTH SERVICES


10030 - 107 STREET

EDMONTON AB

T5J 3E4

05 Jan 18Trip #:

File Locator:

PASSENGERS: MR GREGORY CUMMINGS

TOTALREFERENCE/ DESCRIPTION

OTHER

TAXESHST/GSTFARE PENALTYPST

AIR CANADA Ticket # 246.96 CAD 0.00 162.00 84.96 0.00$0.00

246.96 84.96 162.00 Total: 0.00 CAD 0.00 0.00

PAYMENTS Form of PaymentInvoice # Payment Date Card Holder Amount

CAD01/04/2018 246.96

Total Payment: 246.96 CAD

Balance Due CAD Currency 0.00 CAD

0.00Total GST Total HST $0.00

CORPORATE UNIT 101

BOOKING METHOD NUTRAVEL

REASON FOR TRAVEL PROGRESS IN MINDS AND 6 MTH SOO REVIEW

AIR FLIGHT ACCIDENT INSURANCE IS PROVIDED AT NO COST TO OUR CLIENTS FOR THE PRINCIPAL SUM $100000

UNDER GROUP POLICY GTRMM 11506 UNDERWRITTEN BY MANULIFE FINANCIAL

*************************************************** AFTER HOURS EMERGENCY HELP DESK WITHIN CANADA OR UNITED

STATES CALL ...1 888 342 3292 OUTSIDE OF TOLL FREE AREA CALL COLLECT...303 801 2147 PLEASE QUOTE ACCESS

CODE 2EC0 *************************************************** ***PLEASE REVIEW YOUR ITINERARY FOR ACCURACY***

PLEASE INFORM US WITHIN ONE BUSINESS DAY SHOULD YOU FIND ANY DISCREPANCIES. DEPENDING ON THE

NATURE OF THE DISCREPANCY COSTS ASSOCIATED WITH MAKING CORRECTIONS MAY BE YOUR RESPONSIBILITY

GOVERNMENT CENTRE

MAIN FLOOR, 9929- 108TH ST, EDMONTON, AB T5K1G8

Tél.: 780 425 8611 Page 1 of 2v14

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

05 Jan 18Trip #:

File Locator:

MY ITINERARY

Passengers

GREGORY CUMMINGS Not Specified

Required Travel DocumentsCitizenship

Not Specified

All passengers need to ensure that correct documentation requirements are met for entry to the applicable destinations as

well as for their return to Canada

AIR

04 Jan 18Booking Date:

File Locator/Ticket #:Passengers: GREGORY CUMMINGS

FlightAirline From To Class/Seat StopsTerminal

08388 EDMONTON INTL FT. MCMURRAY07 Feb 18 6:35PM 07 Feb 18 7:49PM

AIR CANADA K/

08385 FT. MCMURRAY EDMONTON INTL08 Feb 18 2:05PM 08 Feb 18 3:20PM

AIR CANADA K/

GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 2 of 2v14

http://www.travcom.ca

Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

08 Jan 18Trip #:

File Locator:



OTHER



206.96 74.96 132.00 Total: 0.00 CAD 0.00 0.00


CAD01/08/2018 206.96




CORPORATE UNIT 101


REASON FOR TRAVEL QSO MEETING








GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 1 of 2v14

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

08 Jan 18Trip #:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR




08149 EDMONTON INTL CALGARY INTL31 Jan 18 3:25PM 31 Jan 18 4:19PM

AIR CANADA K/

08225 CALGARY INTL EDMONTON INTL01 Feb 18 6:20PM 01 Feb 18 7:12PM

AIR CANADA K/

GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 2 of 2v14


Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

19 Jan 18Trip #:

File Locator:



OTHER



432.96 64.96 368.00 Total: 0.00 CAD 0.00 0.00


CAD01/19/2018 432.96




CORPORATE UNIT 101


REASON FOR TRAVEL MH MEETING AND SITE TOURS








GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 1 of 3v14

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

19 Jan 18Trip #:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR




08367 EDMONTON INTL GRANDE PRAIRIE19 Feb 18 5:25PM 19 Feb 18 6:44PM

AIR CANADA Q/

GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 2 of 3v14


Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

19 Jan 18Trip #:

File Locator:

AIR




08368 GRANDE PRAIRIE EDMONTON INTL21 Feb 18 7:05PM 21 Feb 18 8:13PM

AIR CANADA K/

GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 3 of 3v14


Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

31 Jan 18Trip #:

Agent Phone:

File Locator:



OTHER



153.00 0.00 53.00 Total: 0.00 CAD 100.00 0.00


CAD01/24/2018 153.00

CAD 0.00

CAD 0.00




CORPORATE UNIT 101


REASON FOR TRAVEL SENIOR LEADERSHIP ORIENTATION FOR EPIC








GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 1 of 3v14

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

31 Jan 18Trip #:

Agent Phone:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR




08139 EDMONTON INTL CALGARY INTL29 Jan 18 10:45AM 29 Jan 18 11:46AM

AIR CANADA W/

GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 2 of 3v14


Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

31 Jan 18Trip #:

Agent Phone:

File Locator:

AIR




08225 CALGARY INTL EDMONTON INTL30 Jan 18 6:20PM 30 Jan 18 7:12PM

AIR CANADA S/

GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 3 of 3v14


Invoice

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

18 Jan 18Trip #:

File Locator:



OTHER



326.96 74.96 252.00 Total: 0.00 CAD 0.00 0.00


CAD01/18/2018 326.96




CORPORATE UNIT 101


REASON FOR TRAVEL SENIOR LEADERSHIP ORIENTATION FOR EPIC








GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 1 of 2v14

Booking Date:

Client:

Agent:



10030 - 107 STREET

EDMONTON AB

T5J 3E4

18 Jan 18Trip #:

File Locator:

MY ITINERARY

Passengers



Not Specified



AIR




08137 EDMONTON INTL CALGARY INTL29 Jan 18 9:25AM 29 Jan 18 10:19AM

AIR CANADA S/

AIR




08225 CALGARY INTL EDMONTON INTL30 Jan 18 6:20PM 30 Jan 18 7:12PM

AIR CANADA S/

GOVERNMENT CENTRE


Tél.: 780 425 8611 Page 2 of 2v14



AHS Board and Executive Expense Report · 12/20/2017 $ 141.69 Hinton GSS Annoucement 1 1/10/2018 $...

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