Expense Disclosure Reporting Form · Purpose Airfare Other Transportation Accommodation: Meals...

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Expense Disclosure Reporting Form Page 1 of 1 Date of expense Destination Purpose Airfare Other Transportation Accommodation Meals (includes per diem allowances) Seminar / Conference / Registration fees Total 1 Apr 29/30, 2013 Edmonton to attend Board of Directors' meeting $480.11 $300.00 $223.42 $44.00 $1,047.53 2 May 27/28, 2013 Edmonton to attend Board of Directors' meeting $274.18 $80.00 $156.06 $41.00 $551.24 3 $0.00 4 $0.00 5 $0.00 6 $0.00 7 $0.00 8 $0.00 9 $0.00 10 $0.00 $1,598.77 Dates Expense Category Total 1 2 3 4 5 6 7 8 9 10 $0.00 $1,598.77 Notes Total claimed for reporting period: Non-Travel Related Non-travel related Expenditures (Business meals, etc…) Purpose Notes Travel, Seminars/Conference and Associated Expenditures Travel Related Name: Bob Nicolay, Board of Directors For the Period: May 2013

Transcript of Expense Disclosure Reporting Form · Purpose Airfare Other Transportation Accommodation: Meals...

Page 1: Expense Disclosure Reporting Form · Purpose Airfare Other Transportation Accommodation: Meals (includes per diem allowances) Seminar / Conference / Registration fees Total 1 Apr

Expense Disclosure Reporting Form

Page 1 of 1

Date of expense Destination Purpose AirfareOther

Transportation AccommodationMeals (includes per

diem allowances)

Seminar / Conference /

Registration fees Total1 Apr 29/30, 2013 Edmonton to attend Board of Directors' meeting $480.11 $300.00 $223.42 $44.00 $1,047.532 May 27/28, 2013 Edmonton to attend Board of Directors' meeting $274.18 $80.00 $156.06 $41.00 $551.243 $0.004 $0.005 $0.006 $0.007 $0.008 $0.009 $0.00

10 $0.00$1,598.77

Dates Expense Category Total123456789

10$0.00

$1,598.77

Notes

Total claimed for reporting period:

Non-Travel Related

Non-travel related Expenditures (Business meals, etc…)Purpose

Notes

Travel, Seminars/Conference and Associated Expenditures

Travel Related

Name: Bob Nicolay, Board of Directors For the Period: May 2013

Page 2: Expense Disclosure Reporting Form · Purpose Airfare Other Transportation Accommodation: Meals (includes per diem allowances) Seminar / Conference / Registration fees Total 1 Apr

Mileage & Per Diem Allowances

Employee Name Expense TypeSubmitted

Date Trip InfoTrip Start

DateTrip End

DateExpense

Trans Date Detail DescriptionTotal Amount

(Includes GST/HST)Summary Item

Reference

Bob Nicolay Travel Meal Allow 5/2/2013

01. 04/29/2013 at 05:00 PM to 04/30/2013 at 02:00 PM - Edmonton ~ to attend Board of Directors' meeting. 4/29/2013 4/30/2013 4/29/2013 Meal allowance Apr 29/30 $44.00 1

Bob Nicolay Travel Meal Allow 5/30/2013

01. 05/27/2013 at 02:45 PM to 05/28/2013 at 03:15 PM - Edmonton ~ to attend Board of Directors' meeting. 5/27/2013 5/28/2013 5/27/2013 Meal allowance May 27/28 $41.00 2

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