name: guy kerr, president ceo for the period: dec 1 dec 31 ... · eticket to your sabre virtually...

Expense Disclosure Reporting Form 

Date of expense Destination Purpose AirfareOther 

Transportation AccomodationMeals (includes per diem allowances)

Seminar / Conference / 

Registration fees Total1 3‐Dec‐12 Calgary Attended meetings with WCB staff on 01/08/13 $324.71 $324.712 20‐Sep‐12 Calgary Attended a meeting of the Industry Task Force in Balzac 

AB on Sept 20/12 ‐‐ mileage charge$256.76 $256.76

3 17‐Oct‐12 Calgary Attended Minister's Partnerships breakfast on Oct 17/12 in Calgary (see Oct Disclosure for corresponding accommodation charge) ‐‐ mileage charge

$275.38 $275.38

4 1‐Nov‐12 Calgary Attended meetings with WCB Staff on Nov 1/12 ‐‐ mileage charge

$275.38 $275.38

5 $0.006 $0.007 $0.008 $0.009 $0.00

10 $0.00

$1,132.23

Dates Expense Category Total123456789

10$0.00

$1,132.23

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: Guy Kerr, President & CEO For the Period: Dec 1 ‐ Dec 31, 2012

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