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

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Expense Disclosure Reporting Form Date of expense Destination Purpose Airfare Other Transportation Accomodation Meals (includes per diem allowances) Seminar / Conference / Registration fees Total 1 3‐Dec‐12 Calgary Attended meetings with WCB staff on 01/08/13 $324.71 $324.71 2 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 $0.00 6 $0.00 7 $0.00 8 $0.00 9 $0.00 10 $0.00 $1,132.23 Dates Expense Category Total 1 2 3 4 5 6 7 8 9 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 Page 1 of 1

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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

Page 1 of 1

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