ahs board and executive expense report · 4/17/2017 $ 19.39 . fmc. yyc. elt in person mtg. 1. 38.4....

Name Karen HoronTitle VP, Clinical Support Services (Acting)Location CalgaryExpenses submitted during the month of April 2017

MMM-YYSource

Document Purpose Airfare Meals AccommodationOther Travel

Total Travel

Professional Development

(2)

Working Sessions

Hosting and Hospitality

(3)Other

(4)

Apr-17 Expense Claim Meetings 146 319 694 1,159 Apr-17 Direct Billing Meetings 1,034 1,034

Total 1,034$ 146$ 319$ 694$ 2,193$ -$ -$ -$

Total for the Month $ 2,193

Maximum daily single meal expense claimed in the month 24$ Maximum daily base hotel rate claimed in the month 149$ 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

HORON, KAREN L

VP, Clinical Support Services (Acting)

Calgary $ 1,158.89

Expense Date Amount From Location To Location Justification # of days

# of Attendees

Attendee Name(s)

Trip Distance

4/3/2017 $ 14.25 FMC-MTG 1

4/4/2017 $ 14.25 FMC-MTG 1

4/4/2017 $ 15.00 SPT-MTG 1

4/4/2017 $ 15.45 FMC Southport Towers

SPT-MTG 1 30.6

4/6/2017 $ 14.25 1

4/7/2017 $ 19.39 FMC YYC In Person Meetings in Edmonton 1 38.4

4/7/2017 $ 14.25 FMC-MTG 1

4/7/2017 $ 29.35 Various in Person Mtgs at SPT 1

4/7/2017 $ 10.50 In Person Meetings in EdmontonBfast $10.50

1

4/10/2017 $ 14.25 1

4/11/2017 $ 19.39 FMC YYC In Person Mtgs in Edmonton & ELT 1 38.4

4/11/2017 $ 37.00 ELT in PersonLunch $13.00Dinner $24.00

1

4/11/2017 $ 63.25 Edm International Airport

SSP ELT in Person 1

AHS Public Disclosure Expense Claims

FMC-MTG AB - Local Parking - Lot or Parkade

SPT-MTG AB - Local Parking - Lot or Parkade

Business reason Expense Location

Expense Type


In Person Meetings in Edmonton

Mileage-Local-Home Zone


SPT-MTG-ELT Mileage-Local-Home Zone

FMC-MTG AB - Local Parking - Lot or Parkade-Service Rcpt


In Person Mtgs in Edmonton & ELT


Various in Person Mtgs in Edmonton

AB - Local Parking - Lot or Parkade

In Person Meetings in Edmonton

AB - Other Zones

Meals Per Diem

ELT in Person AB - Other Zones

Meals Per Diem

ELT in Person AB - Local Taxi

Claimant Name


Expense Claim Total

HORON, KAREN L


Calgary $ 1,158.89


# of Attendees

Attendee Name(s)

Trip Distance



Expense Type

4/11/2017 $ 159.61 ELT In Person Mtg 1

4/12/2017 $ 37.00 ELT in PersonLunch $13.00Dinner $24.00

1

4/12/2017 $ 58.70 In Person Mtgs in Edmonton 1

4/12/2017 $ 56.00 SSP Edm International Airport

In Person Mtgs in Edmonton 1

4/17/2017 $ 159.61 ELT In Person Mtg 1

4/17/2017 $ 24.00 Dinner $24.00 1

4/17/2017 $ 61.60 SSP Edm International Airport

In Person Mtgs in Edmonton 1

4/17/2017 $ 19.39 FMC YYC ELT In Person Mtg 1 38.4

4/17/2017 $ 50.35 ELT In Person Mtg 1

4/18/2017 $ 37.00 Lunch $13.00Dinner $24.00

1

4/18/2017 $ 62.80 Edm International Airport

SSP ELT In Person Mtg 1


In person Mtg at SPT ERC Transition 1 30.6

ELT In Person Mtg AB - Other Zones

Accommodations

In Person Mtgs in Edmonton AB - Other Zones

Parking - Lot or Parkade


Meals Per Diem


Meals Per Diem


Taxi


Taxi


Accommodations


Taxi

In person Mtg at SPT ERC Transition


ELT In Person Mtg Mileage-Local-Home Zone


Parking - Lot or Parkade


Meals Per Diem

Claimant Name


Expense Claim Total

HORON, KAREN L


Calgary $ 1,158.89


# of Attendees

Attendee Name(s)

Trip Distance



Expense Type

4/19/2017 $ 15.00 In person Mtg at SPT ERC Transition 1


ELT at SPT 1 30.6

4/25/2017 $ 15.00 ELT at SPT 1


Various in Person Mtgs at SPT 1 30.6

4/26/2017 $ 15.00 Various in Person Mtgs at SPT 1

4/27/2017 $ 15.00 Board Meeting 1


Board Meeting 1 30.6


People Survery Results Presentaton & Mtg with Board Member

1 30.6

4/28/2017 $ 15.00 People Survery Results Presentaton & Mtg with Board Member

1

ELT at SPT AB - Local Parking - Lot or Parkade

Various in Person Mtgs at SPT Mileage-Local-Home Zone

In person Mtg at SPT-ERC Transition


ELT at SPT Mileage-Local-Home Zone

Board Meeting Mileage-Local-Home Zone



Various in Person Mtgs at SPT AB - Local Parking - Lot or Parkade

Board Meeting AB - Local Parking - Lot or Parkade

YIU, VERNA Approve 17-May-17



Approver(s) for the claim Approval Status Approval Date

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 1,034.20$

07-Apr-17 Direct Billing Airline Ticket Travel to Edmonton & Return to attend in person meetings-cancellation charges Marlin Travel 112.05

17-Apr-17 Direct Billing Airline Ticket In Person meetings with ELT, while covering for M. Chies Marlin Travel 464.44

11-Apr-17 Direct Billing Airline Ticket In Person meetings with ELT, while covering for M. Chies Marlin Travel 323.06

07-Apr-17 Direct Billing Airline Ticket Refund from Air Canada-due to heavy fog in Edmonton-April 7, 2017 Marlin Travel (209.08)

07-Apr-17 Direct Billing Airline Ticket Travel to Edmonton & Return to attend in person meetings Marlin Travel 343.73

A personal cheque must be attached to cover expenses deemed ineligible.YES

Karen Horon April, 2017

DD-MMM-YY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid

Enter all items related to expenses incurred while conducting AHS business and paid for via a third party vendor (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. Copies of invoices and other relevant back up must be attached, approvals for hosting events/working sessions that exceeds $600 must be provided. Information will be used for reporting purposes only.

Executive Expenses Report Direct Billing Summary

The purpose of this form is to report expenses incurred on behalf of a designated Executive 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.

Direct Bill Report

Invoice

Booking Date:

Client:

Agent:

ALBERTA HEALTH SERVICES


10030 - 107 STREET

EDMONTON AB

T5J 3E4

04 Apr 17Trip #:

ASKE

File Locator:

PASSENGERS: MS KAREN HORON

TOTALREFERENCE/ DESCRIPTION

OTHER

TAXESHST/GSTFARE PENALTYPST

AIR CANADA ONLINE Confirmation # 37.05 CAD 0.00 37.05 0.00 0.00$0.00

AIR CANADA ONLINE Confirmation # 75.00 CAD 0.00 75.00 0.00 0.00$0.00

112.05 0.00 112.05 Total: 0.00 CAD 0.00 0.00

PAYMENTS Form of PaymentInvoice # Payment Date Card Holder Amount

CAD04/03/2017 37.05

CAD04/03/2017 75.00

Total Payment: 112.05 CAD

Balance Due CAD Currency 0.00 CAD

0.00Total GST Total HST $0.00

CORPORATE UNIT 101

REASON FOR TRAVEL IN PERSON STAFF CELEBRATION

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 -------

------WESTJET AIRLINE RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2 HOURS PRIOR TO

FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY TICKET MUST BE CANCELLED AT LEAST 2 HOURS

PRIOR OR NO CREDIT WILL APPLY 24 HOURS IN ADVANCE GO TO WWW.WESTJET.COM TO CHECK IN AND PRINT YOUR

BOARDING PASS. -----------AIR CANADA RULES-------------- TICKET IS NON REFUNDABLE CHANGES PERMITTED UP TO 2

HOURS PRIOR TO FLIGHT TIME CHANGE FEES PLUS ANY FARE INCREASE WILL APPLY 24HOURS IN ADVANCE GO TO

WWW.AIRCANADA.COM TO CHECK IN AND PRINT YOUR BOARDING PASS.

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

04 Apr 17Trip #:

ASKE

File Locator:

MY ITINERARY

Passengers

KAREN HORON 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

03/28/2017Booking Date:

File Locator/Ticket #:Passengers: KAREN HORON

FlightAirline From To Class Seat StopsTerminal

08130 CALGARY INTL EDMONTON INTL V04/07/2017 6:45AM 04/07/2017 7:39AM

AIR CANADA




08130 CALGARY INTL EDMONTON INTL V04/07/2017 6:45AM 04/07/2017 7:39AM

AIR CANADA




03142 EDMONTON INTL CALGARY INTL M04/07/2017 5:30PM 04/07/2017 6:25PM

WESTJET




03142 EDMONTON INTL CALGARY INTL M04/07/2017 5:30PM 04/07/2017 6:25PM

WESTJET

GOVERNMENT CENTRE

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

Tél.: 780 425 8611 Page 2 of 2v14

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