1APPLICANT COPYs. ;," AHSB(403)943-1124>>17806728911P 2/4
HEALTH SERVICES BOARDOF ALBERTA BOARD MEMBER EXPENSE CLAIM FOR
MONTH OF;June 1 18 NAME:Ken Hu9hes ADDRESS: TOWN: POSTAL
CODE:PHONE#: DATE DEPART/ DESCRIPTION PRIVATE MEALS LODGING
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NAME: ADDRESS: TOWN: Ken Hughes HEALTH SERVICES BOARD OF ALBERTA
BOARD MEMBER EXPENSE CLAIM FOR MONTH POSTAl CODE:PHONE#: OATE
DePART/ DESCRIPTION PRIVATE MEALS LODGINGPARKINGHONOR- OTHER
ARRIVE(il>clu> RECEIPT GST NO.R122556194 ffr'0i?? COOEo14121
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TABLE:9/1 SERVER:111CARMEN DATE:JUL10'087:07PM CARDTYPE:VISA ACCT#;
EXPDATE: AUTHCODE:022574 KENNErnHUGHES SUBTOTAl:37 _80
GRATlJITY,--TOTAL40 $>0I v PLEASERETURNASIGNEDCOPY TOYOURSERVER
s.17(1), 17(4)(e.1) s.17(1), 17(4)(e.1) 19APPLICANT
COPY2008-07-3011:32AHSB E'R TC GRILLE S223Mcl.em1l r.South re 1:
Check:96296 Server:BARAM Table:351 VISA HUGHES/KENNE1H Ol/14/20(11.
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COPY20Q8-07-3011:33 AHSB. .(403)9431124>>1 7806728911P 9/13
NAME: ADDRESS: TOWN: Ken Hughes HEALTH SERVICES BOARD OF ALBERTA
BOARD MEMBER EXPENSE CLAIM __ POSTAL CODE: ________________________
PHONE#: DATEDEPART/DESCRIPTION AARIVC{ill(;lUoiepurpose of trip,
ollr;l"C:I, PRNATEMEALSLODGINGPARKINGHONOR.Oli-IER CAR
(KM)(ROOM)ARIUM(ITEMIZE) Juna19 June 21 June 23 June 24 Juna 25
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GSTll857684799 s.17(1), 17(4)(e.1) s.17(1), 17(4)(e.1) 22APPLICANT
COPY2008-07-3011:33 AHSB. . .
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ANAaircanada.com check-in Print your l!loarding Pass(es) Youhave
successfully checkedin. Thisis your boarding pass.Pleaseprint this
page andbring it with you. Thank youfor choosing Air
Canada.Bonvoyage. Important HUGHES KENNETH ECONOMY IETANGO
ETKT0142162567077 Rig!< I""' AC8588160CT From/DeC) FTMCMURRAY
17:20Gote!Pooe2 Departurelin"K'!Heure de
depart17:55Remari\RGES$18.00 V.t.LET PARKING$18.00.
11/18/2008814GSTGST$0.90 11/19/2008814 11/19/2008814 11/19/2008814
11/19/2008814 11/19/2008814 ROOMSERVICE BFST FOOD ROOMSERVICE
BREAKFAST ROOMSERVICE BREAKFAST TIP ROOMSERVICE BREAKFAST GST VISA
I agrethat my hal?ilicyfor this bill isnot waivedand agree to be
,held personally liable i:n the event that the h)dicqted person,
company or associa.fio_ n fails t{) pay fo,raJ;lyor tht;:full
amolint of these chatges, 814/4793/07:44/ROOMSERVICE BFST FOOD
814/4793/07:44/ROOMSERVICE BREAKFAST 814/4793/07:44/ROOMSERVICE
BREAKFAST TIP 814/4793/07:44/ROOMSERVICE BREAKFAST GST VISA
.JO_TAL_OUE_: $22.00 ($3.30) $5.96 $1.13 ($44.69) Je qoil)-ptends
que' mapour q:f::tl!acrure n'est pas ant1Ukeetje consemtenu
pei:so:qellement x:espo_nsable d:msoupersonne, 1?- compagme ou
l'assOctat)on rte paierait pastout partie ou pour le total de ces
frats, s.17(1), 17(4)(e.1) 80APPLICANT COPYRECEIPT GST
Np.R1'22556194 EXITNo.A2 IN:11119!0813:21 OUT;11/20/0823:52 i
DURATlO.H:110:31 P.4!D:$(GSTINCLUDED) VISA AUTH.CODE066723if REF.
'""THANKHiUii ,,_ YOURVISIT .Calgary International Airport Parkadl
s.17(1), 17(4)(e.1) 81APPLICANT COPYUNION BANK INN
HUGHESKEN ABHEALTHSERVICES
Arrive11/19/08Depart11/20/08Room#310Folio#72666
IDATECLERKDEPARTMENTDESCRIPTIONAMOUNT 11/19/0 11/19/0 11/19/0
11/20/0 11/20/0 11/20/0 LB LB LB XXX XXX DB 2-RoomChar 41-TourismL
42-DMF 7-Madisons 4-LongDist 91-Visa OnRoomCharge OnRoomCharge
107/1018 09:052503456397 GSTOnLongDistanc GSTonRoomCharge GSTReg
.#R89734379 139.00 5 . 56 1.46 2.00 16.75 . - 172. 56 1".. 0.84
6.95 BILLING INSTRUCTIONSBALANCE DUE----+ "- 0.00 ""-'1-lMPANY
TENT!ON I agree thatmyliability for thisbillisnot waivedand agree
to be heldpersonallyliableintheeventthattheindicatedperson, company
or associationfails to pay for any part or the fullamount of these
charges. SIGNATIJRE GUEST ACCOUNT X UNION BANK INN
10053 Jasper Avenue,Edmonton, AB, Canada TSJISS
Phone:780.423.3600" Fax:780.423.4623 E-mail : [email protected]
Web:unionbankinn.com s.17(1), 17(4)(g)(i) 82APPLICANT
COPYMRKenHuqhes !.f. .,-
THE PHOENlCL-\\ ROOM 7126 RATE169. 00 NO.PERS. 2 FOLIO 7 03515 1
23 - NOV-0 8 PAGE ARRIVE DEPART PAYMEtH26-NOV- 08 A 15 : 00 23 -
t.;C\7- 08 23 - NOV- 08 23 - NOV-08 2 3 - NOV- 0 8 25 - NOV- 08 25-
NOV-08 25 - NOV- 08 25-NOV- 08 25 - NOV- 08 25 - NOV-08 26 - NOV-08
26-NOV-08 26 - NOV- 08 26 - NOV-08 26 - NOV-08 26-NOV- 08 26 - NOV-
08 26 - NOV- 08 26 - NOV- 08 26 -NOV-08 26 - NOV- 08 26 -tJOV - 08
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11:07:07 1 1 :09: 54 11: 1 0:39 11:10 :3 9 11:24: 01 1 1:24:01
11:25 : 04 11:25 :04 RentsSalesTax InRoomMovie Rent sSalesTax-10
:10v 0:10_.,) o: 01- -t:IWJ 0 : 0 1CyJ "vrrr-- !--"-'J-
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not responsibl.e for loss orhowever caused, to vehrcles and/or to
veh1cle contents. Parking C.Ocharge covers sale of parking
privileges only andnot r--- include ballae.custody or liability for
vehicles and/or their contents. parked a\ QWOer't risk. 0
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RECEIPT ****************** ENTRYDt1 TF!T IME: 1o. oz. ogoe :21
PAYDATE/TIME: 10 . 02 .0912 : 32 DUE : 0 :04: 1.1.
****************** ALLOWEDEXITTO: 10 .02 . 0912 :47 * ' PAID .$13 .
00 VISA REF.55 ****************** *YouHaveONLY* *15MINUlES* *TuExi
tGaraywM *NOJ.N /OUf* *PRIVI LEGES*
*Manage dby*
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obto:nir de l'int' onnation s ur Iafranchise de bagages, les ct
autres, visi tez wcstjct.con. :\ 1;,d t> conscils dl: vny:tgrf14
168.0036.75v l'6). KILOMETRES ClAIMDescriptionCodingAmount
RATEKMAMOUNTHONORARIUM (E)49011.711103010.68500000
IGt
0.505/ Km696350.47vBOARD TRAVEL49011
.711103010.62200001305.93-(A+ B+ C+ D) .. OTHER (F) 36.75
4342-;66-\C "')...)\ /I oreakfast$9.20 meals lunch$11.60
dinner$20.75 Lodging per night$20,15 ( /c. 1 \ 7 DATE SUBMITTED 1/
! DATE APPROV!:D 1 Per diem 24-hour$7.35 S:\CE0\1 BOARDIBOARinfo,
forms,lanels. social events\EXPENSEm form May 1 2007.doc
Honoraria over ... v s.17(1), 17(4)(g)(i) 132APPLICANT
COPYHEALTH SERVICES BOARD OF ALBERTA BOARD MEMBER EXPENSE CLAlM FOR
MONTH OF: _NAME: ADDRESS; TOWN: - - -KenHughes POSTAL CODE: -
---------------------PHONE# DATEDEPART/DESCRIPTION ARR1VE(include
purpose of trip. mode of travel. TlMES starting polnl c!etlils or
oxpenditvre) May 27-28Grande Prairie board meetings, Drive to
Calgary airport June 1-2Airport- Edmonton return June 4Southport
meetings June9Southpol1June 1010;00To Edmonton/ June11Edmonton
Audit aod nnanc;e committH June 1506;00Edmonton, Treasury board,
elo June 18AHS Leadera,hl p group meeting June 2306:30Airport to
Edmonton , June 29Commi ttee ofwholll June 30Pub4ic board meeting
FINAL TOTALS KILOMETRES CLAIM PRIVATE CAR(KM) 82 82 S4 94 82 94 82
42 42 694 / MEALS Bl0AMOUNT XX20.80v t:l 56. 15{;I Description
LOOGINGPARKlNGHONOR- OTHER (ROOM)ARIUM(ITEMIZE) 14800/ l"'lrutt
'\Q'ofl 144.96 v' {; .. Coding I) 4800'1/ 24.00./ u 168.r 1::7.35
7.35 -7.35 7.35
Amount RATEKMAMOUNTHONORARIUM (El49011 .71 110 0.505/Km 350.47v
v BOARD TRAVEL (A+ B+ C+ 0) 49011 .7111030\ 0.6220000
1695.93 /0( 36.75.... ==:. OTHER (F) .. ....... ,..,'"""""""..
....... .. /I brukiUIS9.20 meals lunehS1160 APPROVAL
SIGNATUREdinner$20 75 Lodging par nightS20 15 DATE APPROVED Per
diem 24-ho\11S7 35 SICE0\1BOAROIBOAR!Info, forms. labels, soclal
-n!$\EXPENSE doeHonorana over. .. 5_3/ Crn s.17(1), 17(4)(g)(i)
133APPLICANT COPYRECEIPT GST '. EXITNo. IN:es/2710906:22 OUT:05/28
i 0917: 45.._} DURATION:1 11:23J-PAID:$(GSTINCLUDED)\1-
MASTERCARD--' AUTH.CODE194948ff REF.33 THANKYOUFOR YOURVISIT
Calgary International Airport Parkade. / / \ \ _.. s.17(1),
17(4)(e.1) 134APPLICANT COPYKENNETH HUGHES 10101SOUTHPORT ROAD SW
Calgary, AB T2W 3N2 Arrival Date: Wednesday, May 27,2009 Departure
Date: Thursday, May 28, 2009 Member#: Information: DateDepartment
5/27/2009ROOM CHARGEAuto Posted 5/27/2009HOTEL TAXAuto Posted
5/27/2009GSTTAXAuto Posted Pomeroy Inn &Suites Grande Prairie
www. pomeroygrandeprairie.com 11710-102 St Grande Prairie, AB
T8V7S7 Telephone: (780)831-2999Fax:(780)513-1146 Reference
Account#: Room Number:240 Rate: $170.65 Pay Method: VJ VoucherRoom
240 240 240 5/28/2009VISACHECKED-OUTVI2669240 Debit $170.65 $6.83
$8.53 May 28,2009 8:27am Crereu:t:rnber: Yc.t :rr:vst be present
;;t ycur gate at 35 minutes prior (CdE>partu' e -as indicated on
ycvrW:: tMt you brne fo" air;x>rt process:ng such. asclearance
;r;;l'lave oagg.aye .to che.:kin,p;ea..e proceedto the BllfH/IIfle
DropDff positlon or the Air C!(:2015 IJATE SUBMITTED I DATE
APPROVED ... Per dten'i 24hour$735 !;QAROIBO.I ("\ 0.. 4: .>-.Q.
0 (..) Q) E 0 s.17(1), 17(4)(e.1) s.17(1), 17(4)(e.1) 156APPLICANT
COPYALBERTA HEALTH SERVICES BOARD MEMBER REMUNERATION AND EXPENSE
CLAIMr{c '7Jt,f)'\.5l\;I FOR MONTH OF:July2009i1\'\ll l NAME:
________________________________________ ADDRESS: TOWN: ----POSTAL
CODE: ----------------------PHONE#: r=-- = DATEDESCRIPTION (include
purpose of tlip,mode ofstarting point, details olPRIVATEMEALS CAR
(lunrti9n:: f'FNumbiir. 1--tLNRJO -' l.l\llllll1E S.aeon Travef
UNIGL0BEtmvel P-lioo .. s.17(1),17(4)(g)(i) "IW:SI:\< II\
M"'!;iWSS& weane5day,rntt Canada . .;,_ .De HavD!#In.C-
DATEDESCRIPTIONPRIVATE MEALS LODGINGPARKINGHONOR- OTHER
(ROOM)ARIUM(ITEMIZE) (includeol trip, mode of travel, starting
point, detailsCAR (KM) of expenditure) BlD AMOUNT Oct27,Board
retreat, Committee of whole,345 205.92 . / 28,29 X14.94/ Nov2To
Edmonton, Minister's Advisory Commiltee82X15.58 /24.00 / Nov
6Meetings, Foothills Hosp &area40 Nov 17To
Edmonton/meetings9224.00"... Nov 19To Edmonton/meetings92X9.20
/24.00 Nov23To Edmonton/meetings92X20.7524.00 ,.,. Nov24Afternoon:
To Edmonton/meeting9224.00 ti"' Nov24AM:lCD seminar/ Public
Agencies/Boardsi/Calgary28.00 / Nov25Southport meetings/
Commiltee/1 :00-4:00pm72 DecemberCommiltee of whole/ board
meetings, Edm92 26.28.,... 175.()4., 2/3 Xt-'I Dec7To
Edm/meetings9224.00"' ' Dec8Cancer Foundation Dinner Dec 11Calgary
meetings40 Dec 16Quality and safety Commiltee Dec 17To Edmonton,
Audit and Finance Commiltee :6;75}\ c; ut=.7.35/ \ " 360.96 t\.
220.00 .... ' .. ""' KILOMETRES CLAIMDescriptionCodinqAmount
RATEKMAMOUNTHONORARIUM (E)49011 .711103000.6850000Other claim / ' /
50.5 1,131' ( ..; \.( BOARD TRAVEL49011 .7111 03000.6220000 (A+ B+
C+ D) I)(,G . .)d-. OTHER (F)
TOT /. : . 1,266.22 .:
.........'' -I/( " //'I .Ci -1\ ,)--
breakfast$9.20
meals lunch$11.60 TSIGNATURE
\).e,c\< dinner$20.75 Lodgingper night$20.15 I v s.17(1),
17(4)(g)(i) 193APPLICANT COPYDate10/29/09 Timt=08:02 Page1
REDDEERLODGE 431149AVE REDDEER,ALBERTAT4N5Y7 1-800-661-1657
(403)346-8841 Acct#P33620-00 Room#224 RateCode GroupAHS
RoomTypeENQP RoomRate99.00 ArriveOCT270920 : 03
HUGHES,KENDepartOCT2909 ALBERTAHEALTHSERVICES 10101SOUTHPORTROADSW
CALGARYABT2W3N9 PaymentVIExp:
================================================================================
DateIDescriptionIReferenceIRoomIChargesICredits
================================================================================
OCT27ROOMCHARGE99 . 00 OCT27TOURISMLEVY3.96 OCT28ROOMCHARGE99 . 00
OCT28TOURI SMLEVY3 . 96 OCT29BOTANICARESTAURANT*ChargetoRoom*14 .
94 OCT29VISA22086 ==========G.S.T.=subtotal:.OO===
========================================Qb = TOURISsubtotal
:7.92BalanceDue:I.00 1 Iagre ethatmyliabi l ityforthisbillisnotwa
ived&a greetobepersonally
responsibleiftheindicatedpartyfailstopaythechargesinpartorinfull.
PrivacyPolicy:youmayopt-outofhavingcertainpersonalinfomationcollected.
G.S.T.#865650352DirectBillSignature :
_________________________________________ s.17(1), 17(4)(e.1)
s.17(1), 17(4)(e.1) 194APPLICANT COPYHMSHOST MONTANA'SCOOKHOUSE
EDMONTONINT ERNATIONALAIRPORT , 40149GLENDA 201 I 18871GST1 NG'i.
.j1:18PM UHSEAT 1'1ATER1.;tASS BURGSK'i **** 0.00 10.99 0.99
NOCHOICE ADOCHEESE IHHSALAD SUBTOTAl. 1 1 '9 8 5%2171010.60 $12.58
******* 11.98G.S.T. AMOUNT ******* SUB TOTAL 11.98G.S .T . AMOUNT
11. 98 5%2171010.60 $12.58 GST#137512901 TELLUSHOWWEDIDTODAYTO *REC
EIVEA FREEAPPETIZER* Witha$25purchase. Compl et eacheckserveyat:
www .montanasf eedback.com orcall1-866-239-3808. Accesscode8954 ?
HMSHOS:f MONTANA'SCOOKHOUSE EDMONTONINTERNATIONALAIRPORT CHECK:8871
TABLE:201 I1 SERVER:40 149GLENDA OA TE:NOV02' 091:34PM
CARDTYPE:CC-Visa ACCTll: EXPDATE: AUTHCOO:027202 KENNETHHUGHES
TOTAL: 12 .58 3 TIP -------- ___ ,_ _!_)%_ __ TOTAL
INACCORDANCEWITHTHECARD ISSUER'SAGREEMENT.
HOSTINTERNATIONALOFCANADALTD . GST NO.R122556194 EXITNo .AS
IN:11/02/0908 :34 OUT:11/02/0915:22 DURATION:006: . 48 PAID:S 24
.00 (GSTHIClUDEO) MASTERCARD AUTH.CODE17225Z REF.41 THANKYOUFOR
YOURVIS IT I ' - s.17(1), 17(4)(e.1) s.17(1), 17(4)(e.1)
195APPLICANT COPY"URGENT- Please review your itinerary for accuracy
:mmediately.. There ;r.ay be costs ass()ciated withmaking
cl'langes; these costs will be yr..>ufresponsibility. airline
tici'4:?' yr...fVI 24/11/ 0913 :13._n'lxx .. 7 .... ,J ep8liJ8d
pociJJVXJ .LISII\00'- vsI6ESvv0300i lOJ001i W1I$:and IH: L0 e ,
\,..,ss:n60tHttt:1no li\JLt:H60/?Z/H:wt vi'ONliB ' ' 1..1::1"ON
.lSO . ' , , s . 1 7 ( 1 ) , 1 7 ( 4 ) ( e . 1 )201APPLICANT
COPY-.
GSTR1225sS194 "0 EXITN >A1 IN: 06:21 OUT:1S: 07 DURATION:1
11:'6 PAID:$4&.@0 (GSTIHCLUOED; AUTH.CODE2a070ZREF .21{)
THANKYOUFOR YO UR VISIT Calgary International Airport Parka ....
1.0 I agree!hat I am personallyliableforthe
fmaldispositionandpayment of any servicesrendered or goods supplied
by TheSutton Place Hotelandfurther authorize the use of my credit
card to facilitate full payment.I accept responsibility in the
event the indicated third-party, company or association fai lsto
render full payment of this account, and also for any loss or
damage to the premises or its contents. Guest Signature:
-----------------------------------------A MEMBER OF THE SUTTON
PLACE GRANDE HOTELS GROUP- CHICAGO,EDMONTON, TORONTO, VANCOUVER
10235-101Street, Edmonton, ASCanada TSJ3E9Tel780.428.7111 Fax
760.441.3098 1.8663.SUTTON (1.866.378.8866) email:
[email protected]: www.edmonton.suttonplace.com
s.17(1), 17(4)(e.1) s.17(1), 17(4)(e.1) 209APPLICANT COPYa, ---- --
-_... .--HMSHOST MONTANA'SCOOKHOUSE EDMONTONINTERNATIONALAIRPORT
40147MEGAN 106/1. 3657GSTl JMl22 '1 04:37PM ****SEAT 2INNSKNHERLOT
**** 15.98 1BURGSKY10.99 NOCHOICE ADDCHEESE SUBSALAD 0.99
WTHHONEYOIJON WATERGLASS0.00 27.96 5%2171011.40 $29.36 SUBTOTAL
27.96G.S.T. AMOUNT ******* SUBTOTAL 27.96G.S.T. AMOUNT 27.96.
.5%217101l:.f.O.-.:-""I ' II..:;.;i;;J,;.;'..GST#137512901.. .
-....., TELLUSHOWWEDIDTODAYTO-. *RECEIVEA FREE Witha$25-purchase..
Completeacheckservey . :at:.- www.montanasfeedback i com o rc a 111
- 8 6 6- 2 3 9 aao a. Accesscode6ss4 : HMS HOST MONTANA '
SCOOKHOUSE EDMONTONINTERNATIONALAIRPORT CHECK:3657 TAB LE:106/1
SERVER:40147MEGAN DATE:JAN22'104:56PM TYPE:CC-Visa ACCT#: EXPDATE:
AUTHCODE:059541 KENNETHHUGHES TOTAL: TIP TOTAL 29.36 __ q.__=---3_
?._--X------------------------------!AGREETOPAYTHEABOVEAMOUNT
INACCORDANCEWITHTHECARD ISSUER'SAGREEMENT.
HOSTINTERNATIONALOFCANADALTD .. ,..= -; - =
;:rw...:::Z:::.('......c:::....... ..... ..... It::'1.'\.. :J..,..
..... t.Ocn S) t..n , .....) I"S:) 1 "-..)'-0 -.J ...... s.17(1),
17(4)(e.1) s.17(1), 17(4)(e.1) 210APPLICANT COPY.. ALBERTA HEALTH
SERVICES BOARD MEMBER REMUNERATION AND EXPENSE CLAIM ======= I
Phone#: DATE (00/MMIYY) 19/01/10 18102/10 DESCRIPTION (InclUde
purpose ofUip, mode of travel , starting point, details of
expenditure) Public Board meeting 10102/10lCD Speech, SUB-TOTAL
MEALS 9.20 Travel PeriOd Month: Jan-Feb 2.010 ACCOMTRANSPORTA-
OTHER MOOAT10NTION (Fl.IGHT,(ITEMIZE) CAR RENTAL, FUEl., PARKING,
ETC.) 20.00" TOTAL KMS372 APPUCABLE MILEAGE [email protected] 1000/ ~
(carry forward to continuation sheet, where applicable)
MEAL01.71110300002.45000000 TRAVEL EXPENSE01 .711
OTHER01.71110300002.41090000 GRAND TOTAL breakfast$9.20 meals
APPROVAL SIGN1TURE t! !1,to Lodging per night$20.15 s.17(1),
17(4)(g)(i) 211APPLICANT COPY[D A T ~SUBMITTEDDATE APPROVED For
payment please submit to the AHSB Office: 10101Southport Road SW,
Calgary, AB. T2W 3N2, Attention: Lynn Redford Per diem 24-hour$7.35
Honoraria over. .. 212APPLICANT COPYKen Hughes I ___ J._M ~T BJX IH
O T E ~ i I ; i I Room Number:1402 10101Southport Road SW Calgary,
ABT2W 3N2 CA Arrival Date:02-04-10 Departure Date:02-06-10 Page
No:1 of l Guest Name INVOICE Folio No:48855 Date 02-04-10 02-04-10
02-04-10 02-06-10 Description RoomRevenue Tourism Levy- 4%
Destination Marketing Fee - 1% Visa Total Balance T GSTonDMF
Destination Marketing Fee - I% Tourism Levy - 4 % RoomGST-5%
IGST-5% Slgnarure:.____________________________________________
Charges 129.00 5.16 1.29 270.90 0.00 0.00 2.58 10.32 0.00 0.00 I
agn:e that my liability for all charges is not waived and agree to
be held personally liable in the event that the indicated person,
company or association fails to pay for any part or the fullamount
of these charges.G.S.T. 11863128575 RT 0001 10640IOOthAvenue
Edmonton, AB CanadaT5JI J ITef: (866)
465-8150www.matrixedmonton.com 02-06-10 Credits 270.90 270.90
s.17(1), 17(4)(e.1) Non-Responsive Non-Responsive 213APPLICANT
COPYA'tD PALL1SERPARKADE CALGARYAB RECEIPTONLY! PAYSTATION:C3
****************** ENTRYOAT/ TIME: 16/02/1011 : 31 PAYDATE/TIME:
16/02/1017:22 PARK-OUR.:HRS:MIN 0:05:51 ******************
PAID:$20.00 VISA AUTH.CODE060604 REF .95 ****************** *YOU
MUSTTAKE* *ORIGINALTICKET* *WITHYOUANDUSE* *ITTOEXIT*
****************** GSTINCLUDED GSTNo.RT12201449 1
****************** THANKYOUFORYOUR VISIT! RECEIPT GST NO..
R122556194 EUTNo.A1 IN: 12:21 OUT:@2t@9J11 DURATION:l37:PAID:$
INCLUDED: f;EIPT GST NO.R122556194 EXITNo .t..' HI:02i04/
13OUT:02/06i 1G19:31 21: :27 PAID:S 72.00 CGST VI SA 1':
AUTH.cooee;.; 92i REF.53 THANKYOUfOR YOUR\'ISIT &-fit! (.- g-h
calgary tnterriattonal Airportazr to COInstructions on Reverse
Side: -.::tCalgary Parking Authority Is not responsible lor loss or
damage, ...-!however caused,to vehicles and/or to vehicle
contenls."Parking Ncharge covers sale of parking privileges only
and does not 1"- include bailee custody or liability tor vehicles
and/or their i1i1i1 1..i.f 0/0'8205862/ 17002B2t0/ 054471
;;;r'13:41319/ 01 / 10EN5th-R i ; CST5%0.39/,",/IllI'_. ., , '
''''""''' ' I...-! !w
lO co w $8.2512'UISA VI 19101/1015:es--.J +01484 '8Z..(t 10
Instructions onReverse Side:r(..h( 0 Calgary Parkmg Authoritji is
not responsible lot lor.> or damaQe. however caused. tovehiCles
and/or to vehicle contents.charge covers sale of parktng
privile()es. only and elM!> not-include bailee custody orlmbdtlv
forvt>htdes and.'or their conlents.Vehicles parkeda! owner's ri
sk. i!J} .. 10/02/11 JamesShort," /(\(l'J / s.17(1), 17(4)(e.1)
s.17(1), 17(4)(e.1) 214APPLICANT COPY' t. UNION BANK INN HUGHESKEN
ALBERTAHEALTHSERVICES
Arrive02/08/10Depart02/09/10Room#312Invoice#81426
DATECLERKDE.SCRIPTIONAMOUtH IeI.- eI 02/08/10 02/08/10 02/09/10
02/09/10 LB LB XXX JB 41-TourismLe 42-DMF 7-Madisons 91-Visa
OnRoomCharge OnRoomCharge 106/1015 GSTOnRoomCharge
GSTReg.#R897343794 5.56 1.46 2.50 -155.47 6.95
.131L.:.IIJGltiSTFILJCTI:JNSBAcAtJCE 0.00 OMPANY TTENTION I agree
that my liability for this bill i¬ waived and agree to be
heldpersonallyliableintheeventthattheindicatedperson, company or
association tans to pay for any part or the full amount of lhese
chaf98S. SIGNATURE GUEST ACCOUNT x
__________________________________________ __ tUNION BANK INN
.._.Q{f!J?-enalo-Ja-nc-ef?1/J'l. 10053 Jasper Avenue, Edmonton, AB,
Canada T5JlS5 Phone:780.423.3600 Fax:780.423.4623
E-mail:[email protected] Web: unionbankino.com s.17(1),
17(4)(g)(i) 215APPLICANT COPY.. ... ALBERT A HEALTH SERVICES BOARD
MEMBER REMUNERATION ANDEXPENSE CLAIM Phone#: Travel Period Month:
February-March, 2010 DAlE (00/MMIYV) 01/03/10 02103110 03103110
08/03/10 09{()3110 DESCRIPTION Onc:lude purpose dtrip, mode of
travel, surting point, details of expenditure) Edmontonmeetings
W8$/Wlglon, DC Norlien Fdn Conf., taxi Mardi 1-3, Taxis, Mar
3($24US) TICket upgrade Taxi {$70 US) .._ ,AMA SUB-TOTAL (carry
forward to continuation sheet. where applicable) IVIEAL TRAVEL
EXPENSE {B+C+E) OTHER MEALS ACCOMTRANSPORTA- OTHER MODATIONTJON
(FLIGHT,(ITEMIZE) CAR RENTAL, FUEL, F'AIV w.0:j "" " 3 (') ?. ff
!'< > o:::l TAXICAB RECEIPT 11111111111111 Time: _____ 0 t'rj
(')Origin of trip:-------- t'rj ""'4 Destination: ______.;._ _ f
TAXICAB RECEIPT llfllllllllllf Time:I Date:t!,ir.?0 Origin of
trip:---;:----,;-------.,-Destination:l}J }J(o .I, IdP,Lfl
Fare:VSign: _____ 220APPLICANT COPY J \J. Check-In None
~FLIGHT-Wednesday, 3March 2010 ~ )Air Canada FlghtACWI E c ~Class
Depart S1atus: Stops: Seat Meal: 20:30 hrs, Wednesday, Marctl3
Pearson Inti. Airport-Terminal1 Toronto, Ontario, Canada Confirmed
Non-stop Selectlon-1s appiy tricket i,t _vour most comteniem wuy to
buy airline lit:lrets.Simply briug your i!lte/osed ET Pu.tve11ger
Receipt,alnng with your photo !D.10the oirporl.For
quesiiOI'IS,please cull Air U1re.r ol MJ()(}.121- I 212 w-vi til
Dtdta:l Web al delta.comln ortkr w ret.'t.'ll'-) KENNETH.
ECOI)OPERATEDBYIEXPLOITEPARJA'Il. ETKT0142187159021
Frequentflyer/VoyageurAC*E HUGHESK Cabin/Cabine y Flight/Vol
AC814321SEP fnliii'De EDMONTON-YEG Destination CALGARY Flight/Vol
AC8143 CALGARY Departlll"eT1Me/lteurededepart12:00
AirlineUse/Ausageinterne0042YEC62735 Boarding Pass I Carts d'aa:ils
il bord
Ea.GOPERATEDBYIEXPLOITEPARJAZZ ETKT0142187159021 F.liOht/Yol
AC116020SEP CALGARY DapartureTitiHeurededeptrt21:53
AirlintUae/Au1111iterat0051Boarding Pass I Carte d'acca ibard ..
--.. :::. --
- fTl(l)-.. - - . - o;r...., ---= > ("') ....; = -::: z0 :z-
-n3;rr - -..: T:fTIa:: -.. --C/.) -'::: = > ..,.., c .--::t:-:--
- - --.. -- - - z:rc .. G":fTll\: (.C cr.
T-o; -I::c-o: - c -c f'" ...:;;!;;c --'rr3:c - .. rc z
Seat/Place 080AISLE/COULOIR Ar*'f/Observations AIRCANADA@ A. STAR
Al.UANOE hi:EMBal5r Mf)A'lAE DU A8EAU STAR AU.IIINCE\e HUGHESH
FrequentFlyer/0ylltUJaaaiduCabinfCabine AC*EY Dest i nu ion 0
EDMONTON-YES Fliglrt/VolDestioati on -..,. ("') -(I) X)< Ill -L"
-, -::... n1CJl Q.. - .. --""0 (-: ,.. ;r..
-I'Vco -- -- ' ""'-' -o --.;::, N DT1 ---.J (._p s.17(1),
17(4)(e.1) 251APPLICANT COPY.. ............ - .-ALBERTA HEALTH
SERVICES BOARD MEMBER REMUNERATION AND EXPENSE CLAIM Name: 11 DATE
(00/MMIYY) Ken Hughes DESCRIPTION (Include purpose of trip, mode of
travel, starting point, detail$ of expenditure! MEALS (For Board
Office Use Only) AlP Vendor 10#: TravelPeriod Month:October,
2010:o.. ACCOM-MODATION TRANSPORTA-TION(FUGHT, CAR RENTAL, FUEL,
PARKING, ETC.J OlliER (ITEMIZE I MILEAGE (KMI PAYROLL ONLYj BOARD
COMMITTEE II BUSINESSI MEE11HG FEEI Oct 2Stars event, Calgary77
Oct 8Sr.Mgt retreat. Ghost River80! Oct 13Board meetings
Lethbridge Oct 14Board meetings, Comm.of Whole Oct 15Public
Meetil'lg, U of L,return to 500_.,.. 500.....i 1000/I Oct
19Meetings Southport Oct22Banff Nonien Fdn
__d_ay_a_g_e_nd _a__________I TOTAL KMS 1264 "I APPLICABLE
MILEAGE [email protected] TOTAL (carry forward to continuation sheet,
where applicable) Ats.I 15.00-I agree toremainpersonally liable for
the payment of this account if the corporation or other third party
billed fails topaypart orall of these charges. signature
______------------- _________ :_________ _ J Mr.KenHughes
FOLIO51443001-DEC-10 WESTIN 257APPLICANT COPY) the westinedmonton
10135100th street edmonton, alberta T5J ON?canada phone
780.426.3636 fax 780.428.1454 westin.com/edmonton quest
Mr.KenHughes 'AB Canada AHK30B EXPENSEREPORTSUMMARY Date 01-DEC-10
02-DEC-10 Total Date 01-DEC-10 02-DEC-10 Total Room 184.00 184.00
368.00 Payment 0.00 0.00 0.00 GST 9.29 9.29 18.58 1111 room 184.00
rate 1 no.pers. 514430A folio2 page01-DEC-1017:40 arrive03-DEC-10
depart AX payment TourLevy 7.43 7.43 14.86 Food\Bev 0.00 30.80
30.80 Phone 0.00 0.00 0.00 Other 1.84 13.16-11.32-Total 202.56
218.36 420.92
__)ThankyouforchoosingStarwoodHotels.Welookforwardtowelcomingyoubacksoon!
GSTSummary: GSTRoomRevenue: GSTFoodandBeverage:
GSTTelephoneRevenue: GSTOther: TheWestinEdmontonGST#861336493RT0005
I agree to remainpersonallyliable for the payment of this accountif
the 18.58 0.00 0.00 0.00 18.58 corporation or other third party
billedfaits to paypart or all of these charges.signature
AsaStarwoodPreferredGuest,youcouldhaveearned798- ~ - - - - - - - -
- - - - - -).Starpointsforthisvisit.Pleaseprovideyourmembernumber
orenrolltoday. Mr.KenHughes FOLIO51443001-DEC-10 WESTIN
258APPLICANT COPY) ) HMSHOST MONTANA'SCOOKHOUSE EDMONTONINT
ERNATIONALAIRPORT 40147MEGAN
--------------------------------207/1.4019GST1 DEC03'1012:22PM
------------ -- ------------------****SEAT WATERGLASS BURGSKY ****
0 . 00 10.99 NOCHOICE ADOCHEESE SUBSALAD WTHITALIAN 0.99 SUBTOTAL
11 98G. s. r. 11 98 5%2171010.60 $12.58 AMOUNT **************
SUBTOTAL 11. 98G. S. T. 11. 98 5"2171010.60 $12.58 AMOUNT
GSTJ137512901 RECEIPT GST NO...R122556194 EXITNo.3 IN:OUT: 21:59
DURATION:I12:33 PAID:S 24.@e ( GSTH!CLUOED; \' !SA REF .39
THHH:YOUFOR YOURVISIT ,. ..-HMSHOST RECEIPT lGST NO.R122556194 I I
AUTH .(QOE50e560 .6 REF. THUH.tvf. YOUR
. calgary lntemat\onal Airport Partcado . MONTANA'SCOOKHOUSE
EDMONTONINTERNATIONALAIRPORT CHECK:4019 TABLE:207 I1 I SE
RVER:40147MEGAN I DATE:.OEC03'1012:43PH jCARDTYPE:CC-Visa 1 ACCTI:
! EXPDATE: i AUTHCODE:096717 KENNETHHUGHES TOTAL: 12.58 - o-a TIP
_fS?L. - . . . TOTAL X -- ------- - .... --- -- ----- -- -- -- ----
-- - ... - -- - - ... IAGREETO PA Y THEABOVEAMOU NT INACCORDANCEWIT
H THECARD ISSUER'SAGREEMENT. HOS TINTERNATIONAL OfCANADALT D
s.17(1), 17(4)(e.1) s.17(1), 17(4)(e.1) s.17(1), 17(4)(e.1)
259APPLICANT COPY) ) .' I I i I - '{l'tJf.rJ 1. L ...
CalgaryPetroleumClun -------- ChttDetails 3 Time:1:02pm -Rec1p. 3
XmasBuffet90.00 Sub-Total:90.00 ServiceCharge13.50
GST'1068309385.18 Chitlotal: ------------------I
----------------------------------Member 'sNumber Member'sSignature
Pl{asejoinusattheClub Friday,December31,2010 I tortngintheNewYear.
1 Forfurtherinformationorto , makea reservationpleasecontact
Alisaat(403)260-6364oremailat cpceventlcalpeteclub.com. 1
Wea1sohavea fewspacesavail ab 1e ; foryourHolidayCelebration.
PleasecontactCarolat ;(403)260-6354todiscussthe possibilities.
-------- EndofChit---------s.17(1), 17(4)(g)(i) 260APPLICANT COPY -
~.... ' OAT (DDIMMIYY) ALBERTA HEALTH SERVICES BOARD MEMBER
REMUNERATION ANDEXPENSE CLAIM DESCRIPTION (Include purpoM of trtp,
mOde of travel, starting point, detaHs of expenditure) MEALS Travel
Period Month:August 2010 ACCOM- TRANSPORTAOTHER
MODATIONTION(FLIGHT,{l"reMlZf) CAR RENTAL. 109 FUEL, PARKING, ETC.)
70 70 360 335 (carry forward to continuation sheet,where
applicable)20.75109.5924.00605.50 DescrionCodinAmount 20.75 MEALA01
.71110300002.45000000 739.09 01.71110300002.62212000
OTHERD01.71110300002.41090000 759.84 breakfast meals lunch APPROVAL
51/,ATURE dinner '1{1/tOLodQino oer niaht 3,000.00 $9.20 $11.60
$20.75 $20.15 s.17(1), 17(4)(g)(i) 261APPLICANT COPY '7/1Dq RttJ
DATE SUBMITTEDDATE APPROVED For payment please submit to the AHSB
Office: 10101 Southport Road SW,Calgary, AB. 1----..v 3N2,
Attention: Lynn Redford ) ) Per diem 24-hour$7.35 Honoraria over...
APPLICANT COPY... " ) j I f 1 RI;CEIPT GST NO.R122556194 '
EXITNo.A1 IN:08/16/1006:31 OUT:08/16/1020:01 DURATION:0B:PAID:$
(GSTINCLUDED) VHA AUTH.REF.25 THANKYOUFOR YOURVlSlT . Calgary
International Airport Parlmde s.17(1), 17(4)(e.1) Non-Responsive
263APPLICANT COPYr;'0 Medicine Hat Lodge JRESORT CASINO CONVENTION
CENTRE HEALTH SPA & INDOOR WATERSLIDE PARK Ken Hughes 10101
South Port Road SW Calgary, AB AB Health Services T2W3N2 Group: AB
Health Services Date Aug25 Aug25 Aug25 Aug25 Aug26 Description
GOVERNMENT RATE GST Room Tax Destination Marketing Fee PAID BYAMEX-
Thankyou Page# Res.# Checked in Checked out Nights Room Rate Room
Reference Thank you for staying with us. Please come again! Calli
(800)661-8095 to make your next reservation with us. Jr G.S.T.#is
10357602JRT0002 Charge Summary: GST Room Tax 4.95 3.76 1 433005
....-Wed Aug 25/10 9:41pm Thu Aug 26/10 - 7:30 am I 99.00 303 0.00
Charges 99.00 4.95 3.76 1.88 109.59 Credits 109.59 109.59
MEDICINEHATLODGE 18&1ROSSGLENORMEDICINEHATAI 932,B1281S11G
ttttPREMHttll.ETIOltttl 9826 Acct# E1pDate Ne: 97:25: Z1 s
CudTypeAtt Trace#410010 FSt2414G24G4 lnt.# 3U1G Auth#
502412RRN00133199! PreAuthAlount Total Custonrcopy s.17(1),
17(4)(e.1) 264APPLICANT COPY:.----. r Phone #f.: DATE (DOIMMIYY)
21112-04-10 6105110 715110 10/5110 1315110 17/5/10 18/5110 1*110
2115110 I , ALBERTA HEALTH SERVICES BOARD MEMBER REMUNERATION AND
EXPENSE CLAIM
Travel Period Month: ' . :? _. OTHERMILeAGE .. ...: DESCRIPTION
MEALS ACCOM- TRANSPORTA-::: (include purpose of trip, mode Of
travel,MODAllOHTION (FLIGHT,(ITEMIZE)(KM) starting point, detalls
of expenditure)CAR RENTAl., FUEl_, PARKING, ETC.) .. . : ::. '
BLDAMOUNT / / _... ./ . :... .. i' 'Board meetings, Gr.mde Prairiex
$72 as f4.16v108.99v4s:OOi( -24.00"'"' 14_7v 92,
Probus Club speecll 54'j I'"500./v Soulttport; AHS stair
meetings, 13:00-17:0082 I\' 500 /...,.... Hotchkiss Bnlin instilute
evenls; 1-4:00-21:00 20.80'l 55 05:00-17:00 Edmonton, A & F, et
al .XX 500/./ CBC Editorial Board, Edmonton /./PACT Announcement,
Calgary500 Mediar of A Panel re55 Govemance Parting at Foothills,
re media inteiview8.75TOTALKMS:)')C'. .L APPUCABLE MILEAGE RATE
@50.5 SUB-TOTAL A -v cu1:t"{VIai"'Yf'"'""'YI (carry fotward to
continuation sheet. where applicable) 34.96108.91132.7514.
70170.692,000.00 MEAL01 .71110300002.45000000 TRAVEL01
.71110300002_62214000 01 .71110300002.41090000 APPROVAL SIGNATURE
-o _s/S4/Io DATE APPROVED For payment please submit to the AHSB
Office: 10101 Southport Road SW, Calgary, AB. T2W 3N2, Attention:
Lynn Redford Amount 34.96 312.43 14.70 362.09 breakfast$9.20 meals
dinner$20.75 Lodging per night$20.15 Per diem 24-hour$7.35 s.17(1),
17(4)(g)(i) 265APPLICANT COPYc-=;Sandman .
.lrnMANHOTELGRANDEPPAIRH: 9805- lOOthStreet GrandePrairie,ABTSV6X3
Tel:780.513.5555 Fax:780.513.5131 HOTELSiINNSi SUITES
TollFreeReservations :1-800-SANDMAN1-800-726-3626
Website:www.sandmanhotels.com
PROPERTY:01-042Invoice#:302210Description:standardfolio
MailTo:KenHughes Group:AlbertaHealthservices
Guest:KenHughesBillTo:Hughes DateDescription 28/04/2010RoomRevenue
28/04/2010DestinationMarketingFee 28/04/2010GST
28/04/2010ProvincialTourismLevy 29/04/2010AmericanExpress
BillTo:Hughes TotalGST GSTRegistration#R-121767065 Signature )
Res.#:262728 Arrive:28/04/201007:37pm Depart:29/04/201012:29am
Room:TWNN203 voucher GP-203 GP- 203 GP-203 GP-203 THANKYOU Balance:
5.00 Amount 99.00 .99 5.00 4.00 - 108.99 .00 Sandm.lltllotcklnm
&Suilc,, Li mited\X.nb/,, ,./ (.',wfIll< fJI Irl 11/1(1 I
Car#:lt -.....-From: ___________________________________________
To:-------------------------------------------11013 5 - 31Avenue,
Edmonton, ABT6N 1C2 ...--......--.-..,..... ... ' "'" ,- '' __
_..,_ _ _____... __ ., _____A- - .-YEllilll646 I GST#1'L(f'\C!:Y""
Date:Z-'3/ Lh /Amount:VL-' I1. Driver:Car#:------From:
___________________
'6. 10135-31 Avenue, Edmonton, ABT6N1C2 RECEIPT GST
NO.R122556194 on No .A5 IN!02 12211109 :26 OUT;0212 Si llll:@1
DURATI ON:301:35 PAW:$88.20t...... (GSTINCLUDED)'\ I! ISA
AUTH.C00940486 REF.85 YOUFOP. YOU'RVISIT Calgary International
Airport Parkade I RECEIPT GST NO. EXITNo .Al IH :82 / 27/1119:32
OUT:02 / 28/1117:06 DUR.4TION:021 :34 PAI D:$25.20 (GSTINClUDED)
AMERICANEXPRESS AUTH.CODE5@4389 REF.94 THANKYOUFOR i'OURVl51T
Calgary International Airport Parkade s.17(1), 17(4)(e.1) s.17(1),
17(4)(e.1) 286APPLICANT COPYALBERTA HEALTH SERVICES BOARD MEMBER
REMUNERATION AND EXPENSE CLAIM Name:Ken Hughes l5d-79 I (For Board
Office Use AlP Vendor ID#: . rrt-A-ecl+ ' Phone#:Travel Period
Month: .. DATEDESCRIPTION MEALS ACCOM- TRANSPORTA- OrnERMILEAGE
PAYROLL (DDIMMIYY) (include purpose of trip, mode of
travel,MODATIONTION (FLIGHT,(ITEMIZE)(KM) ONLY$()A,RD starting
point, details of expenditure)CAR RENTAL, COMMITTEE/ FUEL, PARKING,
ETC.) MEETING.FEI: BL0AMOUNT,..rt 02/03/11CEO Interview
Calgary,Parking 30.00\/ "r ' 500vv / z,it>i H 03/03/11Chamber of
Commerce speech 04103/11Travel to Edmonton/First responders 92 /
500vv announcement, /II 'l__j?(/fl/ 07/03/11Travel to Edm, Villa
Caritas openingX11.60/ 92/ soo v........--z...in> /IV
09/03/11Travel to Red Deer. COmmittee of whole 150/ 500vv' z }H I
q/ 10103111Public Board meeting. Parking 107.91v;...., 10.00 yfl
"--1501000..//
-'1 / '..8'- .,_.:;.'J.U, ' I Z-11'-f}lt lAPR- 5 ?011 1:I I
IrE;t'-4 IF .REJ!l fo\ s zan l.
l ' j... ..:....__ ,,___ .....,.... ". -1 TOTALKMS 484,/ tJ\jJOI
MIL:1GE [email protected] SUB-TOTAL " Bf1VUJI c.f' - u
t- (VIa payrOII _OniYJ (carry forward to continuation
sheet,where applicable) 11.60v107.91v65.203,000.00/ ..'.'-FOR
ACCOUNTS EXPENSE CODtNG . .. -.'.... - _ .- '- ("_:..' : ' .
Description 101 . Doo_s..7tttV6efXCX-j Codrng- Amount 11.60 ./ MEAL
(A)01.71110300002.45000000 417.53\/
TRAVELEXPENSE(B+C+E)01.71110300002.62214000 OTHER
(D)01.71110300002.41090000 GRANDTPTAL,429.13./ I/
breakfast$9.20 '-" meals lunch$11 .60 CLAIMANT SfGNATURE)
APPROVAL SIGNATURE Yf>-/1! dinner$20.75 t:=r/ I I Lodging per
night$20.15 DATE SUBMITTEDIDATE APPROVED Per diem 24-hour$7.35 For
payment please submit to the AHSB Office: 10101 Southport Road SW,
Calgary, AB. T2W 3N2, Attention: Lynn Redford U------,_,.. s.17(1),
17(4)(g)(i) 2 8 7A P P L I C A N T C O P YSUNCORENERGY CENTRE
RECEIPTA7 IN:e2/03i107:17 OUT:021331116:26 :@9 : 0i;!9 PAID:$ VI
SA. IRfiP' ,boot Credit Card Expres>g 0 GST Parking Canada Ud.
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