Name Penny Rae Title Chief Information Officer Location Calgary Expenses submitted during the month of September 208 AHS Board and Executive Expense Report MMM-YY Travel () Source Document Purpose Airfare Meals Accommodation Other Travel Total Travel Professional Development (2) Working Sessions Hosting and Hospitality (3) Other (4) Sep-8 P-Card Meetings,72 02,823 42,85 Sep-8 Expense Claim Meetings 55 45 606 Sep-8 Direct Billing Meetings,293,293 Total $,293 $ 55 $,72 $ 553 $ 3,722 $ 42 $,85 $ - Total for the Month $ 5,39 Maximum daily single meal expense claimed in the month $ 3 Maximum daily base hotel rate claimed in the month $ 334 Non economy air travel in the month $ - ) 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 Development Includes conference, seminar and course registration fees and material 3) Hosting and Hospitality expenses Hospitality 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) Other Other 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.
AHS Public Disclosure P-Card Claimant Name RAE, PENELOPE JANE Claimant Title Claimant Location Expense Claim Total Chief Information Officer Calgary $ 3,49.80 Expense Date Business reason Expense Location Expense Type Amount From Location To Location Justification 8/25/208 Professional dues to APEGA, The AB - Local Membership Dues $ 4.60 Professional dues to APEGA, The Association Association of Professional Engineers of Professional Engineers and Geoscientists of and Geoscientists of Alberta. Alberta. # of days # of Attendees Attendee Name(s) Trip Distance 8/26/208 Accommodations while attending United States Accommodations $,542.97 Accommodations while attending 208 Epic 208 Epic UGM in Madison, WI UGM in Madison, WI 8/26/208 Transportation to airport for flight to AB - Local Taxi $ 42.78 Home Calgary Madison, WI for 208 Epic UGM. Int'l Airport Transportation to airport for flight to Madison, WI for 208 Epic UGM. 8/27/208 Session with Epic following all-day United States Hospitality $ 673.32 Session with Epic following all-day conference. 35 Attendees conference. list kept on file 8/29/208 Rental of projection screen for IT AB - Local Hospitality $ 50.00 Rental of projection screen for IT Leadership Leadership meeting on Sept 5/8. meeting on Sept 5/8. 8/30/208 Transportation from Calgary airport to AB - Local Taxi $ 45.66 Calgary home following flight from Madison, Int'l WI. Airport Home Transportation from Calgary airport to home following flight from Madison, WI. 9/7/208 Overnight in Edmonton on Sept 8/8 AB - Local Accommodations $ 78.5 Overnight in Edmonton on Sept 8/8 to to attend IM Future State discussion attend IM Future State discussion and G5 inperson and G5 in-person meeting. meeting. 4 88 Attendees list kept on file 9/7/208 Working session: Information AB - Local Working Session $ 46.84 Working session: Information Management Management Future State discussion Future State discussion with Senior Leaders. with Senior Leaders. 9/8/208 Parking at Seventh Street Plaza to AB - Local Parking - Lot or $ 3.2 Parking at Seventh Street Plaza to attend IM attend IM Future State discussion with Parkade Future State discussion with Senior Leaders. Senior Leaders. Approver(s) for the claim Approval Status Approval Date 30 Attendees list kept on file RHODES, DEBORAH Approve -Oct-8
Claimant Name Claimant Title Claimant Location Expense Claim Total RAE, PENELOPE JANE Chief Information Officer Calgary $ 606.07 Expense Date Business reason Expense Location Expense Type Amount From Location To Location Justification # of days 8/26/208 Travel to Madison, WI to attend the Epic United States Meals Per Diem $ 48.00 Travel to Madison, WI to attend the 208 UGM. Some meals were provided. Epic 208 UGM. Some meals were provided. Lunch $7.00 Dinner $3.00 8/29/208 Travel to Madison, WI to attend the Epic 208 UGM. Some meals were provided. United States Meals Per Diem $ 3.00 Travel to Madison, WI to attend the Epic 208 UGM. Some meals were provided. Dinner $3.00 8/30/208 Travel to Madison, WI to attend the Epic 208 UGM. Some meals were provided. United States Meals Per Diem $ 3.00 Travel to Madison, WI to attend the Epic 208 UGM. Some meals were provided. Dinner $3.00 9/5/208 Return trip to Westerner Park for IT Mileage-Local- $ 48.47 Home Westerner Leadership all-day session. Home Zone Park, Red Deer 9/7/208 Overnight trip to Edmonton to host Mileage-Local- $ 302.60 Home Seventh Street Home Zone Plaza, Edmonton, AB Information Management Future State discussion with Leadership (Sept 7) & attend the G5 in-person meeting (Sept 8 AHS Public Disclosure Expense Claims Return trip to Westerner Park for IT Leadership all-day session. # of Attendees Attendee Name(s) 294 Trip Distance Overnight trip to Edmonton to host Information Management Future State discussion with Leadership (Sept 7) & attend the G5 in-person meeting (Sept 8). Passenger Barb Kathol. 2 299.6 9/7/208 Travel to Edmonton for IM Future State AB - North Meals Per Diem $ 34.50 Travel to Edmonton for IM Future discussion with Senior Leaders, travel time Zone start was 0530hrs. State discussion with Senior Leaders, travel time start was 0530hrs. Dinner for overnight stay. Bfast $0.50 Dinner $24.00 9/8/208 Travel to Edmonton for IM Future State AB - North Meals Per Diem $ 0.50 Travel to Edmonton for IM Future discussion with Senior Leaders, travel time Zone start was 0530hrs. State discussion with Senior Leaders, travel time start was 0530hrs. Dinner for overnight stay. Bfast $0.50 Approver(s) for the claim Approval Status Approval Date RHODES, DEBORAH Approve -Oct-8
Expense Report Direct Bill Summary Purpose of This Form: The purpose of this form is to report expenses incurred on behalf of a designated Executive or an AHS Board Member and paid for by a third party vendor. The information will be used for Public Disclosure reporting. Expenses Paid Directly to Third Party Vendors: AHS may have established accounts with certain vendors used to book travel and other expenses that are billed directly to AHS. Examples include but are not limited to hotels, travel agencies, car rental agencies, conferences, courses and expenses reimbursed from a petty cash fund. It is mandatory to include in monthly reports these expenses that pertain to each member. AHS is required to disclose expenses for all applicable receipts and back up must be attached. Direct Bill Report 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. A personal cheque must be attached to cover expenses deemed ineligible. Indicate whether you have expenses to report in this section for this reporting period: Name : Penelope Rae, CIO Reporting Period for the Month of : August 2 - September 20, 208 YES DD-MMM-YYYY Payment Method Category Description/Purpose of the Expense Name of Vendor Amount Paid 26-Aug-8 Direct Billing Airline Ticket Travel to Madison, WI to attend Epic 208 UGM Vision Travel $,293.2 Direct Billing Airline Ticket Vision Travel Direct Billing Airline Ticket Vision Travel Direct Billing Airline Ticket Vision Travel Direct Billing Airline Ticket Vision Travel Total Paid in the Month $,293.2
Traveler RAE, PENELOPE MR5 R saruation Numb r: luly 2, 208 Agency Oetails Agency lnform.tion: VI5ION TRAVEL 9929-08Ih.Street Government Centre Edmonton, A8T5K G8 780 425-85 VTSTONTRAVEL 50-87935-0/- I Flight - Delta Air Lines (DLl - 892 - August 25, 208 Number: Status: Confimed BATNAON4Q Oepart: calgary htl Arpt l\.yc) Calgary 8:5 AM Minne.polis St Paul lnterne!ional Arpt (MSP) Clasr OfServic l r50 AM August 26, 208 Augun 26,208 Carry-Onr 8ag - NO tee PERSONALITEM Ba$atc Allowance: Bag - 25.00 CAD UPTO50!B/23KG AND UPlO62L /58LCM Bag 2'35.00 CAD UPTO50LB/23KG AND UPTOS2LI/58LCM Applies to:yyc - M5N Flight - Delta Air Lines (OL) - 82 - August 25, 208 Number: Status. Confrmed BATNAOMQ Depart: M il\neapoli. 5t Pa ul lnternatio nal Arpt (MSP) Terminall 2:24PM Oane County Regional (MSN) 3:2PM cla!rofs rvicel Aueust 25, 208 Carry-On: Autust26,208 BAg. NO FEE PERSONAL ITEM Flight - Delta Air Lines (DL) - 75 - August 30, 208 umber: statur: Confirmed BATNAOMQ Depart: Dane Couflty Resioaal (MsN) 5:20 PM Minneapolis St Paul lnternational Arpt lmsp) Minneapolis 6:33 PM August 30, 208 Augus!0,208 Carry-On: Ba8l ' NO FEE PERSONALITEM BagSa8e Allowance: 8ag - 25.0O CAD UPTO50L8/23(c AND UPTO62LT/58LCM Bag 2 35.00 CAD UPTO50LS/23(G AND UPTO62LI/58LCM Applies to: MSN - YYC Flight - Delta Air Lines (DL) - 2278 - August 30, 208
Confirmation Number: Stetus: tare Basi!l BATNAOMQ Depart: Minneapolis St Pau I hte.national Arpt (MsP) Mioneapolis Terminal 7:35 PM calgary lntlarpt (YYc) calgary 9:28 P[4 Clasr Of Sedit.: Augun 30, 208 Augun 30,208 Bag ' NO FEE PERSONALITEM Fare lnformation cad 60.00 rares and Carrier'imposed feesr cad 2.7CA CAD EXEMPTXG cao 20.50 xr cad 293.2 Endorsement lnformetion: NONREF PENALTY APPLIESAB HEALTH SERVICES COF far Calculation: 25AUG YYC DLX/MSP OL M5N 580.0ODLX/M5P O L YYC 580.00CA050.00EN O xt 48.00US 30.00SQ 4.80AY 9.20XY 7.40YC 5.20XA 5.9OXFMSP4.5 Notes Eagg3ge discounts may apply based on frequenrflyer status/onlise checkin/form of peyment/m ilita ry/etc IMPORTANT ]NFORMATION FOR TRAVETERS WITH ETECTRON]C TICKETS PLEASE READ: Carriage and other seryices provided by the carrier are subjedto conditions ofcarriage, which are hereby inco.porated by refe.ence. These conditions may be obtained lrom the issuingcarrier. Passengers on ajourney involving an ultimate destination or a stop in a ountry other than theeountr ofdeparture are advised that international treaties known as the Montreal Convention, o. its predecessor,the Warsaw Convention, including it5 amendments (thewa6aw Convention System), may applytothe forbidden. lfyou do not understand these restrictions, further information may be obtained from your airline. Data Protection Notice:Your personaldata willbe processed in accordance with the applicable carrier's privacy policy and, where your bookint is made via a reservation documentation, which appliesto your bootingand specifies, for example, howyour personaldata is collected, stored, used, disclosed and transferred.