EXPENSE REPORT

NAME: Jordyn Smith EMPLOYEE ID #: VW-459611

PERIOD from: 18-Sep-21 PERIOD to: 22-Sep-21
DEPARTMENT: Human Resources

P/W: ExpenseReport
LOCAL
PERSONAL CAR PRE-TAX EXCHANGE OFFICE DEPART ACCOUNT TOTAL
DATE DESCRIPTION OF CLAIM TYPE OF EXPENSE TAX CURRENCY
KM AMOUNT RATE (Code) (Code) (Code) (CDN)
TOTAL
18-Sep-21 Uber to and from Pearson Airport Toronto (YYZ) Travel $ 84.58 $ 10.99 $ 95.57 3 800 60910 $ 95.57
18-Sep-21 Air-fair: Toronto to Chicago - Round Trip (Delta) Travel $ 249.99 $ 32.50 $ 282.49 3 800 60910 $ 282.49
18-Sep-21 Rent-A-Car - Delta Travel $ 319.09 $ 41.48 $ 360.57 3 800 60910 $ 360.57
18-Sep-21 Hyatt Regency Hotel - 4 night stay Accomidations 42 $ 1,572.00 $ 274.00 $ 1,846.00 3 800 60920 $ 1,846.00
18-Sep-21 Hyatt Parking Accomidations $ 45.00 $ 5.85 $ 50.85 3 800 60920 $ 50.85
18-Sep-21 Dinner - BIG Bar Restaurant Meals $ 16.75 $ 1.05 $ 17.80 $ 1.25 3 800 60930 $ 22.25
19/Sep/21 Breakfast - Dunkin Donuts Meals 0 $ 5.68 $ 0.35 $ 6.03 $ 1.25 3 800 60930 $ 7.54
19/Sep/21 APC Conference Registration - Value Pass Membership Fees $ 2,220.00 $ 243.12 $ 2,463.12 $ 1.25 3 800 60401 $ 3,078.90
19/Sep/21 Coffee - Dunkin Donuts Meals 0 $ 2.09 $ 0.13 $ 2.22 $ 1.25 3 800 60930 $ 2.78
19/Sep/21 Dinner - Chipotle Mexican Grill Meals 1 $ 17.50 $ 2.06 $ 19.56 $ 1.25 3 800 60930 $ 24.45
20-Sep-21 Dinner - Nando's Peri-Peri Meals 1 $ 17.28 $ 1.08 $ 18.36 $ 1.25 3 800 60930 $ 22.95
21-Sep-21 Coffee - Dunkin Donuts Meals 0 $ 2.09 $ 0.13 $ 2.22 $ 1.25 3 800 60930 $ 2.78
21-Sep-21 Dinner - Gordo's Tiny Taco Bar Meals 1 $ 30.95 $ 1.93 $ 32.88 $ 1.25 3 800 60930 $ 41.10
22-Sep-21 Coffee and Donut - Dunkin Donuts Meals 0 $ 3.08 $ 0.19 $ 3.27 $ 1.25 3 800 60930 $ 4.09
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TOTALS 44.60 $ 4,501.50 $ 603.87 $ 5,105.37 SUB-TOTAL $ 5,746.74
ABOVE REPORT CERTIFIED CORRECT MILEAGE KM Claimed (a) 44.60
Mileage Rate based on YTD KM Claimed 0.45
Jordyn Smith MILEAGE REIMBURSEMENT (a) 20.07
EMPLOYEE SIGNATURE GRAND TOTAL $ 5,811.41
TEMPORARY ADVANCE (Previously Received) $ 200.00
BALANCE REQUESTED $ 5,611.41
FIRST APPROVAL BALANCE RETURNED

Printed Name: Robin Williams Signature : Robin Willia Date: 23-Sep-21 CURRENCY Cdn $

SECOND APPROVAL

Printed Name: Michelle Obama Signature : Michelle Obama Date: 23-Sep-21