Consultant Expense Report

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Reference Number: 315765112420183179501

Name: Hajassdolah,Ali R
ID: 3179501
Placement# 315765

Customer# 0007758
Customer: Envision Healthcare Corporation

Location: 122

Consultant Email: ARHAJ@MSN.COM

CAS Email CCHACON@APEXSYSTEMS.COM

Time Approver: Kamil Rahme

For the period: 11/18/2018 through 11/24/2018

DO NOT WRITE ABOVE THIS LINE _

TOTAL PAGES SUBMITTED TO INCLUDE EXPENSE REPORT COVER____________

Date Description Quantity or Consultant Billable Receipts

Amount Comments Required
11/18/2018 Airfare expense 30.00 Y Y
11/18/2018 Meals expense 10.31 Y Y
11/19/2018 Meals expense 50.99 Y Y
11/22/2018 Airfare expense 70.72 Y Y
11/22/2018 Meals expense 14.50 Y Y
11/22/2018 Parking expense 45.00 Y Y

Expense Summary

Description Expense Amount

Airfare expense $100.72
Meals expense $75.80
Parking expense $45.00

Billable Expense Total

Y $221.52
Total Expense: $221.52

The information above is valid as of the date and time of this report and may be subject to change.
Fax 1-866-857-0201 or Email to conreceipts@apexsystems.com

11/24/2018 19:27:01 PM Page

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 Consultant Expense Report
Do not modify report data

__________________________________ _______________________________________
Consultant Signature: Date Customer Approval Signature: Date

The information above is valid as of the date and time of this report and may be subject to change.
Fax 1-866-857-0201 or Email to conreceipts@apexsystems.com

11/24/2018 19:27:01 PM Page

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