39
Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March 31, 2012 Date Cost 13-Jan-12 Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $628.56 Other $0.00 Total $628.56 18-Jan-12 to 19-Jan-12 Accommodation $134.47 Hospitality $0.00 Meals $18.94 Transportation $160.00 Other $0.00 Total $313.41 18-Jan-12 Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $300.86 Other $0.00 Total $300.86 25-Jan-12 to 26-Jan-12 Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $237.88 Other $0.00 Total $237.88 30-Jan-12 Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $852.56 Other $0.00 Total $852.56 03-Feb-12 Accommodation $0.00 Hospitality $22.50 Meals $0.00 Transportation $125.77 Other $0.00 Trip to Ottawa w/ HR Advisor to attend District Office staff meeting Booked flight for attendance at Northeast district planning meetings in Sudbury on Jan 18th Purpose Trip to Sudbury to attend Northeast district planning meetings Booked flight for attandance at NRT in Sudbury on Feb 6th Trip to Kingston for meeting w/ Dean of Queens University Booked flight for self and HR Advisor for attendance at Ottawa District office staff meeting on Feb 3rd

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Page 1: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense ReportJanuary 1, 2012 to March 31, 2012

Date Cost

13-Jan-12

Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $628.56 Other $0.00Total $628.56

18-Jan-12 to 19-Jan-12 Accommodation $134.47 Hospitality $0.00 Meals $18.94 Transportation $160.00 Other $0.00Total $313.41

18-Jan-12 Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $300.86 Other $0.00Total $300.86

25-Jan-12 to 26-Jan-12 Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $237.88 Other $0.00Total $237.88

30-Jan-12

Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $852.56 Other $0.00Total $852.56

03-Feb-12

Accommodation $0.00 Hospitality $22.50 Meals $0.00 Transportation $125.77 Other $0.00

Trip to Ottawa w/ HR Advisor to attend District Office staff meeting

Booked flight for attendance at Northeast district planning meetings in Sudbury on Jan 18th

Purpose

Trip to Sudbury to attend Northeast district planning meetings

Booked flight for attandance at NRT in Sudbury on Feb 6th

Trip to Kingston for meeting w/ Dean of Queens University

Booked flight for self and HR Advisor for attendance at Ottawa District office staff meeting on Feb 3rd

Page 2: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Total $148.27

6-Feb-12 to 8-Feb-12 Accommodation $111.87 Hospitality $64.87 Meals $0.00 Transportation $131.25 Other $0.00Total $307.99

15-Feb-12 Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $0.00 Other $2,084.85Total $2,084.85

21-Feb-12 to 22-Feb-12 Accommodation $0.00 Hospitality $0.00 Meals $11.25 Transportation $164.04 Other $0.00Total $175.29

Summary of ExpensesAccommodation $246.34Hospitality $87.37Meals $30.19Transportation $2,600.92Other $2,084.85Total Expenses (Q4 - 2011/12) $5,049.67

Signature: Date:

Trip to Sudbury to attend NRT

Cost for management course for District Area Director, Northwest

Trip to Sharbot Lake to attend RLS Clinic meeting

Page 3: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Randall Ellsworth (VP, North, Central & Eastern Regions) - Addendum to 2011/12 4th Quarter Expense ReportThis addendum contains expenses incurred in the 3rd quarter of FY11 that have been submitted in the 4th quarter

Date Cost

8-Nov-11 to 10-Nov-11 Accommodation $0.00 Hospitality $80.00 Meals $11.25 Transportation $265.05 Other $0.00Total $356.30

14-Nov-11 to 15-Nov-11

Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $115.87 Other $0.00Total $115.87

28-Nov-11

Accommodation $0.00 Hospitality $0.00 Meals $0.00 Transportation $379.00 Other $0.00Total $379.00

30-Nov-11 to 1-Dec-11

Accommodation $174.02 Hospitality $0.00 Meals $6.81 Transportation $129.07 Other $0.00Total $309.90

Summary of ExpensesAccommodation $174.02Hospitality $80.00Meals $18.06Transportation $888.99Other $0.00Total Expenses (Q4 - 2011/12) $1,161.07

Signature: Date:

Trip to Ottawa to attend WEST clinic AGM & to attend District Office

Trip to Kingston for Crown Presentation

Trip to Cobourg for attendance at training

Purpose

Booked flight for trip to Ottawa for attendance at WEST clinic Annual General Meeting & District Office visit

Page 4: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

aMastercard Reconciliation Form

Name RANDALL ELLSWORTH - VP. North. Central And Eastern Reqionsior the month of Nov 201 1

Transaction

Date Description of charqe Account Codinq Signature RequiredAmount

Nov BCitiPark Inc - Parking for rental Car.Nov 8 - Travel to Kingston for CrownPresentation.

61 1 00-863000 $17.00

Nov B

The Keg: Dinner for 4 (Heather, Tom,Nathalie and self). Travel toKingston for Crown Presentation.Cheque for $75.67 attachedtowards the exce_eded dinneradiustment.

61410-863000 (forNathalie and self) $40 $155.67

Tom LeRoy61410 - 86301 0 $20

Heather 61410 - 862001 $20

Nov 10 )ollar Thrifty - Car rental for travel to(ingston for Crown Presentation Nov 61 1 00-863000 $243,05

Nov 9:uelco - Gas for Rentai car for(inqston 61 1 00-863000 $5.00

Nov 14 Esso - Gas for rental car for travel toCobourg for training on Nov 14 61 1 00-863000 $21.50

Nov 15 Dollar Thrifty - Car rental for Travel toCobourg fortraining on Nov 14 61 1 00-863000 $94.37

Nov 28

Porter Airlines: Flights booked fortravel to Ottawa and back on Nov 30for attending WEST clinic AGM andvisit District ofiice.

61 1 00-863000 $379.00

Dec 1

Taxitab: Taxi from Ottawa office toAirport. Travel to Ottawa for attendingWEST clinic AGM and visit Districtofiice.

61 1 00-863000 $39.00

Nov 30Beck Taxi: Taxi from Office to Airport.Travel to Ottawa for attending theWEST ClinicAGM.

61 1 00-863000 $19.00

Dec 1Ottawa Taxil Taxi from Airport toOttawa office. Travel to Ottawa forattending the WEST Clinic AGM

61,100-863000 $40.0;

Dec 1

Quick Pay taxi: Taxi receipt missing.Travel from Airport to home. Travel toOttawa for District office visit andattending WEST Clinic AGM

$31.0C

Total $1,044.66Certified Correct: De

Claimant's Signature

Note: this should equal lhe amount thal

ppears as "New account balance", (as of

e statement date) on the right of the MC

tatement under "Your account at a glance".

lease attach all original receipls in order

of their appearance on this form.

Mgr's Signature

lAid Ontario

,,

christk
Typewritten Text
***4 people - $80 claimed re: Travel Policy***
christk
Typewritten Text
Page 5: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Season's, al.G,f,o{i#We'd like to wish you peace and joy during this holiday season and throughout the NerruYear..1

Your Corporate MasterCard Staternent

lhn Tnnsno. daiE

Your account at a glance

Amount

+++++{

+

Previous balance, Nov. 3 $295.26ffi[ags-gs.zocFOther credits $0.00Purciases $1,044.66Cash advances/Cheques $0.00Interest $0.00Fees $0.0t)

12a

4

78Y

a 4t l

1 21 31 4

TORONTO ONOTTAWA ON

v.oo r'rcs.ar-243.05

s,o(2i.so/94.37/

295.26CR379.00/3910/19.€ol40.07 n-'g1.oo-"0.000.00

$0.00$1,044.6ti

$1,04{.6ti

Other chargesNew account balance. Dec. 3

Minimum pavmenDec.24.2011

t due by

-t Amount you're paying ($)

Your credit limitCredit avarlable, Dec. 3

$ 379.00

$ 0.00

$ 337.42$ 1s5.67$ 172.57

$ 0.00

$ 0.00

- ^- +- l

- o

- 5

Helpful information

Transactions listed in this statemenl :ArrlinesHotelCar rentalRestaurantsRetailCash advancesiChequesOther

[, Seeaverfiert pge

iInterest charges and rates

lbmInlerest chatges on lhis statement (0)Annual interest rates next period (%)Daily interesl rates next period (%)

Conlact us Locd calls

Eoquiries: 416283-2263Telephone Devices for tre Deat IVA

Lost or sblen cards: 416 232-8020

Toll-fres cdls PlmE addross anvCamda & IJSA written enquirie di:

1 80026+2263 I MasterCad1 866 &5S2089 | P.O.Box 3$ Station M1 800361-3361 | Tqonto,0N M6S 4X2 Registered kademark of Bankof Monkeal.

Maste0ard and the Masle0ard Brand Mark are rsistercd kademarks oiMasteoard lntermiiorEl lmrporated.

@@,

P.O. BOXsOO STATION MTORONTO ON M6S 4X2

D U N D A S S T I d E S E O I

C C i

r.:).

rF5 R A N D A L L E L L S I d O R T H

L E 6 A L A I D O N T A R I OA T R I U | ' l O N B A Y q ET O R O N T O O Nt156 eH l ,

s} B\'Io G) Financiat Grouo

Account number: Accornlbalance: !i 1,044.66Minimum payment due: ti 1,044.66

due

Amount you're paying {$):

Dec. 24. 201 1

+ IMPORTANT PAYMENT INFORMATION;Ilf you are paying by mail, please make your chequr: or moneyorder payable to BMO Bank of Montreal. [4ail your payment to:MasterCard Payment Centre, P.O. Box 60t[4 Stn. Oenhe-Ville,Monireal, Quebec H3C 3X?

@@ BMo S ,i'uncial Group

RANDALL ELLSWORTH+ $tmt. date: Dec.3,2011 { Acct. balance;Details of your transactions

Posiinodate -

Descriplion

TRANSACTTONS FOR ACCOUNT NUIIBER - 5569 0900 n$7270

Nov.8 Nov.8 CITIPARK INC TORONTO ONNov.8 Nov.9 THEKEc(K]NGSTON) I(NGSTON ONNoV.10 Nov.11 DOLLARTHRIFTYTORYYTTORoNTo oNNov.9 Nov.11 FUELCO#0fi67 BRIGHTON ONNov.14 Nov.15 ESSO TORONTO ONNOV.15 Nov.16 DOLLABTHRIFTYTORYYTTOBONTO ONNov, 24 Nov. 24 AUTOMATIC PAYMENT RECEIVED . THANK YOUNov.28 Nov.29 PoRTERAIDec.1 Dec.1 TAXITABNov.30 Dec.1 BECKTAXI -- TORONTO ONNoV.3O Dec.1 OTTAWATAXI NEPEAN ONDeC.1 Dec.1 QUICKPAYTAXI SERVICETORONTO ONDec.3 Dec.3 TNTERESTADVANQES @ 18.40000% TOo3DECDec.3 Dec.3 INTERESTPURCHASES@ 18.40000% TOo3DEC

PLEASE PAY YOUR SCHEDULED PAYMENT AMOUNTBY THE PAYMENT DUE DATE,

PRE-AUTHORIZED DEBIT IN EFFECT ASREOUESTED FROM YOUR DESIGNATEDPAYMENT ACCOUNT.

Page f oi2

LIEGAL AID ONTARIO

$1,044.66 {Pymt.dueby: Dec.24,2011 +Min.payment: 91,044.66

Page 6: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

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PLE f iSE KEEP TH IS T ICKETU.| ITH YOU

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*I* REPRINT *** REPRINT *** REPRINT2485 Bloor $t t.tlIoronto 0N l'|651P7BLOOR VILLAGE ESSOnnfin?qq7

2485 BL(]OR STREET {,llTORONTO, ON |\465 1P7

VRN:R121461107

11114/2A11 06:36:49 PM 30'1668131

PUI'|P# 7EREGPRICE/LTR

FUEL TOTAL

::i:':l

1 8.22011 , 1 8 0

$ 2 1 , 5 0liilili:

:):::::; t : : : l

Subtotal = $ 21,50Tax = $ 0 ,00

X*X REPRINT *** REPRINT *** REPRINT ***

HST in fuel

T0 IAL = $ 21 .50

$ 2'47

CREDIT $ 21 ,50*** REPRINT *** REPRINI *** REPRIl'lT ***TYPE: PURCHA$EACC0UNT: |4CARDFLEET $21.50AUTH: 183540-F INV0ICE: l ' , lJrdA7802CARD I{UI',IB

01 Approved Thank You 027AEROPLAN MILES THIS $ALE: 7AER0PLAN # : 627421 3487375946IMPORTANT - retain this copy for yourrec0 r0$

*+* REPRI|'lT *** REPRINT *** REPRINT ***

Page 7: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

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IF IUo ICE S [ [C162f iuTH* 15S S-t 6

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THftHH YOU

F R I H T T H E L E

DININff : Laura P

SEAT# ITEMS ORDERED

1 TABLE BREAD 6PCS12 OZ PEPPER NY

$UBTOTALHST

2 ZESTY SALI4ONSub l'lixecl GreensBUTIER IART

B-DAY

$UBTOTALH$T

CL$$C IAE$AR12 OZ NY CLA$$ICFr iesSIDE PEPPTRCORN

SUBTOTALHST

SIRLOIN OSCARTwice Baked

$UBTOTAL|.|ST

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30.q54 .02

34.97,4 i l l l

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24,953 , 2 4

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40,62

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Page 8: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

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fobsl {hrrson . r{},0!

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Page 9: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

)allar Thrifty ian*da inc, t4lgJ t31-ee1;1005 llon1 $tieet_{est tEtabic'otre} ilpen Emp: 4168 flose Emp: 41f,8lnrcntc, {]H l'l$x1[3 HsT fl R108il3]eE,

fustffisr Infsrntatiori Re*al Expiry Infsraution ftent*l ftqreement HtmberiS'lDffLL ELL$nftTH [$st l,lo: 18e5140 RA {iut: 11114/e011 7.46 YY?f0 SUIIDAS 5T l'l SUITT t00 FF*: Rfl Inr 11/15/eS11 7.S0 YY? e057670

854?i64$e610tt30H 0llt3/4013 VEhiclE hfn'rmation Rate/Free Km Inforrn*tion

6S

l01l WLf,5!,4$ JETTff R Hetn - : IU d I I {s'r

lT0,0l,ll{5ff]]]]]]]H18557

'II] flDDITI{]Hfl. Dft IUEA$,LEfiAL RID {Sfl'flftI0

f,harqes41.e5day ii:il[S: Fuel {hrtl S/S Krrrs ilutr 5,505

FueI In : S/8 f*s in : 5,761Enerqy ftecovery Fee .?!d*y .79Kiioneters 0riven: 156 Safe-Trip 34.?8 dai, 34.90

Ueh Lic Fee and Air T 1.S4v day 1,64UehiclE f{aintenance F 3,tE uttit 3,95|l$T 13,0S0 / 10.S6$ubtstal sf fither [harges Se,4e

-ocar: Total charges 94'37

t416) ?79-St57 Fayment lfi 55XX 7t70 ']4.37t,0.*: Total Deposits/Fayments 94.37iaurr'e: 888 I /

fiaverages Fayment InformatisnI have declined Ftepaid 6as

i have accepted SafeTrir Fackanetesponsibility Liruit: ZEf0

lncludes LDtl and FF

I have declircd SLU

0 43.0070 30.0070 94.37

Page 10: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Anjali Sharma

From:Sent:To:Subject:

GonfirmationNumber:

Booking Date:

Passen ger Information :

PorterAi rlines@flyporter. comNovember 28,2011 2:51 PMRandall EllsworthItinerary - Please do not reply to this email

NSZRQC

Thank you very much for your business. We have conf irmed your reservat ion in our system. You wi l lnot receive a paper ticket. Please review flight information for accuracy and make note of IDrequirements and recommended check-in times. You may print this itinerary for your reference.

MR. RANDALL ELLSWORTH40 DUNDAS STREET WESTSUITE 2OOTORONTO , ON MsG 2H1CANADA

28 Nov 2011

Agent Name:

Booked By:

t743

ANJAL]

Passenger ftinerary

NameMT. RANDALL ELLSWORTH

VlPorter Number8380000954

Fl ight #/Seat #257/NA264/NA

Flight Information:

Date Flight30 Nov 2011 257

01 Dec 2011 264

DepartToronto (YTZ)1 2 : 3 0

Ottawa (YOW)1 4 : 3 0

ArriveOttawa (YOW)13:26

Toronto (YTZ)1 5 : 3 0

Stops

Fare Summary (CAD):'

Base Fare:Discounts:NAV and Surcharges:Air Travel ler Securi ty Charge:Airport Im provement Fee :

$433.00$86.60$34.00$t4 .24$40.00

Page 11: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Harinonized Sales Tax: $s6.s0

Total Fare.Price:

Credit Fi le:Master Card:

Balance Due: $0 ,00

GST/HST Number: 84758327 7

Identification Requirements:

QST Number : t272573775

To board a f l ight within Canada, al l passengers are required to present one piece of val idgovernment- issued ident i f icat ion that includes a photograph and the passenger 's name, ortwo pieces of val id government- issued ident i f icat ion showing the passenger 's name, withoutphotographs. IMPORTANT - the name on the ident i f icat ion must match the name on theboarding pass.All passengers travelling to and from the United States are required to present a validpassport . Cit izens of countr ies other than Canada and the United States should contact theirconsulate or embassy for boarding requirements. Proof of onward or return travel may berequired at check-in.

Check-in Times:

I t is recommended that passengers al low suff ic ient t ime for gett ing to the airport , through check-inand securi ty and to the gate,

Al l f l ights are avai lable for check-in 24 hours pr ior to departure.

Arr ival , check-in and boarding t imes depend on the or iginat ing airpoft as out l ined below:

Canada:Bi l ly Bishop Toronto City

Airport3 0 m i n2 0 m i n1 5 m i n

$491.14

$ 1 1 2 . 1 4$379.00

Recommended Arrival TimeCheck-In ClosesBoarding Time

U.S. :

Recommended Arriva'l TimeGheck-In ClosesBoarding Time

Bil ly Bishop Toronto CityAirport60 min4 5 m i n1 5 m i n

Other Airports

6 0 m i n30 min2 0 m i n

Other Airports

9 0 m i n6 0 m i n2 0 m i n

Page 12: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

CAPITALTAXI" 613-?443333

" 6045' .TAXI TAB

tZtAl,. tZOII 14 :0S :04PU}qCHASE

Transaction fi l-0Card Tgpe: flaster CardAcc: Entrg:Te rm ina l ID :Herchant ID:Batch:

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Page 13: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March
Page 14: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March
christk
Typewritten Text
***Lunch - $11.25 Claimed re: Travel Policy***
christk
Typewritten Text
Page 15: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March
Page 16: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March
Page 17: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March
Page 18: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

aMastercard Reconciliation Form

Name ----+ RANDALL ELLSWORTH L\8-l!A!th. Central And Eastern Reqions

For the month of Januaw 2012fransaction

Date Description of charqe Account Godinq Amount

Jan 13Porter Airl ines - Flight to Sudbury onJan 18. Northeast district planningd2vs

61 100-863000 $628.56

J a n 1 8 Airport Shuttle and Taxi - Taxi fromAirport to District office.

61 100-863000 $s8.00

Jan 18 Porter Airl ines - Flight to $udbury onFeb 6. NRT in Sudburv. 61 1 00-863000 $300.86

1 9Jan Airport Shuttle: Taxi from Districtrffice fo Airnorl

61 1 00-863000

, 10JanTown Place Suites - Roonl booking inSudbury. Northeast district planningoavs

61 1 00-863000 $134.47

Jan 18Diamond Taxicab: Cab from Home -Airport. Northeast district planningoavs

61 100-86s000 $26.0C

Jan 26 Queen's Pay: Parking at QueensUniversitv. Kinoston.

61 1 00-863000 $ 1 1 . 0 C

Jan 30Porter Airlines: Flight to Oftawa.District office staff meeting on Feb 3.Tickets booked for Rachel and self

61 1 00-863000 $426.28

,,sllR: i S,i l4:!i,ti.4E,lLirt'.lE

r . . , i

Feb 3 Taxitab: Taxi from Ottawa DistrictOffice to Airport for Rachel and self 61 1 00-863000 $38.53

Feb 3Cafe Deluxe: Lunch durinE visit toOttawa for staff meeting. Rachel anclSelf

61 41 0-863000 szJ. / J

0ert i f iedCorrect :o" t"af i lo ,zk i l r ) - -Note: th is,n" , , . "o, ] , l l l , " ' "#

ciaimant,sSisn r:mffi::T:iil:;.n:Msr's sisnatur " Please attach all original receipts in order

of their appearance on this form.

Aid Ontario

t

christk
Typewritten Text
Reimbursed $1.23 re: Travel & Meal Policy. $11.25x2ppl=$22.50
christk
Typewritten Text
***
Page 19: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

#!jii:#

Previous balance, Jan. 3 $174.02

;++++{

{

Payments - thank You $174.02CR$0.00Other credits

628.511)/58.0rl) ',/

300.8i6l58.00 /

154.47 /26.0v

174.0ilcR11 .00 , /

852.56,/38.53.'2g.7it /0.0110.00

$2,131 .71$0.00$0.00$o^oo$0.00

$2,131.71

$2,131.71

PurciasesCash advanceslChequeslnterestFeesOther chargesNew account balance, Feb. 3

Minimum pavment due bvFeb.24,2017,

+ Amount you're paYing {$)

--4

Your credtt limitCredit available, Feb. 3

Helpful information

Transaciions listed in this statement ;

$ 1,781.98$ 134.47

$ o.oo$ 23.70

$ 191.53$ 0.00$ 0.00

- 9- !- *- l- o= =- +_ L

,Seeoveilpd PW

AirlinesHotelCar rentalRestaurantsRetalCash advarceslChequesOtherlnteresi ch:lrges and rates

liEm

Interest charges on this statement ($)

Annual interest raies next period (%)

Daily interest rates next period (%)

Contac-l us

Enquiries:'Ielephone Deyices lor $e DeafLost or sblen cards:

Toll-free cdls Plase addtss arryCanada & IJSA writlen enoddss toi

1 80026&2263 r Mastg0ard1 866 859-2(ts9 | P.o.Box 300 Stati$ M1 800 361-3361 | Torqrto,0t{ MOS 4X2

R{istered kademark of Bank of Montr€I.Ma;te0ard ard the Mastecard Brard MaIk ale rEgisteled trademarlG ofMaste6ard I ntelmtioml lmrponted.

Local calls

4162E,}22ffiN/A416 232-8020

@@*

(@@ BMo S rir,uncial GrouP

{stmt.date: Feb.3,2012 {Acct.balance:

Details o[ your transactionsl|3m Trans Postinqno. date dab

- DesctiPtion

'r'RAhlsAcTloNs FoR ACCOUNT NUMBE-

1 Jan.13 Jan.162 Jan.18 Jan. l8Cl Jan. 18 Jan.194 Jan.19 Jan.19ii Jan.19 Jan. 19( i Jan.18 Jan.20ir Jan.24 Jan.24{l Jan.26 Jan.26I Jan.39 Jan.3110 Feb.3 Feb.31 1 Feb.3 Feb.312 Feb.3 Feb.313 Feb.3 Feb.3

PORTERAI TORONTO ONAIRPOBT SHUTTLE &AIRP GARSON ONPORTERAI TORONTO ONAIRPORT SHUTTLE &AIRP GABSON ONTOWNE PLACE BY MARRIOT SUDBUBY ONDIAMOND TMICAB ASSOCITORONTO ONAUTOMATIC PAYMENT RECEIVED . THANK YOUOUEEN'S PAY & DISPLOPS KINGSTON ONPORTERAI TORONTO ONTMITAB OTTAWA ONCAFE DELUXE OTTAWA ONTNTEBEST ADVANCES @ 18,40000% To 03FEBINTEREST PURCHASES @ 18.40000% To o3FEtl

PLEASE PAY YOUR SCHEDULED PAYMENT AMOUNTBY THE PAYMENT DUE DATE.

PRE-AUTHORIZED DEBIT IN EFFECT ASREOUESTED FROM YOUR DESIGNATEDPAYMENT ACCOUNT.

Stateme'ntLEGALAID ONTARIO

$2,131.71 + Pymt. duLe by: Ft>b.24,20'12 { Min. payment:

ce

Page 1 ol 2

$2,131.71

flh; BMo Gl Financial Group

Page 20: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Itinerary - Forter Airlines Page 1 of4

Booki49 InformationYou will need to provide this information with proof of identification for access to theitems on your itinerary.

Status. ClOSedConfirmatioq number: UD9ZGHBooking date: Friday, January 13,2012

Flight DetailsDeparting Flight

Toronto (YitZ) to Sudbury (YSB)

January-'18112 Flight PD 677 Depart from Toronto (YTZ) at B:00 AMBombardier Q400 Arrive in Sudbury ft'SB) at 9:00 AM

Returning Fl ight

Sudbury ffSB) to Toronto (YTZ)

January-19i'12 Flight PD 672 Depart from Sudbury (YSEI) at 2:00 PMBombardier Q400 Arrive in Toronto (YIZ) at i2:55 PM

Auto Check'in

No need to check-in; Auto Check-in will do it for youl

Prior to departure, Porter will issue a print friendly version ancl an electronic version of your boarding pass. lt will beattached to tljre Flight Reminder sent to the email address on file. Before arriving at the airport, please print a papercopy of your boarding pass or verify that you are able to view the elrectronic version of the boarding pass on yourinternet enabled mobile device.

Not all reservations are eligible for Auto Check-in; please visit Auto Check-in for further details.

Seat Selection

Seat numbeqs are assigned prior to departure, unless otherwise prerselected at this time.

Firm fare resgrvations will be charged $15 CAD/USD (plus ta.x) per flight for seat selection. There is no additionalcharge for Flgxible or Freedom fare reservations.

To select at q later time, visit Mv B.gokinqs or manage once at your destination airport via a kiosk or representative.

You can selQct your seat preferences (aisle or window and the area, of the plane) through your VlPorter account. Wewill attempt to accommodate your preferences when automatically assigning seats.

For operatio4al reasons, Porter reserves the right to change :;eats at any time.

Contact Information

https://wwry.flyporter.com/Flight/My-Bookings/BookingDetails?culture:en-CA 22102120t2

Page 21: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

inerbry - fortgr Airlines

Address

Mr, MND{LL ELLSWORTH40 Dundas

ftr"{t W"rt, Suite 200

Toronto , Of MsG 2H1Canada

Phone numfe(s)

Mob i le :

Fl:il",. . a . ^ : t ^Passenger Details

Pa$senger oetfie

1. RANDAdL e[lswonrH Adurt rliorrt +feat #:677t8C 672t8c

Payment

::::: "n"Tluu ooBase Fare

NAV and Sur$harOes $ 34.00

nir rravefnr lecuritv Charge $ 14.24

Airport lJRrovlement Fee $ 20.00

F{armoni]ed Jales

Tax $72.32

rotar rare fricl

$ 628.56 cAD

Payment n[tails

Details Statu,s Charge

cr"dit C":. M1 (aPProved) $ 628.56

Amount Pfid $ 628.56 CAD

Fare Rf les

ttps,llw*{.flyjporter.com/Flight/My-Bookin$s/BookjngDe,tails?culture:en-CA

Page 2 of 4

22102/2012

Page 22: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

this infonrlation with proof of

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Fawng$

am /,f li*L+ /I:C---*;9^,- tioJAit.,rl.tJ.rr,4r

Page 23: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

* 673fl\tA67?NA

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saile_da!fr

to t hour prior to departure timechange plus any fare

are,pennit{ed at the airport or,rly. A( sutpedte and applicable taees ).

are penafred althe airportforOttatrva,fstla

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p.avaitahle &r$tS

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i re Porhr flights. Credit for'fuhireItl. i :

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flat fee per direetion plus

Page 24: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

. . T i TownePlace Siuites bY MarriottSudbury Ont{rioHst # 824081 P'51 rt0001

1710 Kingsway | Sudbury 0N P3B 0E4ohone 705.525.7700

SUJ[ar

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r.]r

rooin type: STQQ

number of guests: 1

r.ate: 51 19.00cterk:

18Jan121 8Jan1 219Jan12

room chargehst- tax roomMaster Card 134.47

amount: 134.47 auth: 4 signatur'e on filethis card was electr Iy swiped on 18jan12

balance: 0.00

As a Rewaand etite

Page 25: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

TIFENT!r4ER STEI]M t+

D IAI'1EI'iD TAH ICAB- f ,Ss tc tATt [ t i

?51 QUEEN STEEET ErcST0N HSA 1 56?7000Do:68

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AUTHS:O654Q?TEANSS rOOO0FtlZ S

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Page 26: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Itinerarv - Porter Airlines

Booking InformationYou will need to provide this information with proof of identification for access to theitems on your itinerary.

Status: , C*n${nrvsmdConfirmation number: R€vafi Ef?

& u c ? a a f v

Booking date: Monday, January-30-12

Flight Details

Departing Flight

Toronto (YTZ) to Ottawa (YOW)

February-O3-12 Flight PD 249 Depart from Toronto (YIZ) at 8:15 AMBombardier Q400 ,Arrive in Ottawa (YOW) at 9:11 AM

Returning Flight

Ottawa (YOW) to Toronto (YTZ)

February-O3-12 Flight PD 268 Depart from Ottawa (YOW) at 4:00 PMBombardier Q400 Arrive in Toronto (YTZ) at 5:00 PM

Gontact lnformation

Address

Mr. Randall Ellsworth

Phone number(s)

Mob i l e :

Email address(es)

Passenger Details

Passenger Details

https ://www. flyporter. com/Flight/Itinerary?culture:en-CA

Page 1 of4

qlr-F'

30/01/2012

Page 27: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Itlnet* - Porter Airlines

1. Randal lE l lsworthFlight #/Seat #: 249lNA 268/NA

2. RachelChadwick

Flight #/Seat #: 249lNA 268/NA

Payment

Summary

Detai ls

Base Fare

Discounts - JAN50

NAV and Surcharges

Air Traveller Security Charge

Airport lmprovement Fee

Harmonized Sales Tax

Total Fare Price

Payment Details

Details

Credit Card - MC

Amount Paid

Fare Rules

Departing Flight

Firm

Adult

Adult

Status(approved)

Charge

$ 1,156.00

$ -578.00

$ 68.00

$ 28.48

$ 80.00

$ 98.08

$ 852.56 CAD

Charge

$ 852.56

$ 852.56 CAD

Page 2 of 4

Changes or cancellations are permitted ( subject to seat availability, fare difference andapplicable taxes ) up to t hour prior to departure time for a fee of $75 (CAD/USD) perpassenger per segment change plus any fare difference and applicable taxes.

Same-day changes are permitted at the airport only. A $150 (CAD/USD) flat fee applies( subject to availability and applicable taxes ).

Same-day changes are permitted at the airport for travel between Toronto and Montr6al orOttawa for a $75 (CAD/USD) flat fee per direction plus applicable taxes, subject to availability.

https ://www. flyporter. com/Flightlltinerary?culture:en-CA 30/0r/2012

Page 28: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March
Page 29: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March
Page 30: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

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Page 31: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

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Page 32: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

Aid OntarioMastercard Reconciliation Form

Name ----+ RANDALL ELLSWORTH - VP. North. Gentral And Eastern Reqions

For the month of Feb 2012Transaction

Date Description of charqe Account Codinq Amount

Feb 3 Ambassdor taxicab - Airport to home.District office staff meeting in Ottawa 61 100-863000 $25.00

Feb 3Westway taxi - Taxi from airport todistrict office. District office staffmeetino in Ottawa

61 1 00-863000/

$40.24

Feb 3Diamond taxi cab: Taxi from home toairport. District office staff meeting inOttawa

61 1 00-863000 / $22.00

Feb 6Airport Shuttle - Taxi for Heather andself from airport to Sudbury hotel.NRT in Sudburv

61 100-863000 u/ $46.00

Feb 7Airport Shuttle - Taxi for Hotel toairport. NRT in Sudbury. ReceiPtmissinq.

61 100-863000 $40.25

Feb 6Radisson Hotel - Dinner for LouiseHuneault, DAD for Northwest Districtdurinq NRT in Sudbury

61 400-863000 "/ $15.58

Feb 6 Radisson Hotel - Dinner for Heatherand self durinq NRT in Sudbury

61410-863000 J $33.7€

Feb I A4U Taxi from airport to Home. NRTin Sudburv

6'1100-863000 J $27.0C

Feb 6 Diamond taxi cab: Taxi from office toairoort for Heather and self

61 1 00-863000 \/ $18.0c

Feb B Radisson Hotel - Hotel stay inSudburv. NRT in Sudburv

61 100-863000 / $1 '11 .87

Feb 7 Radisson Hotel - Breakfast forHeather and self. NRT in Sudburv

61410-863000 / $15.53

Feb 15 CMC - Fees for training for TracYRoll. DAD Northwest

61 000-863000 / $2,084.85

Feb 21 Sharbot Lake Country - Lunch 6't410-863000 $14.79;l'- ffi,, ": ,fl

Feb 22 Dollar Thrifty - Car rental for RLSClinic meetinq

61 1 00-863000 I $157.s3

Feb 22retrocan - Gas for car rental. RLS:linic meetino.

61 100-86300 J $6.s1

Certified Correct: Da

rotal | $?'6$j]ote: this should equal the amount that

ppears as "New account balance", (as of

e statement date) on the right of the MC

tatement under "Your account at a glance".Claimant's Signatur

lease attach all original receipts in order

f their appearance on this form.

Mgr's Signature

o

v

christk
Typewritten Text
christk
Typewritten Text
$3.54 re: Travel & Meal Policy
Page 33: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

. .

At BMO Financial Group, we continually seek ways to make your BN{O Cr:rporate Mastercanl more secure'

Here are some simple, yet effectiv?, :t"p: you can take to help protect your BMO Corporate MasterOard:

. Always keep your card in a safe location

. Only provide your card information to reputable companies

. Always pay attention to your surroundings whetl using your card or PIN

. Review your monthly statement and report any discrepancies irnmediately

Contact us immediately if your card is lost, stolen o[ if you suspect your card has been compromised:Canada & U.S,:Worldwide (call collect) :

1-800-36"1 -3361

416-232-8020

$2,651i.91

+++++++

Previous balance, Feb.3 $2,131.71paymenls -jnanfyou ---$ti31.71c8

Other credits $0.00ffifiEses---Stt563i-

1234567a' t0l t

1 21 31 41 5't61 71 8

25.002"40.24122.0v46.00,40.2515.58/'33.76,'27 "OO//18.00 /

111.87,15.53/

2,084.8s14.79 ",

157.53 '6.51

2,131Jlcn0.000.00

Cash advances/Cheque$lnterestFeesOther chargesNew account balance, MaL 3

Minimum Davment due bvNar.24.ffi12

$0.00$0.00$o.oo$o.oo

$2,{05E.91

$2,65&.91.T

.:

: a a

::,',...::,.

!:lr;

-::- -r

: ' , r .? : : jO . :

I ::.

+ Amount you're paying {$)'

!!!!-

Helpful information

Transaclions listed in this slatement:

Your credit limitCredit available. Mar. 3

AirlinesHotelCar rentalRestaurantsRetallCash advances/CherquesOther

$ 5,,341.09

$ 0.00

$'191.5 i3$ 157.5;3

$ 0.c10

$ 2,309,85

$ 0.00

$ 0.00

'j: ,

i;

., lnterest charges and rates

,:. liem,: lnterest charges on this statement ($)

a,r Annual inlerest rates nexi perio*(%)Daily interesl rates next period (%)

Contad us

Enquiries:Telephone Devices fot he Deat

Losl or sblen cards:

a:.

P.O. BOX 3OO STATION MTORONTO ON M6S 4X2

' Toll-{reo cdls Please addrrs anvLocal cdls Camda & USA writlen enquide tir:

4162S+2263 1 S0026+2263 1 Master0ardN/A 1 866 8592089 | P.O.Box 3{D Stalion M416 232-8020 1 8m 3fi-3361 | Tormto, 0N M6S 4X2 Rsistered trademark ol llank c,f Monhql.

Ma;tercard ard the Mastercanl BraM Mark are registered trademafks olMastetcard InterMtioml lmrronted.

@@*

R5 R A N D A L L E L L S I t J 0 R T H

L E 6 A L A I D O N T A R I OA T R I U I l O N B A Y L I OT O R O N T O O N115G eH l ,

DUNDASS T I d E S E O F

Gfrp BMo le) Financiar GrouP

Account numben 0Account balanoe: ti 2,S5{t.91Minimum paynent clue: ti ?,651t 91

due Mar,24,2012

Anounl

IIdPORTANT PAYIIJI ENT IN FOR MATION ;lf you are paying by mail, F,lease make your cheque or moneyorder payable to BMO Bank of Montreal. Mail your paymenl to:Mlastei0ard Payment Centre, F'.0, Box 6044 Sln' 0entre-Ville'Mtonlreal, Quebec H3C 3X2

@ BMo S "trr"ncial Group

+ Simt. date: Mar.3,2012+ Acct. balance:

Detai ls of . your.lrensadtions

l,5l llll' lSttns ou..,ipron

TRANSACTIONS FOR ACCOUNT NUMBER.5569 (}9(}(} 02137274

Feb.3 FEb.3 AMBASSADORTAXICAB.PATBRAMPTON ONFeb.3 FEb.3 OTTAWATMI NEPEAN ONFeb.3 FEb,3 DIAMONDTMICABASSOCITORONTO ONFCb.6 FEb,6 AIRPORTSHUTTLE&AIRPGARSON ONFeb,7 FEb.7 AIRPORTSHUTTLE&AIRPGARSON ONFeb.6 FEb.7 RADISSON HOTEL SUDBURY ONFeb.6 FEb.7 RADISSON HOTEL SUDBURY ONFe_b.8 FQb. I A4U_ TAXI LTD _ _ -416:459923-6 oNFEb.6 FCb.8 DIAMOND TMICAB ASSOCITORONTO ONFeb.8 FEb.8 MDISSON HOTEL SUDBURY ONFeb.7 FEb.8 RADISSONHOTEL SUDBUBY ONFeb.15 FCb.15 CANADIANMANAGEMENTCETORONTO ONFeb.21 FCb.21 SHARBOT LAKECOUNTRYI SHARBOTLAKE ONFeb.22 Feb.23 DOLLCRTfiRIFTYTORYYTTORONTO ONFeb,22 FCb.23 PETROCAN WHITBY ONF eb. 24 F Eb. 24 AUTOMATIC PAYM ENT RECEIVED . THAN K YOUMar.3 Mar.3 INTERESTADVANCES @ 18.40000% TO03MARMar.3 Mar.3 INTERESTPURCHASES@ 18.40000%TO03MAR

PLEASE PAY YOUR SCHEDULED PAYMENT AMOUNTBY THE PAYMENT DUE DATE,

PRE.AUTHORIZED DEBIT IN EFFECT ASSee overfiel pge

sz,isi.sr + pvmt, oue u1,, fittrrut. a, ioiz + wlin. piit"ni'Your account at a glance

? 00 0 0 a b 5 9 1 1 u 0 0 e b 5 & 1 1 ,

Page 34: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

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Page 35: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

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Page 36: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

ilsd^2$Randall Ellsworth40 Dundas St WTorontoCanada

INFORMATION INVOICEMembership No.A/R NumberGroup CodeCompany Name

0206LEGALCMarie Lalonde

Room No.ArrivalDeparturePage No.

Folio No.Conf. No.Cashier No.

20402-06-1202-07-121 o f 1

10937891056

02-07-12 01:31'.44AM EST

Date Text Charges Credits

02-06-12 Corporate Accommodation02-06-12 HST-TAX-Rooms#88749451602-07-12 Master Card

99.0012.87

111.87

Total 111.87

Balance

Club Carlson: A faster way to a free night stay at over 1000 Carlson hotels worldwide.Enrol l and learn more at the front desk or at clubcarlson.com

Thank You For Staying With Us

I agree that my liability for this bill is not waived and agree to be held personally responsible in the event that the indicated person, company orassociation fails to pay for any portion or the full amount of these charges.

Guest Signature

' 111 .87

0.00

Radisson Hotel Suclburv Downtown

Page 37: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

ffiffiffi ffiflk*o*nffiffirtr*,*Legal Aid of Ontario MEMBERAttention: RollTrary200 - 40 Dundas Street WestToronto, ONM5G 2H1

ELECTRONIC INVOICEo2lLsl2oL2

Invoice #: l-O3977A

Customer #: 550864

Due Upon Receipt

2l23l20tZ 32536-00081 - Preparing for Leadership: What it Takes to Take the Leao Roll, Tracy $1,845,00

HST/GST: 102455250QST: 1015303332

Remit to: / Remettre i:

Canadian Management CentreAttention Accounts Receivable Dept.225 East Beaver Creek Road, Suite 710Richmond Hill, OntarioL4B 3P4 (877)262-2s86

Sub-Total / Sous-Total $1,845.00HST (13olo): 9239.85

Paid Amounts / Somme Pay6e $2,084.85

CREDIT CARD AND PURCHASING CARD payment Instructions:

Charge My: { }American Express { }VISA { } MasterCard

Card Number:

Name (Please Print):

Signaturc as Shown on Card:

Cardholdeis Address:( l f d i i ferent than bi l l ing address)

Expiration Date: { }Month { }Year

PTEASE REFERENCE THIS INVOICE NUMBER: T-O39778 ON YOUR REMITTANCE

Page 38: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

SHARBOT1AKE COUNTRY iIiN, 14152 R0AD 38. S}IARBOT LAKF, -ON

T , 'n: 28801445

PurchaseSh,IARffiT]T I.. AKH

fi{:}Li NTRY I f'l hl I rlc '14152 Rnad 38' Pff ?55$harboi: l"ake, i lntario

t 6 t '

fiheck #: 2fi541

nur r l i ce te ,

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fotal; $

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AFPROVEDThank You

CuEtonrer CoPY

- II'IPORTANT .retail Lhis coPY for '/our re(ords

TCITAL : 1 ? " 7 S: : : : : : : : ; : i ; : : :* ' : : 11 :) : ; : : : : ; : : i l : ' : :35;fr ;A*:J):1*X;: l : ' ; ; :a:

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Page 39: Randall Ellsworth (VP, North, Central & Eastern Regions ... · Randall Ellsworth (VP, North, Central & Eastern Regions) - 2011/12 4th Quarter Expense Report January 1, 2012 to March

ELLS

frIUERSffiIO

Flier: F[

I rs;

(416) 77t-S557

100 I ?n

fust bln; 15P5140FF*: Fl'$l6l{9E54R€,401t10t?30H 0ell3/as1:

til):

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0e/e1lP01t 10.000#eel1011 10.05

u.Y7ElSIJ15

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Uehicle Infornatinn Fate/Frpe F.n Informatinn

Ueh"il; X0?5465bfilasioF-ffi*5 TETTAHFirel tht; $/8 P'na 0t*;Fuel In : 1/8 P'nE In :I'ilonreters Sriven:

Raiitan[harue:3e.00day 3?:ffi

10.1?4-i$,ga$nerqy Recnvery Fee .??day -."79--6g0

Si?e'irip 34.98 daY Ii'98---Fno-riteilttnitsx$t 55 1.07 litr :e.qi

uitr Lii-rei-ina Rir r l.g4v dav- 1.84Ueliite l{ainten*nee F 3.95 unit i"95Hsi--- 13.ooo I .1$"u$iritatat of other [haiqii 118'53

Total f,harges

Pavmgnt lE 55XX 7A?0Tntal SemE itE/Favnrents

157.53157.53157.53

Co,rerages Favnert Information

accepted Frepaid 6as n?0 A0xaT0 R1XX?I?0 F37

109.0{00.00

15?.53aecepted SafeTrip !*ckageibititv Limit: ZER0

LDld a.M FF

declimd DLV

*r Thriftv-Automoti*reriroup lanrda lrc" 1-855-5e'0*?7']:"erini,-gtilili'uiii- istilicot€t -- - - fipe*.Ftttnti.:m- fq$Xifl fl$T * Ftrfii$$ef" Fese'rv*tisn

; lruil*nii; FI'tlSll

Csstna*r Inform*tiott Fental [lpiry Infor$atiu$

[Los* [mp: ptilron

Rent*l Aqremrer* Rlniber

lii;Sl l3*'l!];:::X$::1l',18l1t,,* conditions, both printed and w'tten, that ..,;1,',;,,*ga*;$,'"-,:[:1il::i:j::-'.''*'t(correctivervthe'Agreement")

b) All information provided bY'En apposant votre signature ai-Oarrou.,uour reconnaissez ce qui suit:a) vous avez tu tes modatrt6s, imprimees et dcrites sur le presentd)o:lT;*;,.rt,.

:3l|Sl,l?]:f,ion distinct (collectivement nomme le < contra

ol [rr oti.L..ignements que vous nous avez fournis sont vrais.

THE UNDERSIGNED LESSEE OR THE SIGNATORY TO THIS RENTAL AGREEMENTCERTFTES rHAr HE oR sHE HoLDs A VALID DRIVER'q !9E!9F Jg!-IIFoFinnrroru oF THE vEHtcLE(s) REFERRED To tN rHE AGREEMENT, AND AGREESro erusuni THAT ANY PERsoN wHo oPERATES rHE vEHlcLE HoLDs A vALIDDRIVERiS LICENCE OF THE PROPER CLASS.