Document JNrgbmGb91qQgwRZEpK7ka7X2

MCA EXPENSE STATEMENT 7- name; Hasmukh C. Shah DATE(s): April 13-15, 1980 for: site visit tot Bio/Test Labs place(s);Northbrook, Illinois Transportation: ttete mods of travel (voucher* attached! American #637 Washington/Chicago, roundtrip National Car Rental Hotels: MM A city (voucher* ettachedl Holiday Inn Highland Park, Illinois Meals: (including moo) dpt) Taxis: Entertainment: (detail on reverm ttde) Other (detail on Iwa tide) Charged (To bo paid dirwct by MCA) $ 224*00 For Reimbursement S 81.56 $71.28 Si6.no 44.31 13- 50 Unused transportation tickets for refund herewith (list): pVuise WLJL THIS SPACE FOR ACCOUNTING OFFICE USE Memo Account Number Amount ACCOUNT NUMBER LEDGER DESCRIPTION AMOUNT 2/78-2M TOTAL $ 226.65 LESS ADVANCES __________ BALANCE S 22&+*Lemm I hereby certify that the above expense* were necessary end proper in the conduct of business for Menufecturing Chemists Aaocistion Signed: CttA 013475 H. C. Shah Authorized by G. V. Cox______________ Manager of Staff Services Approved (over $250) __ (Officer) Approved ($1,000) ~ Check signed by: (Officer) ____________________&__________ Revised 2/78 MCA EXPENSE STATEMENT NAME:0,X DATE(s): - sf/ VS& FOR: / d/eritJe Chrome Tnhahjtttf qTAi^ ^ TnJusfft*/ Slb'TESr Laber+Jertv A/rr*bnJtJ JttrfotS PlrACEIs): Northbreokj Transportation: Start mode of travel (voucher* attached) Charged (To be paid direct by MCA) S &+.*- T>& For Reimbursement $________ Hotels: name & city (voucher* attached) 7/.Zf m Meals: (including meat tips) Taxis: {detail on reverse side) Entertainment: (detail on reverse tide) Other: (detail on reverse side) ff 70 zr- * /. 90 Unused transportation tickets for refund herewith (list): 1 ' tu.DX Httal Ht) V'iruX U/JdkicLi THIS SPACE FOR ACCOUNTING OFFICE USE Memo Account Number Amount ACCOUNT NUMBER LEDGER DESCRIPTION AMOUNT TOTAL S OJ LESS ADVANCES BALANCE $ I/O . 0-3 I hereby certify that the above expenses were necessar and proper in the conduct of business for Manufacturi Chemists Association Signed: Authorized by CMA 013476 Manager of Staff Services Approved (over $250) Approv d ($1,000) Check signed by: Revised 2/78 & (Office (Office