Document wzXRMXQZen8Jg4Y0na26Z6NQ
MCA EXPENSE STATEMENT
name; HasrauXh C. Shah
DATE(s): April 13-15/ 1980
for: site visit to: Bio/T*st Labs
placed Northbrook, Illinois
Transportation: state mode of travel Ivouchers attachedI
American 1637 Washington/Chicago, roundtrip National Car Rental
Hotels: name & city (vouchers attachedI
Holiday Inn Highland Park, Illinois
Meals: (including meal tipsI Taxis: (detail bn reverse side1 Entertainment: (detail on reverse side1 Other: (detail on reverse side)
Unused transportation tickets for refund herewith (list); ^
THIS SPACE FOR ACCOUNTING OFFICE USE
Memo Account
Number
Amount
ACCOUNT NUMBER
$
s
2/78- 2M
Charged
(To be paid direct by MCA)
$ 224.00
For Reimbursement
S______ ______
81.56
$71.28
_____________
S16.00
44. 3] 13. 52--
total
s 226.65
LESS ADVANCES
BALANCE
$ 226.65
I hereby certify that the above expenses were necessary and proper in the conduct of business for Manufacturing Chemists Association
--
7 . v//f
H. C. Shah
Authorized by
G. V. Cox
Manager of Staff Services
Approved (over $250)
Approved ($1,000)
Check signed by:
Revised 2/78
&
(Officer) (Officer)
CMA 117543
^ Oats
--........
Details (see below)
4/13/8{ ) RecSliaii w/ JT Seawell
4/14
HO
w/ ,tt
1
"
44 //ii. r
Dinner Rrsealtfaflfc
Taxi* $
Entertainment
Other
$$ jl
i a An
13 50
1___________ 1
TOTALS - Forwarded to Front Side
j
Details: Business purpose on each entry, unless self-evident.
Taxis
-- Terminal points and name and business affiliation of each person, if any, in addition to seif.
Entertainment -- Place, name and business affiliation of each guest; self listed if included in expenditure. Receipts attached for each case involving more than $25 (required by IRS).
Ofhar
- Appropriate identification. For dues - period covered and percentage charged to MCA,
$$ 44.31 -AA-S0 --
Separate statement for each out-of-town trip, to include all expenses whether paid direct or charged. Calendar month statements for miscellaneous local expenses.
MCA OFFICE MANUAL PROVIDES GENERAL INSTRUCTI NS AND LIMITATIONS ON REIMBURSABLE EXPENSE
CMA 117544
MCA EXPENSE STATEMENT
V.i
NAME; Hasmukh C. Shah
date<s): April 13-15/ 1980
for: Site visit to: Bio/Test Labs
place(s):Northbrook, Illinois
Transportation: state mode of travel (voucher* attached)
American #637 Washington/Chicago, roundtrip National Car Rental
Hotels: name & city (vouchers attached)
Holiday Inn Highland Park, Illinois
Meals: (including meal tips)
Taxis: (detail on reverse side)
Entertainment: (detail on reverse side)
Other: (detail on reverse side)
Charged
(To be paid direct by MCAi
$ 224.00
For Reimbursement
$_
81.56
$71.28
$16.00
44.31
1.3.51
Unused transportation tickets for refund herewith (list):
''M vd
THIS SPACE FOR ACCOUNTING OFFICE USE
Memo Account
Number
Amount
s
ACCOUNT NUMBER
LEDGER DESCRIPTION
AMOUNT $
2/78- 2M
TOTAL
S226.65
LESS ADVANCES
BALANCE
I hereby certify that the above expenses were necessary and proper in the conduct of business for Manufacturing Chemists Association
Signed:
H. C. Shah
Authorized by
G. V. COX Manager of Staff Services
Approved (over $250)
Approved ($1,000)
Check signed by:
Revised 2/78
&
(Officer) (Officer)
CMA 117545
^ Date
Details (see below)
A /i /O/
4/14
HC Shah w/ JT Seawell
Breakfast
A /1R
Panting Cye+-satn Airl-m Parts, Wash* Nat-. Aimort
Tixis
s
Entertainment
Other
$s
74 , 71
10.00
13.50
TOTALS Forwarded to Front Side
$
Details: Business purpose on each entry, unless self-evident.
Taxis
-- Terminal points and name and business affiliation of each person, if any, in addition to seif.
Entertainment -- Place, name and business affiliation of each guest: self listed if included in expenditure. Receipts attached for each case involving more then $25 Irequired by IRS).
Other
-- Appropriate identification. For dues - period covered and percentage charged to MCA.
$ 44.71 $ 3 3- =>n
Separate statement for each out-of-town trip, to include all expenses whether paid direct or charged. Calendar month statements for miscellaneous local expenses.
MCA OFFICE MANUAL PROVIDES GENERAL INSTRUCTIONS AND LIMITATIONS ON REIMBURSABLE EXPENSE
CMA 117546
COMPACT .RENTORV
MATOKAL CM RSiTAL SYSTEM. INC
O'HARE BTHXttMVLAJ8Poar P.0.30X96094 CWCAGO^ailNOe 0069 TEL: 312/680^722/ i . /
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In Cnd, It'* TlLDEN
M*k* efiock ptytOl* to NATIONAL CAR RENTAL M.iiU) MW Gftg&N VAU-ET DRIVE. MINNEAPOLIS, MINN S&*57 PLEASE DETACH and RETURN THIS STUB WITH PAYMENT
CMA 117547
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SHAW H DK
See below for Airline Form. Serial Number
.UNtffHSAts^MVtF^ - " &&SERVICE INC - -- '
WASHINGTON DC
09 908176
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8862634709 5 n
Universal Travel Service, Inc.
Uniyersax Building 182J Connecticut Avenue, N, W.
Washington, D, C. 20009
NORTH 7-3202
C.M.A. Washington, D.C.
Dr. H. Shah American 637 - Aprl3 tfashington/Chlcago, roundtrlp
Fconomy class, all year Ticket # 0018862-634709
April 9, 1980 ;
"1
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$ 224.00
j
PUase poy from this bill, os statements ore not rendered.
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CARD MEMBER'S COPY
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P. & S. MANAGEMENT CO., INC. ROSEMONT, ILL. S0018
PAY LA5T AMOUNT IN THIS COLUMN
HIGHLAND PARK
LAKE-COOK ROAD AND EDENS EXPRESSWAY P. O. BOX 250
HIGHLAND PARK, ILLINOIS 60036 (3121 635-4000
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CMA117551