2012-2013 Q4 expense report for Randall

Transcription

2012-2013 Q4 expense report for Randall
Randall Ellsworth (VP, North, Central & Eastern Regions) - 2012/13 4th Quarter Expense Report
January 1, 2013 to March 31, 2013
Date
17-Jan-13
5-Feb-13 to 13-Feb-13
Purpose
Cost
Booked flight for trip to Thunder Bay to attend NAN (Nishnawbe
Aski Nation) Quarterly Meeting Jan 30th
$0.00
Accommodation
$0.00
Hospitality
$0.00
Meals
$207.92
Transportation
$0.00
Other
Total
$207.92
Trip to Kingston to attend meeting with Rural Legal Services (RLS)
and Lanark, Leeds, and Grenville (LAN) Clinics
Accommodation
$0.00
$0.00
Hospitality
$0.00
Meals
$152.60
Transportation
$0.00
Other
Total
$152.60
Summary of Expenses
Accommodation
Hospitality
$0.00
$0.00
$0.00
$360.52
$0.00
$360.52
Meals
Transportation
Other
Total Expenses (Q4 - 2012/13)
Signature:
Date:
al A i d O n t anroi
Form
Reconciliation
Mastercard
Name -->
RANDALLELLSWORTH- VP, North,CentralAnd EasternResiong
Forthe month of Januarv2013
Transaction
Description of charqe
Date
Account Cocling
PorterAirlines- Flightto ThunderBay
on Jan 30. NANQuartelymeetingin
ThunderBav
Jan17
Amount
s207.92
61100-863000
rotal
I
$?ql-€?
Note:this should equal ,nu utoilLnJ--..............-
CertifiedCorrect:Dated
earsas "Newaccountbalance",(as of
statementdate)on the rightof the MC
Signatu
Claimant's
ementunder"Y,curaccountat a glance".
Mgr'sSignature
aseattach all original receiptsin order
heirappearanceon this form.
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Page1 of2
Your GorporateMastercarrdStaterment
RANDALL
ELLSWORTH
date:
+ Stmt.
IOIITARIO
N.EGALAID
Feb.3,2013+Acct.balance:
Details of your transactions
$207.92+ Pymt.
dueby: Feb.10,2013 + Min.paymenr:
your account at a glance
$20I.9i1
Amounr
Previous
balance,
Dec.3
- thankyou
Payments
rxedits
Other
TRANSACTToNS
FORACCOUNT
NUfltBE
1
z
3
Jan17 Jan.17PoBTEBAI
ToRoNTo oN
207.92
Feb.3 Feb.3 TNTEREST
ADVANCES
To03FEB
@1s.40000%
0.00
Feb.s Feb.3 |[email protected]%TO03FEB
0.00
PLEASE
PAYYOUR
SCHEDULED
PAYMENT
AMOUNT
I3YTHEPAYMENT
DUEDATE,
I]RE.AUTHOBIZED
DEBIT
INEFFECT
AS
I]EQUESTED
FROM
YOUB
DESIGNATED
PAYMENT
ACCOUNT.
Purcn:
;
+
+
+
+
+
+
$o.oo
-$o.ori-$0.00 '
Casherdvances/Cheques
Interest
Fees
Otherrharges
Newaccounl
balance,
Feb.3
90.00
$0.00
$0.00
$0.0c}
$207.92
bv
FJ[:TE,iE#'.ntdue
$207.e2
you're
Amount
payrng
($)
+
Yourcreditlimit
Creditavalable.Feb.3
Repil anyitemswhichdonot itgreewitt yourrecords
wilhin30 daysof staremefidare-
Helpl'ulinformation
- ^
Tlansaclions
listed
inthisstatement
:
- | i
-
Airlines
$ 207.92
Y
Hotel
-
0
I
Restaurants
$o.oo
$o.oo
$o.oo
Retail
$ 0.00
Carrental
Interestchargesand ratos
CashadvanceslOheques
$o.oo
Itsm
Interest
charges
onthisstatement
(g)
Annual
interest
ratesnextp,eriod
(%)
Dailyinterest
ralesnextperiod(%)
Other
$ 0.00
conracrus
Locarcals
l:ll*r&tii
i'n*t'"1',r,ug,
Enquirisr:1 800263-2269
1 S0026&226Ar MastgGard
TelephonoDevicesfortreDearf
NIA
18669592089
| p.O.BoxS00StationM
Loslorstolen
cards:416232-8020 1 900961-9361
| Toronto,
0N M6S4)(2
@
@,
@
PO BOX 187 STATIONF
TORON-TOON M4Y 2L!'
Begjstered
kademafk
of Bankot Montreal.
Registefed
hademark
of Mastercard
Intermtioml
lmrporaterl.
BMo G) FinancialGroup
Account
number:
Accounl
balance:
paymenl
Minimum
due:
F
;
due
R A N D A L LE L L S | l J O R T H
L E G A LA I D O N T A R I O
A T R I U NO N B A Y ' { [ D U N D A S T
T O R O N TO
ON
1 1 5 6e H l
r r E Se 0 0
$ ?.07.92
$ 202.92
Feb,.t0.2013
you?epaying{g):
IMI'ORTANT PAYMETITINFORMATION:
lf youarepayingbymail,pleasemakeyourcheque
or monev
orderpayable
to BMOBankol Montreai.
Mailvourpavment
io:
Master0ard
Payment-Cenlre,
P.O.Box6044Sin.C'enire-Ville,
Montreal,
Quebec
H3C3X2
-6lt-
Itinerary - Porter Airlines
Page1 of 4
-' Booking Information
Youwillneedto providethisinformation
withproofof identification
foraccesstr:rtlre
itemson youritinerary.
Status:
Cgnfirmed
Confirmation
number:
Booking
d ate:
H2RZXI
Thursday,January17,2013
FlightDetails
DepartingFlight
Toronto(YTZ) to ThunderBay (YQT)
January-30-13FlightPD631
Bombardier
Q400
DepartfromToronto(YTZ)a t 8:00r\l\/l
Arrivein Thunder
BavffQT) at 10:ll0AM
ReturningFlight
ThunderBay(YQT) to Toronto(YTZ)
January-30-13FlightP D638
Bombardier
Q400
Depa(fromThunder
Bayffaf at4:00PM
Arrivein TorontoffTZ at 5:50PM
Auto Check-in
No needto check-in;
AutoCheck-inwilldo it for you!
Porterw ill issuea printfriendlyversionandan electronic
versionof yourboardingpass.lt willbe
Priorto departure,
attachedto the FlightRenrinder
sentto the emailaddresson file.Beforearrivingat the airport,pleaseprinta paper
versionof the boardingpasson your
copyof yourboardingpa€ i s or verifythatyouareableto viewthe elecironic
internetenabledmobiledevice.
are eligiblefor Auto Check-in;pleasevisitAutoCheck-i1forfurtherdetails.
Not all reservations
Seat Selection
There
is no
will be charged$15 CAD/USDplustax, perflight,p er seat,for seatselection.
Firmfarereservations
chargefor Flexibleor Freedomfare.
additional
PremiumSeats
Flexible
will be charged$30 CAD/USDplustax, perflight,p er seat,for PremiumSeatselection.
Firmfarereservations
andFreedomfareswillbercharged$15 CAD/USDplustax, perflight,p erseat.Seatselectionfees are non-refundable.
and
a
a seatmorethan24 hoursbeforea flight.Alteryou havebeenAuto Checked-in
t o pre-s;elect
VisitMv Bookinqs
seathas beenassigned,visitWeb Check-into changeseats.
(aisleor windowand the areaof the plane)throughyourVlPortera ccount.We
Youcan selectyourseatpreferences
your preferences
seats.
assigning
whenautomatically
willattemptto accommodate
For operationalreasons,Porterreservesthe rightto changeseatsat any tinne,.
?culture:en-CA
https://www.flyporter.com/Flight/Itinerary
r710u2013
T '
Itinerury- PorferAirlines
Page 2 of 4
Contact Information
Address
MT. RANDALL ELLSWORTH
40 DundasStreetWest,{iuite200
Toronto,
ONMsG2H1
Canada
Phonenumber(s)
Emailaddress(es)
[email protected]
Pa3senger
Details
Passenger
Details
1. RANDALL
ELLSWORTH
#: 631/NA
Flight#/Seat
638/NA
Adult
Payment
Summary
Charge
Details
BaseFare
$ 298.00
NAVandSurcharges
$ 46.00
AirTraveller
SecurityCharge
$ 14.24
Fee
Airportlmprovement
$ 20.00
Harmonized
SalesTax
$ 49.18
$ 427.42CAD
TotalFarePrice
PaymentDetails
Charge
Details
,l,i]f /
CreditCard - MC
(Declined)
https://www. flyporter. com/Fli ght/Itinerary ?culture:en- CA
crtatur
v'w"t
$ 207.92
r7/0r/2013
al Aid Ontario
o
MastercardReconciliation
Form
Name -----+ RANDALLELLSWORTH- VP. North. GentralAnd EasternReqions
For the month of Februarv2013
Transaction
Date
Description of charoe
Feb5
Feb6
F e b1 1
Febb13
- Gas lor rentalcar. lno
Hetrocanaoa
to Kingston.Meetingwith RLSand
LANClinics.
Discountcar rental- Car rentalfor
lheclinicsmeetinq.
Holidaylnn Kingston.Parkingfeesin
Kinqston
Queen'sPay and Displqps.Parking
leesat the Queensuniversity.
Vleetinqwith RLSand LANclinics.
Account Codino
Amount
61100-863000
5.00
61100-863000
$6.00
61100-863000
$8.0c
Total ||'Note:this shouldequalthe amountthat
appearsas "Newaccountbalance",(as of
ant'sSignatu
133.60
61100-863000
the statementdate) on the right of the MC
statementunder "Your accountat a glance".
Signature
Pleaseattachall originalreceiptsin order
of their appearanceon this form.
$152.
At BMOFinancialGrourp,
seekwaysto makeyourBMOCorporat€,
Masrcrcardmoresecure.
we continually
Herearesomesimple,yet effective,
stepsyoucantaketo helpprotectyourBMOCorporate
MasterCard:
. Alwayskeepyourcardin a safelocation
. Onlyprovideyourcardinformation
to reputable
companies
. Alwayspayattention
to yoursurroundings
whenusingyourcardor PIN
. Reviewyourmonthlystatement
andreportanydiscrepancies
immediately
Contactus immediately
if yourcardis lost,stolenor if yoususpectyourcardhasbeencompromised;
Canada& U.S.:
Worldwide(callcollect):
BMo 4I
@
1-800-361-3361
416-232-8020
tir,uncialGroup
Page1 of 2
rporateMastercarrd
Statement
iiij'.i::il:ti1ti*1Yi6.${,1p
RANDALL
ELLSWORTI{
LEGALAIDONTARIO
Mar.3,
i1013t Acct.
balance:
,,Details.of your transractions
dats
+ Stmt.
lbm
no,
itil
Trans
date
10,2013 { Min.payment:
dueby: lllilar.
$152.60+ Pymt.
Your account at a glance
Postino
date
Descrintion
Preliousbalance,
Feb.3
- thankyou
Payments
Othercredits
TRANSACTIONS
FORCARDNUMBE
:.;:,'
i:t.
1
+
+
Feb.11Feb.11AUTOMATIC
207.92cR
PAYMENTRECEIVED-THANKYOU
T
TRANSACTIONS
FORCARDNUMBE
z
a
n
5
o
7
+
+
5.00
133.60 +
6.00
-:)8.!0
0,00
0.00
+
Feb.5 Feb.6 PETROCAN WHITBY ON
Feb.6 Feb,6 DISCOUNTCAR&TRUCKRTORONTO
ON
Feb.11 Feb.11 Holiday
Innl(ngslonI{NGSTONON
.-Feb.13 Feb.t4- oUEEN€PAY-&
ONDTSPLQPSKINGSTON.Ma.3 Mar.3 TNTEREST
ADVANCES
T003MAR
@18.40000%
Mar.3 Mar.3 INTEFiEST
TO03MAB
PURCHASES@
18,40000%
o
CashadvanceslCheques
Interest
Fees
Othercharges
balance,
Mar,3
Newaccount
paying
($)
Amountyou?e
Hokrl
1.:
t r : :
Carrental
Beprt any itemswhichdonotagreewithyourrecordswithin30daysof statenenldate.
Resllaurants
:i:,
=
a:a:.
Retail
eques
Casln
advanceslCh
lnterestchargesand rates
Item
;
Conlactus
L.ocalcalls
$
$ 0.00
$ 6.00
$ 133.60
$ o.oo
$ 13.00
$ 0.00
$ 0.00
Other
$o.oo
I
18.40000%
I
$o.oo
{i152.60
1rT52.60
Airlines
($)
onthisstatement
Inlereslcharges
interest
ratesnextperiod(%)
Annual
ratesnextpetiod(%)
Dailyinterest
$0.00
$0.00
$0.00
Transactions
inthisstalemenl
:
lisled
;
=
.:.:.
':,.
,,i.
Purcffii152$o
Hellpfulinformation
DEBITINEFFECT
AS
PRE.AUTHORIZED
REOUESTED
FROMYOURDESIGNATED
PAYMENT
ACCOUNT.
-
{i207.92
{i207.92CR
$0.00
Yourcreditlimit
Cretllt
avalable,
Mar.3
AMOUNT
PLEAI}EPAYYOURSCHEDULED
PAYMENT
BYTFIEPAYMENT
DUEDATE.
Q
9
o
o
$1s2.60
$o,oo
18.40000%
0.05041%
|
0.05041%
address
aw
Toll-freecalls Please
6:
Canada
& IJSA writlenenquiries
i.i
1 S0026$22fi1 MasterCard
Enquities:
1 800263-2263
M
300Station
1 86685+2@ P.0.Box
fortheDeaf ltl/A
Telephona
Deviees
Toronto,
0N M6S4X2
416232-8f201 800361-3361
Lostorsblencards;
PO BOX 187 STATIONF
TORONTOON M4Y 215
@
@*
Rsistefed tradmarko{ Bank of Monkeal.
Reiistefed kademarkot Mastecafd Iniematioml lmorF ated.
@nEE
BMo
E FinanciarGro
Account
number:
Account
balance:
payment
due:
lUlinimum
duebv:
N
o
5
ELLShIORTH
RANDALL
L E 6 A LA I D O N T A R I O
S T I d E SE O E
A T R I U | ' lO N B A Y I i I ] D U N D A S
T O N O N TO
ON
1 1 5 Ga H l ,
70
152,60
$ 152.50
Mat.10,2013
youtepaying($)r
:
IiJIPORANTPAYMENTINFORMATION
makeyourchqueormoney
bymail,please
lf vouarepaying
t0:
toBMOBankof Montreal.
Mailyoulpayment
orderpayable
Paymen-t
Cenlre,
P.O.Box6044Stn.']entrd-Ville;
MasterCard
H3C3X2
Montreal,
Quebec
ffi
dffiffi
P.O.NUMBER
AGENTOUT
Discount Car And Truck Rentals Ltd
DISCOUNTNEW HORIZONS- ONTARIO
2440 DUNDASST W TORONTO Ontario
For Customer Assistane (416)533-9227
For ReseruationsCall 310-CARS(2277)
ANDREW16
RENTALAGREEMENT
R.A. 2370029244
GST# 887892537RT1
FAX# (416)533-2548
2012
VEHICLE/VEHICULE
TOYOTAYARISsDR
NAME-NOM
ELLSWORTH RANDALL
BNAK362
cP000114
JTDKTUD36CD5O4562
02/05/201308:58
02106DO1308:58
45430
4t8
OUT/DEPART
DUE IN / PREVUEDE RETOUT
KM OUT / DEPART
GAS/ ESSENCEOUT / DEPART
KM INCLUDED
I INCLUS
ADDN'L DRIVER/ CONDUCTEURADDITIONNEL
REMARKS.REMARQUES
HIGHPARK
EXPECTEDLOCATIONIN
2440 DUNDASSTW
(4161s33-9227
3000KMPACK CAR @
VUAC FEE @
cDW @
300
3000
/ DAY
ALLOWEDKI\,4S
KM FOR AGREEMENT
MAXTMUM
CHARGES/ FRAIS
KM CHARGED/ FRAIS
HOURS/ HEURES
DAYS/ JOURS
/ JOUR
/ DAY/ SUPLEMENTAIRE
EXTENSION
@13.00
@ 3B.9e
@ 38.99
GST/HST
@ 13.0./.
PST/TVQ
GAS / ESSENCEPER LITRE
CONVSURDAILY/ JOUR
@2.50
CHARGES/ FRAIS
5.00/Daily
1.15lDaily
'19.99/Oaily
Rentor is responsiblofor the Full Valu€ of Lost. Stolon or Damaged GPS unit(s).
L6 Cliont ost t€nu r€sponsabledo tous dommages.psrtosou vols d'une ou des unito(s)
do Eystsmedo navigation(GPS) loueo(s).XRonter is rosporciblo for any upgrado charg6(s)
Lo@taireost resrcnsablo pour tow fiais de surola$emenl x-
(1) NO OTHER DRIVERS ALLOWED / AUCUN AUTRE CONDUCTEURAUTORISE X(2)
CLIENT OECLINE/ REFUSE X' ' CLIENT ACCEPTS / ACCEPTE XP.A.P./ DDC AT THE DAILYRATESHOWN/ R.P.S,/ DDC AU TARIFJOURNALIERINDIOUE'
(3) RENTER ACCEPTS RESPONSIBILITYFOR ALL TOLL ROAO CHARGES PLUS ADMINISTRATIONFEES.
CLIENT ASSUME TOUTE RESPONSABILITECONCERNANT LES COUTS ET FRAIS D'ADMINISTRATION
RELIES A UUTILISATIONDE ROUTES A PEAGE. X(4)C.D.W.-R.C.D.CUSTOMER',S
L|ABlLlry FOR DAMAGETO THE RENTEDVEHICLElS UP TO
PER OCCURRENCE,REGARDLESSOF FAULT,EXCLUDINGTHEFT OF VEHICLE. THIS IS IN CONSIDERATIONOF PAYI\'IENT
OF $ 19.99 PER DAY,LA SIGNATURE DU CLIENT LIMITE LA RESPOSABILITEDU LOCATAIRE
POUR LES DOMMAGES DU VEHICLE LOUE JUSQU'AUAU MONTANT ,PAR EVENENMENT
'19.99PAR JOUR,
INDEPENDANTMENTDE LA RESPONSABILTE,EXCLUANTLE VOL DU VEHICULE, CECI, I.4OYENNANTLE PAIEMENTDE $
colLsroN DAMAGE WATVER(C.D.W.)COLLSIONDAMAGE
wAlvER (q.D.w.)
C,D.W. DOES NOT INCLUDE COVERAG
CONCERNANTLES
RENONCTATTON
DoMMAGEs EN cAs DE coLlrsroN (R.c.D.)
REOUESTFOR DRIVERUNDER21 YEARS OF AGE
POUR CONDUCTEURDE MOINSDE 21 ANS
DEI\,,IANDE
are
1)rorrowinsi2)
iranyorthetemsorconditio-ns-6srns.asrement
*"onionsstipures
3YI,3;3;tXl*","T,t"1j'"t"
fiffiY,illrS
DISCOUNT REPRESENTATIVEMUST APPROVE
tothovehicle
isc?::"d!.11"--..
viorated:
3)ifross
ordamage
",porte
ou
pasrespeots;
3)sira
uiip"""niioniruil"
DE DISCOUNT
APPROBATION
OBLIGATOIREDU REPRESENTANT
undercariage, orabove the windshisld, by a @llision withany
"oiont Cu rjenicutebu audesus du parei*i"..."".""t
obj€6lbocauseofinsufficientolo-aran@{heig,ht91yil,lllla"* Uri""*iq""""p"ru*oilisionavectoutobjotacausedu
""-aessdus
orDamageisnotrgporledtoOISCOUNTandnoarestPolic€ -. il"**""ii""rm"ant(hauteuroularq€ur)i4)sitapedoou
Dopartmontat ih6 lim6 of lo$ within 24 hou6 of ih€ rimo oi Io$; 5) t.";;;;;s;;;;i
;; piJ"t" iing"r, i O|6COUNT ot au posr€ de
AUTHORIZEDBY DiSCOUNTEMPLCYE!
quisuivint
s}sit€vehicureAUTHORISE PAR L'EMPLOYEDE DISCOUNT--..-levenoment;
tmewiilb€rho.
orosins
$i"5ls'#i:Bi:i"lTafter
rl*,*xJ:lieuies
responsibilityofthoRonteruntilohock€dinby"gyY?q!:I5g
_ i""u"f,iiuf""iui"""suprost6sheurosd6fermoture,seronila
Dis@untAgentth6nextbusinessdayRent€dvo}lidesdrcp.podofi
i"pi""if,f,t"i"t"""ijirojusqu,al,ouvorturedenosbur€auxle
aff6r closins tim€ wiil be tho responsibilityorth:
;ii;;;
t;i, eie irispoa* par un asent d€ Dis6unt.
i;il;;i;
- l:"]:f .rll!1,_
checked in by a duly aulhorized Discount Ag€nl lh€ n€xl business
day.
j'ai@mpris
la politiqu€d€ confidentialitoa€ Dis@unt et jo
J'ai lu 6t
priwl
und€rsrand
DrscouN's
Ihave
road
and
ADDITIONALINFORMATION
INFORMATION
ADDITIONNELLE
AIRBAGS CAN CAUSE DEATH OR INJURY IF MANUFACTURER'S
:':'"Tff'S,x*niY:fet::i: RECOMIlIENDATIONSARE NOT FOLLOWED
n5il""j€:5,iffJ[:,3X1:::?1,
!:gl
"l!
personal
lhelgEI
anddisclosur€-of
cli6nt's
@ns6ntto [email protected]€
*f itior" O! -nna"niiutitede Dis@unt.
Privacy
Policy.
withDISCOUNT'S
information
in ac@rdanc€
I agree to pay and I authorize DISCOUNT to process any applicable credit voucher for advance deposites
ani all chirg-es incurred including parking violations.traffic violations.toll charges.damages to and theft ofthe
vehicle.
I agree to be bound by the terms and conditions in the contract folder that I have received with this rental
agreement.
Je m'engage a payer etj'authorise DISCOUNT de kaiter tout bordereau de carte de credit applicable pour
depots ou avance et pour tous frais encourus incluant dommages ou vol du vehicule el incluant les
contraventions de stationnemnent el poste de peage.
Je consens a me conformer aux conditions enumerees sur i'enveloppe du contract de location dont j'accuse
reception.
SIGNATURE
PERMISSIONGRANTED FOR VEHICLE TO LEAVE THE PROVINCE
DONNEEAU VEHICULEDE OUITTERLA PROVINCE
AUTHORISATION
YES/OU|_
NO/NON_
PROVINCES/ PROVCTNES
_
/ AUTHORISEFAR L'EMPLOYE
AUTHORIZEDBY DISCOUNTEI\4PLOYEE
DE DISCOUNT
L-
DiS00|llfl
CAR-i
ilUti(
RriltAL$
24400UNIAS
ST lJ
ilz
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t:_
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ID: A4319445
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6el80aq6S6
t'nu'
"""U6iHrti
TotalrCAD$ 980.00
F - t l S T s : 8 6 6 2 9 8 4 4 10
P c0 8 38 3 2I l : 4 9 9 9 50 1
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16:38
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$
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5.08*
$ 5.08
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T O T R LP R I U
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* F _ H S TI H C L $ 5 . 2 2
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I l ' I P O R T R N -TR E T R I HT H I S C O P Y
F O R Y O U NR E E O B O S
--
12:55
Entered:281il/02105
tt
Ticket*: S836624s7
D u r. : 9 5 : ' 1 4
6' B B
paid:$
6-BB
nriqinat ree:$
D u r. : 9 5 : 1 4
o'BB
csr:$
B -s s
[hange:$
credit Card:HRSTERIf,HD
5587-2858
0-BB
s[:$
- -fione 0qain
Thank-You
T r a n 5 a c t i o n :P u r c h a s e
Rooroued
rilt"ntnt ID: BBBBS0BB
T r a n s a c t i o nr e c o F d
2S13/S2/85 14:31:BL
Batch 179
RBC7667
-dD$r p0IHTS
i*
oNDA'HFA.EuP
o* ooa, ,o"t uP PLA.E
PLACE ON DASH FACE
UP
P
PLACEONDASHFACEUP
Tindall
Lot
DueensUqiversitY
l'indall l-lot
EXPIRES
13 FEB 13
14:01
PAID
lrT'FEB,.
,al rIl - r-fl,l
ll
lr|!-11t
I
PAID
g 8.00c
"
$ 8.ooc
rilrfv-rrmrEtr FEB131o:48
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lnvoice
DiscountGar& TruckRentalso/b New
HorizonsCar& TruckRentalsLtd
720ArrowRoad
NorthYork,OntarioMgM2M1
Canada
BillTo
MNDALL
1
l-2370012459
0210612013
0210612013
2370029244
DriverInformation
H
VINNumber
Unit No.
Vehicle Tvpe
JTDKIUD36CD5O4562
cP0001'14 2012TOYOTAYARIS5DR
Total Days
Number:
Date:
DueDate:
AgreementNo.:
PONo.:
Vehicle Plate
BNAK362
Out Km In Km
45430 45975
1
STATEMENT
OF CHARGES
Rental
Insurances
$ 38.99
c 1000
InsuranceCode CDW
$ 19.99
CDW
Extras
$6.15
ExtraCode
KM 3OOOKMPACK CAR
Price
$ 5.00
ExtraCode
VL VUACFEE
Price
$ 1.15
Fuel
Sub Total
GST/HST
Total
Paid
BalanceDue
$ 53.10
$ 118.23
$ 15.37
$ 133.60
$ 133.60
$ 0.00
RentalLocationAddress
HIGHPARK
2440DUNDASST W
TORONTOOntarioM6PlW9
CANADA
PhoneNo.:(416)533-9227
FaxNo.(416)533-2548
HST/GST#
DateRented
DateReturned
02/05/2013
08:5t 02106/2013
08:0(
PaymentTerms and Conditions
Dueuponreceipt
887892537RT1
Page 1 of 1

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