Expense Disclosure Reporting Form 

Date of expense Destination Purpose AirfareOther 

Transportation AccomodationMeals (includes per diem allowances)

Seminar / Conference / 

Registration fees Total1 11‐Mar‐13 Calgary JSSS ‐ Annual General Meeting & Board Meeting (includes 

changes to flight made on March 18, 2013)$515.81 $122.21 $638.02

2 13‐Mar‐13 Calgary/Balzac ITF ‐ meeting in Balzac (March 13); CAPP meeting in Calgary (March 14)

$205.62 $183.00 $45.95 $434.57

3 $0.004 $0.005 $0.006 $0.007 $0.008 $0.009 $0.00

10 $0.00

$1,072.59

Dates Expense Category Total1 18‐Jan‐13 $66.7823456789

10$66.78

$1,139.37

Notes

Travel, Seminars/Conference and Associated Expenditures

Travel Related

Name: Dieter Brunsch, VP Customer Service & Risk Management For the Period: March 2013

Non‐travel related Expenditures (Business meals, etc…)PurposeBusiness Lunch with external represenative

Notes

Total claimed for reporting period: 

Non‐Travel Related

Page 1 of 1

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Itinerary /Receipt

Your booking Is confirmed. Please print/retain this page for your financial records (e.g . fo r taxat ion, expense claim or payment card recondllation purposes). We thank you for choosing Air Canada and look forward to welcoming you on board.

Booking Information

Booking Refe rence: 1

Electron ic Ticketing confirmed. This Is your official itlne.rary /receipt.

Customer Care

Air Canada 1-888-247-2262

Main Cont act: Flight Arr ivals an d Departures 1-888·422- 7533

Flight Itinerary

Flight From To

AC81711 Edmonton, calgar y ( YYC) Edmonton Int'l l~on 18-Mar 2013 ( YEG ) 08:23 M"n 18-MM 2013 07:30

AC8152 1 Calgary (YYC) Edmonton, Mon 18-Mar 2013 Edmonton I nt'l 16:30 (YEG)

Mon 16·Mar 2013 17:24

Operated by: 1 A1r Canada ElCpress • Jazz

Passenger Infor mation

1: Mr Dieter Brunsch : Adult (16+ ), Ticket Number:

Air Canada • Aeroplan : Payment card:

Seat Selection :

Stops DuratiOn

0 OhrS3

0 Oh r54

Aircraft

Ct<l

DH3

None

"'fane Paid

Fare Type

Tan.jO, G

Tango . G

CongratulatiOns on your selection of a Preferred seat. Pleas~ read the Tenns and conditions.

Purchase Summary

Far e Summary Passenger Type

Departing Flight - TanQo

Return Flight - '"~" ::t:Jrc"ler,..e

Taxes, Fees and Charges

Canada Goods and Serv1ces Tax (GST/HST 1110009·2287 RTOOO!)

A~r Travellers Secur~ty harge (ATSC)

Total airfare and taxes before options (per passe11ger)

Options Departing Flight - ango

Advance Seat Selection (Pre'erre J)

Return Flight - a•

Meal

Adult

129.00

129. 00

24.00

ss.oo 17.56

14.25

366.81

u.oo

Advance seat Selection ("ree e J) 27.00

Canada Goods and Services Tax (GST/HST 110009· 2267 RTOOOI) _ __________ _ 2:.;-~7.:.0_

Total airfare, taxes and options (per passenger) 425.51

Number of passengers 1

Travel i nsura nce (declined) 0.00

Grand Tot al · Canadian dollars $425.S1

Payment Info rmation

ri1g~ 1 Ul L.

AIR CANADA@

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https:/lbook.aircanada.com/pl/ AConline/en/BookTripPlanServlet;jsessionid=vcXIR91 CSB... 3/11/2013

AIR CANADA {i)

Electronic Refund Receipt I Re<;u de remboursement electronique

We are pleased to confirm a refund has been processed to your payment card.

Nous sommes heureux de confirmer qu'un remboursement a ete porte a votre carte de paiement.

Please print this refund receipt for your reference.

Veuillez imprimer ce re~u pour vos dossiers.

Refund Information 1 Details du remboursement

Passenger Name: Nom du passager:

Ticket(s) Refunded: Billet(s) rembourse(s) :

Payment card refunded: Carte de paiement remboursee:

Date of refund:

Date du remboursement:

Dieter Brunsch

0142119079923

18 March 2013 18 Mars 2013

Amount refunded I Montant du remboursement

Amount eligible for refund: Montant a rembourser :

Taxes and Ai rport Fees eligible for refund : Taxes et frais aeroportuaires a rembourser:

Canada Goods and Services Tax (GST/ HST # 10009-2287) I Canada - Taxe sur les produits et services (TPS/TVH # 1009-2287) (XG)

Tota l Amo unt Refunded to your payment card in Canadian dollars: Monta nt total rembourse sur Ia cart e de paiem ent en Dollars ca nadiens :

Customer Care Service au client

On the web/Site Web www.ai rcanada.com

Air Canada Reservations Reservations d 'Air Canada 1 888 247-2262

Aeroplan Centre Centre Aeroplan 1 800 361-5373

27.00

1.35

~

s:\A.~ i:"~ IJ {\ i c)~~ tJ-~~-f-1

(A~l( "b -~(LU\.~~

Fare Summary

Date of i&&ue

Fare Amount in Canadian dollars:

(including navigational & othet t.hdtues ) Taxes, Fees & Charges

Passenger: 1 Ticket number

Canada Goods and Services Tax (GST/HST # 10009-2287) (XG) Combined Taxes *see fare calculation below (XT)

Total Fare in Canadian dollars:

Options Seat selection fee in Canadian dollars

Canada Goods and Services Tax (GST/HST #10009-2287) (XG) Seat selection fee in Canadian dollars

Canada Goods and Services Tax (GST/HST #10009-2287) (XG) Change fee in Canadian dollars

Canada Goods and Services Tax (GST/HST # 10009-2287) (XG) Ticket pa rticu Ia rities: AC ONLY/NON-RFF/CHGE FEE

*Fare calculation: 18MAR13YEA AC YYC Q12.00R129.00AC YEA Q12.00R167.00CAD320.00 END ROEl.OO PD14.25CA17.56XG55.00SQ Canadian tax registration numbers: XG Canada Goods and Service Tax (GST) #10009-2287 RC Canada Harmonized Sales Tax (HST) #10009-2287 XQ Quebec Sales Tax (QST) # 1000-043-172

Fare Rules

AIR CANADA (j)

10- l\1er 201J

320.00

1.90 PO

39.90A /

27.00 1.35

27.00 1.35

75.00 3.75

Voluntary changes to your itinerary may require the payment of additional fees and fare upgrades. If you are travelling on a non-refundable ticket, Air Canada will be unable to make exceptions in the event of an unexpected trip cancellation or medical emergency. We recommend the purchase of travel insurance. Tickets are non transferable and name changes are not permitted. Advance seat assignments are not guaranteed and may be changed without notice. If your pre-assigned seat is unavailable, we will try to accomodate you in a comparable seat in the sa me class of service and will refund any applica ble refundable fees.

Important Information

This is your E-ticket itinerary/receipt. Keep this document for your travel. Your flight coupons are stored in our reservation system. The Conditions of Contract and other legal notices are provided with th is itinerary/receipt.

Please review th is itinerary/ receipt and should you have any questions, please call 1-888-247-2262 within 24 hours of receipt.

Travel Documents Air Canada is required by federal government regulations to check identification at the departure gate for all passengers who appear to be 18 years of age or older. The name on the identification must match the name used on the reservation or ticket. The passenger must present: one (1) piece of government-issued ID with photo or two (2) pieces of government-issued ID without photo. For air travel between Canada and the United States, all passengers including Canadian and U.S. citizens, are required to present a valid passport or other va lid travel document such as a Nexus card. Nexus members are required to carry appropriate immigration and identity documents in addition to their Nexus card. In addition, passengers must present this Itinerary/receipt to immigration authorities upon request. For air travel to a foreign country, passengers must ensure that they have all necessary trave l

GST# R128599776

Edmonton Airports ' .

Can - TS ) ' 2T2 Edmonton ' Tax CodeCAS%

POF 2nd Fl 18/03/13 17:02 Re ce ipt 033134

Short - term parking tkt HL _ No. 0461 25 18/03/13 06: 1 0 -19/03/13 06 : 09 Period 1d0h0 ' ( Tax)

Total

Merch: Auth: Type: Swiped

S Sub Total ' Tax 5% g p ~

$23.00

$23.00

$23 . 00

$21.90 1 .10

' . DISP~AY TICKET ON DASH

Expiration Date!Tirre

EXP 06:00PM MAR 18, 2013

Purchase Date/Time: 08:55am Mar 18, 2013 Total Parking: $38.00 Total Federal: $1.90 Total Due: $39.90 Rate: Early Bird Rate Total Paid: $39.90 Payrrent Type: Card

Auth #: SiN#: Setting: lot 31 Mach Nacre: lot 31-2

GST REG #XI2466000

RECEIPT

Expiration Date/Time: 06:00pm Mar 18, 2013 Purchase Date/Time: 08:55am Mar 18, 2013

Total Parking: $38.00 Total Federal: $1.90 Total Due: $39.90 Total Paid: $39.90 MasterCard

I Ticket #: 00059413 Setti : lot 31 Mach '\me: lot 31-2

Rate: Early Bird Rate Payment Type: Card

Auth #: 1XJ03B

GST NO R100361989 BRUNSCH ,DIETER WIZ = · cv -FTN CA/ 914996129 OUT YYC 18MAR13/0915 KM = IN YYC 18MAR13/1433 KM =

JG 5379 5417

38 KM@ . 00 = 5 HR@ 31 .49 =

DY@ 41.97 = MINIMUM CHARGE = GST TAX = *$6/DY FEE = ** 15 .61% FEE = FTP SR$ 0 . 75DY* = ENERGY RECOVERY = TAXABLE SUBTOT = PST .000% = FUEL SERVICE = TOTAL CHARGES = **CONCESSION RECOVERY FEE *CUSTOMER FACILITY CHARGE *CUSTOMER FACILITY CHARGE *FTP SUR $ 5 .25 MAX FF MLS/PNTS EARNED 500

41.97 2 .79 6.00 6.82

.75

.98 56 .52

.00

59.31

'Suvv\JV\~ ~~t;IJ . j).~"-'S&-

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Dieter Brunsch Po Box 2415 Stn Main Edmonton, AB T5J 2S5 Canada

Email:

Tax ID: GST- r100846435

Sheraton Cavalier Hotel Calgary 2620 32 Avenue N . E . Calgary; AB T1Y 6B8 Canada Tel : 403-291-0107 Fax : 403-291 - 2834

Page Number : 1 Guest Number: Folio ID EX-A No. Of Guest: 1 Room Number : 742 Room Rate 163 . 00 Club Account :

Information Invoi ce

Arrive Date: 13-MAR-13 16 : 45 Depart Date: 14 - MAR-13

Sheraton Cavalier 14-MAR-13 01 : 51 ROMANO

Date Reference Description Charges Credits

13-MAR-13 RT742 Room Ch arge (CT) 163.00 13-MAR-13 RT742 Alberta TL Tax 6.52 13-~-13 RT742 DMF 5 . 33 13'-MAR.-13 RT742 GST 8.15 14 t.Mfill :- 1:3 ' MC Mastercard -183 . 00

** Total 183 . 00 -183.00

*** Balance 0.00

For your convenience, we have prepared this zero-balance folio indicating a $0 balance on your account. Please be advised that any charges not reflected on this folio wi ll be charged to the credit card on file with the hotel. While this folio reflects a $0 balance, your credit card may not be charged until after your departure. You are ultimately responsibl e for paying all of your folio charges i n full .

Suvn_~{loJ_ ________________________________ Continued on the next page ________________________ _

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Sheraton Cavalier Calgary Colors Cafe

2620 32nd Ave. N.E. Calgary, AB T1Y 6B8

GST if R100846435

102 Sandy C -----··-·-- -----· -----------·~----------·---Tb 1 24/1 Chk 315

14Mar'13 07:58 Gst 1

-- .. -··-------- -- ---------------·-------·---~----1 Toast 1 Coffee

Subtotal 5.75 GST

07:58 Total

3.00 2.75

5.75 0.29

6 . 04

. I u--v Gratu1 ty _____ _..:.. ___ 1_

0~

Total 7 , Room Number _ _ _

Print Nalile _ _ ________ _

Signatut~ Thank You _ Please Pay Your Cashier!!!

HNSHOST HARVEY S t~ AlN

CALGARY INTERNATIONAL AI RPORT

5354 Gur vinde

1916 HAR14'13 1:13PN

CMB VEG BURG FRIE S SODA FTN 32 ADD CHEESE

SUBTOTAL TAX At·10UtH DEBIT CARD

9 .19

9.19 0.46

9.65 9.65

EARLS RESTAURANTS .

earls GRE:AT FOOD GHEAT PEOPLE

104 Susan E ,,

'-.....:..... .. __ -- - --- - - ·. -- ------- ---

Tbl 144/ 1 Chk 6640 Gst 1 13Mar'13 06 :04PM

------- .. - -- - .. ·----·------------1 POP 1 POP REFILL 1 CAjUN CHICKEN

Subtota l GST Tax

06:39PM Total

ea rls

3.10 0. 00

20 .00

23.10 1. 16

24.26

Please PaY your server

Thank you fo r coming! We hope to see you soon!

GST#139964886

s(A_r\\~ *L ~1\.-T'J.

b ~ (LU\Sc.-k

THANK YOU FOR VIS ITING HARV EY' S GST if 137512901

Mileage & Per Diem Allowances

Employee Name Expense TypeSubmitted

Date Trip InfoTrip Start

DateTrip End

DateExpense

Trans Date Detail DescriptionTotal Amount

(Includes GST/HST)Summary Item

Reference

Dieter Brunsch Per Diem 3/19/2013Association Meetings: ITF and CAPP 3/13/2013 3/14/2013 3/14/2013

Per Diem Allowance for Incidental Costs $6.00 2

tpRP~~

RECEIPT PLACE RECEIPT ON DASH

VINCI Park Petroleum Club

Lot # 045

License Plate Nurrber

J24341 Expiration Oate/Tin:e

07:00 PM MAR 14, 2013

Purchase Date/Time: 08:49am Mar 14, 2013 Total Due: $37.00 Rate: Day Max 7 PM $37 Total Paid: $37.00 Payment Type: Card Ticket #: 05014301 SIN #: 500012040112 Setting: Petroleum Luke II Mach Name: Petroleum 12

Card #'

GST # 12099·6095 r Thank You

VINCI Park 403 296 1820

GST# RJ.<:8 5 ~9776

Edmont ~n Ai rport s

Can-TS J 2T2 Edmonto n • Tm•. : o.deCt1!i%

Exi t Lane 14/03/1 3 15:42 Receip1: 0'12601

Short-term pa rking t kt HL - No . 0 3447 0 13/03/13 0 6 : 35 -1 5/03/13 0 5 :34 -Period <:ciOhO' (Tax) $46.00

Total $46.00

$46.00

.~ Sub

i~ Tax

~

Tol:<t l C'Q,' . I ..Iii

:~43 . 81 2 .19

'" '"

Calgary Airport Husk 9100 Barlow Trai I NE

Calgary AB (403) 250-8418 GST# 894297118

Retailer ID 4714267 Rct : 73381 12 20-1

Batch:2828-92

Item Arnoun t .................. .. .. ........ ..... --- -- -Eth Regular 58 . 85

7.905xS1.119L AMOUNT S8 .85

An (:.;:, 1 \ .1fl(; rUiup'

2013/03/14 13:06 : 01

Approved - Thank you

Earn FREE fuel fast! Register today at myHuskyRewards .ca

Your Information

Customer Name: Wizard Number. Avis Worldwide Discount: Customer Status: Method of Payment: FrP.rpiPnf TrAveler Number

Your Rental

Pickup Date/Time: Pickup Location:

Your Vehicle Charges (MIN 1 DAY)

DIETER BRUNSCH

MAR 13,2013@18:45AM 2000 AIRPORT ROAD CALGARY INTERNATIONAL AIRPORT CALGARY,AB,T2E 6W5,CA 403-221 1700

Rate Chart: Free Kilometres: Time and Kilometres:

Kilometres:UNLIMITED Hourly: 29.99 Daily: 39.97 Ad'l day: 0.00 Weekly: 239.82 Monthly: 959.28

Your Taxable Fees

'S61DY FEE 15.61% Concession Recovery Fee ENERGY RECOVERY FEE 0.98/DY

Sub-total-Charges:

Your Discount: 2 DY@ 39.97 =

Time and Kilometres:

Your Non-Taxable Products/Services

GST TAX 5.00 %

Your Total Charges paid:

Prepayment

Charges:

Total Due:

Thank you for renting with Avis. For all other inquiries, please contact us at 1·800~352·7900 or WW\v.Avis.com.

79.94

79.94

12.00 13.02 1.96

108.42

5.35

113.77

0.00

Your Vehicle Information

Vehicle Number. Vehicle Group Rented: Vehicle Group Charged: Vehicle Description: License Plate Number: Odomotor Out: Odometer In: Total Driven: Fuel Gauge Reading:

31820261 Compact Compact BLK KIA RJ05 ABJ24341 7000 7983 74 Full

Return Datenime: Return Location:

MAR 14,2013@11:10PM 2000 AIRPORT ROAD CALGARY INTERNATIONAL AIRPORT CALGARY,AB,T2E 6W5,CA 403-221 1700

our Optional Products/Services

Optional Services Total :

Travel Partner Points Earned:

At Avis, we are committed to providing you with the best rental experience in the industry. We are in the business of treating people like people.

Your vehicle was rented to you by ARSALAN. Your vehicle was checked in by RAJINDER.

0.00

Additional fees may apply if changes are made to your return date. time and/or location.

500