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[{"$nulls":5},"KAINAI BOARD OF EDUCATION"]
[{"$nulls":7},"EXPENSE CLAIM FORM"]
[null,"Employee Name:      ",{"$nulls":6},"Employee Signature:"]
[]
[null,"Address",{"$nulls":6},"Date:"]
[]
[]
[]
[null,"Date","Description","Location","KM","KMs @ $.61","Budget Account #","Bkfst $16.00","Lunch $21.00","Supper  $32.00","Room","Other","GST"," Total (incl. GST)"]
[{"$nulls":5},0.61,{"$nulls":4},"Receipts are required*"]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[{"$nulls":5},0,{"$nulls":7},0]
[null,"Totals ",null,null,null,0,null,0,0,0,0,0,0,0]
[]
[{"$nulls":11},"TOTAL CLAIMED",null,0]
[null,null,"1) For proper accounting procedures, and to satisfy audit needs, all bills, receipts, airline ticket copies, etc. must accompany all claim forms."]
[null,null,"2) Meals will not be covered if they are included in the conference/function registration fees."]
[null,null,"3) Breakfast will not be covered unless staff members leave before 6:30 am."]
[null,null,"4) Supper will not be covered unless staff members return home after 6:30 pm.",{"$nulls":9},"Principal/Supervisor"]

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[null,"MILEAGE CHART"]
["Automobile use will be paid in accordance with the following chart.  Centres not on the list will be "]
["based on distance as indicated by the Travel Alberta Website."]
[]
["DISTANCE(RETURN)","KILOMETRES","RATES AT $0.61 PER KILOMETRE"]
["KBE to Cardston",30,18.3]
["KBE to Standoff",45,27.45]
["KBE to Calgary",480,292.8]
["KBE to Aahsaopi",30,18.3]
["KBE to Edmonton",1150,701.5]
["KBE to Taber",282,172.02]
["KBE to Piikani",144,87.84]
["KBE to Pincher Creek",160,97.6]
["KBE to Siksika",500,305]
["KBE to Ft. Macleod",100,61]
["KBE to Kananaskis",576,351.36]
["KBE to Banff",680,414.8]
["KBE to Morley",600,366]
["KBE to Great Falls",800,488]
["KBE to Kalispell",580,353.8]
["KBE to Hobemma",1000,610]
["KBE to Red Deer",752,458.72]
["KBE to Lethbridge",180,109.8]
["KBE to Browning",362,220.82]
["KBE to Medicine Hat",580,353.8]
["KBE to Saddle Lake",1696,1034.56]
["KBE to Helena",1050,640.5]
["KBE to Spokane",1168,712.48]
["KBE to Waterton",140,85.4]
["KBE to Vancouver",2144,1307.84]
[]
["Meal Allowance:  Please claim actual expense incurred, noting the following maximum:"]
[]
[null,"Breakfast",16]
[null,"Lunch",21]
[null,"Dinner",32]
[]
["Please note:  For proper accounting procedures, and to satisfy audit needs, all bills, receipts, "]
["airline ticket copies, etc. must accompany all claim forms."]
[]
[]
[]
["APPENDIX 'A'"]