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Employer and Agent Reports
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Agent Expenses
James D. Carloss Jr.
Charter Behavioral Health Systems
02/01/1996 - 02/29/1996
Food and Beverages:
20.83
Lodging:
57.50
Transportation:
0.00
Entertainment
0.00
Printing and Postage
0.00
Telephone Expense:
8.33
Office Expense:
0.00
Support Staff:
0.00
Prof. and Tech Research:
0.00
Educational and Promo:
0.00
Other Expenses:
0.00
Total:
86.66
KRS 6.611(18) 6.824 6.827:
No
Member of immediate family:
No
Business Partner or Associate:
No
Employed by org or busniesss:
No
Employed or engaged by you:
No
Members of immediate family:
No
Copy Delivered:
Names: