Additional Costs Allowance: IKE, ACIND Member's claim form For details of costs you can claim for, see Green Book sect | f you have any doubt about whetner you can claim for a cost, please call 020 7249 4360. tm __CESSICA MORPEMN About filing in this form In capa LETTERS Constituency NEnforet EAST. j Office u [wo used ‘You can only ciaio for costs you have actualy paid additional expenses wholly exolusively and necessarily incurred tp enable you to stay overnight eway from your only or main home for the purpose of performing your Parlamentary cules. Please list Wall tems costing £250 0: more and include receipts — except for food, for which receipts ere not required. Please attach receipts o: invoices for any hotel cast even if itis less than £250. Period ot catm wn | 1 108 = yw AY 2 IO Total cost of hotel stays £ attanh of recepte ay Mortgage payments ¢ 1,668.41 3 (isterest erty) or rent rod ft 2SO:00 » ws (¢ 220 G4 Courei'TouRotes £277: 00 » tatephonsand ie SOQ: SE pe telecommuntcations Cleaning (Ef Servceimintnance (£ Le Renoiainauones! £ ay . 39. ome 33 OF ov vneom nary BARAT Kitch ounrere omer cd J c Other £ 10: BP please specity tou ft 1, 686: GO pleYNGIA2 + Page 2082 PEEieece neu) | confirm that | incurred these costs wholly, exclusively and necessarily to enable mo to stay ovemight away from my only of main home for the purpose of performing my dulies as a Member of Parliament Signsture wp Data protection The House of Commons Administration wil process the iforrion you provide on this orm forthe purpose of edminsterng ane aceourting forthe Members’ Esbmats, risking payrrents and Keoping record ‘accordanca wit te rules agreed by the Hovee ef Commons and the Inland Revenue, The information will ‘also be clecloced to the National Audit Otice for audit purposes. The information ray also be used wihin the House of Gommans Adminisvatcn or By ts ayonts for tne purpose of business analysis or research. Fer the purposes of the Freedom of Iormation 2ct 2000 the House of Commons Adminstration Isa Public ‘Autnovly ane therefore Ove ingormation i ols wil tall within the scape ot ina Act. Under the Dato Proivcton Act 1998, you have the tight lo see and receive a copy of any personal dats that ‘the House of Camroons Acriisraton hakde abou! you. Hf you have quastions about tha contents ofthis nc oF haw your intormasion is handled or about your ighsusder the Data Proiacton Aci 1968, please ‘all our Data Protecion Oficer on 020 7218 2652, who acts on behalf ofthe Data Contoler (he Cirk ot tha House). Sond your completed Validation Tesm, Operations Crectoral form to Deparment of Fleance & Administration, House of Commons, London SW1A OAR Form A243 0305Miss Jessica N date: 19 Feb 2008 Your gas bill Please poy £90.49 now.