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Hospital Reporting of Expenses Form Board Member & Senior Management Name: Title: Reporting Period: Date Approved/Paid No claims submitted. Dr. Dante Moira Chief of Staff October 1, 2013, to March
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Date approvedpaid is the date on which a payment is officially approved and processed.
Entities or individuals responsible for making payments are required to file date approvedpaid.
Date approvedpaid should be filled out with the specific date on which the payment was approved and paid.
The purpose of date approvedpaid is to provide a clear record of when a payment was officially approved and processed.
Date approvedpaid must include the specific date of approval and payment for each transaction.
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