Supplies & Expenses
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Continuing Education
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| Answering Machine
| | Correspondence Course Fees
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| Bag - Medical
| | Lab Fees
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| Beeper - Pager
| | Materials & Supplies
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| Computer and Printer
| | Photocopy Expenses
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| Business Cards and Briefcase
| | Reference Material
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| Business Meals (enter 100% of Expenses)
| | Registration Fees
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| Medical Equipment
| | Transcripts
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| Office Supplies
| | Tuition
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| Recorder & Tapes
| | Textbooks
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| Referral Service
| | Other:_____________________________
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| Repairs - Equipment
| | Auto Travel (In miles)
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| Stationery
| | Between Medical Facilities
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| Other:______________________________
| | Continuing Education
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| Other Expenses
| | Interviews - Position
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| Malpractice & Liability Insurance
| | Out of Town Business Trips
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| Journals - Medical
| | Patient House Calls
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| Legal fees (protection and production of taxable income)
| | Purchasing of Equipment & Supplies
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| Periodicals - Medical
| | Tolls & Parking ($)
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| Professional Subscriptions
| | Travel - Out of Town
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| Other:______________________________
| | Airfare, Train & Bus
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| Telephone Expenses
| | Car Rental
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| Answering Service
| | Parking
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| Cellular Service
| | Taxi & Subway
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| Paging Service
| | Lodging (do not combine with meals)
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| Pay Phone
| | Meals (do not combine with lodging)
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| Toll Calls
| | Porter, Bell Captain
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| On-Line Charges
| | Laundry
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| Other:______________________________
| | Bridge & Highway Tolls
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| Uniforms & Upkeep
| | Telephone Calls (including home)
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| Alterations
| | Other:_____________________________
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| Shoes |
| Professional Fees & Dues
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| Cleaning |
| Alumni Dues
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| Hat, Cap |
| Medical Association Dues
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| Jacket, Pants, and Scrubs
| | Professional Association Dues
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| Laundry & Cleaning
| | Union Dues
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| Other:______________________________
| | Other:_____________________________
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