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