| Submitted by: | Gordon Irlam |
| Date: | 2006-12-28 |
| Purpose: | Quarterly expense report |
| Reference: | 2006-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2006-10-02 | Health | Dentist | $115.00 |
| 2006-10-05 | Health | Insurance - October | $217.00 |
| 2006-10-06 | Travel | Global Problems, Global Solutions conference - 258 miles
2836 Mayfield Rd - 3942 Forbes Ave, Pittsburgh, PA - return | $114.81 |
| 2006-10-06 | Travel | Meals/incidentals per diem (1 x $54.00/day)
General Services Administration Pittsburgh PA rate | $54.00 |
| 2006-10-06 | Travel | Hotel - 1 night | $135.66 |
| 2006-10-12 | Health | Psychiatrist | $84.14 |
| 2006-10-20 | Health | Prescription | $974.00 |
| 2006-10-31 | Health | Dentist | $85.00 |
| 2006-11-06 | Health | Insurance - November | $217.00 |
| 2006-11-13 | Pubs | GIMP and CSS books | $62.68 |
| 2006-11-23 | Pubs | CSS Cookbook book | $29.69 |
| 2006-11-30 | Health | Psychiatrist | $120.00 |
| 2006-12-01 | Health | Doctor copay | $15.00 |
| 2006-12-08 | Health | Lab work | $336.00 |
| 2006-12-08 | Health | Insurance - December | $217.00 |
| 2006-12-11 | Health | Dentist | $80.00 |
| 2006-12-22 | Health | Summacare: January - March | $2131.89 |
| Total expenses | $4988.87 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $4988.87 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.445/mile, lodging, M&IE |
Comments:
Signature:
| Approved by: | Tracy Deskin |
| Signature: | |
| Date: | 2006-12-28 |