| Submitted by: | Gordon Irlam |
| Date: | 2013-03-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2013-GRICF-01 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2013-01-04 | Office | Domain name and web hosting | $57.75 |
| 2013-01-04 | Health | Group | $315.00 |
| 2013-01-05 | Health | Insurance | $526.00 |
| 2013-01-24 | Health | Prescription | $70.00 |
| 2013-01-31 | Health | Prescription | $20.00 |
| 2013-02-05 | Health | Dentist | $154.00 |
| 2013-02-05 | Health | Insurance | $526.00 |
| 2013-02-14 | Health | Group | $445.00 |
| 2013-02-19 | Health | Doctor's visit | $25.00 |
| 2013-02-21 | Health | Prescription | $35.00 |
| 2013-03-05 | Health | Insurance | $526.00 |
| 2013-03-16 | Health | Group | $235.00 |
| 2013-03-21 | Accounting | Tax return | $2000.00 |
| 2013-03-21 | Taxes | Tax return | $406.00 |
| 2013-03-21 | Filing fees | Tax return | $10.00 |
| 2013-03-28 | Health | Therapy (9 x $170) | $1530.00 |
| Total expenses | $6880.75 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $6880.75 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.55/mile, lodging, M&IE |
Signature:
| Approved by: | Purobi Phillips |
| Signature: | |
| Date: |