| Submitted by: | Gordon Irlam |
| Date: | 2013-12-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2013-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2013-10-02 | Accounting | Foundation annual meeting | $375.00 |
| 2013-10-05 | Health | Insurance | $526.00 |
| 2013-10-23 | Health | Dentist | $278.00 |
| 2013-10-29 | Health | Dentist | $475.00 |
| 2013-11-04 | Health | Dentist | $475.00 |
| 2013-11-05 | Health | Insurance | $526.00 |
| 2013-11-07 | Health | Group | $540.00 |
| 2013-11-07 | Health | Group | $595.00 |
| 2013-11-10 | Health | Prescription | $90.00 |
| 2013-12-05 | Health | Insurance | $526.00 |
| 2013-12-18 | Health | Group | $380.00 |
| 2013-12-18 | Health | Therapy (10 x $185.00) | $1850.00 |
| Total expenses | $6636.00 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $6636.00 | ||
| * - 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: |