| Submitted by: | Gordon Irlam |
| Date: | 2014-12-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2014-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2014-10-03 | Health | Group | $270.00 |
| 2014-10-05 | Health | Insurance | $564.00 |
| 2014-10-09 | Health | Therapy | $185.00 |
| 2014-11-05 | Health | Insurance | $564.00 |
| 2014-11-06 | Health | Therapy | $185.00 |
| 2014-11-09 | Health | Group | $270.00 |
| 2014-11-25 | Health | Dentist | $290.00 |
| 2014-12-04 | Health | Therapy | $185.00 |
| 2014-12-05 | Health | Insurance | $564.00 |
| 2014-12-16 | Health | Group | $185.00 |
| Total expenses | $3262.00 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $3262.00 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.565/mile, lodging, M&IE |
Signature:
| Approved by: | Purobi Phillips |
| Signature: | |
| Date: |