| Submitted by: | Gordon Irlam |
| Date: | 2015-03-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2015-GRICF-01 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2015-01-05 | Health | Insurance | $597.00 |
| 2015-01-06 | Health | Prescriptions | $90.00 |
| 2015-01-12 | Health | Group | $380.00 |
| 2015-01-15 | Health | Therapy | $185.00 |
| 2015-02-04 | Health | Doctor | $25.00 |
| 2015-02-05 | Health | Insurance | $597.00 |
| 2015-02-09 | Health | Group | $245.00 |
| 2015-02-12 | Health | Therapy | $185.00 |
| 2015-02-25 | Health | Doctor | $25.00 |
| 2015-03-05 | Health | Therapy | $185.00 |
| 2015-03-05 | Health | Insurance | $597.00 |
| 2015-03-09 | Health | Group | $245.00 |
| 2015-03-12 | Health | Periodontist | $160.00 |
| 2015-03-19 | Health | Therapy | $185.00 |
| 2015-03-30 | Health | Prescription | $20.00 |
| 2015-03-30 | Health | Prescription | $70.00 |
| Total expenses | $3791.00 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $3791.00 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.56/mile, lodging, M&IE |
Signature:
| Approved by: | Purobi Phillips |
| Signature: | |
| Date: |