| Submitted by: | Gordon Irlam |
| Date: | 2016-06-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2016-GRICF-02 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2016-04-05 | Health | Insurance | $612.00 |
| 2016-04-11 | Health | Doctor | $25.00 |
| 2016-04-11 | Health | Prescription | $30.00 |
| 2016-04-13 | Health | Medicalert | $64.99 |
| 2016-04-18 | Health | Group | $405.00 |
| 2016-04-21 | Accounting | Tax return | $2125.00 |
| 2015-04-21 | Taxes | Tax return | $422.00 |
| 2015-04-21 | Filing fees | Tax return | $35.00 |
| 2016-04-28 | Health | Therapy | $185.00 |
| 2016-05-05 | Health | Insurance | $612.00 |
| 2016-06-02 | Health | Therapy | $185.00 |
| 2016-06-05 | Health | Insurance | $612.00 |
| 2016-06-11 | Legal | Annual meeting | $1700.00 |
| 2016-06-14 | Health | Dentist | $160.00 |
| 2016-06-24 | Health | Prescription | $40.00 |
| 2016-06-30 | Health | Therapy | $185.00 |
| Total expenses | $7397.99 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $7397.99 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.56/mile, lodging, M&IE |
Signature:
| Approved by: | Manjula Jonnalagadda |
| Signature: | |
| Date: |