| Submitted by: | Gordon Irlam |
| Date: | 2017-03-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2017-GRICF-01 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2017-01-01 | Health | Prescription | $20.00 |
| 2017-01-05 | Health | Insurance | $628.00 |
| 2017-01-23 | Health | Prescription | $20.00 |
| 2017-01-26 | Health | Therapy | $185.00 |
| 2017-02-06 | Health | Insurance | $628.00 |
| 2017-02-08 | Accounting | Tax return | $2125.00 |
| 2017-02-08 | Taxes | Tax return | $724.00 |
| 2015-02-08 | Filing fees | Tax return | $45.00 |
| 2017-02-23 | Health | Therapy | $195.00 |
| 2017-03-06 | Health | Insurance | $628.00 |
| 2017-03-06 | Health | Doctor | $25.00 |
| 2017-03-07 | Health | Prescription | $20.00 |
| 2017-03-23 | Health | Periodontist | $170.00 |
| 2017-03-25 | Health | Prescription | $20.00 |
| Total expenses | $5238.00 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $5238.00 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.54/mile, lodging, M&IE |
Signature:
| Approved by: | Manjula Jonnalagadda |
| Signature: | |
| Date: |