Submitted by: | Gordon Irlam |
Date: | 2018-10-15 |
Purpose: | Quarterly expense report |
Reference: | 2018-GRICF-03 |
Date | Category* | Description | Amount |
---|---|---|---|
2018-07-05 | Health | Insurance | $658.00 |
2018-07-29 | Health | Prescription | $20.00 |
2018-08-05 | Health | Insurance | $658.00 |
2018-08-14 | Health | Prescription | $30.00 |
2018-08-14 | Health | Therapy | $630.00 |
2018-08-17 | Health | Doctor | $25.00 |
2018-08-27 | Health | Emergency room | $100.00 |
2018-09-05 | Health | Insurance | $658.00 |
2018-09-12 | Health | Doctor | $25.00 |
2018-09-15 | Health | Prescription | $20.00 |
Total expenses | $2824.00 | ||
Less advances | $0.00 | ||
Reinbursement due | $2824.00 |
* - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
Travel includes conf./meetings, transport, car-$0.545/mile, lodging, M&IE |
Signature:
Approved by: | Manjula Jonnalagadda |
Signature: | |
Date: |