Submitted by: | Gordon Irlam |
Date: | 2022-06-27 |
Purpose: | Quarterly expense report |
Reference: | 2022-GRICF-02 |
Date | Category* | Description | Amount |
---|---|---|---|
2022-04-05 | Health | Insurance | $823.00 |
2022-04-06 | Health | Dentist | $200.00 |
2022-04-07 | Health | Dentist | $300.00 |
2022-05-05 | Health | Insurance | $823.00 |
2022-06-05 | Health | Prescription | $39.13 |
2022-06-17 | Health | Insurance | $1646.00 |
Total expenses | $3831.13 | ||
Less advances | $0.00 | ||
Reinbursement due | $3831.13 |
* - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
Travel includes conf./meetings, transport, car-$0.575/mile, lodging, M&IE |
Signature:
Approved by: | Manjula Jonnalagadda |
Signature: | |
Date: |