| Submitted by: | Gordon Irlam |
| Date: | 2022-10-01 |
| Purpose: | Quarterly expense report |
| Reference: | 2022-GRICF-03 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2022-07-06 | Health | Dentist | $156.00 |
| 2022-08-02 | Health | Insurance | $823.00 |
| 2022-09-01 | Health | Insurance | $823.00 |
| 2022-09-17 | Health | Prescription | $37.11 |
| Total expenses | $1839.11 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $1839.11 | ||
| * - 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: |