| Submitted by: | Gordon Irlam |
| Date: | 2023-12-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2023-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2023-10-02 | Health | Insurance | $753.57 |
| 2023-10-02 | Health | Insurance | $897.00 |
| 2023-10-10 | Health | Dentist | $300.00 |
| 2023-10-10 | Legal | Annual meeting | $1100.00 |
| 2023-10-24 | Health | Prescription | $37.11 |
| 2023-10-26 | Health | Medical supplies | $48.50 |
| 2023-10-26 | Health | Medical supplies | $9.66 |
| 2023-11-01 | Health | Insurance | $753.57 |
| 2023-11-01 | Health | Insurance | $897.00 |
| 2023-11-07 | Health | Prescription | $20.00 |
| 2023-12-01 | Health | Insurance | $753.57 |
| 2023-12-01 | Health | Insurance | $897.00 |
| 2023-12-11 | Health | Prescription | $8.34 |
| Total expenses | $6475.32 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $6475.32 | ||
| * - 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: |