| Submitted by: | Gordon Irlam |
| Date: | 2007-12-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2007-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2007-10-05 | Health | Insurance | $294.00 |
| 2007-10-06 | Health | Prescription | $25.00 |
| 2007-10-06 | Health | Prescription | $12.00 |
| 2007-10-16 | Health | Psychiatrist | $75.00 |
| 2007-11-03 | Health | Lab work | $222.36 |
| 2007-11-03 | Health | Psychiatrist | $75.00 |
| 2007-11-05 | Health | Insurance | $294.00 |
| 2007-11-08 | Health | Summacare - rebate | $-729.65 |
| 2007-11-13 | Accounting | Annual meeting | $437.50 |
| 2007-11-28 | Health | Periodontist | $323.00 |
| 2007-12-05 | Health | Insurance | $294.00 |
| 2007-12-06 | Health | Psychiatrist | $67.50 |
| 2007-12-10 | Health | Flu shot | $28.00 |
| 2007-12-11 | Health | Periodontal cleaning | $199.00 |
| 2007-12-26 | Health | Insurance - WSHIP (no reciept) | $537.24 |
| 2007-12-31 | Health | Prescription | $12.00 |
| 2007-12-31 | Health | Prescription | $25.00 |
| Total expenses | $2190.95 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $2190.95 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.485/mile, lodging, M&IE |
Comments:
Signature:
| Approved by: | Tracy Irlam |
| Signature: | |
| Date: | 2007-12-31 |