| Submitted by: | Gordon Irlam |
| Date: | 2008-09-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2008-GRICF-03 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2008-06-30 | Travel | Meeting with mifos developers
29 miles; $8 parking 4250 W Lk Sammamish - 2101 4th Ave #1030, Seattle - return | $22.65 |
| 2008-07-05 | Health | Psychiatrist | $80.00 |
| 2008-07-07 | Health | Insurance | $325.00 |
| 2008-07-19 | Health | Urgent care | $90.39 |
| 2008-08-05 | Health | Insurance | $325.00 |
| 2008-08-06 | Health | Psychiatrist | $72.00 |
| 2008-08-19 | Health | Prescription | $12.00 |
| 2008-09-04 | Health | Psychiatrist | $72.00 |
| 2008-09-05 | Health | Insurance | $325.00 |
| 2008-09-11 | Health | Prescription | $25.00 |
| 2008-09-19 | Travel | Meeting with Joanne Carter, RESULTS
28 miles; $10 parking; $3 tip 4250 W Lk Sammamish - 1113 6th Ave, Seattle - return | $27.14 |
| 2008-09-22 | Health | Insurance - WSHIP | $1611.72 |
| 2008-09-25 | Health | Prescription | $12.00 |
| 2008-09-25 | Health | Periodontist | $200.00 |
| Total expenses | $3199.90 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $3199.90 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.505/mile, lodging, M&IE |
Comments:
Signature:
| Approved by: | Tracy Irlam |
| Signature: | |
| Date: | 2008-09-30 |