Submitted by: | Gordon Irlam |
Date: | 2010-06-30 |
Purpose: | Quarterly expense report |
Reference: | 2010-GRICF-02 |
Date | Category* | Description | Amount |
---|---|---|---|
2010-04-05 | Health | Insurance | $376.00 |
2010-04-07 | Health | Doctor | $25.00 |
2010-04-08 | Health | Doctor | $25.00 |
2010-04-08 | Health | Dentist | $282.00 |
2010-04-12 | Health | Dentist | $166.00 |
2010-04-12 | Health | Prescription | $53.40 |
2010-05-05 | Health | Insurance | $376.00 |
2010-05-05 | Health | Prescription | $13.65 |
2010-05-17 | Health | Dentist | $65.00 |
2010-05-17 | Health | Dentist | $82.00 |
2010-05-27 | Health | Dentist | $1372.00 |
2010-06-02 | Health | Doctor | $25.00 |
2010-06-02 | Health | Prescription | $116.00 |
2010-06-03 | Health | Prescription | $89.75 |
2010-06-05 | Health | Insurance | $376.00 |
2010-06-11 | Legal | Annual meeting | $1700.00 |
2010-06-30 | Health | Prescription | $10.00 |
2010-06-30 | Health | Therapy (13 x $150) | $1950.00 |
Total expenses | $7102.80 | ||
Less advances | $0.00 | ||
Reinbursement due | $7102.80 |
* - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
Travel includes conf./meetings, transport, car-$0.55/mile, lodging, M&IE |
Comments:
Signature:
Approved by: | Purobi Phillips |
Signature: | |
Date: |