| Submitted by: | Gordon Irlam |
| Date: | 2014-04-01 |
| Purpose: | Quarterly expense report |
| Reference: | 2014-GRICF-01 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2014-01-06 | Health | Insurance | $564.00 |
| 2014-01-06 | Filing fees | Statement of Information | $20.00 |
| 2014-01-11 | Health | Group | $350.00 |
| 2014-01-27 | Health | Periodontist | $100.00 |
| 2014-02-05 | Health | Insurance | $564.00 |
| 2014-02-13 | Health | Therapy | $185.00 |
| 2014-02-13 | Health | Group | $405.00 |
| 2014-02-19 | Health | Prescription | $90.00 |
| 2014-02-25 | Health | Periodontist | $957.60 |
| 2013-03-05 | Accounting | Tax return | $2000.00 |
| 2013-03-05 | Taxes | Tax return | $906.00 |
| 2013-03-05 | Filing fees | Tax return | $85.00 |
| 2014-03-05 | Health | Group | $405.00 |
| 2014-03-05 | Health | Insurance | $564.00 |
| 2014-03-06 | Health | Therapy | $185.00 |
| 2014-03-18 | Health | Doctor | $25.00 |
| Total expenses | $7405.60 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $7405.60 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.565/mile, lodging, M&IE |
Signature:
| Approved by: | Purobi Phillips |
| Signature: | |
| Date: |