| Submitted by: | Gordon Irlam |
| Date: | 2007-07-02 |
| Purpose: | Quarterly expense report |
| Reference: | 2007-GRICF-02 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2007-04-02 | Health | Dentist | $80.00 |
| 2007-04-05 | Health | Insurance - April | $294.00 |
| 2007-04-07 | Accounting | Tax return | $2000.00 |
| 2007-04-07 | Taxes | Tax return | $195.00 |
| 2007-04-07 | Filing fees | Tax return | $10.00 |
| 2007-04-09 | Health | Prescription | $974.00 |
| 2007-04-05 | Health | Insurance - May | $294.00 |
| 2007-05-18 | Health | Psychiatrist | $235.00 |
| 2007-05-21 | Health | Psychiatrist | $240.00 |
| 2007-06-05 | Health | Insurance - June | $294.00 |
| 2007-06-26 | Health | Insurance - Summacare | $2188.95 |
| Total expenses | $6804.95 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $6804.95 | ||
| * - 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: | 2007-07-02 |