| Submitted by: | Gordon Irlam |
| Date: | 2009-12-29 |
| Purpose: | Quarterly expense report |
| Reference: | 2009-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2009-10-05 | Health | Insurance | $341.00 |
| 2009-10-09 | Health | Prescription | $70.00 |
| 2009-10-09 | Health | Prescription | $70.00 |
| 2009-10-29 | Pubs | Article on VL treatement cost effctiveness | $29.95 |
| 2009-11-05 | Health | Insurance | $341.00 |
| 2009-12-04 | Health | Dentist | $145.00 |
| 2009-12-07 | Health | Insurance | $341.00 |
| 2009-12-29 | Health | Group - 9 x $12.00 | $108.00 |
| 2009-12-29 | Health | Therapy - 10 x $110.00 | $1100.00 |
| Total expenses | $2545.95 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $2545.95 | ||
| * - 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: |