| 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: |