| Submitted by: | Gordon Irlam |
| Date: | 2012-03-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2012-GRICF-01 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2012-01-01 | Health | Prescription | $20.00 |
| 2012-01-02 | Office | Domain name and web hosting | $57.26 |
| 2012-01-05 | Health | Insurance | $472.00 |
| 2012-01-18 | Health | Group | $240.00 |
| 2012-01-30 | Health | Dentist | $154.00 |
| 2010-02-04 | Accounting | Tax return | $2000.00 |
| 2010-02-04 | Taxes | Tax return | $427.00 |
| 2010-02-04 | Filing fees | Tax return | $60.00 |
| 2012-02-05 | Health | Insurance | $472.00 |
| 2012-02-08 | Health | Group | $180.00 |
| 2012-02-16 | Health | Doctor | $336.00 |
| 2012-03-06 | Health | Insurance | $472.00 |
| 2012-03-14 | Health | Group | $240.00 |
| 2012-03-31 | Health | Therapy (11 x $170) | $1870.00 |
| Total expenses | $7000.26 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $7000.26 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.55/mile, lodging, M&IE |
Signature:
| Approved by: | Purobi Phillips |
| Signature: | |
| Date: |