| Submitted by: | Gordon Irlam |
| Date: | 2012-07-13 |
| Purpose: | Quarterly expense report |
| Reference: | 2012-GRICF-02 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2012-04-04 | Health | Group | $240.00 |
| 2012-04-05 | Health | Prescription | $70.00 |
| 2012-04-05 | Health | Insurance | $472.00 |
| 2012-04-09 | Health | Prescription | $20.00 |
| 2012-04-04 | Health | Doctor | $25.00 |
| 2012-04-25 | Health | Dentist | $165.00 |
| 2012-05-02 | Health | Group | $180.00 |
| 2012-05-05 | Health | Insurance | $472.00 |
| 2012-05-14 | Health | Doctor | $25.00 |
| 2012-06-05 | Health | Insurance | $472.00 |
| 2012-06-06 | Health | Group | $180.00 |
| 2012-06-15 | Legal | Annual meeting | $1700.00 |
| 2012-06-21 | Filing fees | Statement of Officers | $20.00 |
| 2012-06-30 | Health | Therapy (10 x $170.00) | $1700.00 |
| Total expenses | $5741.00 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $5741.00 | ||
| * - 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: |