| Submitted by: | Gordon Irlam |
| Date: | 2015-12-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2015-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2015-10-05 | Health | Insurance | $597.00 |
| 2015-10-22 | Health | Therapy | $185.00 |
| 2015-10-30 | Office | Postage | $19.99 |
| 2015-10-31 | Filing fees | Statement of information | $20.00 |
| 2015-11-01 | Health | Prescription | $40.00 |
| 2015-11-05 | Health | Insurance | $597.00 |
| 2015-11-06 | Accounting | Anual meeting | $383.38 |
| 2015-11-17 | Health | Dentist | $206.00 |
| 2015-11-19 | Health | Therapy | $185.00 |
| 2015-12-05 | Health | Insurance | $597.00 |
| 2015-12-17 | Health | Therapy | $185.00 |
| Total expenses | $3015.37 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $3015.37 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.56/mile, lodging, M&IE |
Signature:
| Approved by: | Purobi Phillips |
| Signature: | |
| Date: |