| Submitted by: | Gordon Irlam |
| Date: | 2017-12-20 |
| Purpose: | Quarterly expense report |
| Reference: | 2017-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2017-10-05 | Health | Insurance | $628.00 |
| 2017-10-12 | Health | Therapy | $195.00 |
| 2017-10-17 | Travel | Foundation annual meeting - 31 miles
Home - 2021 The Alameda - ret. | $16.59 |
| 2017-10-17 | Accounting | Annual meeting | $375.00 |
| 2017-10-27 | Filing fees | Statement of information | $20.00 |
| 2017-11-05 | Health | Insurance | $628.00 |
| 2017-12-05 | Health | Insurance | $628.00 |
| 2017-12-05 | Health | Prescription | $20.00 |
| 2017-12-11 | Health | Dentist | $160.00 |
| 2017-12-14 | Health | Therapy | $195.00 |
| Total expenses | $2865.59 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $2865.59 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.535/mile, lodging, M&IE |
Signature:
| Approved by: | Manjula Jonnalagadda |
| Signature: | |
| Date: |