| Submitted by: | Gordon Irlam | 
| Date: | 2017-12-21 | 
| Purpose: | Expense report correction | 
| Reference: | 2017-GRICF-05 | 
| Date | Category* | Description | Amount | 
|---|---|---|---|
| 2017-12-21 | [Health] |   2017-GRICF-01 correction
 2017-02-23 therapy not expensed  | $195.00 | 
| Total expenses | $195.00 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $195.00 | ||
| * - 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: |