| Submitted by: | Gordon Irlam |
| Date: | 2018-04-02 |
| Purpose: | Quarterly expense report |
| Reference: | 2018-GRICF-01 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2018-01-05 | Health | Insurance | $658.00 |
| 2018-01-14 | Health | Prescription | $20.00 |
| 2018-01-18 | Health | Therapy | $195.00 |
| 2018-02-05 | Health | Insurance | $658.00 |
| 2018-02-14 | Health | Doctor | $25.00 |
| 2018-03-05 | Health | Insurance | $658.00 |
| Total expenses | $2214.00 | ||
| Less advances | $-195.00 | ||
| Reinbursement due | $2409.00 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.545/mile, lodging, M&IE |
Signature:
| Approved by: | Manjula Jonnalagadda |
| Signature: | |
| Date: |