| Submitted by: | Gordon Irlam |
| Date: | 2018-12-23 |
| Purpose: | Quarterly expense report |
| Reference: | 2018-GRICF-04 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2018-10-05 | Health | Insurance | $658.00 |
| 2018-10-15 | Health | Prescription | $20.00 |
| 2018-10-18 | Taxes | Additional for 2014 | $69.63 |
| 2018-10-22 | Accounting | Annual meeting | $375.00 |
| 2018-10-26 | Health | Doctor | $25.00 |
| 2018-10-29 | Health | Doctor | $25.00 |
| 2018-11-05 | Health | Insurance | $658.00 |
| 2018-11-05 | Health | Periodontist | $422.00 |
| 2018-11-08 | Health | Periodontist | $518.00 |
| 2018-11-14 | Health | Periodontist | $127.00 |
| 2018-11-28 | Health | Doctor | $25.00 |
| 2018-12-02 | Health | Prescription | $20.00 |
| 2018-12-05 | Health | Insurance | $658.00 |
| Total expenses | $3600.63 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $3600.63 | ||
| * - 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: |