Submitted by: | Gordon Irlam |
Date: | 2019-04-02 |
Purpose: | Quarterly expense report |
Reference: | 2019-GRICF-01 |
Date | Category* | Description | Amount |
---|---|---|---|
2019-01-01 | Health | Prescription | $20.00 |
2019-01-07 | Health | Insurance | $674.00 |
2019-02-05 | Health | Insurance | $674.00 |
2019-02-11 | Health | Dentist | $224.00 |
2019-03-05 | Health | Insurance | $674.00 |
2019-03-07 | Health | Prescription | $40.00 |
2019-03-25 | Health | Doctor | $25.00 |
Total expenses | $2331.00 | ||
Less advances | $0.00 | ||
Reinbursement due | $2331.00 |
* - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
Travel includes conf./meetings, transport, car-$0.58/mile, lodging, M&IE |
Signature:
Approved by: | Manjula Jonnalagadda |
Signature: | |
Date: |