| Submitted by: | Gordon Irlam |
| Date: | 2019-09-15 |
| Purpose: | Quarterly expense report |
| Reference: | 2019-GRICF-03 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2019-07-02 | Health | Optometrist | $25.00 |
| 2019-07-02 | Health | Prescription glasses | $120.85 |
| 2019-07-05 | Health | Insurance | $674.00 |
| 2019-07-29 | Health | Doctor | $25.00 |
| 2019-08-05 | Health | Insurance | $674.00 |
| 2019-08-13 | Health | Dentist | $160.00 |
| 2019-08-19 | Health | Prescription | $45.00 |
| 2019-09-05 | Health | Insurance | $674.00 |
| 2019-09-06 | Health | Prescription | $20.00 |
| Total expenses | $2417.85 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $2417.85 | ||
| * - 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: |