| Submitted by: | Gordon Irlam |
| Date: | 2023-10-06 |
| Purpose: | Quarterly expense report |
| Reference: | 2023-GRICF-03 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2023-07-03 | Health | Insurance | $897.00 |
| 2023-07-17 | Health | Periodontist | $373.00 |
| 2023-07-18 | Health | Prescription | $17.98 |
| 2023-07-18 | Health | Prescription | $19.13 |
| 2023-07-30 | Health | Insurance | $753.57 |
| 2023-08-01 | Health | Insurance | $897.00 |
| 2023-08-31 | Health | Insurance | $753.57 |
| 2023-09-01 | Health | Insurance | $897.00 |
| 2023-09-05 | Health | Prescription | $153.99 |
| 2023-09-05 | Health | Prescription | $14.13 |
| 2023-09-11 | Health | Doctor | $25.00 |
| Total expenses | $4801.37 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $4801.37 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.575/mile, lodging, M&IE |
Signature:
| Approved by: | Manjula Jonnalagadda |
| Signature: | |
| Date: |