| Submitted by: | Gordon Irlam |
| Date: | 2024-09-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2024-GRICF-03 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2024-07-01 | Health | Insurance | $855.73 |
| 2024-07-01 | Health | Insurance | $1014.00 |
| 2024-07-17 | Health | Periodontist | $156.00 |
| 2024-07-25 | Health | Medical supplies | $46.92 |
| 2024-08-01 | Health | Insurance | $855.73 |
| 2024-08-01 | Health | Insurance | $1014.00 |
| 2024-08-18 | Health | Prescription | $38.67 |
| 2024-09-01 | Health | Insurance | $855.73 |
| 2024-09-01 | Health | Insurance | $1014.00 |
| Total expenses | $5850.78 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $5850.78 | ||
| * - 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: |