The Gordon R. Irlam Charitable Foundation
326 "A" St
Redwood City, CA 94063

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2001-06-30
Purpose: Quarterly expense report
Reference: 2001-GRICF-03

Date Category * Description Amount
2001-04-25    Health    Psychologist   $440.00
2001-05-06    Pubs    National Network of Grantmakers membership   $150.00
2001-05-07    Pubs    Books - WorldWatch Institute State of the World; Vital Signs   $67.00
2001-05-15    Pubs    Association of Small Foundations membership   $300.00
2001-05-25    Health    Psychologist   $140.00
2001-05-30    Health    Psychologist   $660.00
2001-06-04    Health    Orthopedic shoe insert   $8.13
2001-06-27    Health    Psychologist   $220.00
Total expenses   $1985.13
Less advances   $0
Reinbursement due   $1985.13

* - Valid categories: Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.325/mile, lodging, M&IE

Comments:

Signature:

Approved by: Gordon Irlam
Date: 2001-06-30
Signature: