The Gordon R. Irlam Charitable Foundation
1723 Karameos Dr
Sunnyvale, CA 94087

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2006-09-28
Purpose: Quarterly expense report
Reference: 2006-GRICF-03

Date Category* Description Amount
2006-07-05    Health    Insurance - July   $217.00
2006-07-12    Travel    RESULTS Educational Fund Conference - 734 miles
  2836 Mayfield - 525 New Jersey Ave NW, DC - return  
$326.63
2006-07-12    Travel    Meals/incidentals per diem (2 x $64.00/day)
  General Services Administration Washington DC rate  
$128.00
2006-07-24    Health    Urgent care   $25.00
2006-08-07    Health    Insurance - August   $217.00
2006-08-12    Office    Renew gricf.org for 1 year   $12.00
2006-08-16    Grants    CPTech (c/o Essential Information)   $5000.00
2006-08-16    Grants    HealthGAP Coalition (c/o Mobilization Against AIDS)   $1000.00
2006-08-16    Grants    Institute for One World Health   $1000.00
2006-08-16    Grants    Survivors International   $500.00
2006-08-23    Legal    Annual meeting   $1500.00
2006-08-31    Health    Dentist   $80.00
2006-09-04    Health    Prescription   $613.00
2006-09-05    Health    Insurance - September   $217.00
2006-09-11    Health    Urgent care   $25.00
2006-09-14    Compensation    Treasurer   $200.00
2006-09-14    Compensation    Secretary   $100.00
2006-09-20    Health    Summacare: October - December   $2131.89
2006-09-27    Accounting    Annual meeting   $437.50
Total expenses   $13730.02
Less advances   $0.00
Reinbursement due   $13730.02

* - Valid categories: Grants, Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.445/mile, lodging, M&IE

Comments:

Signature:

Approved by: Tracy Deskin

Signature:

Date: 2006-09-28