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

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2008-06-28
Purpose: Quarterly expense report
Reference: 2008-GRICF-02

Date Category* Description Amount
2008-04-07    Health    Insurance   $325.00
2008-04-14    Health    Prescription   $37.00
2008-05-05    Health    Insurance   $325.00
2008-05-06    Health    Psychiatrist   $71.58
2008-05-28    Pubs    Book on Hibernate for Mifos   $28.33
2008-06-05    Health    Insurance   $325.00
2008-06-05    Health    Psychiatrist   $48.08
2008-06-10    Health    Prescription   $10.22
2008-06-17    Health    Periodontist   $215.00
2008-06-17    Health    Prescription   $37.00
2008-06-19    Travel    Macroeconomic literacy training
  23 miles; $11 parking
  4250 W Lk Sammamish -
  15th Ave NE & NE 41st St, Seattle - return  
$22.62
2008-06-20    Travel    Macroeconomic literacy training
  23 miles; $11 parking
  4250 W Lk Sammamish -
  15th Ave NE & NE 41st St, Seattle - return  
$22.62
2008-06-23    Health    Insurance   $1611.72
2008-06-24    Legal    Annual meeting fee   $1700.00
Total expenses   $4779.17
Less advances   $0.00
Reinbursement due   $4779.17

* - Valid categories: Grants, Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.505/mile, lodging, M&IE

Comments:

Signature:

Approved by: Tracy Irlam

Signature:

Date: 2008-06-28