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

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2010-09-30
Purpose: Quarterly expense report
Reference: 2010-GRICF-03

Date Category* Description Amount
2010-07-05    Health    Insurance   $376.00
2010-07-23    Health    Doctor   $25.00
2010-07-29    Health    Doctor   $25.00
2010-08-05    Health    Insurance   $376.00
2010-08-20    Health    Prescription   $81.00
2010-08-24    Health    MedicAlert   $30.00
2010-09-05    Health    Insurance   $376.00
2010-09-17    Health    Doctor   $25.00
2010-09-17    Accounting    Annual meeting   $375.00
2010-09-27    Health    Article on hypersomnia   $31.50
2010-09-28    Pubs    Book on animal use of antibiotics   $29.74
2010-09-30    Health    Dentist   $154.00
2010-09-30    Health    Therapy (11 x $150)   $1650.00
Total expenses   $3554.24
Less advances   $0.00
Reinbursement due   $3554.24

* - Valid categories: Grants, Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.55/mile, lodging, M&IE

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Approved by: Purobi Phillips

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