| Submitted by: | Gordon Irlam |
| Date: | 2000-09-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2000-GRICF-03 |
| Date | Category * | Description | Amount |
|---|---|---|---|
| 2000-07-11 | Health | Prescription (co-pay) - Paxil | $10.00 |
| 2000-07-14 | Health | Dentist (insurance gap) - 7 fillings | $319.00 |
| 2000-07-18 | Health | Doctor's visit (co-pay) | $5.00 |
| 2000-08-02 | Health | Psychologist | $110.00 |
| 2000-08-21 | Health | Doctor's visit (co-pay) - Hepatitas A vaccination | $5.00 |
| 2000-08-24 | Office | Books - COF: International Grantmaking Fundamentals Package | $127.16 |
| 2000-08-28 | Health | Prescription - Chloroquine anti-malaria tablets | $43.35 |
| 2000-08-30 | Health | Psychologist | $440.00 |
| 2000-09-05 | Health | Doctor's visit (co-pay) - Typhoid vaccination | $5.00 |
| 2000-09-07 | Travel | Foundation annual meeting - 46 miles
326 A St - 2021 The Alameda, San Jose - return | $14.95 |
| 2000-09-27 | Health | Psychologist | $440.00 |
| Total expenses | $1519.46 | ||
| Less advances | $0 | ||
| Reinbursement due | $1519.46 | ||
| * - Valid categories: | Grants, 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: | 2000-09-30 |
| Signature: |