| Submitted by: | Gordon Irlam |
| Date: | 2000-12-31 |
| Purpose: | Quarterly expense report |
| Reference: | 2000-GRICF-05 |
| Date | Category * | Description | Amount |
|---|---|---|---|
| 2000-10-05 | Health | Doctor's visit (co-pay) - Typhoid vaccination | $5.00 |
| 2000-10-05 | Health | Psychologist - Clinical assessment | $400.00 |
| 2000-10-08 | Office | Postage - Charitable tax status application | $4.29 |
| 2000-07-11 | Health | Medicine - Trip to El Salvador | $10.67 |
| 2000-10-18 | Health | Psychologist | $330.00 |
| 2000-11-03 | Filing fees | California Statement of Officers filing fee | $20.00 |
| 2000-11-08 | Health | Doctor's visit (co-pay) - Initial consultation | $5.00 |
| 2000-11-10 | Health | Psychologist - Clinical assessment | $1195.00 |
| 2000-11-29 | Health | Psychologist | $550.00 |
| Total expenses | $2519.96 | ||
| Less advances | $0 | ||
| Reinbursement due | $2519.96 | ||
| * - 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: | 2000-12-31 |
| Signature: |