The Gordon R. Irlam Charitable Foundation
326 "A" St
Redwood City, CA 94063

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2001-03-31
Purpose: Quarterly expense report
Reference: 2001-GRICF-01

Date Category * Description Amount
2001-01-01    Health    Psychologist   $440.00
2001-01-31    Health    Psychologist   $550.00
2001-02-28    Health    Psychologist   $440.00
2001-03-28    Health    Psychologist   $440.00
2001-01-13    Health    Dentist (insurance gap) - 1 filling   $20.00
2001-02-23    Office    Domain name registration - gordoni.org   $11.07
2001-03-16    Office    Office furniture - 2 x white board, chair   $90.00
2001-03-18    Health    Medicine - oral rehydration solution   $8.98
Total expenses   $2000.05
Less advances   $0
Reinbursement due   $2000.05

* - 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: 2001-03-31
Signature: