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

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2001-09-30
Purpose: Quarterly expense report
Reference: 2001-GRICF-05

Date Category * Description Amount
2001-07-01    Health    Insurance - COBRA for July   $138.13
2001-07-01    Health    Optometerist - Eye exam, Glasses   $211.00
2001-07-13    Health    Optometerist - Eye exam   $20.00
2001-07-13    Pubs    Book - Human Development Report 2001   $27.43
2001-07-16    Office    Photocopy   $3.02
2001-07-16    Office    Business cards (design)   $26.95
2001-07-19    Office    Business cards (print)   $23.46
2001-07-20    Pubs    Magazines - World Watch   $34.00
2001-07-20    Health    Insurance - COBRA for August-December   $690.65
2001-07-24    Office    Business cards (reprint)   $23.46
2001-07-25    Health    Psychologist   $330.00
2001-08-01    Health    Orthotic shoe inserts   $25.89
2001-08-04    Pubs    Book - Foundations and lobbying   $37.50
2001-08-17    Office    Internet domain renewal - gricf.org   $22.22
2001-08-22    Health    Psychologist   $440.00
2001-09-26    Travel    NNG conference registration   $495.00
Total expenses   $2548.71
Less advances   $0
Reinbursement due   $2548.71

* - Valid categories: 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: 2001-09-30
Signature: