| Submitted by: | Gordon Irlam |
| Date: | 2007-09-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2007-GRICF-03 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2007-07-02 | Health | Psychiatrist (no receipt) | $235.00 |
| 2007-07-02 | Health | Psychiatrist | $120.00 |
| 2007-07-03 | Health | Prescription | $469.00 |
| 2007-07-05 | Health | Insurance | $294.00 |
| 2007-07-10 | Legal | Annual meeting | $1700.00 |
| 2007-08-01 | Health | Eye exam and new glasses | $455.00 |
| 2007-08-02 | Health | Prescription - reorder | $413.00 |
| 2007-08-05 | Health | Insurance | $294.00 |
| 2007-08-06 | Health | Psychiatrist | $220.00 |
| 2007-08-10 | Health | Insurance - 3 months | $1441.80 |
| 2006-09-01 | Grants | Center for Policy Analysis | $1000.00 |
| 2006-09-01 | Grants | International Development Exchange | $1000.00 |
| 2006-09-01 | Grants | Association for India's Development | $1000.00 |
| 2006-09-01 | Grants | Health GAP | $1000.00 |
| 2006-09-01 | Grants | Institute for One World Health | $1000.00 |
| 2006-09-01 | Grants | COLT-USA c/o Follow Your Dream | $1000.00 |
| 2007-09-05 | Health | Insurance | $294.00 |
| 2006-09-12 | Grants | Helderberg Hospice c/o Hospice of Western Reserve | $2500.00 |
| 2007-09-18 | Health | Insurance - December | $480.60 |
| 2007-09-26 | Health | MedicAlert membership | $25.00 |
| Total expenses | $14941.40 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $14941.40 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.485/mile, lodging, M&IE |
Comments:
Signature:
| Approved by: | Tracy Irlam |
| Signature: | |
| Date: | 2007-09-30 |