The Gordon R. Irlam Charitable Foundation
1723 Karameos Dr
Sunnyvale, CA 94087

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2009-03-26
Purpose: Quarterly expense report
Reference: 2009-GRICF-01

Date Category* Description Amount
2009-01-05    Health    Insurance   $341.00
2008-01-11    Office    GRICF.ORG domain and hosting   $56.82
2008-01-16    Grants    PeaceJam   $100.00
2008-01-16    Health    Doctor   $67.30
2008-01-17    Health    Specimen handling   $3.07
2008-01-17    Health    Laboratory   $51.02
2008-01-30    Health    Laboratory   $10.00
2009-01-30    Accounting    Tax return   $2000.00
2009-01-30    Taxes    Tax return   $883.00
2009-01-30    Filing fees    Tax return   $35.00
2009-01-30    Pubs    2 books   $22.82
2009-02-05    Health    Insurance   $341.00
2009-02-10    Pubs    Gw/oB membership   $500.00
2009-02-13    Health    Insurance refund   $-86.66
2009-02-16    Health    Dentist   $200.00
2009-02-19    Pubs    Priorities in Health   $15.99
2009-02-25    Health    Doctor   $25.00
2009-02-25    Health    Prescription   $35.00
2009-02-25    Health    Prescription   $70.00
2009-03-04    Health    Dentist   $1596.50
2009-03-05    Health    Insurance   $341.00
2009-03-26    Health    Prescription   $105.00
2009-03-26    Health    10 x Group   $120.00
Total expenses   $6832.86
Less advances   $0.00
Reinbursement due   $6832.86

* - Valid categories: Grants, Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.55/mile, lodging, M&IE

Comments:

Signature:

Approved by: Tracy Irlam

Signature:

Date: 2009-03-26