| Submitted by: | Gordon Irlam |
| Date: | 2009-09-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2009-GRICF-03 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2009-07-06 | Health | Insurance | $341.00 |
| 2009-07-06 | Health | Prescription | $70.00 |
| 2009-07-06 | Health | Prescription | $70.00 |
| 2009-07-14 | Health | Therapy - 2 sessions | $220.00 |
| 2009-08-05 | Health | Insurance | $341.00 |
| 2009-08-13 | Health | Dentist | $140.00 |
| 2009-08-18 | Health | MedicAlert membership | $27.00 |
| 2009-09-03 | Travel | Foundation annual meeting - 98 miles
780 Wildcat Canyon Rd - 2021 The Alameda, San Jose - return | $53.90 |
| 2009-09-08 | Health | Insurance | $341.00 |
| 2009-09-10 | Health | Doctor | $25.00 |
| 2009-09-10 | Health | Prescription | $10.00 |
| 2009-09-24 | Health | Group | $12.00 |
| 2009-09-29 | Accounting | Annual meeting | $500.00 |
| 2009-09-29 | Health | Therapy (10 x $110) | $1100.00 |
| Total expenses | $3250.90 | ||
| Less advances | $0.00 | ||
| Reinbursement due | $3250.90 | ||
| * - 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: | Purobi Phillips |
| Signature: | |
| Date: |