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

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2013-07-06
Purpose: Quarterly expense report
Reference: 2013-GRICF-02

Date Category* Description Amount
2013-04-05    Health    Insurance   $526.00
2013-04-21    Health    Group   $390.00
2013-04-24    Health    Dentist   $165.00
2013-04-26    Health    Prescription   $70.00
2013-04-26    Health    Prescription   $20.00
2013-05-05    Health    Insurance   $526.00
2013-05-09    Health    Group   $260.00
2013-05-12    Grants    Knowledge Ecology International   $10000.00
2013-05-14    Health    Doctor   $25.00
2013-06-05    Health    Insurance   $526.00
2013-06-07    Health    Group   $390.00
2013-06-08    Grants    Machine Intelligence Research Institute   $5000.00
2013-06-19    Health    Doctor   $25.00
2013-06-29    Legal    Annual meeting   $1700.00
2013-06-30    Health    Group   $260.00
2013-06-30    Health    Therapy (8 x $170)   $1360.00
Total expenses   $21243.00
Less advances   $0.00
Reinbursement due   $21243.00

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

Signature:

Approved by: Purobi Phillips

Signature:

Date: