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

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2001-09-28
Purpose: Tanzania HIV/AIDS program
Reference: 2001-GRICF-04

Date Category * Description Amount
2001-07-24    Travel    GSC Tanzania trip fee   $2070.00
2001-07-24    Office    Postage   $12.45
2001-07-25    Pubs    Book - Africa on a Shoestring   $32.39
2001-07-25    Pubs    Books - Swahili Phrasebook, Tanzania/Zanzibar   $25.81
2001-07-26    Travel    Airfair: San Francisco-Amsterdam return   $806.40
2001-07-26    Travel    Airfair: ticket fee   $10.95
2001-07-26    Travel    Airfair: Amsterdam-Kilimanjaro return   $791.70
2001-07-26    Travel    Airfair: ticket fee   $20.95
2001-07-26    Health    Prescription (co-pay) - Anti-malarial   $5.00
2001-07-27    Travel    Travel insurance   $21.00
2001-07-30    Travel    Suitcases, Camera/film, Other trip expenses   $183.82
2001-07-31    Travel    Insecticide, Hat, Other trip expenses   $85.21
2001-08-01    Travel    Mosquito net, Adapter, Travel health book   $88.51
2001-08-01    Programs    Presents for children - pens/crayons/paper   $16.72
2001-08-01    Programs    Presents for adults - pens/cosmetics   $9.00
2001-08-13    Travel    Travellers checks purchase fee   $3.00
2001-08-18    Programs    Condoms, Other HIV/AIDS sex ed. supplies   $65.83
2001-08-23    Travel    Snacks for trip   $31.24
2001-08-24    Travel    Insecticide   $5.39
2001-08-25    Travel    Insecticide bottle, Sewing kit   $8.40
2001-08-27    Travel    Tanzanian visitor's visa   $50.00
2001-08-27    Travel    Meals per diem (50% of 30 x $35.00/day)
  50% State Department Tanzania rate
  (half of all meals provided by GSC)  
$525.00
2001-08-27    Travel    Incidentals per diem (30 x $17.00/day)
  State Department Tanzania rate  
$510.00
2001-09-27    Travel    Returned leaky water bottle   $-15.08
Total expenses   $5363.69
Less advances   $0
Reinbursement due   $5363.69

* - Valid categories: Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.325/mile, lodging, M&IE

Comments: Participated with Global Service Corps in HIV/AIDS program in Arusha, Tanzania for 30 days. Learnt about the HIV/AIDS situation through meetings with various NGOs:

and performed HIV/AIDS education and awareness activities:

Signature:

Approved by: Gordon Irlam
Date: 2001-09-28
Signature: