| Submitted by: | Gordon Irlam |
| Date: | 2003-06-30 |
| Purpose: | Quarterly expense report |
| Reference: | 2003-GRICF-02 |
| Date | Category* | Description | Amount |
|---|---|---|---|
| 2003-04-04 | Health | Taxi
Langley Porter, SF - Pickwick hotel, SF | $15.00 |
| 2003-04-04 | Health | Hotel room for 3 nights | $197.16 |
| 2003-04-04 | Health | Taxi
Pickwick hotel, SF - 326 S St | $100.00 |
| 2003-04-04 | Health | Prescription | $187.30 |
| 2003-04-05 | Taxes | 2001 990PF late payment fee | $3.69 |
| 2003-04-07 | Grants | Global AIDS Interfaith Alliance | $50.00 |
| 2003-04-09 | Health | Psychologist | $120.00 |
| 2003-04-11 | Travel | Borderless Giving Conference fee | $350.00 |
| 2003-04-11 | Grants | NAMI San Mateo County | $50.00 |
| 2003-04-19 | Health | Prescription | $338.50 |
| 2003-04-24 | Health | Insurance - May 2003 | $221.00 |
| 2003-04-29 | Health | Psychologist | $120.00 |
| 2003-05-01 | Travel | RESULTS Educational Fund Conference airfair | $272.50 |
| 2003-05-02 | Travel | RESULTS Educational Fund Conference fee | $360.00 |
| 2003-05-02 | Office | Inkjet color cartridge | $23.80 |
| 2003-05-02 | Grants | BREAD (ISEC) membership returned | $-100.00 |
| 2003-05-02 | Health | Insurance - May 2003 (new plan) | $178.00 |
| 2003-05-02 | Health | Book on health condition | $11.48 |
| 2003-05-02 | Health | Book on health condition | $43.25 |
| 2003-05-02 | Health | Book on health condition | $64.49 |
| 2003-05-03 | Health | Books on health condition | $50.35 |
| 2003-05-03 | Health | Book on health condition | $49.49 |
| 2003-05-03 | Health | Books on health condition | $5.85 |
| 2003-05-03 | Health | Books on health condition | $42.77 |
| 2003-05-07 | Health | Psychologist | $125.00 |
| 2003-05-08 | Office | 2 Inkjet black cartridge | $57.23 |
| 2003-05-22 | Health | Psychologist | $130.00 |
| 2003-05-23 | Health | Psychiatrist copay | $20.00 |
| 2003-05-23 | Health | Psychologist | $135.00 |
| 2003-05-27 | Health | Psychologist | $480.00 |
| 2003-05-28 | Pubs | Book - Where there is no doctor | $23.09 |
| 2003-05-29 | Health | Psychologist | $135.00 |
| 2003-05-29 | Health | Group therapy copay | $20.00 |
| 2003-06-03 | Health | Psychologist | $120.00 |
| 2003-06-03 | Pubs | Subscribe Third World Resurgence | $45.00 |
| 2003-06-05 | Travel | Conference parking | $11.00 |
| 2003-06-07 | Health | Prescription copay | $35.00 |
| 2003-06-07 | Health | Ambulance copay | $75.00 |
| 2003-05-29 | Health | Psychologist | $135.00 |
| 2003-05-29 | Health | Group therapy copay | $20.00 |
| 2003-06-13 | Travel | Meals/incidentals per diem (5 x $46.00/day)
General Services Administration Washington DC rate | $230.00 |
| 2003-06-19 | Health | Psychiatrist copay | $20.00 |
| 2003-06-19 | Health | Group therapy copay | $20.00 |
| 2003-06-23 | Health | Psychologist | $135.00 |
| 2003-06-24 | Health | Insurance - July 2003 | $135.00 |
| 2003-06-26 | Health | Group therapy copay | $20.00 |
| 2003-06-30 | Health | Psychologist | $135.00 |
| Total expenses | $5015.95 | ||
| Less advances | $0 | ||
| Reinbursement due | $5015.95 | ||
| * - Valid categories: | Grants, Travel, Pubs, Office, Health, Programs, Other |
| Travel includes conf./meetings, transport, car-$0.365/mile, lodging, M&IE |
Comments:
Signature:
| Approved by: | Marantha de Araujo |
| Date: | 2003-06-30 |
| Signature: |