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

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2004-03-27
Purpose: Quarterly expense report
Reference: 2004-GRICF-02

Date Category* Description Amount
various    Health    Group therapy 3 x $12   $36.00
2003-12-01    Travel    Airfair: SFO - Bangalore - return   $1236.75
2003-12-01    Travel    Indian visa photos   $10.00
2003-12-09    Travel    Indian visa application   $150.00
2003-12-09    Travel    Visit consulate for Indian visa - 57 miles
  326 A St - 540 Arguello, San Francisco - return  
$20.52
2003-12-11    Health    Typhoid vaccine, anti-malarial   $45.00
2003-12-11    Health    Insurance - Jan 2004   $177.00
2003-12-12    Programs    UCSC Extension laboratory techniques class   $750.00
2004-01-01    Pubs    Book - The Invisible Fire: Mankind's Victory over the Smallpox   $28.44
2004-01-01    Pubs    Book - The Demon in the Freezer   $6.48
2004-01-01    Pubs    Book - Scourge: The Once and Future Threat of Smallpox   $4.56
2004-01-01    Pubs    Book - Smallpox: The Fight to Eradicate a Global Scourge   $16.20
2004-01-01    Pubs    Book - Biohazard: The Chilling True Story   $12.48
2004-01-01    Pubs    Book - The Greatest Killer: Smallpox in History   $16.59
2004-01-04    Health    Dentist - 1 filling, 1 crown recement   $378.00
2004-01-04    Health    Hospital copay   $200.00
2004-01-05    Travel    Suitcase lock, motion sickness pills   $11.98
2004-01-05    Health    First aid class   $65.00
2004-01-14    Health    Vaccination needles   $2.00
2004-01-12    Travel    Electronic voting talk - 19 miles
  326 A St - 300 E. Santa Inez, San Mateo - return  
$6.84
2004-01-15    Health    Health insurance - 2 x $177   $354.00
2004-01-20    Health    Psychiatrist copay   $25.00
2004-01-20    Health    Prescription copay   $10.00
2004-01-26    Pubs    Book - Game Theory   $25.99
2004-01-26    Pubs    Book - The Vaccine Book   $51.24
2004-01-26    Pubs    Book - Engines of Creation   $9.49
2004-01-28    Pubs    Book - Medical Microbiology   $50.49
2004-02-03    Travel    Electronic voting talk - 21 miles
  326 A St - 900 San Antonio, Palo Alto - return  
$7.56
2004-02-04    Travel    First aid class - 53 miles; BART 2 x $3.55; parking $1
  326 A St - 85 2nd St, San Francisco - return  
$27.18
2004-02-05    Programs    UCB Extension Introduction to Medical Microbiology class   $405.00
2004-02-09    Pubs    Book - Mitochondria   $92.77
2004-02-12    Travel    Shuttle home to SFO   $22.00
2004-02-12    Travel    Shuttle BWI to hotel   $16.00
2004-02-15    Travel    Shuttle hotel to BWI   $16.00
2004-02-15    Travel    Hotel service fee   $6.00
2004-02-20    Health    Medical emergency flight SFO to BWI return   $612.20
2004-02-20    Health    Medical emergency flight BWI to SFO   $594.10
2004-02-23    Travel    Shuttle home to SFO   $20.00
2004-02-24    Travel    Taxi Marcy's cousin's house to hospital (no receipt)   $20.00
2004-02-24    Health    Change flight date   $100.00
2004-02-25    Travel    Taxi Marcy's cousin's house to BWI   $46.00
2004-02-25    Travel    Taxi SFO to home   $40.00
2004-02-25    Office    1 color, 2 black ink cartridges   $55.48
2004-02-26    Office    1 black ink cartridges   $25.82
2004-02-29    Health    Prescription   $295.00
2004-03-02    Health    Shorten MedicAlert bracelet   $8.50
2004-03-07    Pubs    Book - Black box voting   $23.94
2004-03-10    Pubs    Book - America's Achilles' Heel   $10.34
2004-03-10    Pubs    Book - Smuggling Armageddon   $5.41
2004-03-10    Pubs    Book - Deadly Arsenals   $23.49
2004-03-11    Health    Psychiatrist copay   $25.00
2004-03-14    Health    Health insurance - 4 x $177   $708.00
2004-03-25    Health    Lab copay   $10.00
2004-03-25    Health    Psychiatrist copay   $25.00
2004-03-25    Health    Prescription   $316.70
2004-03-26    Health    Therapist   $140.00
2004-03-26    Grants    Returned check Upper Nile Institute for Appropriate Technology   $-50.00
Total expenses   $7347.54
Less advances   $0
Reinbursement due   $7347.54

* - Valid categories: Grants, Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.36/mile, lodging, M&IE

Comments:

Signature:

Approved by: Marantha de Araujo
Date: 2004-03-27
Signature: