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

Expense report / Reinbursement request

Submitted by: Gordon Irlam
Date: 2004-09-26
Purpose: Quarterly expense report
Reference: 2004-GRICF-05

Date Category* Description Amount
2004-07-16    Health    Insurance   $354.00
2004-07-26    Health    Prescription (co-pay)   $35.00
2004-08-08    Legal    Annual meeting   $1500.00
2004-08-08    Programs    Molecular Biology Methods class   $1002.97
2004-08-09    Health    Prescription (co-pay)   $10.00
2004-08-19    Health    Psychiatrist   $25.00
2004-08-22    Pubs    Roy: Ordinary Person's Guide to Empire   $10.89
2004-09-06    Office    Ink for printer   $62.69
2004-09-08    Travel    Foundation annual meeting - 46 miles
  326 A St - 2021 The Alameda, San Jose - return  
$17.25
2004-09-08    Compensation    Treasurer   $150.00
2004-09-08    Compensation    Secretary   $50.00
2004-09-16    Health    Insurance - Oct 2004   $177.00
2004-09-26    Accounting    Accountant fee to attend annual meeting   $437.50
Total expenses   $3832.30
Less advances   $0
Reinbursement due   $3832.30

* - Valid categories: Grants, Travel, Pubs, Office, Health, Programs, Other
Travel includes conf./meetings, transport, car-$0.375/mile, lodging, M&IE

Comments:

Signature:

Approved by: Marantha de Araujo
Date: 2004-09-26
Signature: