2012 barclay (3) september - december

29
PURCHASiNG CARD Card Member Transaction Log Office of the Chief Operating Officer Department of Materials Management MONTGOMERY COUNTY PUBLICSCHOOLS 0 Rockville, Maryland 20850 ~ MCP$ !Fl(!>rm 23'.4-211 ]!.iilfU<l! 2~11]'9! Card member name Christopher Barclay Schooi;office name Board o:' Education For the period: From Septern ber 29, 20 l2 Work location CESC, Room 123 To October 28. 2012 USIE SIEPARATIE R..OG IFO~ IEA<CIH! A<CC«:PllJINIT Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account ($) (Student or other-must pe identified.) (03, 05, etc.) 10/02/2012 10/02/2012 $20.01 7-Eleven, Derwood "JYITStak:enly usea, will oe reii'i16urs·ea:J 10128/2012 504091 l0/02/2012 10/03/2012 $39.00 Thai Pavilion, Rockville :::in~meeting with Council Staff 10/28/2012 504091 4.68 ~Breakfas~while attending MABE l0/03/2012 10/04/2012 $44.68 Royal Farms. Queen Anne, MD 10/28/2012 504091 Conferenc~ .[o.oo 1'1jstakenJYuseg , r:,'vi+1--o---e r-ein115ursM)J pe\_ ' 10/03/2012 I0/04/2012 $9.59 Clarion Fontainebleau Hotel, OC Lunch while attending Iv1ABEConf l0/28/2012 504091 l0/06/2012 10/06/2012 $187.59 Clarion Fontainebleau Hotel, OC Lodging balance paid at checkout, ·• (10/03/20 l2 - 10/05/2012) MABE Conference lRuby Tuesday, Rockville ., ( Meeting ~th Officials fron:i:.Zi.!nba.bwfi1 10/06/2012 10/07/2012 ~ $174.06 10/28/2012 50£1091 I Total $474.93 -r JI·· i l[JE!ffi"!fillFKAlfU((J)N$lrAlr/EMIENlr I certify that, to the best of my knowledge, the transactions recorded for the month indicated on this purchasing card log are correct and complete. Allpurchases were made in support of school.proqrarns as outlined_in_tl~e Purchase Card Guide. Iunderstand that any material misrepresentation or omission from this log maybe grounds for cancellation of ;;!/9'h~'~t:" Pzil'9' ,,...d'"'P · "Y action •. .. . ~ •. ' •·. L;fUtrlliiji~A. _- 1.-~ J- ~'-130 I 13 ~ ---\..._.C_J~ cY-1_j_; ~-j 5~riat. e, Card MembeJ...-Jr? Date Signature,;,p,;;ov;ng Official Date

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Page 1: 2012 Barclay (3) September - December

PURCHASiNG CARDCard Member Transaction Log

Office of the Chief Operating OfficerDepartment of Materials Management

MONTGOMERY COUNTY PUBLICSCHOOLS 0 Rockville, Maryland 20850~

MCP$ !Fl(!>rm 23'.4-211]!.iilfU<l! 2~11]'9!

Card member name Christopher Barclay

Schooi;office name Board o:' Education

For the period: From Septern ber 29, 20 l2

Work location CESC, Room 123

To October 28. 2012 USIE SIEPARATIE R..OG IFO~ IEA<CIH!A<CC«:PllJINIT

Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student or other-must pe identified.) (03, 05, etc.)

10/02/2012 10/02/2012 $20.01 7-Eleven, Derwood "JYITStak:enlyusea, will oe reii'i16urs·ea:J 10128/2012 504091

l0/02/2012 10/03/2012 $39.00 Thai Pavilion, Rockville :::in~meeting with Council Staff 10/28/2012 504091

4.68 ~Breakfas~while attending MABEl0/03/2012 10/04/2012 $44.68 Royal Farms. Queen Anne, MD 10/28/2012 504091

Conferenc~ .[o.oo 1'1jstakenJYuseg,

r:,'vi+1--o---e r-ein115ursM)J pe\_'

10/03/2012 I0/04/2012 $9.59 Clarion Fontainebleau Hotel, OC Lunch while attending Iv1ABEConf l0/28/2012 504091

l0/06/2012 10/06/2012 $187.59 Clarion Fontainebleau Hotel, OC Lodging balance paid at checkout,·•

(10/03/20 l2 - 10/05/2012) MABE Conference

lRuby Tuesday, Rockville.,

( Meeting ~th Officials fron:i:.Zi.!nba.bwfi110/06/2012 10/07/2012 ~ $174.06 10/28/2012 50£1091I

Total $474.93

-r

JI··

i

l[JE!ffi"!fillFKAlfU((J)N$lrAlr/EMIENlr

I certify that, to the best of my knowledge, the transactions recorded for the month indicated on this purchasing card log are correct and complete. Allpurchases were made insupport of school.proqrarns as outlined_in_tl~e Purchase Card Guide. I understand that any material misrepresentation or omission from this log maybe grounds for cancellationof;;!/9'h~'~t:"Pzil'9' ,,...d'"'P ·"Yaction • . . . • . ~ •. ' • •·.L;fUtrlliiji~A. _-1. -~ J - ~'-130 I 13 ~ ---\..._.C_J~ cY-1_j_; ~-j

5~riat. e, Card MembeJ...-Jr? Date Signature, ;,p,;;ov;ng Official Date

Page 2: 2012 Barclay (3) September - December

PURCHAS~NG CARDCard Member Transaction Log

Office of the Chief Operating OfficerDepartment of Materials Management

MONTGOMERY COUNTY PUBLIC SCHOOLS 0 Rockville,Maryland 20850

~MCIP'So'"7MU~$ lfou·ml.341-2~

Dum12 21!JJlUl~

Carelmember name. Christopher Barclay

Schcol/office name Board :o~f~E~d~u~c~al~io;1~1~===-=======-=====-::,;:==~~~~~~~~==~~~~~~~~~~~~~~~~~--==For the period: From Sept:11ber 29, 2012 Work location CESC. Room 123

To Oclober 28. 2012 IUJ.S!E$IEPARA1flE !LOG lFOIR IEA<CIHl At:c\C«J)(LIJ[\ff

Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student mother-must be identified.) (03, 05, etc.)

("Cunch M:eeting with Navarro:Ji1o:rt}1Oil 112012 l 0/l 2/2012 $32.00 Spice Xing, Rockville I0/28/2012 504091

C:County Counci!Jljce,Ei:_esid.eniJ

]ill be reimbursed)l0/15/2012 10116/2012 ['$58.25 ·Mai Thai oHkulgeLQlY.Jl~ash., D.C. od !0/28/2012 504091--~·.. 10il 6/2012 J0il7i2012 c$2-o-:"1:L~Armai1dsPizza, Silver sjj'i1ilg Will b,en<irubtJ.Cs.ed.J {)r\ I0/28/2012 50409!

~~.·, lOil 7/2012 1Oil8/70 !? r.'li-5:oa ~colcirnal Plli·k111g, Rockville Town Sg. Will be reimbursed 1 10i2.8/2012 504091

'10/23/20 12 1Oi24/2012 $23.06 Romanos Macaroni Grill, Silver Spring Meeting with Young Democrats l0/28/2012 504091

'l:unchlneetmg w1ff!Troy_'Boaay .~?}_10/24/2.012 !0/25/2012 $46.00 Gordon Biersch, Rockville r l 0/28/2012 504091

o-m ~ill' be rejlJJbllis..~~

I0/26/2012 I0/27/2012 l:!lHe;:e's. Takoms.,Earj' !0/28/2012 504091

Total $194.27

11-

IC!E!il.!lfillFDCAliilGNllrATEIViJENlf

Page 3: 2012 Barclay (3) September - December

•. 1..,•.. -:..

i ..~:11E::3T~~:-~:ab . ~·~f:~{~:j%/ c;@ifr;:>;@G'~t®l2'm~©L'L£1$~1il~

·~~u'd'.E'ilt®GU[Ji@['[lii@['.J'@B''C

Prepared For

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5

0000

"'~"'

:::;1:1::;1;:::::11;1j1ti~l~~•fttrr.:t4'';--~i!!ir-~,%lWJ~fig~D.~?M~ffC.(l1111c11ec~.ym1rbi11:::::::::::;:::t-:~::;::::~:::;;;::.:~::::..-.

Account Number Closing Date10/28/12 Page 1of3

BalanceDue $ Do No·i:Pay

For important lntorrnationregarding your accountrefer to page 2.

Previous Balance $ New Charges $ Olher Deb~s $ Payments $ Other Credils $

,__ __ 22_6.2_...311 6~9.2011 0.0011:....=:' : .. " ... : :.2.2~-~~ir/:.:_:."-..:-.-.·0.00,0

"'00

For your records only - do not pay.

For assistance or questions about your account, contact us at wwvt1.americanexpress.com/chackyourbiil orcall Customer Service at 1-800~492-4920.

<~~;;;0c::

"'":n::>::>

"'::>"

Acifivity Dale retlccls e~er transaction or posting data

Card Number HeiererceCede Amount S

-:~J10/17/12s

~ ,;~mosr1.2..':..,·naijeg.R.ill~.Ei~:rrThfN-@~~TlfEo~T-:-10109·.7C?,:::;__: ::;:,;::;:;:,;:,,· :;.::; ):)) ::} .,: .·· :f??q;g~'::20.12ARMANDS PIZZA SILVER SPRING MD

Rff# · ···- ·0-30-l5B8348Q---..·- 10/16/12··296415

~/ 10/04/12 CLARION RESORT FONTA OCEAN CITYREF# 0 4105243535CLARION RESORT HOTEL OCEAN CITYFOL# 649909 LODGINGARRIVAL DATE DEPARTURE DATE10/03/12 10/05/12 00ROOM RATE $145.00ROG NUMBER 649909

------------------- ---- --..----·COLONIAL PARKING #77 ROCKVILLEREF# 18890023 202-295-8167PARKING FEESROG NUMBER 18890023

,, 10/06/12

10 10/18/12

MD10/03/12

MD10/06/12

,/9.59"'

187.59'/\I

---- 5.00/~MD10I 17/12 1easo023000

I-:J.. 10/25/12 13600000000GB-ROCKVILLE 4513 00 ROCKVILLEREF# 136 423-424-2000FOOD/BEVERAGEROG NUMBER 136

bo not staple or use paper clipstrl'aifmen1t {;ot-1pon

~·~..

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5850 HUNGERFORD RM123ROCKVILLE MD

MD10/24/12

46.00;.,

Account Number

Continued on Page 3

Please enter accountnumber on allcorrespondence.

20850Check here if address,telephone number, ore-mail address haschanged. Note changes onreverse side.

D

Page 4: 2012 Barclay (3) September - December

·:,:\~:,~·;.:·ic,;.l.~..-.;-~~·:;;~~T~

Prep'!Jed ForCHRISTOPHER BARCLl\.YMCPS MDTAX 3000123-5

Closirg Datei0/28/12

Page 3 of 3Accounl Nt1nber

Reference Code Amount S

( 10/16/12

Acthrity Contirrniedl

68680080000Mfl.I THAI OF GEORGETO WASHil~GTON DCREF# 68880080 703-622-9527 10/15/12FOOD/BEVERAGEROG NUMBER 68880080

58.25t'(

I'~·10/27/i2

ROMANOS 1236 0016 SILVER SPRINGREF# 0000030010 301-562-2806FOOD/BEVERAGEROG NUMBER 0000030010~~----·ROYAL FARMS 080/UNBR QUEEN ANNEREF# 0 MISC SPC RETUNBRAi~DEDTAX

' 10/2'1/12

i 0/().1./12

(..,10/07/12

POPEYE'S 102 5429290 TA.KOMAPARKREF# 000576020 3012702601

00057602000 9.84MD10/26/12

MO10/23/12

23.06«00000'300100

MD10/03/12

44.68ilt

------------------------------·--··· ···---- -- - -·-- .. ----- -··iiJBY TUE3C·MY #3657 0 KUCi<VILLEREF# 60608569 8003250755RESTAURANT CHARGESROG NUMBER 50608569

174.06·:fiiU1O/06I12

6060856900'.l

---- -- - ----------------------------·SPICE XING ~50000003 ROCKVILLEREF# 10156420121 3016100303

39.00!\

.,10/12112

10/03/12

10/02112

MD10/11I12

-32:00 ,r.·10156420121

THAI PAVILION ROCKVI ROCKVILLE MDREF# 10156420121 3015450244·· ·-10102112--·-------?-ELEVEN 33558 00073 ROCKVILLE MDREF# 660501002 7 240-314-0273 10/02/12GAS/MSC96 66505801ROG NUMBER 660501002 733558

10156420121

- -------------20.on·~66050100207

New Charges/Other DebitsPayments/Other Credits

669.20-226.23

Total for CHRISTOPHER BARCLAY

Page 5: 2012 Barclay (3) September - December

I 0/03/2012 - Lunch while attendingMABE Annual Conference

Clar-ion Fonta ini' au Hoi :: ~Hor·izon~; Resi :: .rant

3015 AM Cashi

CHK 140 TO &.OCT03' 12 2PH

Dir"1in'J

LJ\1pr·3tur1>d 9. i)

Fo1Jd 9. i:(J0.5% City Tax 0.056.0% Food Tax O.~~Tot al : _,.;_.,..,,,._i;:;

Thank you for" dii:i'i9 witl1 us----· _._ . _ TilJ

Toti:! 1

Roorn ~-

Print N,rn;·

~-- ----·· --~ --~-·-~;' J' atu i

10/03/2012 t ':"':'."..'..':.'.'~"~'~--:..._:~' ...,

-, --·-·- :·, .. l

cl a r 1 • •n Fonta inblea.lJ':·f·iote IRoom Serv ice

1176 E11eni ng---~-----------~~~-----··---~---··-·-- ·-

CHK 248 f?8 i0 GST~-;r_ ·:.<~·! ; '2 9 : 14PM

F-~oc~n1 ·:--~~t~r--·\.1 ice

P,• ill' I 1 ' ~·lu 7. CIO1.75

ies B.00

IUITY 2 .95

ood.ther :0 ..5% Cit~/ Tax6.0% Food Tax

14.752.950.070.89

Total:

.enk you Ior dining with us__________ . Tip

Total

Room ~ _

"'·----·------------------·--·Print Name

--~·-·--~---·· -·· ---·--- --Si g11atui-c;

Page 6: 2012 Barclay (3) September - December

7-H C:VrEN253 DERWOOD C~RCLEIR:O'~bt,'.VILLE MDP~7.0N!E #2.!i:·®31"1:·G273STORE ~33558TID: @8873355801 88AMEX***))D~*~;i;:)/D,RF.~~92@Sb b~ 05@ 4~ ~·· -- ••.. - ...•• i: q :0 ~ ·1 ~ ~-..:?

G ,ti; L L;_~t t :o. o . 4 ~ :JPf..:U:::E/G.ALFUEL Sl'lLF

THANK YOUFOR SHOPPING AT

ROYAL FARMS

iPt>:? 4cir.:t.t}f- RU.L

Af~RUUED ~?Rq37 32303 Queen Anne HighwayOueen Anne MD 21657

410-364-·5409Desc!·I pt ion Qty Amuu1 ·

Arnet· ican Express:

10/02/2012 -Meetinq with Council StaffSub Tota l ,1·!.

TaxTotal s ! . ; ..

-,

ican Expressva1 u Num : (S) XXXXXXXXTerminal : 800000278604101Approval : 526422

., h~. . --- . . .t7 riii~VLP''.~''.i'U[J11ir ~~---,.:._I_w ·. ~t·: ·.\.\

. ;

; ERH!HA/. \. -,.• ', .,.) \ \. ~j '-:'I __:.

111102

10!1

5•'1 :4/

Al·JWKb;,mmtm.SALEBAI_; 7q4

AD'\l, t .

oi: ./ fi 8.H ii: ii.1

REG: 2 CSH:8015 b. Melve TRAN:929110/J/0(!1 10· P: ::ic: s; :2~::i"v<i1 :,.,.,,,~ nso

$32~97

) \ '

... · r t-'l~

APt-'ROUED

CUSTOMER COPY

Page 7: 2012 Barclay (3) September - December

L'./111c:u1:.: 'l'UJo: lb:'.):< FAX ~10 524 4052 Clarion Accounting 1410011001

10/03/12 - 10/05/12 - Loc!ging, MABE Annual Conference

,,United States410-524-3535 Fax: 410-524-3834

Christopher BarclayMontgomery Co Board Of Ed850 Hungerford DriveRoom 123Rockville, MD 20850USABElOOl - Mabe

l?age Number : 1Guest Number: 649909Folio ID ."l\

No. Of Guest: lRoom Number : 810Club Account:AR Account

Arrive Date: 10-03-12Depart Date: 10-05-12

Copy Invoice

Fontainebleau Hotel 12-11-12 15:58 BARBARAE

Date Reference Description Charges Credits

10-03-12 DEPOSIT Deposit App Liad -151.5310-03-12 21J.9 F.oomService 18.6610-03-12 RT810 Room 145.00

Exch Rate:Exch Rate: 0

10-03-12 RT810 4.5% Occupancy Tax 6.5310-04-12 :. 68 Horizons 17.4010-04-12 RT810 Room 145.00

Exch Rate:Exch Rate: 0

10-04-12 RT810 4.5% Occupancy Tax 6.5310-05-12 1'.X American Express -187.59

·d·~·ForAut.ho ri zati on Purpose Only-.<·k·kxxxxDate::;_Q-03-12

Code541191

Aut ho r i zed225.47

*i.· Total 339.12 -339.12

*** Balance 0.00

?£) ( · ci 'Y? - 7:>'61-fJ0

Page 8: 2012 Barclay (3) September - December

RUBY :Tl.)ESDA. Y3687

Rockville, MD 20852Ci·edit Ca1-dVoucher

Date: OctCl6' 12 10: OOPMCa1'd Type: AmexAcct #: )(XXXXXXXCard EntT\I: Sv/IPEOTr:ins Type: PURCHASE

SPICE XING100-B Gibbs St

ROCKVILLE MD. 20850

Auti-1 Code:Check:

5280617757

Server: POOL01:~0 PMTable 51/1

DOB: 10/11/201210/11/2012

4/40009

4194316Table: 202/1Server: 1121 Luis V

C BARCLAYAMEXCard #XXXXXXX>Magnetic card present: YesApproval: 566361Subtotal: l.._j.b{fi....-06

Amount:Gratuity:

+Tip: _

Total: = Total: _

Signature x-~~~~------~GUEST COPY<Please retain for your records)Fan us! Facebaok.com/RubyTuesdayJoin us onl lnel RubyTuesdav.com

Guest copy

Page 9: 2012 Barclay (3) September - December

... ,,,,_...,._.1 v111~I I I I ,L,.()jjj

WELCOME TOROCIWiLLE TOWN SQUARE

931 Ellsworth DriveSilver Spring, MO 20910

. 301-562-2806

PLEASE KEEP THIS TICKET~!ITH VOU

Server; TONY D.Table 23/1Guests: 2

10/23/20121 :46 PH

Entered/Arriuee:2~12/1!l/i71g:36 #3001 0

Ticket/Billet8:1736399~49Dur/Duree:a:~4:16?aid On/Paye La:2312/i~/17 2i:3g

Order Type: Dine InMea: Dine In

Paid/Paye:$ 5.~0Original Fee:$ S.!l~GST:S a.ael'ST:S 0.06

Caprese PaniniSide Caesar

LemonadeParmesar -

9.00

Change:$ 5.06AMEXSC:$ a.ee

2.7510/"1

Merell.intID:**'°"*i'"**"*i swipedAMERICAH -"' "'-~sSeqjl 79g9g5Purchase 12/i~/i? 21:44:12Authil 564645

931 Ellsworth DriveSilver Spring, MD 20910

301-562-2805

ver: TONY D.i9 PMe 2:3/1

DOB: 10/2310/23

3/:JUUIU

SALE

3145735#XXXXXXXX

..~"'""ticcard present: BARCLAY CCard Entry Method: S

Approval: 549663

Amount: $ 23.06

+ Gratuity: _

=Total:

I agree to pay the abovetotal amount acr.ordingto the

card issuer agreement ,

v;,

Romano's-Macaroni Grillwww.macaronigrill.com

Page 10: 2012 Barclay (3) September - December

w 32

Mai Thai Gf Georgetotm3251 Pr .•_~ect St. IWWashington.DC 20007Phone (202)337-2424

Pee B31-0000Do-1672553- .:=::====: =========:.:::- === ::-::::::.::.:: =====:-::: =

Oct, 15, 2012 09:25 PNidble ft 32 Bill ~ 1:!:

276205856B880093GO;a H

~****''Ch~

'1. __;,ijj--~~~, _f jp .•

Total

.iroved: 54L Jo

-..1ldBr flill pay card issuer above~·ursuan t to cardhn Ider a•Jreaaent

up)I

Page 11: 2012 Barclay (3) September - December

0136Server: KEEGAN G Rec: 3010/24/12 13:23, Swiped T: 25 Term: 7

l; RDON BIERSCH-ROc~:vrLLE200 E. MIDDLE LNLltHT A(301)340-7i59MERCHANT #:

I.+·

Ct\RI) TYPE i -- ACCOUNT NUMBER 1

UCAN EXPRES XXXXXXXXX~: C B.A,RCL,~Y

_.,_ IRANSACTION APPROVED~JRIZATION #: 522808~renr~- 1024010000136'B TYPE: Credit Card SALE

;j__8..5::

.1.- .. ---------. --ITAL: ---------- .--

){ ----------------

***Duplicate COPY***

C:ARDHOLDER l~ILL PAY C1\RD IS-SUER .~BOVEt.MGUNT PURSUANT TO CP.RDHCLOER AGREEMENTAS!< ,;BOUT CUR B.~NOUET ~:OC:Mciupl icate copy -> customer

Page 12: 2012 Barclay (3) September - December

Expense Report IEXP260930 Page 1 of 3

_;,_,"-.'.·~w- Financial'~·~(l~l·t/~c.:1;agernent Expense Reports piExoense instructions Contact Us Home Logout Preferences

..:~i..•..<.S)::itt.111 .·

~~!i~!l~IW!~~jg''8,Confirmation

Expense report number IEXP260930 was previously submitted for approval.

Expense Report IEXP260930.-oT~ ~•-·•••- ·-.. ••------"~ • '' • -· ·•·-- -· •• •••-••---~ ••• -• -'• ·- o··•o•••o• •

Return j , Create t'-lew Expense Repon) '. Printable Page j03

Submission Instructions--·· -*iExpense reports are to be submitted to your immediate supervisor no more than 10 business days after the endof the month or after overnight travel trip is completed.*Original receipts are required for expenses above $5.00. Electronic attachment of receipts in .PDF format maybe made in lieu of paper copy receipts. If paper receipts are sent tape them to an 8 1/2 X 11 size paper.*Print the confirmation page and paper clip to it all required original receipts and copy of MCPS Form 281-1,Request for Overnight Travel Funds. Electronic receipts attached to expense report need not be forwarded.Write on confirmation page if receipts were sent electronically.*If submitting paper receipts, send the confirmation page and the original receipts in a PONY envelope to youraccount manager or approver. The account manager or approver should send the documentation to the Divisionof Controller, 45 West Gude Drive, Suite 3200, Rockville, MD. 20850,* Make a photocopy of this confirmation page and the receipts for your records.

Your account manager (or approver, if specified) will be notified requesting approval for this expense report.Upon approval, a notification will be sent to you and the Division of Controller. This expense report will be paidby direct deposit after it has been approved and receipts ac.everified by the Division of Controller.

General Information. --~~Name Barclay,

Christopher S(80313)

Expense Dates 10/01/2012.10/25/2012

Cost Center 33201Purpose

Receipts Status Not Required

Report Submit Date 11/08/2012Attachments None

,-Add)Report Total 455.11 USO

Reimbursement Amount 455.11 USO

Expense Lines Expense Allocations Weeklv Summary · Approval Notes [2] Aoorovers

Business Expenses

iYJJleageExpenses

ExpenseStart Date End Date. Type Justification

MYP Eval@10/01/2012 10/01/2012 Mileage Key Middle

School

10/01/2012 10/01/2012 Mileage

Trip Mileage ReimbursableDistance Rate Amount (USO) Details Attachments

9(Miles) 0.555 5.00 l\iil cp

32 0.555 17.76~ ~

(Miles) -

32 0.555 17.7610/02/2012 10/02/2012 Mileage Items

httn·/k.F.sc.entrlh 1WLmcnsmrl ori:r:R01S/OA HTMT ./OA.isn?OA Func=OTEMATNPAGF~ ..«t 4/1fi/7014

Page 13: 2012 Barclay (3) September - December

Expense Report IEXP26093 0 Page 2of3

Meeting w/ (Miles)~

d;}BOE Staff -CarverMABE c::1;i10/03/2012 10/03/2012 Mileage Conference - 138 0.555 76.59

~ J

Ocean City (Miles)

Return from 2}10/05/2012 10/05/2012 rvlileage MABE 138 0.555 76.59 LiJConference (Miles)

Teacher of d}10/05/2012 10/05/2012 Mileage the Year 68 0.555 . 37.74~(Miles)

.Gala -BaltimoreBaldridge

32 0.555 17.76~

d}10/08/2012 10/08/2012 Mileage LeadershipMtg - Carver (Miles)

10/10/2012 10/10/2012 MileagePlanning

6(Miles) 0.555 3.33 lf=J c}Board Office- PG TripAuto Trade 810/11/201210/11/2012 Mileage Foundation 62 0.555 34.41

~ '.)

Gifting (Miles)Ceremony -DamascusHSMeeting w/

30 0.555 16.65 [iJ r::}10/11/2012 10/11 /2012 Mileage NancyNavarro - (Miles)

.

RockvilleMarching

47 0.555 26.09~

c!}10/13/201210/13/2012 Mileage BandCompetition - (Miles) -

Watkins MillHSNAACP 4'10/15/2012 10/15/2012 Mileage Parents' 30 0.555 16.65

~Council (Miles)AnnualKickoff -RichardMont. HSRosa Parks '4}10/16/2012 10/16/2012 Mileage MS _20th 34 0.555 18.87

~(Miles)-

Anniversary

10/17/2012 10/17/2012 Mileage ~'~~~·~·-~vvi32 0.555 17.76

~ 9(Miles) '

10/18/2012 10/18/2012 Mileage committee - 32 0.555 17.76 li1 c!}(Mites)

'

Council ·:fr10/22/2012 10/22/2012 Mileage Meeting GO 30 0.555 16.65 [i)J& Ed Cttee - (Miles)COBMeeting w/

6(Miles) 0.555 3.33~

~?10/23/2012 10/23/2012 Mileage Sligo CreekParents -Silver SpringLunch w/ 30

Page 14: 2012 Barclay (3) September - December

Expense Report IEXP260930 Page 3 of 3

10/24/2012 10/24/2012 MileageTroy Boddy (Miles)

0.555 16.65 F"""i c~}EJMCCPTA

~10/25/2012 10/25/2012 Mileage Rece12tion - 32 0.555 17.76~carven (Miles) •"

Total 455.11

; Expense Lines i Expense Ali~~tions W~ekiv Sum~~rv . App·~~~~INotes r2f A.pp-r~vers . - .··-..! - ..··---------"- --- --·-·----·--- .L--------- ·-·------------··----- ·-----~-·--··-·--------------------------~-- --···-----·--·-

Renir:n) -~e:r:eate Ne,.\,. Exp.en-ie Repon) ..Pr·intable Page.)

Expenses I iExoense instructions I Contact Us I Home I Logout I PreferencesCopyright (c) 2006, Oracle. All rights reserved. PrivacyStatement

httn://cescentdh 183 .mcnsmd.or12::8035/0A HTML/OA.isu?OAFunc=OIEMAIN-P AGE&st.. 4/16/2014

Page 15: 2012 Barclay (3) September - December

PURCHASING CARDCard Member Transaction log

Office of the Chief Operating OfficerDepartment of Materials Management

MONTGOMERY COUNTY PUBLIC SCHOOLS 0 Rockville, Maryland 20850

0Mcrs0~

MCIP'S foirm ;e31.1n-211DM01l<e2@@9

Card member name Christopher Barclay

School/office name Board of Education

For the period: From October 28, 2012

Work location CESC, Room l 73

To November ?8, 2012 !UJ§IE§IEPARAlflE ILO>cG!F<r»!Pl fEA<CHAl(CCO\IJNT

Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student or other-must be identified.) (03, 05, etc.)

lOCS/2012 10/29i2012 $47.17 Eggspectation, Si Iver Spring f Dinner Mt~'iith.3...!<.Q.nstituents/pa- 11/28/2012 504091

.•11/28/2012 50409111/09/2012 11/09/2012 $20.12 Armands Pizza, Silver Spring -omner wllileiittem'.1iifg·"tt'!e"EC:lucat!.9'!1

CIrust's 2Q..Ll..b[ational~Conf.e1:ence/

11/09/2012 I1/09/2012 $17.00 ASG Parking, Washington, D.C. Parking while attending the Education 11/28/2012 504091

Trust's 2012 National Conference

1-Iarvard Eaucat1011Puolisl'ii'ng Group'11109.12012 l 1109/2012 r $36.oo Purchase of two books from Conference l l/28/2012 504077

11/09/2012 l1/09/2012 $7.15 Hyatt Hotels, Washington, D.C. I~while Attending the Education 11/28/2012 504091

Trust's 2012 National Conference

11/12/2012 1 1/13/2012 $29.00 Fire Station 1, Silver Spring Iun:c}.DWltg. with D.C. Administration l l/28/2012 504091

Total $156.44

u-

~1,.

U~TOIFilCJ.HHOlNSTA"lf"IEMIENlf

I certify that, to the best of my knowledge, the transactions recorded for the month indicated on this purchasinq card log are correct and complete. All purchases were made insupport of sch,J:Jolprograms outlin~ in the Purchase Card Gu1de~I 1:1~TI~-I at any material mist epresenta ion or omission from this log maybe g1ounds for cancellationof my 8l":f~~card rivil ~and/o(dis~ nary act . . ,.,..--~ .

/ ,£~ · ,, ~,,~)I '7 , • Q. ? r, .r nL/V-"'l., I • "-"" ' l /_,?---_/ _-') _.....,- --- ~!-·-~-! __il_2Signature ;yl'Membe1 ~ nntP I Dote

·..

Page 16: 2012 Barclay (3) September - December

:~~r-~1~{:Lff·~:~·~.-(~~tIT,·[=}~t~~<B~t•.;; L~·-tX[:iC[~~$fifill~~(;a B~~:l1teni:T1f!:-:~~·;:r:-;~ep© L:t

.:·.-;·;:-::·'.:.~~-~:~~-0}~~=·r~~-~:·~5--[~~~~ ~:::__::_-._.·.=·::0"2 A >.:':$t2t~~rt~Jih~·' ' :.·'/J;;~w.americanexpress.co111/cl1eckyourbill

.:i.

Prepared ForCHRISTOPHER BARCLAYiVlCPS MDTAX 3000123-5

- ~iX:f:) ---------- ~-- -----Arr.ni int Nuroer ClosingDale

i1/28/12 Page ·1 of 2

Previous 821'3.nc= $ N6"'"Chames $

~--ss_9.2___,0Jj 15G.44J/Other Debits $ Payments $ Other Crsdils S~1-::::,:.:-..::::·-:::J-:::.·:,,;:.:~111~11'::::._::::: ·'.,_::,:;t···0:00!

BalanceDue$ Do Not Pay

For important informationregarding your accounirefer to page 2.

For your records only - do not pay.-------------------------------------------·· ·- ... ·-For assistance or questions about your account, contact us at www.americanexpress.com/checkyourbill orcall Customer Service at 1-800-492-4920.

1l\C'~@~Bi1fDate retects either trenseclicn or posting date

Card Number HelerenceCede Amount S

td:V9§/tg)H:fi99'Brf?~ht~?:@Mtt:tAH&:~::@§¢.:~}yg,qJ:::r:mJBY9At'H:t@\/::::){:/'':;:'?: ············ -669.2011/09/12 ARMANDS PIZZA SILVER SPRING MD ------------------·-·--------2li:12 iX'

·REF#- ··----·-o--3G158B"3"40l3--------t-tt09-/-1-2--------·----··-299918

11/09/12 ASG PRKNG #116 733 1 WASHINGTONREF# 20121110A 2024665050

DC11/09/12

· ·--1-i~oo t<-------------------------------------------·-·-····10/29/12 -EGGSPECTATION RESTAU SILVER SPRING MD

REF# 370 301-585-1700 10/28/12FOOD I BEVERAGEROC NUMBER 370

37000000000. ------ ------ . - -· -4i."17\""

--------------------------------------------···- ·--·---- . ··-·.-···-···--·-.11/13/12 FIRE STATION 1

REF# 508100SILVER SPRING MD

RESTAURANT 11/12/1250810000000 29.00;;

11/09/12 HAFWARD EDUCATIONAL CAMBRIDGEREF# 0 6174953432

MA11/09/12

36.00f\

11 /11 /12 HYATT HOTELS GR WASH WASHINGTONFOL# RESTAURANTARRIVAL DATE DEPARTURE DATE11/09/12 11/10/12 00ROG NUMBER

DC11/09/12

00339804 1, a 7.15 ~{

Total for CHRISTOPHER BARCLAY New Charges/Other Debits 156.44Payments/Other Credits -669.20

Do not staple or use paper clips

Payme&'!'.t Co~porrtArrrnnt l\J'""""'. Please enter account

number on allcorrespondence.

CHRISTOPHER BARCLAY~"i..?~~MCPS MDTAX 3000i23-5~: 850 HUNGERFORD RM123

. ROCKVILLE MD 20850Check here if address,telephone number, ore-mail address haschanged. Note changes onreverse side.

D

Page 17: 2012 Barclay (3) September - December

10/28/2012 - Barclay meeting with threeconstituents/Northwood parents

;_)··:;7~o2:;R r ·,·c:·: HA'/F~; : l~ec:·2f;~J10/".~\~;....~2 ::.~f1:?1:;. ;_;i, ...;ipc~c; 1: 2 .1l~rrn

f_r_~L~~~iJf:.f l ~-dru~-~1'.t:J l L.1.~jtJi.J~~nH u~~·Iv E--~liVER SPRINli1 M[l 20010: '.J:~j 1 ) :;,s :. ·- 1 T Gi)r-~r.;~CHt\N t il :

CAf~O fW'l t\Ll.'UllN i i~UHtlrnAMERil~AN l:.~f;RES xx~x~xxxxx'·i.1;n::; : ;- ~i,,11,f;r.t AV~)) ·1! .J-·'.(~r ON ;\Pl_:~:1:i~iVLiJ~.Ul\,(.:,;{~.! l II·~~: ;:,:))~·-,--f~c ff; ;··t3nct:::; 023f.'! ! UCl(::i .'.,_:rR.~J1S JYF'i:: C12•:iil Ccrn:i :3.Al.I:

C!-!t:i .'·/< : ~:~~--~ . _J,

-~ L !_;

iUf"AL: . -- "' . - -

)•...

..-:N~:1· .-J.•l..J!__~~--1 f ·i, ·:<-~Lt~ f~t_.,i:)y·· ~

::~HU! t}f;~ ~~1i·:. !--·~\Y t>:.:.:fi J~·-;~·;~itl< -~~:'.\;·__-~::11~·1 ;):_n.:· :_::-,;~;· !!..! :.::d·i!;1DLL:f,,, :~~{;L\:t~~;-;~!

=-'~ .,j;_:.J ; ·ui.'·:· HiF;Uil>Jjf

l 1112/2012 - Barclay meeting with D.C. Administration _

Fi r-e Si:a.ticJn·8131 C2orgia Avenue

Silver Sp~ing, MD 20910'Phone·J01 .585.1370

4014 Helen T

Tbl 114/1 Chk 1422Nov1Z112 1Z~L~4PM

Gst 2

2 Iced Tea1 Caesar SaladChix Ranch virap

4,788.99R ooJL • ~..J

SubtotalSales Tax

O1 : 26PM Tota l

22.761 '"-17~ I ' I r

-'!3

Taxl Co 11 1.37

Thank you for din1ng with us

For yoLir convenience we arcprovidlng the following

gr·atuity ca1cLilations:15% is $3.6218% is $4.3420% is $4.33

3

Page 18: 2012 Barclay (3) September - December

Ai-mancl 's - Si iver Sp1-i1191909 Seminary Rd Si Iver Sp1-ing MD 20910301-588-3400

11/09/2012 9:40 PH

152403110914032012733 10TH St. rl/rl733 10 TH St . NWThanks for ParkingWith At 1antic Se1-vices CiroupPlease Come Again

--------------------------------- -·------------- -Ticket ll 171 Server: Co1-y

SALE AHE)( Entry Time:11/09112 9:15 AM

Exit Time:11/09/12 2:03 PM

Duration: Od. 4h. 48m.Pay Station: 3Tran: 1524Ticket# 23856

Ca1d ~ *****41008Apornva 1: 563515

Pu1-chase:

TIP:

TOTAL:Receipt #:0000011425Daily Rate $ 17.00---------------- ·----

i d:-WBFJ to oay the ebnva iota I amouniaccoi cJin. L1 the card 1ssuer agreement.

Total .$ -~ -- ...,Tender: $ 0.00Arner ican f_xpre $ 17 .00Last 4 digits:Change : 'l> Ll . 00

x ---- ---·------Cardho lclu .ignature

CUSTDHER COPY

Page 19: 2012 Barclay (3) September - December

Ha_I vard EducationPubhshing Group§'?'":;:..1.,c:.i...~.,,-~,.-<>e~.,.::+-·;u-s ••~w·..-..;.#·+ 3!·~.±y:r§&f=M"".?.!l•.i§f?;o,-Siill'~•&·~?'&"<'ib-OU-:Af ,..·""'·!'ri'.f~§M;:i.W@S- =;-j'i.-iffiai>-1-kfl

8 Story Street, 1st FloorCambridge, MA 02138

800.513.07;www.hepg.o

l

~ \ 'i .'~-~~ \ ~

GRAND HYATT WASH. D.C.

r- z· IJ-9 ~1· .# ·-7-. £Jii!!J !! -:

-. D E L I ,/~'~')~",;-;;-077fa~

~~:o~--/.~ ....~/···

16811 Steven Brown

Name:

Phone:0 ENE'E-Mail:

~.,. .('=···.•: •..-.,,,

r:

:"t_..? .\ :! !_•• ·""\;~:. / !r~.-=~.•.~·· c;( 1'

~- }_.,~)r:·J.. '-.J.....•..... )

~D Cash

0 Check

0 Credit Card

Account Numb

Signature:

HARVARD EOl . I IDNP.l R\I~8 STO~Y ST

-~AMBRIDGEMA 02138617-q95-3432

Term ID: 15083982 Ref 11: 0016

Sale*mmml1008ANtX

Idal:11109112lnv ~: ~~001~~atcnU:00~113 -

10:51:31APPr ~ode: H8~5~

Ex -·------Exp.Date:

Return Policy: You~"" .ecu•" uolupene\l DUOI<'wurnn _ju cays of purchase for full refund withreceipt. Anything after 30 days or unwrapped books are not accepted for return.

Customer CoPY

THAN!< YOU

2 EggSm CroissantN.~NT NECTAR

3. 001 '2 52 '2 5

--~/... FOOD SALES*Food & Bev TaxPayment $X>'.XXXXXXXX:AMERICAN XPRSS

(:J-~:"'-.

Join Hya1t Gold Passporttoday and start earning pointsfor stays, dining and more.Visit goldpassport .com.•Not point earning eligible.INot point redemption eligible.

Please send comments toThomas Carlos

Director of Food and Beveragethomas [email protected]

Page 20: 2012 Barclay (3) September - December

Expense Report IEXP269251 Page 1 of 3

_i,·~:-:k4 .l-inancial::/~r1J'vt111 C.1gel n e I) t Expense Reports p ~xoense instructions Coniact Us Home Logout Preferences

;:_i ·i i l s··\'Ct·~,1-)-1t~ .'. ~ ..l ~·.......l) ...:.. J1

.@~~~~it'm~1~ilt?fft*~~!l•lo \lt~•11•;;filConfirmation

Expense report number IEXP269251 was previously submitted for approval.

Expense Report !EXP2692-51. Rewrn j ._creaie i,:12·\~,~-El~pens.eRepo;1·; ._Pr:fr1ta1)-1e ·r29e)

03

Submission Instructions·- - -

*iExpense reports are to be submitted to your immediate supervisor no more than 10 business days after the endof the month or after overnight travel trip is completed.*Original receipts are required for expenses above $5.00. Electronic attachment of receipts in .PDF format maybe made in lieu of paper copy receipts. If paper receipts are sent tape them to an 8 1/2 X 11 size paper.*Print the confirmation page and paper clip to it all required original receipts and copy of MCPS Form 281-1,Request for Overnight Travel Funds. Electronic receipts attached to expense report need not be forwarded.Write on confirmation page if receipts were sent electronically.*If submitting paper receipts, send the confirmation page and the original receipts in a PONY envelope to youraccount manager or approver. The account manager or approver should send the documentation to the Divisionof Controller, 45 West Gude Drive, Suite 3200, Rockville, MD. 20850.* Make a photocopy of this confirmation page and the receipts for your records.

Your account manager (or approver, if specified) will be notified requesting approval for this expense report.Upon approval, a notification will be sent to you and the Division of Controller. This expense report will be paidby direct deposit after it has been approved and receipts are verified by the Division of Controller.

General InformationName Barclay,

Christopher S(80313)

Expense Dates 11/01/2012.11/30/2012

Cost Center 33201Purpose

Receipts Status Not Required

Report Submit Date 12/01/2012Attachments None

, A.;:i cl )Report Total 355.79 USO

Reimbursement Amount 355.79 USO

f.

Expense Lines Expense Allocations Weeki'/ Summarv Approval Notes [21 Approvers

Business Expenses

Mileage Expenses

ExpenseStart Date End Date Type Justification

Meetina11/01/201211/01/2012 Mileage w/Leadership

teamPresentation

11/01/2012 11/01/2012 Mileage at NorthwoodHS

11/08/2012 11/08/2012 Mileage Delegation

Trip Mi!92ge Reim bursa b!eDistance Rate Amount (USD) Details Attachments

34 0.555 18.87 liJ c{P(Miles)

.

6(Miles) 0.555 3.33~

{?

28 0.555 15.54

'httn·//rp<:rPntrlh 1Ri rnrvricrnr] nra·Rni S/nA RTMT .Jn A i<:n?nA Fnnr.=nTFM ATNPAGFk<:t 4/1fi/'/nl4

Page 21: 2012 Barclay (3) September - December

Expense Report IEXP26925 l Page 2of3

Meeting - (Miles)

~-2}Julius West

MSMeeting w/ ·£}11/08/2012 11/08/2012 Mileage Leadership 32 0.555 17.76

~(Miles):Cearn--=-,C.aD.LeLEducation· 911/09/2012 11/09/2012 Mileage Trust 13 0.555 7.22

~(Miles)-

Conference -Grand HyattWashington,DCState of 911/12/201211/12/2012 Mileage schools- 19 0.555 10.55 Li]Strathmore (Miles) .

Items ~}11/12/2012 11/12/2012 Mileage Meeting w/ 32 0.555 17.76 6ilStaff - Carver (Miles) .

School <{}11/12/2012 11/12/2012 Mileage Psychologist 34 0.555 18.87~

Reception - (Miles) -

MCEA OfcPaint Branch 2}11/12/201211/12/2012 Mileage HS Opening 18 0.555 9.99 liilCeremony (Miles)

Computer55 0.555

~d}11/15/201211/15/2012Mileage Gifting 30.53

Ceremony - (Miles) .

ClarksburgHS

11/16/2012 11/16/2012 Mileage Items w/ Dr 19 0.555 10.55~

~}iStarr (Miles) .

Race to the 2}11/16/2012 11/16/2012 Mileage Top 67 0.555 37.19~

Presentation (Miles)- Annapolis,MDBreakfast @~

11/19/2012 11/19/2012 Mileagey.-Fir5t Watch __ 30 0.555 16.65 fti'j d}(Miles)

~New Board

~~11/19/2012 11/19/2012 Mileage Member 32 0.555 17.76~

Orientation - (Miles)CarverMeeting w/

30 0.555 16.65~

d}11/26/2012 11/26/2012 Mileage -Get:1ncilm~Craig Ric. (Miles)

Items ~}11/26/2012 11/26/2012 Mileage Meeting w/ Dr 32 0.555 17.76~

Starr (Miles)

11/27/2012 11/27/2012 Mileage Visit to Ewing 30 0.555 16.65~ 4

Center (Miles) .MCC~ c{iJ11728/2Q1.211/2Jl/2012 Mileage Receotion ~ 27 0.555 14.99

~(Miles)

Page 22: 2012 Barclay (3) September - December

Expense Report IEXP269251 Page 3of3

11/29/2012 11/29/2012 Mileage

30 0.555 16.65~

c!-~

(Miles)'1

19 0.555 10.55~

2}(Miles) .·

Town HallMeeting - 48 0.555 26.64 Lil ~~

(Miles)\J

Shady GroveMSAfricanImmigration 6(Miles) 0.555 3.33

~ 9and Refugee

.

FoundationConf - SilverSpring

11/29/2012 11/29/2012 Mileage

11/29/2012 11/29/2012 Mileage

11/30/2012 11/30/2012 Mileage

Total 355.79

, Expense Lines ; Expense Allocations--'·------·-- ···-·--~----;._ --------·-- --- --- ..Weeki; Summary Approval Notes [2] Aoprovers

Return ., Cr·2at2 t·Jev·tExpense Report ·, ·.Printable Page )

Expenses I iExpense instructions I Contact Us I Home I Logout I PreferencesCopyright (c) 2006, Oracle. All rights reserved. PrivacyStatement

httn·//rpsr.P.ntrlh1in mcnsmrl nnd<Oi "i/OA HTMT ./OA .isn?OA Fnnc=OTEM ATNPACTR&st.. 4/16/2014

Page 23: 2012 Barclay (3) September - December

PURCHASiNG CARDCard Member Transaction Log

Office of the Chief Operating OfficerDepartment of Materials Management

MONTGOMERY COUNTY PUBLICSCHOOLS" Rockville, Maryland 20850

(~MCPS<J~

MO•$ lf-~:wum23\4-:2119m111<e 20@9

Card member name Christopher Barclay

School/office name Board of Education

For the period: From November 29, 2012

Work location CESC, Room 123

To December 28, ?012 U§fE §fE[fl>ARAl'lE rLOG IFO!ffi !EAC(H] AC\C{))llJINT

Datte Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student or other-must be identified.) (03, 05, etc)

I l/29/2012 11/29/2012 $26.00 l"Firs-rwWID:cj,Rockville < Breakfast Mtg. with John Landesman J 12128/2012 50•1091

12/18/2012 12/19/2012 $27.56 Gordon Biersch. Rockville Meeting with Young Democrats 12/28/2012 504091

l 1130/2012 12/0112012 $3.75 Mont County Garage, Silver Spring Parking while attending AIRF Youth 12/28/2012 504091

' ~ershi.p~d Education Conference

,Ruby Tuesdayll'~ockville ~ - ~

12/04/2012 12/05/2012 $29.0~ - 12i28/2012 504091-

Total $86.31

{,

l([EfRlfilFKAlfHON llfAlflEMIENlr

I certify that, to the best of my knowledge, the u ansactions recorded for the month indicated on this purchasing card log are cot rect and complete. Allpurchases were made insupport of school programs as o~ined in the Purchase Card Guide. I understand that any material mis1representation or omission from this log maybe grounds for cancellationof my 8.\-!Jr 14 ::.e ca1d pri leg~afiJzilo015cipl1na!Yaction.n L ,. ~ r'

__ f,~· ~~ua&!,1(7JLU~V\.-!:'.: ,, .~ -/_/_ · v/_2_! (.i,_5ign.ddre, · ard Iv/ember 77'- Dote Sr;;;;;~~ina Official fl - Dole 7

. •:

Page 24: 2012 Barclay (3) September - December

·..:. :•.~ C·~rr~-,m~ari~~p:-sn;0e[l!~~EG'L~~©;E:.O:J€~·21;~(~L1tHl2ev~et~oclt

'·:·:·:-::_:-:::.1:1~1:~~c:~~~~~~ii~[~~~--:::·:·::·t~-,'?"--~:

-~~~E_i!·~~,:1·~~;-:- E:-'.;:"·M:=:c::·- ·.·.·.·.·,···:-::-:-:::::::·:

')~,;ik,--ifui~rjcanexpress.comicl1eckyoL1rbill;{::;;!{~<;;;}!~(:::;:::=· .

PreparedForCHRISTOPHER BARCLAYMCPS MDTAX 3000-123-5

Accounl !\Jumber -ClosingDaiei2/28/i 2 Page 1of2

P1 e-v1ous 8ali:1rce$ t'JS"N Charges$ Olhsr Debits$ Payments$ OtherCredtls$

I I56A411 86.3i II 0.0011 - i56.4411:::.:;.. o.oor

BalanceDue $ Do Not Pay

For important informationregarding your accountrefer to page 2_

For your records only - do not pay.

For assistance or questions about your account, contact us at www.americanexpress.com/checkyourbill orcall Customer Service at i-800-492-4920.

A«::ia"Y"fiiy o~t•rellects .,,h., transccuon or postirg date

Card Number · Reference Code Amount$

(J2jdi:i/12 · CORPORATE REMITTANCE RECEIVED . 12/b6 . · .: --.-..-.-.··-·--·--·------ ··------------ ----------- . ·. .~-~~~~--11/29/12 FIRST WATCH 91 FIRST ROCKVILLE MD 20010000000

REF# 20010 1QQ NEW.MARKETS 11/29/12_.--------- --------12/19/12 GB-ROCKVILLE 4513 00 ROCKVILLE MD

REF# 144 423-424-2000 12/18/12FOODI BEVERAGEROC NUMBER 144

-156.44 I

26.00 ./,

14400000000 27.56

12101/12 MCG DOT 82819 PRKNG SILVER SPRING MDREF# 054539025 240-777-6000 11/30/12

05458902500 3.75

12/05/12 RUBY TUESDAY #3687 0 ROCKVILLEREF# 81573206 8003250755

MD12/04/12

81573206000 29.00 .,\ '

RESTAURANT CHARGESROG NUMBER 81573206

Total for CHRISTOPHERBARCLAY New Charges/Other Debits 86.31Payments/Other Credits -156.44

Do not staple or use paper clips?aymein11J: Colllipon

AccountNumber 1 Please enter accountnumber on allcorrespondence.

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5850 HUNGERFORD RM123ROCKVILLE MD 20850

Check here if address,telephone number, ore-mail address haschanged. Note changes onreverse side.

D

Page 25: 2012 Barclay (3) September - December

•.

First WatchThe Daytime Cafe

Server: Host10:04 AMTable 4/1

DOB: 11/29/201211/29/2012

2/20010

1048606A.MEXCard #XXXXXXxMagnetic card present: BARCLAY CApproval: 540570

Amount: 21.58

+Tip: _

=Total: _

v

Page 26: 2012 Barclay (3) September - December

_.,'

OESOA,3687

Rockvi1le, MD 20852Credit Card Voucher

Date: OecOq'12 10:15PMCard Type: AmexAcct #: XXXXXXXkCar-d Ent1-y: SWIPEDTrans T\!pe: PURCHASEAuth Code: 582595Check: 2021Table: 503/1server-: 525 Mimes A

C BARCLAY

~--...36Subtotal :

Gratuity:

Total:

Signature

GUEST COPY<Please retain for your records)Fan us! Facebook.com/RubyTuesclavJoin us online! RubyTuesday.com

Page 27: 2012 Barclay (3) September - December

Expense Report IEXP274840 Page 1of3

Expense Reports p}~;:_penseinstructions Contact Us Home Logout Preferences

-;

~l·ConfirrnrtlonExpense report number IEXP274840 was previously submitted for approval.

Expense Report IEXP274840

03

Submission Instructions*iExpense reports are to be submitted to your immediate supervisor no more than 10 business days after the endof the month or after overnight travel trip is completed.*Original receipts are required for expenses above $5.00. Electronic attachment of receipts in .PDF format maybe made in lieu of paper copy receipts. If paper receipts are sent tape them to an 8 1/2 X 11 size paper."Print the confirmation page and paper clip to it all required original receipts and copy of MCPS Form 281-1,Request for Overnight Travel Funds. Electronic receipts attached to expense report need not be forwarded.Write on confirmation page if receipts were sent electronically.*If submitting paper receipts, send the confirmation page and the original receipts in a PONY envelope to youraccount manager or approver. The account manager or approver should send the documentation to the Divisionof Controller, 45 West Gude Drive, Suite 3200, Rockville, MD. 20850.* Make a photocopy of this confirmation page and the receipts for your records.

Your account manager (or approver, if specified) will be notified requesting approval for this expense report.Upon approval, a notification will be sent to you and the Division of Controller. This expense report will be paidby direct deposit after it has been approved and receipts are verified by the Division of Controller.

General informationName Barclay,

Christopher S(80313)

Expense Dates 12/03/2012 -12/23/2012

Cost Center 33201Purpose

Receipts Status Not Required

Report Submit Date 01/17/2013Attachments None

•.Acid)Report Total 320.81 USO

Reimbursement Amount 320.81 USO

..•.•......)- -~-··-·.. ·- ·------·-;·---------- -- ------·~----------------~~--- -· -- ----~·~Expense Lines Exoense Allocations Weeki! Summary Approval Notes [2] Approvers

Bustness Expenses

~l':ileag~Expenaas .Expense

Start Date End Date Type JustificationInstallation

12/04/2012 12/04/2012 Mileage Ceremony -Carver

Trip MileageDistance Rate

ReimbursableAmount (USO) Details Attachments

32 0.555(Miles)

17. 76 [ii] cfJ:i

Educator12/03/2012 12/03/2012 Mileage Effectiveness

Meeting -Annapolis

71 0.555(Miles)

39.41 ~

1111t:./'/(\111

Page 28: 2012 Barclay (3) September - December

Expense Report IEXP274840 Page 2of3

Commission c::'}12/05/201212/05/2012 Mileage on Children & 45 0.555 24.98~

Youth (Miles)RoundtableMeeting w/

32 0.555 17.76 = c1i12/06/2012 12/06/2012 Mileage student ~ ;;

Government (Miles)Leaders -Carver

12/07/201212/07/2012 MileageMinority

20 0.555 11.10~ ~Legislative

(Miles).

Breakfast -MarriottPooks HillMeeting w/

32 0.555 17.76 rffil ·:f?12/10/2012 12/10/2012 Mileage Attornevs _(Miles)

i1-'J-/2ff1Tr2711 /201ZfVl11eage Holidav ' 30 0.555 16.65 rgJ ~s.j

(Miles)- .

12/12/2012 12/12/2012 Mileage _Llniversitie~ 34 0.555 18.87~

,;:;!:,u

(Miles)

12/12/2012 12/12/2012 Mileage Fiesta Latino 12 0.555 6.66~

d}Civic (Miles)

.

Association -WheatonMeeting

- 32 0.555 17.76~

d}12/13/2012 12/13/2012 Mileage NAACP(Miles) -

YouthCouncil Reps- CarverCommittee r:o:}12/14/2012 12/14/2012 Mileage for 22 0.555 12.21

~(Miles).

Montgomery- MarriottConf CenterItems ~'.}:i12/14/2012 12/14/2012 Mileage Meeting w/ 32 0.555 17.76

~(Miles).

staff - CarverFiscal ~?12/17/201212/17/2012 Mileage Management 32 0.555 17.76

~Meeting - (Miles)Carver

12/18/2012 12/18/2012 Mileage Items w/ Dr - 32 0.555 17.76~

~'bStarr (Miles) ~I .

Press Conf :::l..12/19/201212/19/2012 Mileage on Breakfast 6(Miles) 0.555 3.33~ J

.

inClassrooms -Roscoe NixES

12/19/201212/191::'012 Mileage Education 49 0.555 27.20~ 4'

Conf - (Miles).

Clemente MS

Page 29: 2012 Barclay (3) September - December

Expense Report IEXP274840 Page 3 of 3

Germantown

M .1 Itemsw/ Dr12/21/2012 12/21/2012 1 eage Starr - Carver

PrayerVigil -12/23/2012 12/23/2012 Mileage Mt Calvary

BaptistChurchRockville

32(Miles)

33(Miles)

0.555

17.76 [ii c;p

18.32 rid ~0.555

Total 320.81

Expense Lines iE;©~~Se-A~;-;~;-~;:;-~----We~kl·.;s~-;;N·--APITTo~~~[2]·- -App-~~~~-·-----

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