2013 barclay (3) june- september

DEPOSIT SLIP.J~~~2,fiK~~:~.~~f~h:JJ!.:.~!b -:'

.~~1-~~1:~t~~-f:··:!_:.7~·::.. 'Division of Controller Office850 Hungerford Drive, Room 154Rockville, Maryland, [email protected]

Print Form ] I ResetForm

Requestor: ~ Cash D Check D Credit Card D Money Order

Department: Board of EducationRequest Date: June 2013

School:

Contact Name: BeckyGibson Customer SignatureE-Mail: [email protected]

Phone: 301-279-3617

Fax: 301-279-3860

Address: CESC,Room 123

ChrisBarclayReimbursement to AMEX I.~-- ·---- ·--- ..··--·-·--- -·-·-··· -··- - -·--- ·---- .. _..J -····

C0>h I Ch<i' Boccl'y Reirnbursernent to AMEX ICash ·---------1ChrisBarclayReimburse~-;~~~~----J--- ~2148 I

I I

' I - I j~_--==_+---==~-- ---=-_--=l =~---------------_I --jI I ii I I~~-:-~=-----=-~=[-=:~--------- ~=--~==--1

·: I -. . i .

-.-------·----·----+----------------------··----··---------------~------1-------------~--··------·------...··----..---l..----------·- j

~.. _

-1

---- - -- ---- -----··· --·--- ···-----·- ----- ----- ! --·--- ------~--- l_ -'$318.21

Receipts Confirmation for Customer Only

'.f(_~~-~e_a_m_o_u_n_t__of-----------~ReceivedDate I o / ,;1--1!'3Received By( $318.21

'----·--------

PURCHASING CARDCard Member Transaction Log

Office of the Chief Operating OfficerDepartment of Materials Management

MONTGOMERY COUNTY PUBLIC SCHOOLS • Rockville, Maryland 20850~

MCPS form 234-21June 2009

Card member name Christopher Barclay

School/office name Board of Education

For the period: From June 29, 2013

Work location CESC, Room L23

To July 18, 2013 USE SEPARATE LOG FOR EACH ACCOUNT

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

07/24/2013 07/24/2013 $31.00 Buffalo Wild Wings, College Park Dinner meeting 07/28/2013 504091

07/20/2013 07/2J/2013 $53.99 Chandler's Crabhouse, Seattle, WA Dinner mtg. during CUBE Conference 07/28/2013 50<1002

07/08/2013 07/l0/2013 $13. !O Du lies Gourmet, Dulles, VA Lunch during CUBE Conference 07/28/2013 504002 '

07/04/2013 07/05/2013 $336.70 1-Iotwire Sales, Online Travel Mistakenly used, will be reimbursed ~I\ 07/28/2013 504091

07/08/2013 07/09.12013 $211.00 Hotwire Sales, Online Travel Mistakenly used, will be reimbursed \)~ 07/28/2013 504091o,~

07/21/2013 07122/2013 $50.00 lAD Dulles Economy Airport parking during CUBE Conf 07/28/20 IJ 504002 v

07/08/2013 07/09/2013 $5.00 !AD DuJles Pay and Go Parking 07/28/2013 504002

Total $700.79

CERTIFICATION STATEMENT

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. All purchases were made insupport of school pro~ as outlined in the Purchase Card Guide. I understand that any materi9).f11isrepresentatiolJ. or orpission from this log maybe grounds for cancellationof my purchase card privVe~n<l/or disciplinary action.

_, '._fJ,~~- ~I~~ bff~~~£~ _/_/_or~ Date SianLJ7e. oorovtna Official Date

(0

.II

//

~,-------------------------------------~



MONTGOMERY COUNTY PUBLIC SCHOOLS• Rockville, Maryland 20850~

MCPSForm 234-211[une 2009




Work location CESC, Room I23

To .July 28, 2013 USE SEPARATE LOG FOR EACH ACCOUNT

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

07/1112013 07/12/20 l3 $26.00 Nando's Peri-Peri, Silver Spring Lunch meeting with Marcus Moore 07/28/2013 504091 I.·

07/16/2013 07/17/2013 $13.20 New Fortune Restaurant, Gaithersburg Dinner meeting regarding construction 07/28/2013 504091

07/ 18/2013 0712012013 $18.06 Peso's Kitchen & Lounge, Seattle, WA Lunch while attending CUBE conf 07/28/2013 504002 ·-·07/2212013 07/23/2013 $27.00 Ruby Tuesday's, Linthicum, Meeting with constituent regarding 07/28/2013 504091 ,.

state construction money

07/18/2013 07/18/2013 $52.44 Seattle Yellow Cab, Seattle, WA Ground transp. while attending CUBE 07/28/2013 504002 ,__...

07/25/2013 07/26/2013 $28.00 Woodside Deli, Silver Spring Breakfast meeting 07/28/2013 504091 //

07/17/2013 07/l 8/2013 $25.00 United Airlines, Washington D.C. Baggage fee, flight to CUBE conf 07/28/2013 504002 ,_,.

07/20/2013 07/2112013 $1 l.58 United Airlines, Washington D.C. In-flight meal, flight from CUBE conf 07/28/2013 504002

(No receipt given)

Tota! $201.28


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. All purchases were made insupport of school prog.r: is as outlined in the Purchase Card Guide. l understand that any material misrepresentation or om~sion from this log maybe grounds for cancellationof my purchase carc!"Iri e and/or disciplinary action. /l ·

-t--'~~ ~- _1?__/~-4 L/F'0A~d') f:_) /czt;14~J0r'~ _/_/~re, Card Member Dote~ Zionofure.Aoorovino Officia? Date

/

/

-:,/··

\2)r--~~~~~~~--~~~~~~~~~~~--~~~~~~~~~~~~~~~~~~~~~~--~~--,

PURCHASING CARD. ~

Card Member Transaction LogOffice of the Chief Operating OfficerDepartment of Materials Management

MONTGOMERY COUNTY PUBLIC SCHOOLS • Rockville, Maryland 20850~

MCPS form 234-21June 2009




Work location CESC, Room 123

To .luly 28, 2013 USE SEPARATE LOG FOR EACH ACCOUNT

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

07/21/2013 07/2:2/2013 $25.00 United Airlines, Washington D.C. Baggage fee, return flight from CUBE 07/28/2013 504002 :,_ .•..

07/21/2013 07/22/2013 $8.35 Wendy's, Linthicum, MD Meal while attending CUBE conference 07/28/20 l3 504002 'v-

om 712013 07/18/2013 $25.19 Westin Seattle Dining, Seattle, WA Meal while attending CUBE conference 07/28/2013 504002 \..--

07/22/2013 07/22/2013 $1, 160.25 Westin Seattle, Seattle, WA Lodging while attending CUBE conf 07/28/2013 504002 !,....

;

(July 17 through July 21, 2013) 07/28/2013 504091

07/18/2013 07/19/2013 $12.00 Yellow Cab Services, Seattle, WA Ground transp. while attending CUBE 07/28/2013 504002 t-:

07/18/2013 07/20/2013 $10.00 Ye! low Cab Services, Seattle, WA Ground transp, while attending CUBE 07/28/2013 504002 """'<

07/20/2013 07/21/2013 $11.00 Yellow Cab Services, Seattle, WA Ground transp. while attending CUBE 07/28/2013 504002 ':-''

07/20.2013 07/22/2013 $9.00 Yellow Cab Services, Seattle, WA Ground transp. while attending CUBE 07/28/2013 504002

07/21/2013 07/22/2013 $47.00 Yellow Cab Services, Seattle, WA Ground transp. while attending CUBE 07/28/2013 504002 (,

Total $1,307.79


'<'k'f:&~ __ /__ /__' · - .••.•..~µ-~'76-l.&l~ --·~~ Date

/

Corporate PurchasirngCardmember Repoll't '~;~~~l~i~!,!iiit

=·;:·?/ ·=·::;.-:):~<~\:;:.:·'.·:r:~=;\;=;::i;:_-r~·:;(;:;:~·:;:·:):=:·::./:~- .-:.:-= :?= ::_·::· ·.Preoared ForCHRISTOPHER BARCLAYMCPS MDTAX 3000i23-5

,io.........,..,,.-• •• ,.,_ •.. __ Closing Date

07/28/i3 Page 1of4

BalanceDue$ Do Not PayPreviousBalaoce $ New Charges$ Other Debi!s $ PaymenlsS Olher Credns$

I 590.61II 2,209.8611 0.0011.-=: .: . :··· . ·. .- 59~-~1.11-:.::r-::r:··:::? i:"::R\·?~I- . - !"ii.I

For important informationregarding your accountrefer to page 2.

iiillil

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.

Activity.Oare reilecls either transaction 0< posting dale

Card Numbe1 Reference Cede Amount$

31.00J07/24/13 BUFFALO WILO WINGS 0 COLLEGE PARK MD 00083583000_REF.#__QQ0835.a3 _ 30j_-.4.86c0333__..__.07/2-4./.1.3 .FOOD/BEVERAGE .ROG NUMBER 00083583

07/21/13 34200000000CHANDLERS CRABHOUSE SEATTLEREF# 342 206-223-2722FOOD/BEVERAGEROG NUMBER 342

53.99/WA07/20/13

J7/10/13 47361()(](]()(](]DULLES GOURMET MARKE DULLESREF# 47361 800-742-5030FAST FOOD RESTAURANROC NUMBER 47361

13.10VA07/08/13

J7/05/13 HOTWIRE-SALES FINAL 866-468-9473 CAREF# 8206513793~ TRAVEL .07/04/13

336.70

J7/09/13

)7/22/13

HOTWIRE-SALES FINAL 866-468-9473 CAREF# B2065258181 TRAVEL 07/08/13!AD DULLES ECONOMY 8 DULLES VAREF# 011785786 703-572-4584 07/21/13

211.00

-:/01178578600

01289383200)7/09/13 !AD DULLES PAY AND G DULLES VAREF# 012898832 703-572-4584 07/08/13

5.00

)7/12/13 10156320130NANDOS PERI PERI 650 SILVER SPRING MDREF# 10156320130 3015887280 07/11/13

26.00vContinuedon Page 3

Do iii:it'sfap1e·i'ir use·paf:ier dips

Payment Coupon

................................Please enter accountnumber on allcorrespondence.

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5850 HUNGERFORD RM123~OCKVILLE MD 20850

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

D

Prepared For

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5

Page3 of 4Account Number Closing Date

07/28/i 3

Reference Cede Amount$

07/17/13

Activity Continued

00000000260NEW FORTUNE RESTAURA GAITHERSBURG MDREF# 0000000026 301-926-8828 07/16/13FOOD/BEVERAGEROG NUMBER 0000000026

07/20/13 6520004a900PESOS 02810012825300 SEATTLE WAREF# 652000489 2062839353 07/18/13

18.06/

07/23/13 RUBY TUESDAY #4726 0 LINTHICUM MDREF# 29586660 8003250755 07/22/13RESTAURANT CHARGESROG NUMBER 29586660

27.00./29586660000

07/18/13 Seattle Yellwo Cab 1 Seattle WAREF# BZZ2CX 8774174551 07/18/13

52.44'/

07/26/13 85101653207 28.00,iTHE WOODSIDE DELI SILVER SPRING MD851016532 USFC20910 07/25/13ROG NUMBER 8510165320798000

07/18/13 19980450000 25.00 ,/UNITED AIRLINES WASHINGTON DCTKT# 01626029425300 AIRLINE/AIR C 07/17/13SPECIAL SERVICE TICKETBARCLAY /FIRST CHECKED UNITED AIRLINESUNITED AIRLINES WASHINGTON DCFROM

. D_U_l,,1.,,1;$_A_RP.lQCTO

SEATTLE WATO

UNAVAILABLETO

UNAVAILABLETO

UNAVAILABLE

CARRIER CLASSUA DO

YY 00

yy 00

yy OD07/21/13 UNITED AIRLINES HOUSTON TX 20288999000 11.58

TKT# 01629205097730 AIRLINE/AIR C 07/.20/13SPECIAL SERVICE TICKETBARCLAY /INFLIGHT A LA UNITED AIRLINESUNITED AIRLINES HOUSTON TXFROM

DULLES ARPT DCTO CARRIER CLASS

SEATTLE WA yy DOTO

UNAVAILABLE yy 00TO

UNAVAILABLE yy 00TO

UNAVAILABLE yy DO07/22/13 UNITED AIRLINES SEATTLE WA 20381251000 25.00/

TKT# 01626031605962 AIRLINE/AIR C 07/21/13SPECIAL SERVICE TICKETBARCLAY /FIRST CHECKED UNITED AIRLINESUNITED AIRLINES SEATTLE WAFROM

SEATTLE WATO CARRIER CLASS

DULLES ARPT DC UA DOTO

UNAVAILABLE YY 00TO

UNAVAILABLE YY DOTO

UNAVAILABLE yy DO07/22/13 WENDYS #0153 0000001 LINTHICUM MD 23793224000 8.35./

REF# 23793224 4107213770 07/21/13RESTAURANT CHARGESROC NUMBER 23793224

07/18/13 WESTIN SEATTLE DININ SEATTLE WA tli'-25919100 2S.1?.1/REF# 164259191 206-728-1000 07/17/13

07/24/2013 - Buffalo Wild Wings, College Park -··· · Dinner meeting

07/20/2013 - Chandlers Crabhouse, Seattle, WADinner meeting during CUBE conference

buT~alo Wild WingsCir i11 f, Bar

10~~~ Baltimore AveCo:-1~; .::: :J.1rk, MD :2074(;

(301. ~86-0333

11 ists: 3 Srvr: Kevin~r~ -23-2013 7:51pm 3373.2479.00399

CHANDLElrSCllABHOUSE

1 Water 0.001 12 \'lings f .20

Honey BBQSi'1eet Bbq

H:l: Guest# i Sub-Total: 7.63

Established 1.988

1 Water 0.001 12 Wings 7.20

Honey BBQThai Curry

~st Guest# 2 Sub-Total: :.63

0342a Table 41 #Party 0BLAINE N SvrCk: 34 19:59 07/20/13

Separate checks: 3-of-8

1 CALI ROLL1 GRILLED SCALLOPS

12.0030.00

1 Water 0.001 12 Wings 7.2S

Parmesan GarlicHe: ,~y BBQ

1 Basket FriesGuss' :'3 Sub-Tot

07/20 21 :;;.(

~11h Tnhl. 42.003.99

- '19

uffalo Wild WingsGrill & Bar

10240 Balt imore :~veColl2ge Park, MG Z0740

(301) 486-0333

0342Server: BLAINE N (#131) Rec:24107/20/13 22:10, Swiped T: 41 Term: 8

Emp: ~:evinAt-1EX07-23 7:51pm Tbl# 112

CHANDLER'S CRABHOUSE901 FAIRVIEW AVE NORTHSEATTLE, WA 98109(206)223-2722MERCHANT #: 000040280308

81583

AMOUNT: '77 . 12

CARD TYPE ACCOUNT NUMBERAMERICAN EXPRES xxxx· .Name: C BARCLAY00 TRANSACTION APPROVEDAUTHORIZATION #: 520959Reference: 07200~0000342TRANS TYPE: Credit Card SALE

.- - - - - - ·~- - ... - - - ·-- -· - - ·-- - -- -- - - ·-- -- •..

SALE-·~[;er: :f.H*********** 1008"'"' / ** B.~RCLAY/C

CHECK: 45.99·r1P:

TOTAL:TIP:

TOTAL:

07/11/2013 - Nando's Peri-Peri, Silver Spring -Lunch meeting with Marcus Moore

·, -i.. ~;

I1)

. ·I\

07/21/2013 - Washington-DullesInternationalAirport -Airport parking during CUBE conference

T14

•.....-..-t r:oo ,r,o_,.~vv 1 . .JI.JU. f .:.'...UV

+ . C.\METROPOLITAN WASHINGTON AIRPORTS AUTHORITY

THANKS YOU FOR PARKINGAT

WASHINGTON-DULLES INTERNATIONAL AIRPORT

Host: JuliaT14

-at In ..t~ ~

07/11/2013 ,,1 :QB PM :·

20C52I

F '2'.-1..

~-~s-_._:• "•11.., .6.

2-j-; .1,..:.. '·'·!

2·. :;..,. •.:32

II

')': . 7 ·1

sctrrHLAND PRlllTING PARKING RECEIPTsH:t EVE:PORT, LA. ( ' J

815394.

N:= ...,r.f• Drink (2 d? 15!t ·'1ic :. "!! Vlra.1~'·.ji:.'11: :h , s' .ie

''?.S.!Ci' ar Rice

Ta:-.

23 27

Us~ ~~~~word:periperIi:.1; ne oroar ing 0·1rw ave i1 ,!J lE'c· . ., 1 1; 1.,11:1w.nandospe ~ · . ! .··G'I! f

)

07116/2013 - New Fortune Restaurant, Gaithersburg -... · Dinner meeting regardng construction 07/18/2013 - Peso's Kitchen & Lounge, Seattle, WA

Lunch wh..ileattending CUBE Conference

16515 S FREDERICK AVtt~AiTHERSBURG, MD 20877

07il6i2013 20:53:.\3Cocktnil

Te.1rr1111al ID·1i01ll2997

Oi279.Check Tab Cov Sarvar I iee Date777584 B 1 3f1 11:05:50 PH 7/18/2013

r·leith3[1t IO:

CREDIT CARDAMEX SALE

SERVERft{lproval Cede:EntJy Method:Mode:

l!U260002&1

00015+-1618Svi~edOnlnic

HH Tilll Tacos 4.00ShriaP 0.50Shr·ililP 0.50

HH trsb Spring Ralls 5.00

Food Sub-Total HI.DO

Cranbr:rry Juice 3.75------

, ·'·1b-Total 3.75

pp~JiD}\1,j.

n Ilther Sub-Total O.fJO

SUB TOTALSal1is Tax

d.751.31

07/22/2013 - Ruby Tuesday's, Linthicum -Dinner meeting with constituent regarding

state construction money

TOT1ll 15.06THAHKYOU

I TUFLVf 472l1n.. ML ;)C(ii)

,;c: 1 l .:-jf"l.J Vot.11 11<:!'

PESO'S KITCHEN & LOUNGE

Date: 7/18/21l13 Time: 11 :05:52 PMCard Jype: American ExpressCard Number: XXXXXXExpiration Date: XX/XX/XXXXServer ID: 311

:I '.t HA:it:Server Name:Cha ck ~lumber:Tab Number:

Si rbr ina777!i84

f\1111 I (,. ;,... ~',~'.}.:JIJi)

Ct"18Li<·a1·l r

~o_-~jhme;: BARCLAY/C

~I

: , f'.i.LAY

IP

OfAL-· ffl•,•' 1.'·'

!lpproval: 586854

IOMIER COPV

Receipt from Seattle Yellwo Cab 182 Page 1 of 1

07/1712013 - Seattle Yellow Cab - Ground transportationwhile attending CUBE conference

. I . .:.: • ; J. ."S: f=J~:!

Custom Amount $43.70

$8.74Tip

Total $52.44

R/1Q/701 <.

r,.ood£idgJ;J@ii,_5ilverSpringreakfast Meetink-

I Ht ·'3!P~ (if.!_ [:3.:. .:· i;l\::..i: r: '1\· r

'JlLVd~ ~:1-f~!~ii.·;01-y··

!°i ~ I r, I1 ~IiL iti ; ::.i_. q • , · , ,

i ~I '< ! iJ Ju 7 'J; :1: 4

i . . .J

..... ; Al. S\'iliitd

red: Online Batchfi: ~·-,,15 09:,i.•J1

') '!J• 1, !.••

p:

I < ~· ;

07/17/2013 - United Airlines, Washington D..C.Baggage fee, flight to CUBE conference

~NiTEDrJj< Baggage ReceiptIssu~ a~te: 17 JUL 2013 IAO ATO

O.i:.~Dascript..icnFirst Bag Fee

USO $25.00Total Fees

A6EHT REFERE~C~: 66 ESL SAG

~:mcrican E~press lOOOO:;

r '!I'illw Ider Name1; l!!lRCLAV

Conf irmat io:i: 84 3KSQ

RoutingHHJ - SEflI U~

f-0:•.~z

07/21/2013 - United Airlines, Washington D.C.Baggage fee, flight from CUBE conference

:)PASSENGER RECEIPT 1 OF 1

21JUL13EV/081294 /SEATTLE

BARCLAY/CHR!STOPHERSTON**NOT VALID FOR****TRANSPORTATION* PSGR TICKET 0377291 320 7,

EXCESS BAGGAGETICKETI

U r.t II ll C ~ ~J)}.~';EIPT~-:...

BARCLA'r'/CHRIRte LOC-B43KSQ PRNTR-B5DD95 ·OF~ON

SEA UA IAD B43KS

1 FIRST CHECKED BAG 25.007~ T AND·SERIE~ J , 12!JUL13!1JD1A>.

UA 401 649091 d L !lflll /Ill fll/11111/llff l//ll/f !,(RA VE l

_.''i

};'."

USO 25.00 AXXXXXXXXXXXX.

1 016 2603160596 - so-s2·USO 25.00

07/21/2013 - Wendy's, Linthicum -Meal while attending CUBE conference

:.::.-~-. ~

07/17/2013 -Westin Seattle Dining, Seattle, WA- ,Meal while attending CUBE conference

Ke11sn ~urger ~1stro1900 5TH AVENUE

SEATTLE, WA 98101206-256-7600

Wendys Site 100007656. 410.,.850-0694

Comments VielGOIH8888-624-~8140 .

e:· _.Jul21'13 11:39PMd Type: .Am ext #: XXXXXXXXld Entry :· S-~JIP E0ns Type: PURCHASEh Co de : 5441~·1:.,.

.ck: 192Jv e r : 26 Mai Taxes... 2.19

~LLIAN H07/17/13 10:42 PM

1339911Table 20Guests 1

CHICKEN BURGER 12. 00)WEET POT FRIES 4.001ERRIER 7.00

SubTotal 23.00\ARCLAY, CH

a 1 8 . ·-p;: Tota 1 25. 19

25 .19----------------------------------------

•••.••• 11•1"fr.:-:" ##/##Ctri: 176440.J,,. ···JC

25. 19

r 1P · ·

Total.

1900 Fifth Avenue

Seattle, WA 98101

206-728-1000

http://www.westin.com/seattle

Barclay, Christopher

7108 14TH AVE

TAKOM..~PARK, MD 20912-7065

Date

07-17-2013

07-17-2013

07-17-2013

07-17-2013

07-18-2013

07-18-2013

07-18-2013

07-18-2013

07-18-2013

07-18-2013

07-19-2013

07-19-2013

07-19-2013

07-19-2013

07-19-2013

07-20-2013

07-20-2013

07-20-2013

07-20-2013

07-21-2013

07-21-2013

07-21-201.3

Reference

RT1937

RT1937

RT1937

RT1937

92407990

RT1937

RT1937

RT1937

RT1937

50401983

RT1937

RT1937

RT1937

RTl937

93416670

RT1937

RT1937

RT1937

RT1937

l.0:15:20

10:15:20

AX

Page Number

Guest Number

Folio ID

No. Of Guest

Room Number

Time

Description

Room Charge

State Tax

1

1488945

A

THEWESTINSEATTLE

0711712013 - 07/2112013 - Westin Seattle. Seattle, WA -Lodging while attending CUBE conference

Arrive Date

Depart Date

07-17-2013

07-21-2013

1

1937

07-21-2013 13:00

Invoice

Seattle Tourism Assessment

Occupancy Tax

In Room Dining

Room Charge

State Tax


Occupancy Tax

Relish

Room Charge

State Tax


Occupancy Tax

In Room Dining

Room Charge

State Tax


Occupancy Tax

l.8558470036 0:07

Telephone Tax State

American Express

** Total

** Balance

Tell us about your stay. www.westin.com/reviews

Charges

$225.00

$19.35

$2.00

$15.75

$24.30

$225.00

$19.35

$2.00

$15.75

$21.00

$225.00

$19.35

$2.00

$l5.75

$64.36

$225.00

$19.35

$2.00

$15.75

$2.00

$0.19

$1,160.25

$0.00

Credits

$-1,160.25

$-1,160.25

,. ·i···

J :j/I'.)C H H I S T u P H.~ I~ ~f; 8 f:

·h MCP.:i IH:i,i~/ .h;;

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It" ~j.;-ll£' .•••••~.!:;~•.I;" •' •~ U.'t.. I{:._ I~·~Jj';.I

!Si .:; i fi, .•.• ([) it~sc~1111~,lf~o~1·co •..o ·t IJJ'31~~t-· ~~1

YELLO\l\J._.GARDSERVIC)2·6} INC.206-6?2-65Q07 //'y- T/ /_,PUACJASER S)~'HERE ef?.J-x f /'--···----,f~---<---~~Cardh01der acknowledges'recdipt of goods and/or services in theamount ol ·the Total ?hown hereon· and agree lo perform theobligations set forth in the Cardholder.'s ogreemenl with tile Issuer.

.~-)·(

·i~~:07/18 and 07/20 - Yellow Cab Services, Inc.Ground transp. while attending CUBE conf

CLEAi<<!..

SERVER

~\·~~ /'/,~:7:..~:;:;:~~.:)REFERENCENO. >a,

0occUJ

AMOUNT -~ ~

''/P i c,.'·'.. ~(f)::>0

2 "'"371 7b '.' J...OTV. DESCRIPTION .

SUBTOTAL

TAX.~;L~-l ' .,,.,I /,~·<->-'.I_SALES

SLIP

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....••,,11 I ~-1 !4· I !c,_··

Notification Details

;,~;.,~.~·lFinancial..~·:~;~,./:;Hyfanage1nent Expense Reports Mrqise instructions~:r..,:J.:_« .;:;~Si.."('t.011·1fli.. "sl·-.·~..J\...J,_l \...-. .

Page 1of2

ContactUs Home Logout Preferences !::!.filQ

Expenses: Exoenses Home > Expenses Home >

.ill Information' ,. .This notiflcation has been closed,with the result: Approve

~~_penseIEXP288771 for Barclay, Christopher (305.68 USO)

From Expense Report forIndividual's Cost CenterExpense Report Total

Attachments

Barclay, Christopher71101305.68 USOTo

SentClosed

ID

Barclay,ChristopherGibson, Rebecca08/05/2013 13:50:3808/05/2013 15:20:3914187851

Responder Gibson, Rebecca

Instructions.. ....•.•. .Please approve or reject this expense report. Please provide a Note if you reject

Ca_s~.a~tj 9t~'?E_E~penses:Business Expenses

Expense ReimbursableLine Date Typ·e Amount (USO) Justification

· Computer update and07/05/2013 Mileage 18.08 document signing - Carver

Education ·committee meeting2 07/08/2013 Mileage 18.08 _COB

·- -·· ......Linkages to Learning

3 07/09/2013 Mileage 11.30 Celebration - ImaginationStage _Lunch w/ Marcus Moore -

4 07/11/2013 Mileage 3.96 DTSSRamadan lftar Celebration -

5 07/14/2013 Mileage 27.69 Islamic Center of MarylandDrive for Supplies - Richard

6 07/15/2013 Mileage 16.95 Montgomery HS

7 07/15/2013 Mileage 18.08 Oral Argument - CarverDulles Airport - Flight to

8 07117/2013Mileage 18.36 SeattleDulles Airport - Flight to

9 07/21/2013 Mileage 18.36 SeattleBack to School Filming -

10 07/22/2013 Mileage 9.04 Glenallen ESMeeting w/ constituent -

11 07/22/2013 Mileage 18.08 CarverMeeting on School

12 07/22/2013 Mileage 31.08 Construction - Baltimore

13 07/23/2013 Mileage 18.08 Boardfiocs Training - CarverFiscal Management Mtg -

14 07/24/2013 Mileage 18.08 Carver

Expense ·AccountsUpdated · Attachments .

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

Yes

httn-//rP.srP.ntrlhl Rl m~m:mrl.nn:r:ROlS/OA HTMT./OA i.sn?OAF1mc=FND WFNTF DF.T... 4/lS/2014

. -·---- -·-·~.~Reimbursable: Payment

. AmountMethod 1Justification6.72 USO Mileage Strategic Planning - Carver6.72 USO Mileage Meeting w/ Superintendent -

CarverMeeting w/ CouncilmemberBransonState of Black Montgomery -Civic CenterMeeting w/ Chief of StaffMeeting w/ MCPS Staff -CarverWalter Johnson ClusterMeeting - Tilden MSEdison HS Open HouseMeeting w/ MCPS Staff -CarverA&S Meeting - Universitiesat Shady Grove

Notification Details

15 07/25/2013 Mileage

16 07/25/2013 Mileage

17 07/26/2013 Mileage

6.22 Meeting w/ Constituent

18.08 Ed Matters Taping - CarverOffice visit to sign Leasing.

18.08 documents - CarverMeeting w/ MCCPTA

18.08 Leadership - Carver305.68

18 07/30/2013 Mileage

Total

V Previously Submitted Expenses. :Expense:Datev · :Type

MerchantName

02/27/2014 Mileage02/26/2014 Mileage

02/26/2014 Mileage 5.60 USO Mileage


02/2112014_Mileage02/20/2014 Mileage

4.48 USO Mileage6.72 USO Mileage


0.2/20/2014Mileage02/20/2014 Mileage

1.68 USO Mileage6.72 USD Mileage

.02/19/2014 Mileage 8.96 USD Mileage

Page 2of2

Yes

Yes

Yes

Yes

~pprova~s HistorySe-Ci~bate · .. · Sta!us · ··Performer . . Approval Group _ Comments1 08/05/2013 15:20:40 Approved Gibson, Rebecca MCPS_IEXPENSE_APPROVER_GROUPS2 08/13/2013 11:15:15 Approved lkheloa, lkhide MCPS_IEXPENSE_APPROVER_GROUPS

Related Applications@) Expense Report Details

ResponseNote

Return to Work!istDDisplay next notification after my response

Copyr,\Jlit (c) 2006, Oracle. Ali rights reserved. Privacv Slatement



MONTGOMERY COUNTY PUBLICSCHOOLS " Rockville, Maryland 20850~

MCPSForm 234-21June 2009



For the period: From July Z9, 2013

Work location CESC, Room 123

To August 28, 2013 USE SEPARATE lOG !FOR EACIHACCOUNT

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

08/06/2013 08/09/2013 $19.67 Baja Fresh, Silver Spring Dinner Meeting 08/28/2013 504091

07130/2013 07/31/2013 $63.90 Bombay Indian Restaurant, Silver Spr. Dinner Meeting with Northeast 08/28/2013 504091-

Consortium (missing receipt)

OS/08/20l3 08/08/2013 $49.20 Eggspectation, Silver Spring Breakfast Meeting with MCCPTA 08/28/2013 504091

03/ 15/2013 08/I 6/2013 $20.00 Eggspectation, Silver Spring Meeting (missing receipt) 08/28/2013 504091

08/08/20 lJ 08/09/2013 $5.00 MCG DOT, Silver Spring Parking while attending Breakfast 08/28/2013 504001

mtg with MCCPTA (missing receipt),

Oo/07/20L3 08/08/2013 $16.75 Potbelly Sandwich, Silver Spring Dinner meeting 08/28/2013 504091

C3/27/2013 08/~8/2013 $36.36 Ted's 355 Diner, Rockville Lunch meeting with Srnondrowski 08/28/2013 504091

(missing receipt)

Total $210.88


I certify that, to the best of my knowledge, the transactions recorded for the month indicated on this purchasing card lqg are correct and complete. Allpurchases were made insupport of school programs as otiitlined in the Purchase Card Guide. I understand that any material misrepresentation or omission from this log maybe grounds for cancellation

-01-=F m,,..Lx,.'l!.~:..!..<'.~as&.eZ!_c~a~[!Lk:pr::'::iv~H~geL:~~isciplinaction. _1L;_l_;_L3_ \JJ p~ _jj_;_L;Sig1 ture, Card Member Date · Siqn~rovinq Official Date -!!5-

Prepared For

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5

IA'lifjCorporate ~lUlrcQ'iia.isiffiigCardmemlbletr fmepm't

ClosingDale08/28/13 Page 1of2

BalanceDue$ Do Not Pay

For important informationregardingyour accountrefer to page2.


For assistance or questions about your account, contact us at www.americanexpress.comicheckyourbiii orcall Customer Service at 1-800-492-4920.Activity Dale reflectseithertransactionor postingdale

Reference Code Amount SCard Numbs

::;p§t1t.lt§'?trnm~RP:§AT§#!'f§M]T~A~9~~¥§%J:r.. :08Iia~~ :·:~::-.: ·.'.'.::.. .::•.:.:::·:·:=.-::.T·:.:::..::: .' .,:<..·'::::..:·::n== 3~~2Q~rns,<~08/09/13 BAJA FRESH 84 330654 SILVER SPRING MD 00000099780 19.67/

REF# 0000009978· (30·1)587•65"42·· 08f06/13 ·-·-- ····· ·· -- -------····-01-/3_1_/1-3--B-OM_B_A_Y-IN-DIANRESTAU SILVER SPRING MD 35600001800 63.90

REF# 356000018 3015937222 07/30/1308/09/13 EGGSPECTATION RESTAU SILVER SPRING MD

REF# 18 301-585-1700 08/08/13FOOD/BEVERAGEROG NUMBER 18

18000000000 49,207

08/16/13 EGGSPECTATION RESTAU SILVER SPRING MDREF# 7 301-585-1700 08/15/13FOOD/BEVERAGEROG NUMBER 7

70000000000 20.00

08/09/13 MCG DOT 82751 PRKNG SILVER SPRING MDREF# 054806272 240-777-6000 08/08/13POTBELLY 036 5429298 SILVER SPRING MDREF# 000607265 3015629696 08/07/13

05480627200 5.00 !1i. I

I

36.36 !

08/08/13 00060726500

08/28/13 TED'S 355 DINER 5429 ROCKVILLEREF# 000841768 3013400088

MD08/27/13

00084176800

Total for CHRISTOPHER BARCLAY New Charges/OtherDebitsPayments/OtherCredits

210.88-2,209.86

Do not staple or use paper clipsPayment Coupon

Pleaseenter accountnumberon allcorrespondence.

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5R50 HUNGERFORD RM123ROCKVILLE MD 20850

Checkhere if address,telephonenumber,ore-mail addresshaschanged. Notechangesonreverseside.

D

Potbelly Sandwich Workswww.potbelly.com

911 ELLSWORTH DR C-8(301) 562-9696

Host: Roxi =)Ordel'156

Nantucket Nect.c;; ,...,., Sa1ad

"i 11ed Chickenlicken Salad

1e in Total

xxxxxxxxxx.-co1:502119

Try the "OMG" BLT!Order the NEW ToastyTurkey BLT sandwichwith Nueske's bacon!

--- Check Closed ---

QBIU7g

165

150

16 -75 '

16.75

**n'.ESTAURANT**BAJA FRESH SILVER SPRING 084

CJ5 1 5 F E N T 0 tl S TR E ETSILVER SPRING, MD 20910

GM: ~AMAL MOHAMMADPHONE: 301-587-6542

[1a t e : A u g CJEi ' 1 3 O 5 : 5 2 P HCard Type: AMEX

xxxxxxxxXX/XX5060159 9-r s100 MUHAMMAD

C BARCLAY

Acct lf:Exp Date:Auth Code:Check:

~-~~;}~ls p e c t a t i o 1 •

Server:

Subtotal: 1 9 . 6 7 001 8 TABLE 3 i!Partv2EVA L SvrCk: 4 9:51a OB/00/13DI NI NIC-lS I G N : -'- ___ _______ _ _ ___ _ ___ _ _ _ _ __.. _

I AGREE TO PAY THE ABOVE TOTALACCORDING TO MY CARD ISSUERAGREEMENl.

1 COFFEE 2.791 LARGE GF 4.591 Ill EGGSUBERANT 13.491 LOBSTER OMELETTE 17.99

Sub Total: 38.86STATE TAX : 2.34

08/08 10:4.=iaTOT ..!\ L : 4 ~

CUSTOMER COPYTHANK YOU ..... COME AGAIN SOON

0018Server: EV,~ L Rec: 1808/08/13 11:17, Swiped T: 3 Term: 2

EGGSPECTAT fON-"~ ~LLSWORTH DRIVE

:R SPRING, MD 20910...)585-1100

HANT#:

1 TYPE ACCOUNT NUMBERncAN E.~PRES xxxx~:xxxxx.3: C BAl~CLAY

uM TRANSACTION APPROVEDAUTHORIZATION #: 561855Reference: 0808010000018TRANS TYPE: Credit Card SALE

CHECK: 41 .20

TIP: -·-·--------~--- ---·

TOTAL

Gibson, Becky

From:Sent:To:Subject:Attachments:

Workflow Mailer from PFMS <[email protected]>Wednesday, September 18, 2013 9:06 PMGibson, BeckyAction Required: Expense IEXP294314 for Barclay, Christopher (232.24 USD)ATTOOOOl.gif;ATT00002.gif; Notification Detail.html

From Barclay, ChristopherTo Gibson, Rebecca

Sent 09/18/2013 19:05:41Due 09/23/2013 19:05:41ID 14253086

InstructionsPlease approve or reject this expense report. Please provide a Note if you reject.Cash and Other Expenses: Business ExpensesLine Date Expense Type1 08/02/2013 Mileage2 08/06/2013 Mileage3 08/06/2013 Mileage4 08/08/2013 Mileage5 08/08/2013 Mileage6 08/09/2013 Mileage7 08/09/2013 Mileage8 08/12/2013 Mileage9 08/i 6/2013 Mileage10 08/20/2013 Mileage11 08/20/2013 Mileage12 08/20/2013 Mileage13 08/2112013 Mileage14 08/22/2013 Mileage15 08/22/2013 Mileage16 08/22/2013 Mileage17 08/24/2013 Mileage18 08/26/2013 Mileage19 08/26/2013 Mileage20 08/26/2013 Mileage21 08/27/2013 Mileage22 08/27/2013 Mileage23 08/28/2013 Mileage24 08/28/2013 Mileage25 08/28/2013 Mileage26 08/28/2013 Mileage27 08/29/2013 Mileage28 08/30/2013 Mileage29 08/30/2013 Mileage30 08/30/2013 Mileage

Total

Expense Report for Barclay, ChristopherIndividual's Cost Center 33201Expense Report Total 232.24 USO

Attachments

Reimbursable Amount (USO) Justification6.78 Meeting w/ constituent - Carver6.78 Meeting w/ Carol Croll - Carver6.78 Meeting w/ Dr Zuckerman6.78 Meeting w/ Constituent - Silver Spring6.78 Document signing - Carver6.78 Meeting at Carver7.91 Dinner w/ Herman Taylor - Chevy Chase6.78 Meeting at Carver6..78Meeting on Construction - Carver5.65 Meeting w/ Constituent Silver Spring6.78 Meeting w/ Rep Delaney's Rep - Carver9.04 Dinner w/ constituent - Bethesda6.78 Most Hopeful Teacher Event - Carver7.91 Meeting w/ Unions6.78 Items meeting w/ Dr Starr6.78 Agenda Setting - Carver6.78 Back to School Fair - Carver3.96 School Visit Weller Road ES4.52 School Visit Nothwood HS4.52 School Visit Sligo.MS3.96 School Visit Rockville HS5.65 Lunch w/ Ms Smondroski - Rockville6.22 School Visit Bethesda - CC HS6.78 School Visit Bethesda ES7.35 School Visit Rosemary Hills ES6.22 School Visit Hoover MS6.78 Items w/ Dr Starr - Carver

24.86 School Visit Damascus HS22.60 School Visit Baker MS10.17 Tour of Gaithersburg HS

232.24

Attachments

1

Previously Submitted ExpensesDate Expense Type Merchant Name

07/30/2013 Mileage

Reimbursable Amount Payment Method JustificationMeetingw/ MCCFTALeadership - CarverOffice visit to sign Leasingdocuments - CarverMeetingw/ ConstituentEd Matters Taping - CarverFiscal Management Mtg -CarverBoardDocsTraining - CarverBack to School Filming -Glenallen ESMeeting on SchoolConstruction - BaltimoreMeetingw/ constituent -CarverDullesAirport - Flight toSeattle

18.08 USOMileage

07/26/2013 Mileage07/25/2013 Mileage07/25/2013 Mileage

18.08 USOMileage6.22 USOMileage

18.08 USOMileage

07/24/2013 Mileage07/23/2013 Mileage

18.08 USOMileage18.08 USOMileage

07/22/2013 Mileage 9.04 USOMileage



07/21/2013 MileageApprovals HistorySeq. Date1 09/18/2013 19:05:40

18.36 USOMileage

Status Performer Approval GroupNotified Gibson, Rebecca MCPS_IEXPENSE_APPROVER_GROUPS

Comments

Related Applications@l Expense Report Details

Copyright (c) 2006, Oracle. All rights reserved.

Please click here to Respond

2

~

MONTGOMERY COUNTY BOARD OF EDUCATIONRockville, Maryland

May 22, 2013

MEMOR.A.NDUM

To: Mrs. Susan Chen, ControllerDivision of Controller Qw>

Ikhide Roland Ikheloa, Chief of Staff~ -From:

Subject: Check Request Payable to Christopher Barclay, ID

Please issue a check in the amount of $32.50 in reimbursement of the attached receiptsfor transportation and meals while attending meetings and deposit check.

Please charge the account numbers indicated.

Mr. Christopher Barclay$14.00 - BOE Expense .$18.50 - Out of State .

Thank you.

IRJ:rlg

Attachment

C}t 091'.W13 - Montgomerv Countv Council Bui Iding. Cafeteria -Lunch meeting with Council Member Valerie Ervin

\'('UR R- c: t''= Ip·1··(_} 1L.~Jt.

THAN!< YOUi).\ '09/2013 '12:18PM Iii1jo:J000#0119 CLERKOl

liH [LL11fHLLiofHLL!iRILLILfHLLHliSE STi AX1

T I $1 . 1)()

T 1 $4. 110T 1 $1. 1.11.J

T 11$4. :JUI I $2. 00$14. 00$0. ii~

l fEMSCASf 1

04/ 16/2013 - Santiago's Cab - NSBA Conference -Ground Transportation to Airport from Hotel

TO Ar r pDrtCAB# AMOUNT$ d 3. SDDRIVER DATE_!±_I 11!2._ I~

Thank. You - Call UsAgain

619-420-9589 or 619-690-5870. from Mexico Tel: 664-630-12-43

04/13/2013 - NSBAConferenceSnack while attending conference

'iOUR RECEIPTTHANK YOU

1J4/13/2013 3; 30PM O 1-100000#5091 CLERkO1

.PECIAL COQl{lf i2.5U~PECIAL COOKIE $2.50

~TPISCAS': ''.>. 00



MONTGOMERY COUNTY PUBLICSCHOOLS • Rockville, Maryland 20850

MCPS Form 234-211June 2009

~



For the period: From August 29, 2013

Work location CESC, Room l 73

To September 28, 2013 USESEPARATElOG FOREACH ACCOUNT

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

09/25/2013 0912612013 $7.00 Colonial Parking, Rockville Parking, Board Retreat 09/28/2013 504091_,

09/19/2013 0912012013 $4.45 DC Parking, Washington Parking, Congressional Black Caucus 09/28/2013 504001

Annual Leg. Mtg. (missing receipt)

09/12/2013 09113/2013 $34.99 La Madeleine, Rockville, Lunch meeting with R. Smondrowski 09/28/2013 504091

09/12/20 l3 0911212013 $3.00 MCG DOT, Silver Spring Garage Parking, Montgomery Moving 09/28/201 J 504001

Forward Event

09/ 17/2013 0911.8/20 l 3 $31.79 Staples, Rockville Supplies for iPad, Stylus 09128120 l3 503030

09106120 l3 09/07/2013 $32.00 The Wine Harvest, Potomac Lunch meeting with R. Srnondrowski 09/28/2013 '504091

09119/20 l3 0912012013 $14.00 The Woodside Deli, Silver Spring Meeting (missing receipt) 09/28/20 l3 50409!

Total $127.23

CERTlflCATION STATEMENT

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. All purchases were made insupport of school programs as outlined ir;))le Purchase Card Guide. I understand that any material misrepres tion or omission from this log maybe grounds for·cancellationof my/p'V"c~e cardfrivil~ and./~~. ~Ii nary action. . . -rr

UU4/~A/L,-,; A.c;L,&:h . JL;_I_; 1'3 lL1LtLDate Date

'Corporate Purchaisirng~ardmember Repo~t _i\;.ww.arnericanexpress.com/checkyourbitI

P1ep:>Jed ForCHRISTOPHER BARCLAYMCPS MDTAX 3000123-5

- .- . - - - - - - . - - - - - - - - - - - - - - - - - - - - - - . - - - . - --.-.-·. . - ..~~tisirg-Ueuo:::

09/28/13 Page 1of2

PreviousBal.)flCe $ New Charges$ OtherDebris$ Payments$ OtherCr..:Jrts$

I 21o.88ll 127.23ll o.ooll:= . · ·=· ~~=o.~~ll·r o:oo.1

BalanceDue$ Do Not Pay

For important informationregardingyour accountrefer to page 2.


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

I\ .'f'"lo.foR..,I!!.;~,~ Dalereflectseitheruensactonor poslirrJ dateJ.,O...C.~:lol'\-=ll"-:1

Card Number ReferenceCo:fe Amount S

OS/05/13 ·.·CORPORATEREMITTANCERECEIVED·~~~~~~~~~~~~~~~~~~~

09/26/13 COLONIAL PARKING #77 ROCKVILLEREF# 18890008 202- 295- 816~- -PARKING FEESROCNUMBER18890008

---··---------·-·----------09/20/13 DC PARKING 0000 WASHINGTON

REF# 18178676 202-671-2020FINESROCNUMBER18178676

.09/05:' ": -210.88: .MD

Q9/25/1318890008000 7 oo.

DC09(19/13

18178676000 4.45

------09/13/13 LA MADELEINE 20 ROCKVILLE MD 02940030000 34.99 ~

REF# 0294003 FAST FOODRESTAU09(12/13-·-09/12/13 MCGDOT 82751 PRKNG SILVER SPRING MD 03149526900 3.00.

REF# 031495269 240-777-6000 09I12/1309/18/13 STAPLES 00912 ROCKVILLE MD 00063086600 31.79.

REF# 000630866 (800)333-3330 09/17(1309/07/13 THE WINE HARVESTPRK POTOMAC MD 32490249817 32.00

REF# 32490249817 240-314-0177 09/06/1309/20/13 THE WOODSIDEDELI SILVER SPRING MD 85101653263 14.00

851016532 USFC20910 09/19/13ROCNUMBER851016532639BOOO

Total for CHRISTOPHER BARCLAY New Charges/OtherDebits 127.23Payments/OtherCredits ,210.88

Do not staple or use paper clipsPayment Coupon

Pleaseenter accountnumberon allcorrespondence.

CHRISTOPHER BARCLAY·::i;~::M CP S MDT AX 300 0 123 -5~ 850 HUNGERFORD RM123~ ROCK~ILLE MD ~08tiG

Check here if address,telephonenumber, ore-mail addresshaschanged.Notechangeson ;reverseside.

D

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·-:

la Madeleine11858 Rockville Pike1~.11kvi lle, MD 20852

\JU 1) 984-2270C0mments or Suggestions?

1-866-328-3736Date: Sep12'13 01:39PMCard Type: AMEX·Acct~: XXXXXXXXCard l..try: SWIPED·rans l.pe: PURCHASE·rans Key: DID001402514119uth Code: 528723heck: 6706:heck ID: X 1'erver: 10263 Karla.

MONTGOMERY COUNTYWAYNE AVE GARAGERECCIPT K20

r.01\JfRY TIME:)9/12/L1 07: 5.::or r n-s .)9;12/13 10:3bJARK-DU!i.: HRS:Mirl

ota 1 34.99agree to pay the above amount

in accordance with my cardissuer agreement*****No Signature Required*****CUSTOMER COPY

0:02:41

$ 3.00

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xxxxx 101AJfH. CODE 582284No Side

No SideLemonadePotato CupTk 51"•2

Ulll·SNO BREADON TOPSPFCIAL PREPMush room CupPerrier·<xxxxxxx,AMEX

2.393.999.49

rHANK Y8o11 FOR \OUR

0.uU3.992.29

34.99

suotor .' 33.14Tax 1 .85Pay111e1il 34.99

--------------4 Check Closed-----------·--------·-----Sep12' 13 01 :39PM-----.--------

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600l/81/s

09![!6{2013 - The Wine Harvest, GaithersburgLunch meeting with R. Smondrowski

T~e Wine Harvestwww.thewinehar~est.com

240-314-0177

OAlE/T!ME: 3/6/2013 2:45:17 PMSERVER: Stephanie AdamsSTATION: 01

that was easy.Low prices. Every item. Every day.

1531 Rockville PikeRockville, MO 20852

(30 l) 881-63901631507 6 006 31·0912 09/17/13 o~ ···.

lABLfl 10 Invl 83~09.1Closed to Credit Cara -· Amt·: :can txpress

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Item Count: 13

2 CUP SOUP~Soup 2

1 CHI CKEN SALAD SAMO#ToastCh ipsPicklesND BREAD

1 lURKEY CRAN SANDIPurnp.srnickelChips/Grapes

1 FOUNTAHJ :soDAtt

$8.50

$7.50

-)KUREWARDS NUMBER 2230585800

':1ACOM Bii.MBOOSTYl.U·5::-;': 8991829·TAL;tandard Tax 6.00%

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$7.50

29' .••..29 -'-·1 ;::.

$31 }':;

$2.00 ··· ican ExpressNo. : XXXX ./XX [SJ

.,, · ·. No. : 502353

3=============~===~==================·======SubtotalTax 2Total before tip:

$25.50$1 .53

$27.03

T ip amount: TOTAL ITEMS 1

L11·eindtotal:

CREDIT CARD PURCHASE $27.03...:a;·d Type.: .~m"«i•'iill Express

HH>-Ht:~ XX/XXTransaction 1yµ~: PRE-AUTHRef Nurn: 327501745.uth Code: 1547664

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2013 barclay (3) june- september

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