2013 barclay (4) september - december

Expense Report IEXP294458<0 TIP Hint: Print in landscape format to include all displayed information. Use your browser Back button to exit the printable page view.

General InformationName Barclay, Christopher S (80313)

Expense Dates 09/03/2013 - 09/30/2013Cost Center 33201

rsxpense xeport ltAYL~'·J.L+JIS

PurposeReceipts Status Not Required

Report Submit DateAttachmentsReport Total

Reimbursement Amount

10104/2013None209.62 USD209.62 USO

-----r--[;;r;~~~-~-Li~~~- :·--E~i:i-e~sef\llo-cali·0ns-· . ··----·------ ·····------.. . ·-·-Weekly Summary Approval Notes [OJ Approvers

Business ExpensesMileage Expenses

Expense Trip MileageStart Date End Date Type Justification Distance Rate

09/20/2013 09/20/2013 Mileage Meeting w/ Deputy Sup 12(Miles) 0.565

09/03/2013 09/03/?013 MileageUpdate on Community Engagement -

12(Miles) 0.565Carver

09/03/2013 09/0312013 Mileage Meeting on Evaluation process 12(Miles) 0.565

09/03/2013 09/03/2013 Mileage Meeting w/ Dr Chueng - Rockville 17(Miles) 0.565

09/04/2013 09/04/2013 Mileage Quarterly Conversation - Carver 12(Miles) 0.565

09/06/2013 09/06/2013 Mileage Meeting w/ Ms Smondrowski - Rockville 1O(Miles) 0.565

09/09/2013 09/09/2013 Mileage Fiscal Management Cttee - Carver 12(Miles) 0.565

09/09/2013 09/09/2013 Mileage Worksession Prep - Carver 12(Miles) 0.565

09/09/2013 09/0912013 Mileage Kennedy Cluster Leadership Mtg - EOB 10(Miles) 0.565

09/12/2013 09/12/2013 MileageMontgomery Moving Forward - Discovery

12(Miles) 0.565Comm. Silver Spring

09/12/2013 09/12/2013 Mileage MoCo Hispanic Gala - Filmore Silver Spring 12(Miles) 0.565

09/13/2013 09/13/2013 MileageLunch w/ Anne Arundel BOE members -

0_565Carver 12(Miles)

09/16/2013 09/16/2013 Mileage Tour of Community Montessori - Kensington 6(Miles) 0.565

rage I or L•.

. ReimbursableAmount (USO)Details Attachments

6.78 ~

6.78 t!iJ16.78 ~

9.61 ~

6.78 ri!l5.65 [ii)6.78 ~

6.78 ~

5.65 ~

6.78 ~

6.78 ~

6.78 ~

3.39 ~

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- Expense Report IEXP294458 of2

09/16/2013 09/16/2013 Mileage Meeting w/ Council - COB 10(Mi1es) 0.565 5.65 [ii!].09/16/2013 09/16/2013 Mileage Taping Education Matters - Carver 12(Mi1es) 0.565 C.78 (Ji.09/18/2013 09/18/2013 Mileage Wooton Cluster Meet & Greet 24(Miles) 0.565 13.56 [iJj-09/19/2013 09/19/2013 Mileage

CBC Legislative Weekend - Convention24(Miles) 0.565 13.56 aCenter

09/21/2013 09/21/2013 Mileage Truckload of Books Event - 6(Miles) 0.565 3.39 [ii09/2112013 09/2112013 Mileage NAACP Parents' Council Mtg - Carver 12(Miles) 0.565 6.78 ii.09/24/2013 09/24/2013 Mileage Education Matters Taping 12(Miles) D.565 6.78 ~

09/44/2013 09/24/2013 Mileage Testimony on SAG - COB 10(Miles) 0.565 5.65 ii09/24/2013 09/24/2013 Mileage Meeting w/ Sen. Madalena 1O(Miles) 0.565 5.65 rm09/25/2013 09/25/2013 Mileage Eval Worksession at Rockville Library 1O(Miles) 0.565 5.65 [i]09/25/2013 09/25/2013 Mileage Meeting on School Construction - Carver 12{Miles) 0.565 6.78 ~ -

09/25/2013 09/25/2013 Mileage Boy Scout Dinner - Gaithersburg 18(Miles) 0.565 10.17 ~ .

09/26/2013 09/26/2013 Mileage Meeting on MABE Presentation - Carver 12(Miles) 0.565 6.78 BJ.09/26/2013 09/26/2013 Mileage Meeting w/ MCAAP 14(Miles) 0.565 7.91 R-

09/30/2013 09/30/2013 Mileage Meeting w/ Administration - Carver 12(Miles) 0.565 6.78 lff~JI09/30/2013 09/30/2013 Mileage Meeting w/ Japanese Delegation 12(Miles) 0.565 6.78 ~

09/30/2013 09/30/2013 Mileage NAACP Opening Event 10(Miles) 0.565 5.65 61Total 209.62

··----------~---···- -··--·---·-·-·-···-·-------·-·-------·-------.·-- -·· ·-·· - ·---------~i Expense Lines : Expense Allocations Weekly Summary Approval Notes [O] Approvers

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

http://cescentdb 183.mcpsmd.org: 8035/0A _HTML/OA.j sp?ReportI-Ieaderid=% 7B%21 %21aaSDzgWrnR6WdZ9btTr3bQ%7D&... 10/4/2013

PURCHASING CARDCard Member Transaction Log

Office of the Chief Operating OfficerDepartment of Materials Management

· MONTGOMERY COUNTY PUBLICSCHOOLS • Rockville, Maryland 20850

i)Mcrs0~

MCPS Form 234-21June 2009

Card member name Christopher Barclay

School/office name Board of Education

For the period: From September 29, 2013

Work location CESC Room I? 3

To October 28, 2013 USE SEPARATE LOG !FOR IEACIHACCOUNT

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

I0/12/2013 10/13/20 l3 $10.59 Maiwand Grill, Burtonsville 10/28/2013 504091 (.--

I0/24/2013 10/24/2013 $7.74 Starbucks, Silver Spring Breakfast meeting with Constituent I0/28/2013 50409 l L-·

I0. 16/2013 I0/17/20 l3 $102.81 Staples, Glenmont Printer Supplies, Ink. 10/28/2013 503030 i---

10/24/2013 10/25/2013 $i2.56 Staples, Glenmont Office Supplies I0/28/2013 503030 ~·

'10/24/2013 I0/25/2013 $60.00 Ted's 355 Diner, Rockville Incorrect amount charged 10/28/20 13 504091

l 0/24/20 l3 10/2512013 -$60.00 Ted's 355 Diner, Rockville Charge revcw 10/28/2013 504091

10,24/20 I3 I0/25/2013 $70.00 Ted's 355 Diner, Rockville Meeting with MCCPTA I0/28/2013 504091 /---

10/28/2013 l0/28/1013 $30.48 The Original Pancake House. Rockvi!l Breakfast Meeting with Constituent 10/28/20 13 5.04091 L.

l 0/04/2013 I0115/2013 $6.09 Wawa, Rehoboth Beach, Delaware l 0/28/2013 504091

I0/02/2013 . I0/08/20 13 $15.00 Wendy's Restaurant, Wheaton, MD I0/28/2013 504091

Total $265.27

CERTIHCATION STATEMENTI certify that, to the best of ;TJY 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 in the Purchase Card Guide. I understand that any material misrepresenta,ti~) or omission from this log maybe grounds for cancellationof my purchase ;J~tl~ge. and/or dis 7plinary 'c~~ _-;,1

~-?-V ,,~ , . , , 1 1_1_1--1..!/.- _ - _( 1!1__1 iv~Date 5if nature, Approving Official Date [



MONTGOMERY COUNTY PUBLICSCHOOLS• Rockville, Maryland 20850~



School/office name Board of Education

For the period: From September 29, 2013

Work location CESC. Room 123

To October 28, 20 13 !USIESEPARATE LOG fOR /EACH ACCOUNT


1012512013 I012612013 $27.53 American Tap Room, Rockville Lunch meeting with Constituent l0/28/2013 504091 .v

10/03/2013 10/04/20 13 $17.59 Clarion Fontainbleau, 0.C., MD Meal while attending MADE Conf. I0/28/20 13 504091 v

10/01/2013 10/02/2013 $10.00 Colonial Parking, Rockville Parking, Board Retreat 10128/2013 50400 I ,__.

I0/25/20 l3 l0126120 l 3 $3.00 Colonial Parking, Rockville Parking, Meeting with Constinuent 10/28/20[3 504001 v

lO/l5/20 l3 IO/l6/2013 $43.00 Enterprise Rent A Car, Wheaton od.. l 0/28/20 I3 504091

10/15/2013 IOfl6/2013 $30.00 Enterprise Rent A Car, Wheaton rr\ l 0/28/2013 50409!\

10/17/2013 IO/!7/2013 $27.46 First Watch Restaurant, Rockville Breakfast meeting with Dr. Statham I0/28/2013 504091 L-·

I0/0t/2013 10/02/2013 $18.02 Lebanese Taverna, Rockvi Ile Lunch meeting with Council Staff 10128/2013 504091 L--

Tot11I $176.60

CERTIFICATION STATEMENTI 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 ofschool programs as outlined in t).1eP~ase Card Guide. I understand that any material mlsrepresentation r omission from this log maybe grounds for cancellationof myu~.~c,!;>ay.card ,rivilege /or dis ~lin,a action; ~; J ~·· 6,«A I · _ . ·- .L.1i1-1!L l?.x _l_L1 1Lt

Date Signa~ure, Approving Official Dote ~

I

Prepared For

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5

Account Number Closing Dale10/28/13

Page3 of 7

10/16/13

Activity Continued Reference Cede Amount S

ENTERPRISE RENTACAR WHEATON MDR/A# 0812179 AUTOMOBILE RE 10/15/13

ENTERPRISE RENTACAR WHEATON 100147LOCATION DATE/TIMERENTAL AGREEMENTWHEATON MD 10/15/13 0812179122220RETURN TR#WHEATON MD 10/15/13C BARCLAY

4300

1D/16/13 30.00ENTERPRISE RENTACAR WHEATONR/A# D812179 AUTOMOBILE RE

ENTERPRISE RENTACARLOCATION DATE/TIMERENTAL AGREEMENT

MD10/15/13WHEATON 100147

10/17/13 2DD200COOOO 27.46i

WHEATOI':122220RETURN TR#WHEATONC BARCLAY

MD 10/15/13 D812179

10/02/13 18~02,:

-10/13/13

MD 10/15/13

FIRST WATCH 91 FIRST ROCKVILLE MDREF# 20020 100 N~N MARKET S 10/17/13LEBANESE TAVERNA TOW ROCKVILLE MD'REF# 0 3013098681 10/01/13

85353533286 10.59,/MAIWANO GRILL BURTONSVILLE MD853535332 USFC20866 10/12/13ROG NUMBER 8535353328698000~~~~~Starbucks #11130 Sil Silver Spring MDREF# BTVPVZ FAST FOOD RESTAU 10/24/13

10/24/13 7.74i

00063614600 102.81.;10/17/13 STAPLES 01243 SILVER SPRING MDREF# 000636146 (800)333-3330 10/16/13

00063742200 22.56T '10/25/13 STAPLES 01243 SILVER SPRING MDREF# 000637422 (800)333-3330 10/24/13

0009167290010/25/13 TED'S 355 DINER 5429 ROCKVILLEREF# 000916729 3013400088

MO10/24/13

00091673400TED'S 355 DINER 5429 ROCKVILLE MDREF# 000916734 3013400088 10/24/13

w~~?:=~f=r~n1~,.J~{i::~::_:=:::~-~~so~~~j~i~;R5~S~~~gg~~~LE-::}0}24:~~~> '

10/25/13

10/28/i3

.. ·..:

THE ORIGINAL PANCAKE ROCKVILLEREF# 000024 301-468-0886FOOD/BEVERAGEROG NUMBER 000024

MD10/28/13

00002400000 30.48-{

10/08/13

·;·:t,\~l:\ 2·~-8 CQC0QC0C02 2 ?'=~08-'JTH 8~.A.C OEREF# 000048394 8004449292 10/04/13

6.09

WENDY'S #193 0000001 WHEATONREF# 29566062 4107213770RESTAURANT CHARGESROC NUMBER 29566062

MD10/02/13

29566062000 15.00

Total for CHRISTOPHER BARCLAY New Charqes/Other DebitsPayments/Other Credits

501.87-187.23

Sigfil~up:~:o:r:t»irilm1~:::=:-••s•atementsCorporate Purrchas511'llg

~ardmember R.epowii www.americanexpress.com/checkyourbjU.

Prepared For

CHRISTOPHER BARCLAYMCPS MDTAX3000123-5

Account Number ClosingDale10/28/i 3 Page 1 of 7

PreviousBalance$ New Charges $ Other DEbns$ Payments$ OtherCredtts$

I 127.23ll 501.87ll 0.0011-:r> ·> 12.7.$3ll:···· · .•6e:9olBalance

Due $ Do Not PayFor important iniormationregarding your accountrefer to page 2.

See Page 5 For A Notice Of Changes To Your Agreement

For your records only - do not pay. IFor assistance or questions about your account, contact us at www.americanexpress.com/checkyourbill orc~J! Customer S8:-v:se at 1-80~-4e2-~·920.

Activity Date reflectseithertransactionor postingdate

ReferenceCo:Je Amount$Card Number'''iW-0/'.ffS''':~:ot;;:ORf.ibBATE.F\~MITT,A.NCERECEIVEIJ : ·.:.iOioi<' .10/26/13 AMERICAN TAP ROOM-RO ROCKVILLE MD

REF# 1025125707 301·838-4281 10/25/13FOOD/BEVERAGEROG NUMBER 1025125707

10251257070

..~12723 .27.53/ i

10/04/13 CLARION RESORT FONTA OCEAN CITY MOREF# 0 4105243535 10/03/13

17.59,/

10/02/13 COLONIAL PARKING #77 ROCKVILLEREF# 18890009 202-295-8167PARKING FEESROC NUMBER 18890009

MD10/01/13

.B890009000 10.00 'i

10/26/13 COLONIAL PARKING #77 ROCKVILLEREF# 18890009 202-295-8167PARKING FEESROC NUMBER 18890009

MD10I25/13

18800009000 3.00j

Continued on Page 3

Do not staple or use paper clips

Payment CouponPlease enter accountnumber on allcorrespondence.

CHRISTOPHER BARCLAY..MCPS MDT AX 3000123- 5·850 HUNGERFORD RM123ROCKVILLE MD 20850

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

D

10/17/2013 - First Watch Restaurant, RockvilleBreakfast meeting with Dr. Statham

1 I J .._.. - , • -·

10/0112013 - Lebanese Taverna, RockvilleLunch meeting with Council Staff

Server: KeeganCashier: HostTable 2/1Guests: 2

10/17 /2013

9: 19 AM .ebanese Tave; ·r1a -. tockv i I I c:~.S:,v.10. Ctr

115A Gibbs StreetRockvi I l e, MarylandTel: (30i) _309-13681··t11ed( --:i2679fl

#200LReprint#:Order Type: ORDER

: 1'*************~~***************f*****~

78-32.3910.380,6211. 00

/er : Cashier 3;iie: 933

Dnte: 10/01/2013Time: 14:25

itional w/Bacon

SubtotalTax

Total

AMEX**********BARCLAY/CAUTHMERCHANT#

582463gggg

ONLINE

)

:***********'~************************-~ u1apefruit 3.29Traditional w/Bacon -7.99

Subtotal 11.28Tax 0.68

Total 11.96

>UBTOT.AL $ 1B _02·

TIP $

TOT.AL $ -----·---

mplete Subtotalr ' CUSTOMER COPY **

x #XXXXXXXXX"uth:567480

= Total:

Cal I us for catering!For mere information go towww.LebaneseTaverna.com

or call the Catering Departmentat 703 .84 I . 1503

Tip:

Thank you for dining with us .

.lance Due 0 .I

Join our Sur: erl1hand we'll send you a BOGGAsk Your host to. details.Was everything fantastic?

Revi e~-J11'=' ,.,., vrt n'

.:10/25/2013 -American Tap Room, RockvilleLunch meeting with constituent

10/03/2013 - Clarion Fontainbleau, Ocean City, MDMeal while attending annual 1'1ABEConference

American 'iap Room35-A Maryland AvenueRockviT1~: MD 20850Phone 301-838-4281

W~'JW. ameri cantaproom. com

Clarion Fontainbledu HotelBreakers ~ub

2029 Delauder 3

'')79 Megan S CHK 1532 OCT03'13 3:01PM-------------------------------~----503/1 Chk 1008

Oct25'13 12:21PMGst

Iced TeaSoup Options

1 Baguette Bread1 LUNCH Chix Salad

2.75n.oo.on

Basket Frles 6.00Wings 8.00

------------------------------------

SubtotalSales Tax

12:45PM Total

21.251. 28

22.53

Food0.5% City6.0% FoodTota i:

14.00Tax 0.07Tax 0.84$14.91

¢--":;~'Tio

Please join our E-Club at1

www.americantaproom.com""I.

10/25/2013 - Colonial Parking, RockvilleParking, meeting with constituent

10/02/2013 - Colonial Parking, RockvilleParking for Board Retreat

WELCOME TOROCKUILLE TOWH SQUARE WELCOME TO

ROCKUlLLE TOWH SQUAREPLEASE KEEP THIS TICKET

WITH YOU PLEASE KEEP THIS TICKETWITH YOU

Entered:2~~a1rn;ri1 ris:a7 Entered:

2H13/1fl/25 11:56Ticket#:1734894291Our:6:31:42 TicHet#:1736979793Paid On:21113/1fl/fl115:\]9

Our :1:57:42Poid On:2~13/10/25 13:54

?aid:$originalChange:$AMEXSC:$

1\l.flllFee:$ rn.flfl

ll.llll

a.aa

Paid:$ a.aeOriginal Fee:$Change:$ fl.llflAMEXSC:$ H.HH

********** sAMERICAHEXPRESS

AMERICAHHPRESSSeq# 798985

Seq# 799266Purchase 13/1fi/H115:14:44

Purchase 13/10/25 13:59:37Ruth# 584541

AutMI 52&9~1

· SKll Pf~I;-:·-

,,: ALEXANDRA H (#%2) · kL.124/13 18:47, Swiped T: 39 Term.

TEI)' S 355895 ROCKVILLE PIKEROCKVILLE, ND 20852( )MERCHANT 11:

CARD TYPE ACCOUNT NUMBERAMERIC!\N EXPHES XXXXXXXXXXXX1008Name: C BARCLAY00 TRANSACTION APPROVEDAUTHORIZATION #: 542962Reference: 1024010000135

JS TYPE: Credit Card SALE

JECK:

! \lllE ORIGINAL, l'ANCAl<E •H12224 ROCKVILLE PJKERUC/(VJLLE, 110 2flS52

Mcrc~hanL ID:\ 00fJQ~00ll26~77U'If erm -,!(r-: G.:392246-~<:J ~J24HG239

that Wc)S easy.Lm; prices.- Every item. Every day.

12389 Georgia Avenue·GLENMONT, MD·20906 ·

(301) 949-[)501- 'll01006 9 006 3·-.... -

1243 10/24/13 ,~ ·:~111.E

•..• - • i.-·.1·H;t>~··.•t-Yf-->-ti'fN-.1t:1·~·t1'r:t:tt-ffi-i"-f:t·-~-n:f.i:"'!'""'f

•.;: r: Sa .1e_,-

fk'lf :1'.!·Hi !,JST,U.PIY3 tl.!jX'l 1 en7181030269•19

. OTALSta11da1·~1Tax fi .00%

. .L

15.--l<'.·i·.

5. 'i

21. ',''.;'._'1 . :~.$22.ot,

58.77

AMEXxn.xm.xxxx1~0srntrY Method: SwiPrJ

+vd: Online Batchll: 00~--·i3 09: q~:P: /I . 2 3----·------ -·-

___ Jt__'?_ .. 12QInv II: 00(1024 APPt Code: S66S

American hp ressCa rd No . : XXXXXlAuth No. : 528270

22.56 ITAL:- 3J

TOTAL .ITFMS 2 Amount:f ip:

25.6q

x ··-·------------~·--------~··----·-·------- Total:Save with Staples Brand products,

the most trusted brand in oft ice orodocts.====~=~~~~==~==:

THANK YOU FOR SHOPPJW; /l.T STAPLESPHONE: ( )***Duplicate COPY*** Cusl:on1~r· Eo pv

laptops ancl tablets to snack:tu1·a and naner, as a Star

1111~mber,you vri 11 get ., ·' ,.no matter how ,_.,,store or onr: '>.

CARDHOLDER WILL PAY CARD ISSUER ABOVEAMOUNT PURSUANT ·ro CARDHOLDER AGREEMENTSIGNED COPY -- MERCHANTSuggested Gratuity

GRAT 18% 9.98~QAT 20% 11 .09

- <5% 13.86

Sl-:Gp on I ine at \~~1~1.st ap 1es .com

l1..:1"'r..h nn t ID: 511;·1,· ~' l Sb 61,.,-11, l [I: 5E91

CHI< 72195610/24/2013 09:30 AM

1813432 Drawer: 2 Reg:

~~ ..... ·--iithat was easv,

Low prices. Ev~ry item. Every day.12389 G~orgia AvenueGLENMONT, MD 20906

(301) 949-fl501:,Ail 13[)4858 14 006 36141-i

1243 10/HJ/13 05:1ilI

, U PRL 1.

REWARDS NUMBER 2230585800.!:1 940XL BLl</940 C·1t3611236759tl 96.L.

:111" 11 , rAL 96.1 ·

..tandard Tax 6.00% 5."\• $102, I

l 0/24/2013 - Starbucks, Silver SpringBreafast meeting with constituent

MnJWAND .GR[LL15SUU OLD COLUMHIA ~\HEUURTONSVILLE. MD 2H8GG

381-qz1-"251

STARBUCKS Store #11130I ,

l0155.New Hampshire AvenueSilver Spring, MD (301) 439-0527

Sale Tl Chai T9a Latte 3.45Soy 0.60

Rf Tky Clsc Brkfst 3.25Amex 7.74XXXXXXX\

A11EX

XXX~XX~XXXX1008)Iet h" .J · ~ .., : 1'" ,;I I!·I ·,,ti• ~ v ~ \j

$7.30$0.44$7.74$0. C·

. ... ican ExpressNo. : XXXXXX\

• 1 t , • No . : 5R9367

102. ·.J: 0 i'1 lw 1)at; i ii : 0~00~1·'., 111 13 ')'\: ..•• _.J,. l."': ti.: :tJ.J

:}(1j~00B8 11r'1'r ~oae: S8'182:J

SubtotalTax 6%Total

Change Due

[SJ

TOTAL TTEMS 1

$ 10.S9 -------- ·- Check Closed ------------··10/24/2013 09:30 AM

Tot. al:~ 'Jave t~.ith Staples Brand prodr~+~~ nost trusted brand in office~ Juucts.

~ANK YOU FOR SHOPPING 1 STAPLES !C ll ~.,1. l)jiL12 1' Curi 't Starbucks(R) Ethiopia

floral with pepper-spicenotes. Discover our newest

offering from thebirthplace of coffee.

Shop Online at www.staples.com

1· r Jin laptops and tab 1ets to snacks,Jrniture and paper, as a Staples

~Hwards member, you will get 5% back,Jfl it a11, no matter how you shop -

in store or online.

111111111111111111111I111111111:11.11~Ill! Ill IUllllll·ll 1111111124'31Ulb13'.:lG!460fi

expense r.eport l.tAr .L'10j1l'l Page l of 2 .-

ReimbursableAmount (USO) Details Attachments

5.65 l~I175.15 1:1

Expense Report IEXP2963180TIP Hint: Print in landscape format to include all displayed information. Use your browser Back button to exit the printable page view.

General InformationName Barclay, Christopher S (80313)

Expense Dates 10/01/2013 -10/31/2013Cost Center 33201

PurposeReceipts Status Not Required

Report Submit Date 10/31/2013Attachments NoneReport Total 439.06 USO

Reimbursement Amount 439.06 USD

I --·· - .Expense Lines : Expense Allocations Weekly Summary Approval Notes [O} Approvers

Business Expenses

Mileage ExpensesExpense

Start Date End Date Type JustificationTrip Mileage

Distance Rate

10/01/201310/01/2013 Mileage Board Self Evaluation - Rockville 1O(Miles) 0.565310

10/02/2013 10/02/2013 Mileage MABE Conf. Ocean City Roundtrip (Miles) 0.565

10/07/201310/07/2013 MileageMeeting w/ Montgomery County Community

10(Miles) 0.565Foundation

10/07/2013 10/07/2013 Mileage Time2Talk Forum - Richard Montgomery HS 9(Miles) 0.565

10/09/2013 10/09/2013 Mileage A&S Meeting - USG 16(Miles) 0.565

10/10/201310/10/2013 Mileage Meeting w/ Constituent - Carver 12(Miles) 0.565

10/10/2013 10/10/2013 Mileage Identity Annual Dinner - USG 16(Miles) 0.565

10/11/201310/11/2013 Mileage Wooton Field Ceremony - Wooton HS 13(Miles) 0.565

10/11/2013 10/11/2013 Mileage Teacher of the Year Ceremony - Baltimore 73(Miles) 0.565

10/12/201310/12/2013 Mileage East County Summit - Praisner Comm Center 22(Miles) 0.565

10/14/2013 10/14/2013 Mileage Community Day - Clarksburg HS 36(Mi!es) 0.565

10/15/201310/15/2013 Mileage Meeting w/ MCEA - Carver 12(Miles) 0.565

10/16/201310/16/2013 Mileage Closed Session - Carver 12(Miles) 0.565

5.65

5.09

9.04

6.78

9.04

7.35

41.25

12.43

20.34

6.78

6.78

~

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~~~~~

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Expense Report IEXP2963 l 8 Page 2of2

'10/17/2013110/17/2013Mileage~

~Meeting w/ Dr Statham 1O(Miles) 0.565: 5.65

10/17/201310/17/2013 Mileage WorkSession - Carver 12(Miles) 0.565 6.78 util.'10/22/2013 10/22/2013 Mileage GBTLA Open House - Sligo Middle Schoo! 7(Miles) 0.565 3.96 [i)].10/23/2013 10/23/2013 Mileage

Excel Beyond the Bell Symposium - Lutheran16(Miles) 0.565 9.04 [!iiChurch of St Andrew Silver Spring J

10/23/2013 10/23/:'.013Mileage Lunch w/ Larry Schulman - Rockville 9(Miles) 0.565 5.09 ~ .

10/23/2013 10/23/2013 Mileage District 2 Council Meeting - Watkins Mil! HS 29(Miles) 0.565 16.39 !iij]10/24/2013 10/241'2013Mileage Meeting w/ MCCPTA- Carver 12(Miles) 0.565 6.78 ~

:/. ii10/25/2013 10/25/2013 Mileage Meeting w/ Constituent - Rockville 1O(Miles) 0.565 5.65

10/26/2013 10/26/2013 Mileage 50th Anniversary of Outdoor Ed - Smith Center 13(Miles) 0.565 7.35 ~

10/28/2013.10/28/2013 Mileage CIP Media Event Highland ES 3(Miles) 0.565 1.70 [ti].10/28/201310/28/'.?.013Mileage Lunch w/ Dr Narveaz - Rockville 10(Miles) 0.565 5.65 Bl10/28/2013 10/28/2013 Mileage Community Foundation Gala - 11(Miles) 0.565 6.22 &l.10/29/2013 10/29/2013 Mileage

Washington Area Boards of Education46(Miles) 0.565 25.99 ~Meeting -Arlington, VA

10/29/201310/2912013 Mileage College Tracks Event - Silver Spring 11(Miles) 0.565 6.22 rm'

10/30/2013 10/30/2013 Mileage Wheaton HS Groundbreaking 3(Miles) 0.565 1.70 B]10/30/201310/30/2013 Mileage Items w/ Dr Starr - Carver 12(Miles) 0.565 6.78 [Si10/31/201310/31/2013 Mileage Closed Session - Carver 12(Miles) 0.565 6.78 ~ J

Total 439.06

___] Expense Lines r-·-Expen~eAllo_cations Weel<lySummary Approval Notes (OJ Approvers

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

http.z/cescentdb 183.mcpsmcl.org:8035/0A_HTML/OA.jsp?ReportHeaderld=% 7B%21 %21phYzFagopKsPJdghoaCfkA%7D&_... 11/1/2013 '.



MONTGOMERY COUNTY PUBLICSCHOOLS • Rockville, Maryland 20850~



School/office name Board of EducationFor the period: From October 29, 2013

Work location CESC, Room l23

To November 28, 2013 USE SEPARATE LOG FOR EACIH ACCOUNT


Meeti11[2with MCCPTA7l l/18/20i3 ll/l 9/2013 $26.16 American Tap Room, Rockville [ l l/28/20 l3 504091 I

l l/15/2013 l l/15/20 l3 $2.00 MC Garage DOT, Silver Spring Parking, Meeting with Councilmernber l 1/28/20 13 504001

Valerie Ervin (missing receipt)

11/22/2013 11/23/2013 $15 .42 Negri] Jamaican Eatery, Silver SprignC ~itl~em6ers of the Olair Cluster] 11/28/20 IJ 504091

11/25/2013 l l/26/2013 $36.40 P.F. Chang's, Kensington c Lnnner meetin_gwith constituent/ ll/28/2013 504091

following Latin Dance Competition

rBinnerHerns Meeting with Dr. Starr and11/14/20 l3 11115/2013 $75.00 Thai Pavilion, Rockville 1 11128/2013 504091

(-Mf."Kauffma_lljm-i-s-s+ng-reeeipt~-

Total $154.98

CERTIFICATION STATEMENTI 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 insupoort of school programs as outlined in the Purchase Card Guide. I understand that any material misrepresentation or omission from this log maybe grounds for cancellationof myJ>f'!J9 card pd,H•g• - nd/cr J~ ""Y ")'J"- /I\ Qt._:,~, : / , ,. . _c.:;;'.l)) ,_j!,~,<.., .L:/~~1ft Ll~ ~fZ~ ? . '--1:_1_1}::{

· "lgnalur~ at. Member J Dale ~rTatUre; pvmg Off~ ~

Corporate PurchasingCardmember Report

. :·.. Sig~·up f'~~-OnHne .·:.<··,....··. ..:·st~temerits : ·. ' · ·

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PreparedForCHRISTOPHER BARCLAYMCPS MDTAX 3000i 23-5

ClosingDatei i/28/i 3 Page 1 of 2

PreviousBalance$ New Charges$ OtherDebits$ Payments$ Cllher Credns$

I 44i .87l I i54.98! I o.0011.·:,:,:·::::=· ·::::.·:.:i~::,~rl 1·:,:,:::=:·:,.:·:·:::·.:J.,-::::_.::::~;~~!¥4~'/(;:~.:~-~~~~Balance

Due$ Do Not PayFor importani informationregarding your accountrefer to page 2.

~

~~~~~~~~~~~~~-1For your records only - do not pay. y

For assistance or questions about your account, contact us at www.americanexpress.com/checkyourbill orcaii Customer Service at 1-800-49.2-4923.

Activity Dale reflects either transaction or posting dale

Card Number - -:: ij@@:t{f: \i:t~MP:MJE~REf~ttTANCE> R~(qv~tr:e?':=:rn1w :: ::r: '? ':.:~:·~L~~·i": :···.''''':c2 ::..::··:·:·::::::.,:.:::··' :::;::.::;;:;:: :<· :·: • ·:. '?ifFstr/

Reference Code Amount~

11/19/13 ! AMERICAN TAP ROOM-RO ROCKVILLE MD 11181452160 26.161(1

REF# 1118145216 301-838-4281 11/18/13FOOD/BEVERAGEROC NUMBER 1118145216

11/15/13 MCG DOT 82751 PRKNG SILVER SPRING MD 01345965200 2.00REF# 013459652 240-777-6000 11/15/13

11/23/13 NEGRIL JAMAICAN EATE SILVER SPRING MD 86663000000 15.42\;REF# 86663 RESTAURANT 11/22/13 '

11/26/13 P.F.CHANG'S #4900 00 KENSINGTON MD 00000600560 36.40/ I

REF# 0000060056 RESTAURANT 11/25/1311/15/13 THAI PAVILION ROCKVI ROCKVILLE MD 10156420131 75.00

REF# 10156420131 3015450244 11/14/13

Total for CHRISTOPHER BARCLAY New Charges/Other Debits 154.98Payments/Other Credits -441.87

j·

Do not staple or use paper clipsPayment Coupon

Please enter accountnumber on allcorrespondence.

f,..~J~~kW

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5850 HUNGERFORD RM123ROCKVILLE MD 20850

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

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card issuer agreement.

x

otification Details Page 1 of 3

~~>~f2-:.Financial.~J;~:j !~·'1C1l1agen1ent Expense Reports i~;l{epseinstructions ContactUs Home Loaaut Preferences Helo

~. !-,_i_~LSysten1

Expenses: Expenses Home > Expenses Home >

CD InformationThis notification has been closed with the r~sult Approve

Expense IEXP?98553for Barclay, Christopher (227.19USO)

From Barclay,ChristopherGibson, Rebecca12/02/2013 21 :12:1412/04/2013 13:53:0214364870

ToSent

ClosedID

Expense Report forIndividual's Cost CenterExpense Report Total

Attachments

Barclay, Christopher33201227.19 USO

Responder Gibson, Rebecca

instructions-· ,... . - .--··-· - ·-·-. -··-. .. ···-·· - -·---- ·-·"··--- ·~ ~-·~- ·- ....•... .~Please approve or reject this expense report. Please provide a Note if you reject.

Ca_shand Other Expenses: Business ExpensesReimbursable Amount

(USD) Justification

_6_.J8_M~eting w/ Samantha Cohen - Carver _

6.78 E9 Matters Taping - Carver

6.78 Gates s;rant ~eeting - Carver

ExpenseLine Date Type

. } 1/01~~013 !IJ1ileage

2 11/04/2013 Mileage

3 11/04/2013 Mileage

4 11/04/2013 Mileage

5 11/05/2013 Mileage

6 11/05/2013 Mileage

7 11_/05/2013r.Aileage

8 11/06/2013 Mileage

9 11/07/2013 Mileage

10 11/08/2013 Mileage

11 11/08/2013 Mileage

12 11/08/2013 Mileage

13 11/11/2013 Mileage

14 1} /11/2_013Mileaqe

15 11/11/2013 Mileage

16 11/13/2013 Mileage

17 11/13/2013 Mileage

Attachments

7._91,Meetingw/ Union Presidents - MCAAP

6.78 Meetinq w/ Constituents - C_C!rv'eer

6.78 Neqotiations Meeting - CarverCollaboration Council Event - Silver

6.22_SpringJoint Briefing on Early Childhood

5.65 Education - COB

5.65 Kennedy Cluster Meetinq - EOB

6.78 Update meeting - Carver

3.96 CSAAC Gala - Pocks Hill Marriott

3.96 of the Schools - Strathmore

6.78 Meeting o_nNSBA Presentation - Carver

7.91 MCS_PAReception - MC~ HQ_RockvilleMeeting w/ MD Delegation Seneca Valley

18.08 HS

6.78 Meeting w/ Constituent - Carver

httY\·//0pcc0Pritrlh1 R~ mr.m:mrl nrcr·Rni'i/()A HTMT,/()A.isn?()AFunc=FND WFNTF DET... 4/15/2014

Notification Details

5.65 Items w/ Dr Starr - Rockville

Page 2 of 3

6.22 Meeting w/ Councilman Ervin

5.65 Lunch w/ constituent RockvilleGirls on the Run - Westfiled Mall

5.65 Bethesda

5.65 MCCPTA - Rockville

6.78 Meeting re: Board retreat

6.78 Quarterly Conversation - Carver

9.61 Forum at Paint Branch HS

1.70 School Visit A Mario Loiderman

5.65 Priority Hearing - Council Office Building

1.70 IT Gifting Ceremony - Edison HS

5.65 Community Day - Montgomery Blair HS

5.65 Breakfast w/ ConstituentNOAA Science on a Sphere Event - Silver

6.22 Spring

6.22 Paint Branch HS Football Game

7.91 District 20 Breakfast Meeting - El Gelfo

2.83 Executive's Ball - Marriott Bethesda

3.96 Latin Dance Constest - Strathmore Hall

1.70 Lunch w/ Constituent - Wheaton

Reimbursable PaymentAmount Method jJustification

6.72 USO Mileage Strategic Planning - Carver6.72 USO Mileage Meeting w/ Superintendent -

CarverMeeting w/ Councilmember ·BransonState 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

6.78 Document Signing - Carver227.19

V PreviousJy Submitted Expenses, •Expense [Merchant10ate \ Type NameQ~/27/2014 Mileage02/26/2014.Mileage

...02/26/2014 Mileage 5.60 USO Mileage

02/22/2014 Mileage 6.16 USO Mileage

02/21/2014 Mileage02/20/2014 Mileage

4.48 USO Mileage6.72 USO Mileage

02/20/2014 Mileage 3.36 USO Mileage

02/20/2014 ~il~age ..02/20/2014 Mileage

1.68 USO Mileage6.72 USO Mileage

-~ ..02/19/2014 Mileage 8.96 USO Mileage



MONTGOMERY COUNTY PUBLICSCHOOLS • Rockville, Maryland 20850~


Card member name Christopher BarclaySchool/office name Board.~o;f~E~d~u:c,~at~io~n-:-----------------------------------------==========

For the period: From November 29, 2013

Work location CESC, Room 123

To December 28, 2013 USESEPARATE LOG FOR EACH ACCOUNT


f---·

l2/19/20l3 l 2/20/2013 $29.00 Black Market Bistro, Garrett Park lVleeting witb !:;hristjMJoiillSQ!h] 12/28/2013 504091

Rebuilding Together in Mont. Co.

12/20/2013 12/21/2013 $54.00 Jaleo, Bethesda c; 1-JMeetingwith M~e~ 12/28/2013 504091

'Rockin the Rage

12/12/20 l3 l2113/20l 3 $2.00 MCG DOT, Silver Spring Parking, Meeting w/ Surgeet Ahluwalia, 12/28/2013 504001

Asian America LEAD

12119/2013 12119/2013 $2.00 MCO DOT, Silver Spring Parking, Meeting with Councilmernber 12/28/2013 504001..

Hans Reimer {~~~.f.t*1-

Total $87.00

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. Allpurchases were made insupport of school programs as outlined in the Purchase Card Guide. I understand that any material misrepresentation or omission from this log maybe grounds for cancellation

of my ~' · ''.._"'" P"'"' and r di iplln~ actlcn. . ~- '/ - . ?1~- _f_;j)Jf_;_Lt_ g,,~ £'..,_ 5L -tiL (f-,;_LCf

Date Sianature AJJ·ro ·na ffi((P Dali"

Prepared For

CHRISTOPHER BARCLAYMCPS MDTAX 3000"123-5

AccountNurroer

+' n:t:§~,stM9Jttf§t:su.:m~:v~tv:n:tJ~~--~~Corpo!l'ate Puli'chasingCardmembe!I' Report

ClosingDale12128/"13 Page 1of2

PreviousBalance$ NewCharges$ Other Debits$ Payments$ Other Croclits$I 154. 9811 87.oojj o. ooj j:=!',:1:·'·:.,:::::·=::::.'.ij;:,:·:·~:l;]~IJi:i:(=:·!·:::.,'''·'\;i!·::·=!=!·:::.;.:::·:·~\~~j~r~:xI-~:~}iRf~~~~~~Balance

Due $ Do Not PayFor important informationregarding your accountrefer to page 2.

For your records only - do not pay.

Forassistanceor questionsabout your account, contact us at www.americanexpress.com/checkyourbill orcall Customer Serviceat 1-800-492-4920.Activity Date reflects either traiis&;°tionor.postingda1e

Card Number ReferenceCode Amount$

12/20/13 BLACK MARKET BISTRO GARRETT PARK MD 1209CXXXXXl0 29.00VREF#-120900·· ·-·"3D1-933·-3000··-···12/19/'13·- ······· ·FOOD/BEVERAGE IROC NUMBER 120900 ii

12121/13 JALEO MD BETHESDA MD 0781975COOO 54.ooiJREF# 0781975 RESTAURANT 12/20/13

12.00/MCG DOT 82751 PRKNG SILVER SPRING MD

REF# 061466494 240-777-6000 12/12/130614-064B4DO

12119/13 MCG DOT 82751 PRKNG SILVER SPRING MDREF# 078626457 240-777-6000 12/19/13

07862645700 2.00

12/13{13

Total for CHRISTOPHER BARCLAY New Charges/Other DebitsPayments/Other Credits

87.00-154.98

Do not staple or use paper clipsPayment Coupon

1i.,........,...,,ni /\lt1rnh.:>r Please enter accountnumber on allcorrespondence.

~

CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5850 HUNGERFORD RM123ROC~VILLE MD 20850·

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

D

MONTGOMERY COUNTYWAYNE AUE GARAGERECEIPT K22

MONTGOMERY COUNTYHAYNE AVE GARAG~RECEIPT K2J

ENTRY TIME:12/12/13EXIT TIME:12/12/13 11:32PARK-DUR.: HRS:MIN

09:4~ENTRY "TIME:i2/19/13I XIT TIME:i 2/19/13

08:27

10:02

0:01:501 ARK-DUR.: HRS:MIN

0:01:35AMOUNT:

$ 2.00..MOUNT:

$ 2.00

KIND OF PAYMENT:AMERICAN EXPRESS

~IND OF PAYMENT:~~ERICAN EXPRESS

.><XXXX 101AUTH. CODE 566728

xxxxx 101AUTH. CODE 582506

THANK YOU FOR YOUR fHANK YOU FOR YOURv ...' . -r

Black Market Bistro4600 Waverly Ave .

..Garrett Park, MD ·.d86 ·(301) 933-3000

~ ... r---~,~·. i£~ ~ l-;;,:""-i .n ..~~-_,,

11 '!i~~~

~~l(f.B-11~~!!1

Empl : ~.NTHOtN Inv#: 0120900Open: December 19, 2013 02:1U PMStation: 1 Guest: 2 Table: 0029

,}] ~ ~nv IQ\~ nrJfJ!!~~ll 1 • ~~ O•• •Fn--

AMEX

.ate: Dec20'13 12:46PM•-.ardType: AmP.x-cct #:.ard Entry: S~HPEDrrans Type: PURCHASE

.Trans Key: CIC009513262478Auth Code: 548417Check: 1246Tab1e: 24/1Server: 20:39Kevin S

1:509736 Ref :120900 TID:l034

Tip--·---

Total-~~-

Subtota1:** Customers Copy **

Thank You,Please Come Again!

Join Us For Sunday Brunch!!~M\~.bl acknarket restaurant. com

Tip:-~-~--~--

Total:--------

SignatureI agree to pay above +otalaccording to my card issueragreement.

* * * * Guest Copy * * * *

Gibson, Becky

From:Sent:To:Subject:Attachments:

Workflow Mailer from PFMS <[email protected] >Monday, December 30, 2013 12:06 PMGibson, BeckyAction Required: Expense IEXP301432 for Barclay, Christopher (192.63 USO)ATTOOOOl.gif;AIT00002.gif; Notification Detail.html

From Barclay, ChristopherTo Gibson, Rebecca

Sent 12/30/2013 12:03:57Due 01/04/2014 12:03:57ID 14400430

InstructionsPlease approve or reject this expense report. Please provide a Note if you reject.Cash and Other Expenses: Business Expenses

'; Expense ..··.. · .Reimtlursabfo Amount ·~· rLine Date Type· ·· · ' · ·· · · ·· ~ (USO)Justification -

12/03/2013 Mileage 6.78 Closed session

Expense Report for Barclay, ChristopherIndividual's Cost Center 33201Expense Report Total 192.63 USO

Attachments

.• >

Attachments

2 12/03/2013Mileage 6.78 Meetig w/ League of Women Voters7th Annual Youth Having a Voice Roundtable -

7.35 Bethesda13.56 Take Charge Holiday Gathering - Hyattsville2.26 Meeting with Elijah Wheeler - Rockville0.57 Inspection Viers Mill ES1.70 Inspection Weller Road ES5.65 School Visit - Richard Montgomery HS7.35 Frost MS Blue ribbon celebration6.78 Items w/ Dr Starr - Carver9.04 Blakescape - Blake HS7.35 Meeting w/ constituent Silver Spring

38.99 MSDE Blue Ribbon Announcement - Baltimore6.78 Document signing - Carver6.22 Meeting with Surgeet Ahluwalia - Silver Spring6.78 Meeting w/ constiuent - Carver

Blair-Northwood Dual Cluster Pres. and6.22 Principals Meeting6.22 Meeting w/ constituent3.96 Minority Legislative Breakfast2.83 Committee for Montgomery9.61 Board Retreat - USG6.22 Meeting w/ Council Reimer ·7.91 Meeting re: Pine Branch Pool - Takoma Park2.83 Mtg w/ Christina Johnson Rebuilding Together6.11 Meeting w/ Dr Scarano -6.78 Document signing - Carver

192.63

3 12/04/2013 Mileage4 12/04/2013 Mileage5 12/05/2013 Mileage6 12/05/2013 Mileage7 12/05/2013 Mileage8 12/06/2013Mileage9 12/06/2013 Mileage10 12/06/2013 Mileage11 12/07/2013 Mileage12 12/09/2013Mileage13 12/11/2013Mileage14 12/11/2013Mileage15 12/12/2013 Mileage16 12/12/2013 Mileage

17 12/12/2013 Mileage18 12/13/2013 Mileage19 12/06/2013 Mileage20 12/16/2013Mileage21 12/17/2013MileageL2 12/19/2013 Mileage23 12/19/2013 Mileage24 12/19/2013 Mileage25 12/20/2012 Mileage26 12/23/2013 Mileage

Total

Previously Submitted ExpensesDate Expense Type Merchant Name Reimbursable AmountPayinent Method Justification

1

11/26/2013 Mileage11/26/2013 Mileage

11/25/2013 Mileage

11/24/2013 Mileage

11/24/2013 Mileage11/22/2013 Mileage

11/22/2013 Mileage

11/22/2013 Mileage

11/21/2013 Mileage

11/21/2013 Mileage

Approvals HistorySeq. Date1 12/30/2013 12:03:56

Related Applications@'.! Expense Report Details

1.70 USDMileage6.78 USDMileage

3.96 USDMileage

eatoDocument Signing - CarverLatin Dance Constest -Strathmore HallDistrict 20 Breakfast Meeting -El GolfoExecutive's Ball - MarriottBethesda

~.-.-. -,~~o-n_s_t.,..itu-e-n"""'t""''

7.91 USDMileage

2.83 USDMileage5.65 USOMileage

6.22 USDMileageP'aint"BrancnFfSFootbaTIGameNOAA Science on a SphereEvent - Silver SpringIT Gifting Ceremony - EdisonHSCommunity Day -MontQom~ry_BlairHS

6.22 USDMileage

1.70 USDMileage

5.65_.~SDMi_lea!;le..

Status Performer Approval Group .Notified Gibson, Rebecca MCPS_IEXPENSE_APPROVER_GROUPS

Comments

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

Please click here to Respond

2

1273l7.L0!3 -Austin GnlCSilv:er Spring-~with Mr. Williams, Mll1oritfSc"holars Progr:am

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ii.STIR Glll.l919 Ellsworth Drive

Silver Spr1nu. MD 20910(240) 247-8968

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Chick sand 860

3.003.000.000.00

13.0010.00

SubtotalSales Tax

03:06PM To~c:;i

29.001. 74

0.74

Taxl Coll 1. 74

We cater tocl !pl;::.;«::;:. ;>·~Itfnr l~n~ ~~ o~~~---~~

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www.austingrill.comrte: Dec31'13 03:10PMrd T~·pe : Amex~t #:d Entry : ziWIPffl1s Type: PURCHASE

Code: 5481981~necK: 12

30/177 A11d1·eina

..• cuLal: 30.74

Tip:--------·---·--·------~------

Total:

igna1iir:lre

DEPOSIT SLIP

Division of Controller Office850 Hungerford Drive,Room 154Rockville,Maryland, [email protected] Print Form I I ResetForm

Request or: [ZJCash D Check D Credit Card D Money Order

Board of EducationDepartment:RequestDate: 2014/01/24

School: ~/}kt&~Jd= ~BeckyGibsonContact Name: Customer SignatureE-Mail: [email protected]

Phone: 301-279-3617

Fax: 301-279-3860

Address: CESC,Room 123

i ---- -- -- -1I ------ -

;-------- - -T - - ----- --- -- -- -

~---- ---r-- - ---- -- I --- - ---- - -- ---~----- __j__ ------ -·--·~-~~--- I - --- !_________ ---- _J _. ~ -- I. - - I ----- ----

: -- '-- ---- I _I

I -

1· ..• ·-------- -

1-------·------:--' !I _!1--------- lI

r--- Total.L___ _ $979.46 l

Receipts Confirmation for Customer Only

ReceivedBy: :In the amount of $979.46 I ReceivedDatec__, , -------- ·----------------·----v

06/25/13 - Hotwire Sales, Online Travel

07/04/13 - Hotwire Sales, Online Travel07/08/13 - Hotwire Sales, Online Travel

10/15113 -Enterprise Rent-A-Car, Wheaton -10/15113 - Enterprise Rent-A-Car, Wheaton -

Total

$358.76

$336.70$211.00

$ 43.00$ 30.00

2013 barclay (4) september - december

Documents