2012 barclay (2) june- september
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PURCHASING CARDCard Member Transaction Log
Office of the Chief Operating OfficerDepartment of Materials Management
MONTGOMERY COUNTY PUBLIC SCHOOLS • Rockville, Maryland 20850
0MCPS.ci~
MCP.S foirm 234-21June 2009
Card member name Christopher Barclay
School/office name Board of Education
For the period: From June 1,2012 ToJune28,2012
Work location CESC, Room 1?3
USE SIEPARATE !LOG IFOIR. IEACIHIACCOUNT
Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student or other-must be identified.) (03, 05, etc.)
06/01/2012 06/02/2012 c. -,? 06/28/2012$85.83 CVS, Langley Park, MD
11Used Instead of Personal Card - To Be 504091
[Re1111bursea -----, p;t.-
06/01/2012 0610212012 $4.25 Metro Parking, Greenbelt, MD Attending Meetings 06/28/2012 504091,.,.
06/09/'.?.0l2 06/09/2012 $12.00 Colonial Parking, Arlington, VA Parking for Meetings 06/28/2012 504091
'06110/20 J s 06111/2012 $12.00 Watergate Parking, Washington D.C. Parking, 13th Annual Cappies Gala 06/28/2012 504091
.. 06/15/2012 06/15/2012 $37 01 First Watch, Rockville, MD Mtg with Community Superintendent 06/28/2012 50,1091
and MCCPTA Representative 06/28/2012 504091
0611512012 06/I 6/20 J 2 $2 00 Colonial Parking, Rockville, MD Park.in/ Breakfast MsHn( 06/28/2012 504091
' 06/19/20[2 06/20/2012 $58.13 II Pizzico, Rockville, MD L.L_1mclJ..JYleetingwith Dr. Statham 06/28/2012 5Qt109I
Parking,CL.uiichJY11g-:Jvith.-B.agn_~6/27/2012 06128120 l2 $2.00 Colonial Parking, Rockville, MD 06/285/20 12 504091
Tot<1I $213.22
v
,,..
CERTIFICATION STATEMENT
( .cl/~,.<J /~L,..e:~ -/_/_ ·-, ,. · · Date
....:~·;)_;~~:~.'·~::.lr~~~jl~~-=~.
PreparedForCHRISTOPHER Bi\RCLAYf\llCPSMDTAX3000i23·5
11,...,..,.,,,nf to..l11mh.<>r Closing Date
06/28/i2
1~~E'EJ.t~w£:.f::®i?nwen&:,~f.D"l:rf·"""01-, """·"'"" r<.r~ ' ["2:·,,,, , if'f! ,.-:,'~<J;GI;0.,f.1~1:r~P~tu{~'~.-t:~[c,,.,;;Et'..
Page 1of3
Previous Balarca $ N"'" Charg:s $ Other Debits $ Payrnenls$ other Credits $
I 60.9711 213. 2211 o. oo I 1·.-:;:;_,'·.::::':_,:;._:,,:,/'.'li'.:,::~g;~sl 1:.-1;:,:,:·:;:;: ..',:_·-;;·._.:::.:_:··:_~i-:~~l
BalanceD1.1e s Do Not Pay
For important informationregarding your accountrefer to page 2.
Foryour records only - do not pay.
Forassistanceor questions about your account, contact us at www.americanexpress.com/checkyourbi!I orcall CustomerServiceat 1-800~492-4920.
ti\~~tg~tli;:lfDate refiectseithertrsnsactiooor postingdateReference Cede Amount SCard Number
'.:::p'§t1W:1g::1<rn:w9:fffiW:~~tisr~§M~:t1\M.qg,;15~9§}.MsgfttrHmil+ftr1n:::::m':m:w1mtn1@~~E:rn00;;rn::rnrrrww:mwnrrs:;0m:::n::uJ''rnJ:@tt:u:06/09/12 COLONIAL PARKING #66 ARLINGTON VA sseecooscco 12.00
REF# 98860006 202-295-8140 06/09/12PARKING FEESROC NUMBER 98860006
06/16/12 COLONIAL PARKING #77 ROCKVILLEREF#' 18890006 202-295-8167PARKING FEESROC NUMBER 18890006
MD06/15/12
1BB90006000 2.00
06/28/i2 COLONIAL Pf>.Rl<ING #77 ROCKVILLEREF# 18890015 202-295-8167PARKING FEESROC NUMBER 18890015
MD06/27/12
1assoo1sooo 2.00
06/20/12 IL PIZZICO 417000011 ROCKVILLEREF# 269000013 3013090610
MD06I19I 12
00141872000 85.83
30017000000 37.01/._/
26900001300 58.13{
02000062000 4.25
06/02/12 CVS 1434 01434REF# 00141872
LANGLEY PARK MDDRUG STORE(PHARM 06/01/12
06/15/12 FIRST WATCH 91 FIRST ROCKVILLE MDREF# 30017 100 NEW MARKET S 06/15/12
06/02/12 METRO PARKING 631350 GREENBELTREF# 020000620 202-9625711
MD06(01/12
Do riotstapte or use paper clipsPalllfM®n~ ©@upoi;
.6.r:r.nunl Number
Continuedon Page 3
Please enter accountnumber on allcorrespondence.
CHRISTOPHER BARCLAYrc~ ~ MC PS MDT AX 3000 i 23 -5~r~i 850 HUNGERFORD RMi 23~ ROCKVILLE MD 20850
Check here if address,telephone number, ore-mail address haschanged. Note changes onreverse side.
D
r; 1~·f'ii-·2c:: l_ r.. ·.J;" -=-~·.l ;u:_- ..~
u_-,_'L: ', :t·I. 'I'.--.
I 1 • ~ •I. : •;_j ; i.-t 1 ';. 1:.;..:--~--···
WEG'cO.ME:ro iROCkUILLE TOWN SQUARE
I ' '2J'f~ijLJ_ i ~.' j·'{..,-! ·~uJ7~ PLEASE HEEP THIS TICHETwrrn you;,1rp·
1 ·.:ir!<.11 ·(_ I -
! , ii-"' I I -1..
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r iroEntered/Arriue~:2 ~12/ Oii/15 IJ<'I:i7
Tuta! Fe;o.'tfZ.' \J
Ticket/6illetn:1725643297Dur/Duree:2:56:40Paid On/Paye Le:2~1211:16;15rn:24
---------·-··--------------------------
cee- F;ai Ci·1r,::.·(J,;<,(:('((A,{
:i ''"'di t-)._JitF' <.lb-.·
Paid/Paye:$ 2.BOOriginal Fee:$GST :$ 0. G0PST:$ 0.00
!r·dl 'jl"U IU JU.J' 'ilc·.,!.
F'l1~-:ct~...:8 U.Jr~ o_:s.:i~r::
Change:$ 0.0UAMEXSC:$ ~-fiO
., Merchant Hi:******* Swip~dAMERICAN t:Arttt~SSeq# 79g984Pl'vd,,co 1?/R6/15 1n:25 :51n ...•..........•.._,.•..v ....1..
06/27/12 -UCO
WELCOME TOROCKUILLE TOWN SQUARE
PLEASE KEEP THIS TICKETWITH YOU
Entered/Arriuee:2012/06/27 11:56
Ticket/Billet#:1726698231D~r/Duree:2:48:22Paid Dn/P2ye Le:2H12/fi6/27 14:45
Paid/Paye:$Origin<il Fee:$GST:$ fi.!mPST:$ fi.fifi
Change:$ fi.fifiAMEXSC:$ a.eeMerchant IO:"'"'*'H'"""''***1008 SwipedAMERICAN EXPRESSSeqli 798985Purchase 12/fi6/27 14:46:21>iuth$ 586535
06/1971"?-~-Barcleylunch meeting..Y:Jith Dr. Statha
***"¥t****:r.*********~*******f-**~:;-F:i:IL. PIZZICO
·F~ISTORANTE· F~rst ·6tch -, r ! l' l r : rr.o
The DayT1n~ Cafe~--.c: ·' I .
Server: .,-J,sf'· -~ .~ . '"',-dGer! !06!11~1201209:49 AM 06/15/2012Table 148/1 3/30017
".
J"d t:.•
A~lEXCard #XXX/XX;.Magnc-t ic card µi ct>cilL: Dl-ir\.CLAY CApprova l : 583891
1048607 1 C:APfff r::l b . ·::J:il SELE/ JONE [Ji P!~;u: i 7. '.:JS1 FISH r'CL l . SS1 COKE 50
Amount: 31.01 SUP.,TOTAL
+Tip: ~ ~
=Total : a·Z.o-/jSal p::· r . .,1
TLJTAL
~ - \'
********************************r, IL PIZZICO
15209 FREDERICK.RDRock vi 11r". Mrl 'inRi:.(,
J,-.,("I.., \ '";'' •••. ,,,
***'06/11/12 - Parking, Kennedy Center, Washington D.C.
13th Annual Cap pies Gala
WATERGf°· "600 Nn '·''-,,T ' -- ..: r:ivr:. Nl--l
WASHiNGTON, DC 20037410-365-6997
c 0 p y06/10/2012 19-~i9 :54
SALE
Transaction ++ 1 '?Card Type: ArnericanExpAce: *~~*~~**Exp. Date:Entry:Invoice ttBatch f~u:HMOUi'Tt:
2E*/K*
Swiped8909
16200112_00
Ref er-ence No . :Auth.Code:Respon.
00000017508652
APPROUED
cusre-= I'"-("'~'·
WWW.L .)H
Expense Report IEXP249882
06/15/2012 06/15/2012 Mileage
RockvilleAgendaMeeting -CarverWhite HouseHispanicSummit·_MontgomeryBlair HSCouncilED/PH EDCtteeMeeting -COB
06/16/2012 06/16/2012 Mileage
06/18/2012 06/18/2012 Mileage
06/19/2012 06/19/2012 Mileageizico
Board of06/20/2012 06/20/2012 Mileage Education
Retreat -RichardMontgomeryHSBoard of
06/21/2012 06/21/2012 Mileage EducationRetreat -RichardMontgomeryHSMeeting w/Ex Dir ofYoungLeadersInternational -LaurelNew SMOB
06/22/2012 06/22/2012 Mileage
06/26/2012 06/26/2012 Mileage Orientation -CarverSummer
06/26/2012 06/26/2012 Mileage Meals MediaEvent -RollingTerrace ESLunch w/
06/27/2012 06/27/2012 Mileage Council Staff- RockvilleSharePoint
06/27/2012 06/27/2012 Mileage ProjectUpdate -Carver-LuiiCFi'
06/29/2012 06/29/2012 Mileage -meebng w/BenMoskowitz -Rockville
32(Miles)
7(Miles)
30(Miles)
33(Miles)
0.555 17.76 Gi]
0.555 3.89 ~
Page 3 of 4
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Expense Lines , Expense Allocations Weekly Summary Aooroval Notes r1J Aoorovers_____ _;________ ' --·-··---··~··--·--·-----·----- ..- -·------ ··------·--···-·----- ----·· ------ -- -~----··-
0.555 16.65 ~
0.555 18.32 li'l30 0.555
(Miles)16.65 ~
30 0.555(Miles)
16.65 ~
28 0.555(Miles)
15.54 ~
32 0.555(Miles)
17.76 !;il3(Miles)
30(Miles)
32(Miles)
28(Miles)
0.555 1.67 ~
0.555 16.65 ~
0.555 17.76 ~
0.555 15.54 ~
Total 441.26
"h++.,...,.//,...,,.,,..,c.,.,+r1h1 Q1 .,..,.,,...,...,".,..,.,r1ni-rr·Qn1 <::; /n ii. i.:TT"l'llfT/(I A ;.,.,...,')(!ii. k',,.,...,,..=nTPi\lf !\ rxro A l"":.P .l'rd .11I 1 t; ri n 1 11
Expense Report IEXP249882 Page 4 of 4
, RetLirn) -,Create Nev:· E::pense Repon) . Pr·in.t3.!JlePage •
Expenses \ iExpense instructions \ Contact Us \ Home I logout \ PreferencesCopyright (c) 2006, Oracle. All rights reserved. Privacv Statement
PURCHASING CARDCard Member Transaction Log
Office of the Chief Operating OfficerDepartment of Materials Management
MONTGOMERY COUNTY PUBLIC SCHOOLS• Rockville, Maryland 20850
~MCPS<J~
MCIPS form 234-21June 2009
Card member name Christopher Barclay
School/office name Board of Education
For the period: From June 29, 2012
Work location CESC, Room I ?3
To July 28, 2012 USE SEPARATE. LOG IFOR !EACH ACCOllJJNlf
Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student or other-must be identified.) (03, 05, etc.)
06/29/2012 07/02/2012 $34.00 Matchbox, Rockville r Lunch Meeting with Ben Moskowitz 07/28/2012 504091
07/07/2012 07/08/2012 $13.75 Horne Depot, Aspen Hill Surge Protector for Home Office 07/?.8/2012 504091
07118/2012 07119/2012 $12.00 Colonial Parking Parking, While Attending Meeting 07/28/2012 504091
07119/2012 07/20/2012 $53.60 Matchbox, Rockville Lunch Meeting with MCAAP Officers 07/28/2012 504091
07/28/?,0 l2 07/28/2012 f $210.TQ Ramada Inn, Lancaser PA. I ...MistakeJll}~ Will Be Re1ml5ursea} 07/28/2012 504091-.e-
Total $324.'.2.5
<CIERTIFICATION STATIEMIENT
I certify that, to the best of~m.hno':"'ledge, the transactions reco:ded for the month indicated on _thispurchasing card log are correct and complete. All purchases were mad<: insupport of s ~ol progran)Y'l/Outlined in the Purchase Card Guide. I understand that any material 1111srepresentiiltlono··01111ss1onfrom this log maybe grounds for cancellationoflY, pjlrg s~card priyi1J>e and/or disciplinary action. \. ~,- , r-;_ D-:2') (1.__ 1 fl ·~ .- oA~ -1:;;-. ____...,. .. ~----·---...-------~/ __ /__ ~- ;-- A_j(_/'\..-..~__Q_ •t-<'(!~1--
Signature,CardMember Date . Signaure, µproving Official Date
·.-:..:=·::·:.:t.f :Z:~~\~f~:-:7:~;.;:.:,~~;:·~~1B~~-~:;-.~·=;:~.:~~r:·· ·::·:· ~->:,::::-::~:rz,r:·~...,~~ ~..~.i~-";::-:·=<·~"·~~.Q:~:i;~.!·:~~~4~~·~@·~}':_"O:·!~.>~ti::E·C~,.~~z
·~~~.:~.~:~::l·Yr::·~i~Lt~)~[·~~~f2~1if·:~
Prepared FOf
CHRISTOPHER 81:\RCLAYMCPS MDTAX 3000·f23-5
yvy:1H'.§«1:-ricans:,rpress.com/Gl'e.ckyourbill
.,'\:'{b ........•..-uin: I.Ji n1h.=!r Closing Oaie
07/28/12 Page 1of2
aa~ancePr<vious8al2J1CE$ NewCharges$ Oihcr0ebils$ F2.ymants$ Oth.rCredits$ Due$ Do Not Pay
21J.22!1 324.2511 o.oo il.;J":-·:'··::;:::-'."·-.".'::'·:··.:;:~;;Jrrnll:::::::r . ::'':::\: :;'JmPwj~~1~itU;i;~~~:~~~~~g~~~~;on'-------~ · · · · · · · reter to page 2.
For your records only - do not pay.---· -----~-------------------~---· -
For assistance or questions about your account contact us at v11ww.am::iricaneicpi·ess.com/ched\yourbi!i orcall Customer Service at 1-800-492D4920.
A©tfi~~tlfDale reflectseither transaction or posting dale
Card Number Reference Code Amount S
;9fm@ngntt:t@~®e'~ttsiey§M1+1~@w:5:ws~t~t~w07{09 -213.22
07/19/12 COLONIAL PARKING #55 WASHINGTON· - · · Rff-# -0000000005· 202-295-8140-
PARKING FEESROG NUMBER 0000000005
DC07 /-18/ 12
00000000050 12.00
07/02/12 MATCHBOX ROCKVILLEREF# 9680114 RESTAURANT
MD 96801140000 34.0006/29/12
MD 0071217000J 53.6007/19/12
PA 210.9007/28/12
07/20/12 M.A.TCHBOX ROCKVILLEREF# D071217 RESTAURANT
D7/28/12 RAMADA INN - LANCAST LANCASTERF'bCit 48"05'9 """tObGi'NARRIVAL DATE DEPARTURE DATE07/27/12 07/29/12 00ROOM RATE $95. 00ROG NUMBER 48659
THE HOME DEPOT 2558 ASPEN HILLSm:i:zt·'"li~"''9"cr!3--Sdtf-s26- 79!10'
MD07/07/12
01904790600 13.75
Total for CHRISTOPHER BARCLAY l\JewChe.rges/Other DebitsPaymenis/otller Credits
324.25-213.22
Do not staple or use paper clipsP;riymee!l!: ~©ll.!llfJ@ITTi
Plec.se enter accountnumber on allcorrespondence.
f~WCHRISTOPHER BARCLAYMCPS MDTAX 3000123-5850 HUNGERFORD RM123ROCKVfLLE MD 20850
Check l1ere if address,telephone number, ore-mail address haschanged. Nore changes onreverse side.
!. !
c . l Kayl i W
Tbl 47/1
'""F' ,,.,. ¢. .,,. !... b.. """ - 'iJ1'i u.] I "-" U~ !Ji V }..
,JChk 441 ;~ 12: 1 gp1v1
2 Simpl salao _,,;:1 Crab Sammy1 Chicken Sanci· ·1•1 Soda
SubtotalTax
: 10PM
; (•.
_,,J f:r•:::cct #:u d Entry:
.:ans Type:Trans Key:Auth Code:Check:Table:Server:
Subtotal
._,:
iota 1:
:··-----·,;---
Ju1·1(3'12 01 :24PMAmex
SWIPEDPURCHASEFIF0007134207 435426fi24447 /1271 Kay·li l/J
45.05
------------------
SignatureI agree to pay above totalaccording to my card issuera~reement .
.•.-r-
Gst 2
14.0014.0012.002.50
42 .50'..55D5
14000 -GEORGIA AVE ASPEN HILL, MD 20906MATT BOBBITT-MANAGER C301l871-0603
2558 00057 63982 . 07/07/12 09:46PMCASHIER SELF CHECK OUT - SCOT57
SUBTOTALSALES TAl(TOTAL11E)(
IH GUUt ~o~~UJ/1576795
12.970.78
$13 - ''13' ..'
1
1111111111m111111m11111111111i111111111111111111112558 57 63982 07.L0},~201-25,182
I ... • ·- - - ' l.
. · :,... :· .:.-..RETURN POLICY DEFIMIHONSPOLICY ID DAYS - POLICY EXPIRES ON
A 1 90 10/05/2012
THE HOME DEPOT RESERVES THE RIGHT TOLIMIT I DENY RETURNS . PLEASE SEE THE
RETURN POLICY SIGN IN STORES FORDETAILS.
BUY ONUNE PICK-UP IN STOREAVAILABLE NGYI ON HOMEOEPOT. COM.COl'JW~IT~m r:=;~"" "''.'. '.'-~T r. ·:.
If' I ,;! I. ·'· .···~ •· t, \ ,•), ~·.. ' ..
2
07/iS/2012Merchant !.D:Tcrminal ID :4080137011
10:57:12000000000652504
00929854
rnLON!AL PARKING#557liJ3 i5TH STNW.
WASHiNGTOM1 DC 20005
?1~\~'t~:h~:;o;:e;
CREDIT CARDAME;< 5A.LE
3 Katie HCARD#INVOICEBatch #:Approval Code:Entry Method:Approved:
----------·----------------------------0005 48/1 Chk 4-787
Jun29'12 12:19PMGst 2
001362500848SwipedOnline
---------·----------------------------: Sm Hlf ~ Ylf 0.00
SALE AMOUNT $12.00'
u o , '1U14 Cl(I,(. . Ii
s.1t rntd lt"'I lr""rr.~.i:r-7 -.-.1 ••••• , iC'lJ'
~: · :~IFM [ota I~~i~!!R:~~-~--i>
rn o t c
Card Type:Acct#:Card· Ent r11:Trans Type:Trans Key:.~uth Code:Check:Table:Server:
Jun29'12 01 :02PMnmPV
UU LL.-•
SWIPEDPURCHASEEIE006526268518582379478748/1229 Katie H
~ nCli~_.::!..~Subtotal:
Gratuity:
Tota 1: -~---·""·---·--------------
SignatureI agree to pay above totalaccording to my card issueragreement.
Expense Report IEXP25 l 224 Page 1 of 2
-i.'''':~UFinancial'._.. ··..;."' l 'l....- ; : t~:j_j ~i[(1J1(1gernent Expense Reports .oiE~oenseinstructions Contact Us Home Logoui Preferences
"' ' ! 1 Sv·-t1::-.1·11:_i : : ~ '-) . ::-..-=- ..I
:t1~ll?4~~~~fil~rr~1~~~-iSa~'·EJ,, Confirmation
Expense report number IEXP251224 was previously submitted for approval.
Expense Report IEXP251224l Reiu'ril) "Creaie-~Je'w'E:}(.pense r:e7J.on; -,Printable Page j
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 07/04/2012 -07/27/2012
Cost Center 33201Purpose
Receipts Status Not Required
Report Submit Date 07/28/2012Attachments None
i':Add)Report Total 217.57 USO
Reimbursement Amount 217.57 USO
-------- -----,---·~-~----·-------- -····· -~----··--·---- ---------------- ----·- -··-·---------·-- ·-~.·-·· -- ------- - ...Expense Lines Expense Allocations Weeklv Summarv Approval Noles [1] Approvers
Business Expenses
Mileage Expanses
ExpenseStart Date End Date Type Justification
lal<oma pa-fg07/04/2012 07/04/2012 Mileage{ 4th of Ju!~
ParadeMont County
07/11/2012 07/11/2012 Mileage Comm. onWomen Event
07/13/2012 07/13/2012 Mileage Meeting w/
Trip Mileage ReimbursableDistance Rate Amount (USO) Details Attachments
3(Miles) 0.555 1.67~ ~
.
24 0.555 13.32~ ~
(Miles)
30 0.555 16.65
1-~-- .11------~,.ll-.1 Q'l .,.,,,,..,.,,.,"',.,..,rlnrrY· Q(\'l<tr: I\ U'TllAT Jn I\ ;n~01\ Al:'n...,r=f\T'C'll!f AT'l\TDAni:' Rr"+ !l/l(rJ()ld.
Expense Report IEXP25 l 224 Page 2of2
Constituent (Miles); c::}Rockville [EJ.
Meeting atc(}07/18/2012 07/18/2012 Mileage Washington 14 0.555 , 7.77
~Post Office DC (Miles) -
Meeting w/·i}07/19/2012 07/19/2012 Mileage MCAAP 30 0.555 16.65
~Representative (Miles)
Meeting w/ MC0.555
~ "'}07/19/2012 07/19/2012 Mileage Planning 7(Miles) 3.89Board SilverSpring
07/20/2012 07/20/2012 Mileage Meeting w/ 32 0.555 17.76~
c'}Facilities Staff (Miles)
07/23/2012 07/23/2012 Mileage Meeting on 32 0.555 17.76~
{PCore Values (Miles)Policy
32 0.555 17.76~
c;}07/23/2012 07/23/2012 Mileage CommitteeMeeting (Miles) -
07/24/2012 07/24/2012 Mileage MF>P.tinm:;_ 32 0.555 17.76~ 9
(Miles)
07/24/2012 07/24/2012 Mileage .ermni~ . 30 0.555 16.65 liil n.:;•....•(Miles)
Fiscal c;}07/24/2012 07/24/2012 Mileage Management 32 0.555 17.76~
Meeting (Miles)
Work Session ~}07/25/2012 07/25/2012 Mileage -Richard 30 0.555 16.65~
Montgomery (Miles)HSMeeting on
32 0.555 17.76~
d}07/26/2012 07/26/2012 Mileage Tech Credit -Carver (Miles)
ConferencJ d}07121120120712712012Mileage? Ca!DJJ.LT 32 0.555 17.76 li1(Miles)
Total 217.57
. Expense Lines ! Expense Allocations Weekly Summarv Approval Notes f 11·-~1 ,!_ , .,_ -·--- ·······---··---- --·--· ··-------------· ----· ---------·--------·----·-·
Approvers
" Return; . Cri:ate ~·le""-"E;:pense Repon) . Printal)le F':~ge)
Expenses I iExpense instructions I Contact Us I Home I Loaout I PreferencesCopyright (c) 2006, Oracle. All rights reservea. PrivacySlatemeni
PURCHAS~NG CARDCard Member Transaction log
Office of the Chief Operating OfficerDepartment of Materials Management
MONTGOMERY COUNTY PUBLIC SCHOOLS 0 Rockville, Maryland 20850~
fllill(IP''.5IFoirm 234-ZlljJIUlill<l! 21fll(1]9
Card member name Christopher Ba1·clay
School/office name Board of Education
Fm the period: From August l, 20 12
Work location CESC, Room I ?3
To August 28, 20P lU§IE §IEPAIRAlf"IE Il..OG lF<Ol!R.( il:AC(t-f] ACC0lij!Nr1i"
Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student or other-must be identified.) (03, 05, etc.)
08/14/2012 08/15/20 12 C$r4.ou- Jilreacl & Chocolate, Takoma Park ( lv'.teet1110-·wrn1Tonstifi:IBrit'j 08/28/2012 504091
08/ 16/2012 08/17/2012 $3.75 MCG Dot Parking Parking, Meeting with Delegate 08/28/2012 504091
C~3.&s1en Yehuda Cafe & Pl, Silver Spring (08122.'20 12 08/23/2012 Meeting with Students/ 08/28/20 12 504091
Total $41.60
H.IR"fRIFDCA.Tml\!SlJ'J\UEM!ENlr
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 111support of scl~o programs_3?)-.j'ul1111edin the Purchase Card Guide. I understand that any material misrepresentation or omission from this log maybe grounds for cancellationof my purs;_'Jas,e rel privil51_g.trdnd/ord1scipli!J.<!fYaction. ,..----...._ (z' ,
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Prepared ForCHRISTOPHER BARCLAYMCPS MDTAX 3000123-5
Account Nurroer Cklslng Dale
08/28/12
-·.
Page i of 2
r Prev~ous82.JC!lC:;; $ New C:)arges $
324.2511 41.60lf!• I'-~~~~~~~-'•
Other D;;bos $ Pe.yments$ Otl1erCredits $
~1::.;::··::.,,..::;.::.'i::·:::.::ri[1.@®Jl,J:;:·:::.::,:.,::: .· o::001Balance
Due $ Do Net P8.yFor important intormationregarding your accountrefer to page 2.
For your records only - do not pay.
For assistance or questions about your account, contact us at \1vww.ame•icanex:press.com/check:yourbill orcall Customer Service at 1-800-492-4920.
l!,~il:h!H'iK1f Dale reflects either lrensaction°' posiing dele
Card Number Reference Co:le Amount$
:p§U171?'GFEM,~f/:1$.At~@Mff:!rf:6~§:@s~MsMi§~iU]i}i'@gJ¥4'Jf.Jt:Jt:@f 6a5.isocooco .': -324.?$'::'08/23/12 BEN YEHUDA CAFE & PI SILVER SPRING MO
REF# 85 rn9932236 · 301 - 681 - 8900 ·08 /22/ 12 ·65188932-?36 23.85
08/15/12 BREAD & CHOCOLATE - TAKOMA PARK MDREF# 31598 RESTAURANT 08/14/12
31598000000 14.00
08/17/i 2 MCG DOT 82793 PRKNG BETHESDA MDREF# 073006428 240-777-6000 08/16/12
07300642800 3.75
Total for CHRISTOPHER BARCLAY New Charges/Other Debits 4i .60Paymenis/Other Credits -324.25
·oonofsiapie cir use paper clips
~aym~lrit.~l'.llM!~@g;Account Number Please enter account
number on allcorrespondence.
CHRISTOPHER BARCLAY~:.o,;;.::~.!; MC PS MDT AX 300 0I23 -5!:~}'~ 8 50 HUNGE RF ORO RM! 23<-'L:...;:.· R 0 C KV I L L E MD 20850
Check here if address,telephone number, ore-mail address haschanged. Note chances onreverse side.
D
08/14/ l '2 - Meeting with Constituent
08/22112 - Meeting with Students/Y j te.. .l( I/· .r=» ,,..), i _,,c-. /"C::... ~ cJ...___,,;..\.-; ~ £..--- w.........:. <...:'--(
Bl~WJ 1; . I;. ' <. .i·IA f'!:. !·lj.
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~ ~ + rr1 nn1 ~ ' *+ t ' IU UU ~ t .
~en ~e~u~a ~~fe ~ r1zzer1a1370 8 La~Jerton Drive
Silver Spring, Maryland 20902
t~A.~lE: CHfrf S. 2HtCf<U 219G27. 1Closed to Credit Card
Date: 8/14/2012 I 1me: 7:49:52 PMCard Type:American f:xaressCarel Hurnber:XXXXXXr.·1 i ration Date: XX/XXiXXXX.'"' var Name:Gia':eek Number:3159B.1h 1e l~umbe1·:35
N1tmber :J l~.C\8UATE/IIHf:: 8/21/2012 6:2B:11 p~,ISERVER: Sarah N"'"iT'ON: 03
L;iid 1.1\'iner :B1w·
AMOUNTCount: 3;::..:.= :.:: :...::-.:-_..=:::;._:._:::::::..:-..:::::.:..=~=-= ":..·.:::_.:.:..=:;_::-:-:- . .:.
: 1:GIE PIZZM12 InchNormal
:S.il.R SALAD*\L !. ff\IES+
. . ; GOGO
$14.7 TIP
$6, :$1. .:$1),,,..$0
TOTAL
Approval: 529318
.:==~===~~~=~=~=~=~~===:=~~.=~~~==·. rta 1 $22
$1. ~$23. 85•v • 1 bef ore tip:
Tip amount:
Grand total:
08/16/12 - Parking - Meeting with Delegate
i·~ ,.-;ML fi"r'·~I,,'I·: -1·~
Credit $23.85 ' ,_'..:f:. HIT
CREDIT C/l,RD PURCH/,,SE $23. 85Card Type: ~m~ri~~n CvnressH·:ftH***:
Iransact ion type: PRE··ALJTHRef Num: 000122Auth Code: 560838
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Opened: B/21/2012 6:26:59 PM
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Expense Report IEXP256155 Page 1 of 2
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u,ConfirmationExpense report number IEXP256155 was previously submitted for approval.
Expense Report IEXP256'155;_Return) , crea12~.re\1,;E:;~}e·ri5·e-R.ei;·o-rt";'v Prir~118GiePage J
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 Oates 08/02/2012 -08/31/2012
Cost Center 33201Purpose
Receipts Status Not Required
Report Submit Date 09/04/2012Attachments None
, Adel JReport Total 213.69 USO
Reimbursement Amount 213.69 USO
---: "-"E-~p-~-~;~-Li~~~--:----·E;o~~~-~Al1;~~ii~n~... ------------. -- --·-Weeklv Summary Approval Notes f 1l Approvers
BusinessExpenses
J\11.il~~geExpensesExpense Trip Mileage.
Start Date End Date Type Justification Distance Rate'Conf Call w/'
ReimbursableAmount (USO) Details Attachments
08/02/2012 08/02/2012 Mileage fflnasonic -/ 32 0.555tarver (Miles)
Lunch w/08/08/2012 08/08/2012 Mileage Dick Lipsky - 30 0.555
Rockville (Miles)
08/09/2012 08/09/2012 Mileage Meeting at 32 0.555
17.76 !i:l ~
16.65 ~ 4i
17.76
htt.,..,.//""'"'""'1"1trl1"1R1mrn"rnrl rvrrr'Rn1<:;/() Ll. PTi\lfT InA 1"n?n A i:;'11T1r=()rl='MATNP AGF..l:rc::t 4/lf)/?()14
Expense Report IEXP256155
Carver
New Teacher08/11 /2012 08/11 /2012 Mileage Orientation -
SpringbrookHSMeeting w/
08/13/2012 08/13/2012 Mileage Dr Statham -CarverCore Values
08/14/2012 08/14/2012 Mileage Worksession- CarverA&S Meeting
08/16/2012 08/16/2012 Mileage Universitiesat ShadyGroveMeeting w/
08/20/2012 08/20/2012 Mileage Dr Starr -CarverItems
08/22/2012 08/22/2012 Mileage Meeting w/Staff - Carver5oth
08/2712012 08/27 /2012 Mileage Anniversaryof White OakMSMedia Event
08/27/2012 08/27/2012 Mileage at FloraSinger ES
(Miles)
14(Miles)
32(Miles)
32(Miles)
34(Miles)
32(Miles)
32(Miles)
14(Miles)
13(Miles)
0.555
0.555 17.76
0.555 17.76
0.555 18.87 ~
0.555 17.76
0.555 17.76
0.555
0.555
08/27/2012 08/27/2012 Mileage Visit Takoma 4(Miles) 0.555Park MS
08/29/2012 08/29/2012 Mileage ~~~~:~i~k
Visit A Mario08/30/2012 08/30/2012 Mileage Loiderman
MSVisit
08/30/2012 08/30/2012 Mileage HarmonyHills ES
. Meeting w/08/31/2012 08/31/2012 Mileage Chief of Staff
:·rarver"'
__ i ~xpen~e~ine~ J___§_~~er:i_~-~-A~?~a.~io~~--
18 0.555(Miles) .
17 0.555(Miles)
17(Miles)
32(Miles)
Weeklv Summarv
Return)
0.555
0.555 17.76
Page 2of2
7.77
~~
~
,;}
Total 213.69
9
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Approval Notes [1 J
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7.77 ~ ~}
7.22 i}[§
2.22 ~Ej
~c.::JF;;;:'la
~EL·J
9.99 clov
9.44 c;;1:,u
9.44~ 9
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Expenses I iExoense instructions I Contact Us I Home I Logout I PreferencesCopyright (c) 2006, Oracle. All rights reserved. Privacv Statement
PURCHASING CARDCard Member Transaction Log
Office of the Chief Operating OfficerDepartment of Materials Management
MONTGOMERY COUNTY PUBLICSCHOOLS" Rockville, Maryland 20850~
MCP5 form 234-21Junie 2009
Card member name Christopher Barclay
School/office name Board of Education
For the period: From August 29, 2012
Work location CESC, Room 123
To September 28, 2012 USE SEPARATE toe !FOR IEACIHACCOUNT
v
Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student or other-must be identified.) (03, 05, etc.)
08130120 l 2 08/31/2012 $12.67 Labanese Taverna Cafe, Rockville ,-Meeting-wiffiC~taffer..:7 0912912012 504091
08/3112012 0910112012 $13.07 Jerry Subs and Pizza, Silver Spring r ~Mee-bi1~g~wit+1Sn:rdentsJ 0912912012 50409l
0910l/2012 09/02/2012 $23.87 Woodside Deli, Silver Spring t .Meeti.t1g_with._Studen1-;::/ 09/29/2012 504091
[)09129120 120910512012 09/06/2012 $21.48 Safeway, Silver Spring cMistakenlx Used. Will Be Reimbursed r 504091x-....•
09/I 4/20 12 0911512012 $10.37 La Madeleine, Rockville ' l Meetjmg,with:constituen~ 09/29/2012 504091-.·Cn:1:2W.o_tiJ C_09723720T2- [) C::$28.i3 -Farrrou-s Dave'S:--t'aurel: J c-McefingWitllCOii'Stitirten) 09/29/2012 504091------ _,_,,,,.·
0912912012 504091. 09/23/20 l2 09/24/2012 $5.56 Target, Wheaton Supplies for Home Office
_/ 09/24/2012 09/2.5/2012 $5.97 Auntie Anne's, DCA Airport CM§U While Participating in NBC News 0912912012 504091
Education Nation Summit (ENS)
/ 0912512012 09/25/2012 $7.20 NYC Taxi, Woodside NY Ground Transp., Participating in ENS 09/29/2012 50409!
Total $128.32
,/
;-
l.I/
"-...
/...-
LI
CIEIJlffSIFICATION STATEMIENT
Date
PURCHASING CARDCard Member Transaction Log
Office of the Chief Operating OfficerDepartment of Materials Management
MONTGOMERY COUNTY PUBLICSCHOOLS • Rockville, Maryland 20850~
MCPS form 234-21Dune 2009
Card member name Christopher Barclay
School/office name Board of Education
For the period: From August 29, 2012
Work location CESC Room 123
To Se1)tember 28, 2012 USE SE.PAR.ATE aoc lFO!ll (EAC!Hl A<C<COtUJNllf
Date Ordered Date Delivered Total Amount Supplier Name Supplies/Services (required) Statement Date Account($) (Student mother-must be identified.) (03, 05, etc.)
/
! J:!inne.i:.~WhileParticipating in/ 09i:l4/2012 09/25UO 12 $12.29 Walgreens, New York 09/29/2012 504091
Education Nation Summit (ENS)
-: 091:5/2012 091251.LO12 $25.00 Reagan Washington National Airport Parking, While Participating in ENS 09/29/2012 504091
091'.'5/2012 09/26/?.0 12 $9.00 NYC Taxi Verifone, Long Island, NY Ground Transp., Participating in ENS 09/29/2012 504091.091:25i20 l 2 . 09/26i2012 $4.75 Times Square Food Company, NY I l:lreaKfas9 While Participating in ENS 09/29/2012 504091
09/24/2012 0912612012 $14.95 Intercontinental NY, New York Internet Service at Hotel, Should be 09/29/2012 504091
Reimbursed by NBC -, 09/29/2012 504091
09/L.5/2012 09/2612012 $13.00 Witchcraft, NY, New York Meal, Whil~rti£i1~in ENS 09/29/20 12 504091
,/ 09/25/2012 ..QinneFJ t: ~)09/26/2012 $18.92 Negri! Jamaican Eatery, Silver Spring i 09/29/2012 504091r
Total $97.91
vi
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v
'--~~~~~~~~~~~~~~~~~~~~~~~~----'--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~.J
if.ERTIFKATiON STATEMENT
I certify thati!to th . best of my knowledge, the transactions recorded for the month indicated on this pu rchasinq card log are correct and complete. Allpurchases were made msupport of sc.go ><'Jrograms as outlined 111t~e Purchase Card Guide. I understand that any material misrepresentation O_!:-Q..miss1onfrom this log maybe grounds for cancellationof my pu~s ea'rd privilege an )e> disc· 111· action.
0J:" . c -/_/_ ~ ~-t. 9 1{-_1r!;i_1~Date Sianal"uri./J').,ovina ~ ..._ Date
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Prepared Fo1
C.HRISTOPHER BARCLAYMCPS MDTAX 3000123-5
. s~~-iiil~Ll:til~?¥ ©rj~I@~,: .·.Sfi:aten;;@.(1'(2~ ··
www. americauexpress.com/ch eckyourbill
11~ouri1f\l .••.,...h.:., Closing Dato
09/28/12 Page 1 of 3
BalanceDue$ Do Noi Pay
For important informationregarding your accountrefer to page 2.
P1ev10L1s8;.,\;.~rr-e $ ~~ewCll~.3.r9as$ Olher Debits $ Payments $ ,I 41.60ll 226.23ll o.aam 4t:solf I
For your records only - do not pay.
For assistance or questions about your account, contact us at WW\llJ.americanexprnss.com/checkyourbH! orcall Customer Service at 1-800-492-4920.
A.C~:~W9'ft:VJo".illliiieci~er uanaactrcn or posting date
Amount S:Card Number
09/01/12 JERRYS SUBS AND PIZZ SILVER SPRING MDREF# 1D156420120 3D16B13850 08/31/12
- ..... ..........09/15/12 LA MADELEINE 20 ROCKVILLE MD
REF/I4058658 FAST FOOD RESTAU 09/14/1208/31/12 LEBANESE TAVERNA CON ROCKVILLE MD
REF# 0 3014689086 08/30/12
09/07/1209/25/12
09/25/12
09/23/12
09/26/12
CORPORATE REMITTANCE REj::EIVEDAUNTIE ANNE'S DC 107 WASHINGTONREF# 28890087 703-417-175~FAST FOOD RESTROG NUMBER 28890087DCA REAGAN DCA REAGA WASHINGTONREF# 026975076 703-417-4307
. - . . ·--·-·.FAMOUS DAVE'S 112050 LAURELREF# 41272734 9522941376RESTAURANT CHARGESROC NUMBER 41272734
-INTERCONTINENTAL NY NEW YORKFOL# 118169643 LODGINGARRIVAL DATE DEPARTURE DATE09/24/12 09/25/12 00ROG NUMBER 118169643
Clo not staple or use paper clipsl?>arymefrllt COll..!j?on
r.:;~~~~
CHRISTOPHER BARCLAYMCPS MDTAX 3000123-5850 HUNGERFORD RM123noCKVILLE MD
HeterenceCede
09/07 -41.60oc
09/24/12--- - ·-- ··5-.-9T~l28890087000
DC09/25/12
MD09/22/12
·-· ---··------··-·--·-- -· ·- -- .. -/'·25.QQ I '02697507600
4 ;272734000/
28.13,/
,,__ --~----- ---- . . .··- --· ·--·-..-· ---· --- ·--- . . -· .NY 20097209300 14.95
09/26/12
10156420120 13.07.,·
40586580000 10.37v'
12.67/
Continued on (J9ge 3
Accounl Nuruba Please enter accountnumber on allcorrsspondenca.
20850Check here ii address,talephone number, ore-mail address haschanged. f'Jote changes onreverse sice.
D
·~~~::'...:..~~·-:r~·:!~'..
l:li...:p.~:o?jF0rCHRISTOPHER B.l\RCL.11.Yf\liCPS MDTAX 3000123-5
Account Nunber Closing Oare09/28/'l 2
Page 3 of 3
Peteteoce Co:le:
09/26/12
tktiv]~yContinued
861 5::.01)j[(j(1
Amount S
f--··-·------·---·-···- --- ····- ·-··- ----···-- ·-----· .. ----- -~--·------····---··-·---··- ·---·--- ----·-----·-~- -- ·- --·--·---------'
09/25112
09/26/12
09/06/i2
-09/24/i2
09/26/12
09/25/12
09/26/12
NEGRIL JAMAICAN EATE SILVER SPRING MDREF# 3bi53 RESTAURANT 09/25/12 .. -NYC TAXI MED 1J48 09 WOODSIDE NYREF# 027166070 000-0000000 09/25/12
. - . . ..NYC-TAXI VERIFONE NY LONG ISLAND CITY NYREF# 0 718-786-8585 09/25/12TAXI: 8A93 FARE: $6.50 OTHER: $2.50 DISTAXI: 8A9309:35 321 w 44th s09:46 522 5th Ave
SAFEWAY STORE 4817 SILVER SPRIMG MDREF# D GROCERY STORE 09/05/12
. . . .. -- .TARGET T1415 1415 WHEATON MDREF# 01137928 DISCOUNT STORE 09/23/12TIMES SQUARE FOOD CO NEW YORK NY842236922 10036 09/25/12ROG NUMBER 8422369227098003
D27166076LIO
01137928()(.(1
8422".3692270
-WALGREENS #11962 000 NEW YORKREF# 99999992269 8002892273REFER TO RECEIPTROG NUMBER 9999999226910003. ..WICHCRAFT NEW YORKREF# 0 2127800577
NY09/24/12
9$999992269
NY09/25/12
09/02/12 WOODSIDE DELI SILVER SILVER SPRING JvlDREF# 622000115 3015887055 09/01/12
1>2200011500
18.92'./
7.20 '/
9.00
~!..!
re-
21.48.~
s.56i/ Q
4.75./
12.29_,
13.00
23.87r'
New Charqes/Other DebitsPayments/Other Credits
Total for CHRISTOPHER BARCLAY 226.23-41.60
0912-+12012 nviealy/hile Participating in NBCNewsEai'i'C':'1tionNation Summit
L Auntie Anna'sDC #107
Nai::i ona. l ti, i rpo rtRonald Reagan Washington Nat. Airport
Center Pier, 1st Floor, Cl-775\~ashington, DC 20001
703 .417.1755
09/2212O12 []:arclai inee;tfilg~th constituent
Date:Card Type:P1cct Num:Exp Date:Auth Code:Check:
09/24/2012 04:35PMArnex
t·= t-\1'1L-::~~JSDAVE= S- #2050
**********14;~.oBaltimore Ave
Laurel, MD 20707(301) 483-350U
Sep22'12 04:4SPM"'"'/"'""-r-t- "f'-t-
~lerver:
5221161476147 Tigist
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"rans Type: Pl.JF~CH.~SErans l<ey: FIFOOi117600880Jth Code: 587037
~·ieck : 2849fable: 29/1:erver: 2025 Rebecca
j09125:2012 - Reagan Washington National Airpot. Parking -\Vhile Participating in NBC News EdLLcationNation Summit
3ubtota l :k*****GUEST COPY*****
\!Jundup 4 Charity _
THISENDUP
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REAGH!1NATIONAL AIRPORTRECEIPT A209ENTRY TIME:
rota] _~*****GUEST COPY*****Please Retain For Your Records
0 4/12E TiME:0 5/ 12P -DUR.:
16: 10 Use the line above to round upyour total to the nearest dollar
when paying with a debit orcredit card and help feed the
neecs .:;f your community.www.rounditupamerica.org
16:22HRS:MIM1:00:12
AMOUNT:~ 25.00
OF PAYMENT:
xx xx101
VIS IT
09 2.\ - 2G·2(1l2 - internet Service or Hotel, Should be Reimbursed b:• i'<'BC
••~· ci.th..cmiSEtueut
l a r1:.~1adelei tie11858 Rockville PikeRockville, MD 208S2
(301 l 984-227UCornments or Suggest ions?
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Acct tt: XXXXXX\XXCard Entry: SWIPEDTrans Type: PURrHASETrans Key: DID001061025837i\uth Cede: 5.2~1260Check: 7073Check ID: r~Server: 102'.35 Kr isten
Total
JER~Y~ SUH ANG .Pl ZR11 UNIVER tfY SLV W
SILVER SPR NG nv 2 5913~1-5 1 28~U
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*:***~No :~:Ionatu re ?t·~qt1i r e~-~:..:.t.***f..:USTDf'·iEP CDP'/M•rchant ID: 088~Q56i0321
T:rm ID: 00831682 Rof tt: 6063
Sale.,,,,.,'t' ·~~~111113;T;-.r.ii. .i.l, 11·.l-i((lll\i'ii tlf.J
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Amount:
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$ fv".17-Iclsl:
08dl!12Inv ~: 00006jAPPrva: Online
20:03:%APPr Code: 581224
Mcntt: ~~~~n,,
09/23/20l1 - Supplies for home office
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SUBTOTAL $5T " Mll TAX 6. 0000% on ,~5.. 2<1 $0
TOT~L $5
l1MEX CHARGE $5
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us about your l a~,t shopping exper ie1a-: Tai-get for a chance to win a
$5000 Tar~F't Gi ttCai-d i
Locate the (iii t Regis try~(iosk and se1ec.t GUEST SURVEY.
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'tl\'J.\'t olm-:-g_e_l crnn/.$WTV£YUser ID: T.17(!2858 5988
Password: 620 712
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dE1 ganc:w une tilr,i eta de 1-ega IoTar-get Gi ftC11r-c/ de $5000.
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ONE WIN~ER PE:R MONTH!Cuest must be 18 ur o ldsr to enter
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Complete rul es at Guests,
08/30/20'12 - Barc!ay meeting with Council staffer
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Silver Spring, MO33428, (301) 585-3000
Date: 09/25/12 Tiw2: Ll5:Cf Pmnrt1er H , 'lnl;u lL n1 Jue.Server: Ana
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Cashier : ,~nerPayrrent#: 100628
Au'Lh Cocle: 525513/!Ref No: 0064
Card# : XXXXXXXX: Swiped
TIL.Af'It\ SPECIAL $6. 25JFRK ORUMMETIESDINNER $8.75OPEN FOCD $[1. 05
LG FRUIT PU~'. $2. 80
Sub-total:Tax:
rota]:$17.85$1.07
ThanK YouPlease C01E ?min
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09/24/12 TR 2749START END MILES19:45 19:49 0.6CUSTOMER COPY
REGULA.R FARE·TE1:$ 4.5(
"r . $ 1.0(.$ O.SC
: $ l. 2GAL: $r 71Q
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"~/25/12 TR 6637ARl END M!I FS:35 09:44 ;·RE $Tf{ft: s 0SRCH: ~ 0. b,
TOTAL: $~TD CONTATI-rli':
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§ :Z2u0 o:c' :z:<'I ·CRE[JIT RECE:lf'I ·THANKS
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09/25/2012(¥ak~Nhile Participating inNBC News Education Nation Summit
09/25/2012 - Meal, While Participating inNBC News Education Nation Summit
11n~~ ~YUARE FOOD CORP681 8TH AVE
NE~ YORK NY 10B36212-245-2362
Morchont ID: 59Q0Q29637T~r·m IO: 9825
SaleAl1£XxxxxxrnEntrY Mdho( ,,:,APPrvd: o~:~912~112
·~atch~: 00000109:35:01
I nvlt: 0Bij0(1'113 iMr Code: 52653~Tota!: ~
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b2ru:i2DJ2-D-i-1u1&,..Whit@-I4u:ticipating .•mNBC News Education Nation Summit
meetmg w1tn sruuents _
There's a waym#11962 1471 BROADWAYNEW YORK, NY 10036
212-302-0552
219 5518 0002 09/24/2012 9:40 PM
HERSHEY ALMD BAR 24100 1.450Z03400000241 A 0.69 &'REGULAR PRICE 1.39SAVINGS 0.70SH GRILLO CHKN CAESAR WRAP90ZJ4902251924 4.49NAT ARTESIAN WATER 16.SOZ33256500001 A 1.98.E DEPOSIT)0000007420 0.05DIAMOND RSTD SLTD ALMNDS 40Z14157009927 2 '99:r ADE CRAN LEMONADE 16.SOZ5762252579 A 1.69
·LJBTOTAL 11.90.ALES TAX A=B.875% 0.39TOTAL C12':2]'AMEX ACCT 1008 f:Z:-29CHANGE .00
STORE ADVERTISED SAVINGS 0.70
434357707885WOODSID[ DELI
9329 GEORGIA AUE.SILUER SPRiNG, MD 20910
<301)589-7055
c 0 p y09/01/2012 18:15:27
Sale:
Transact ion t~Card Type:
:1::L4AMF'.X
Ace: ••~M~••=Ent.r-u : SwipedSrvr H 1BseAmt: ?3 _87Tot.el : 23 _s-r'
Auth .Code : 501569Respon. APP~OUED 501569
THANK YOU FOR ~1-lnPPTtJr. /\T !Jli.i(lnrr',;r-1 h.-.....-r'r"'IMC"a t'l1P'.../.._.L.J.._,, ,j; ~. ·-·~.
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Expense Report IEXP256167 Page 1 of 3
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t] 61 I ~11anagernentHT 1. ; ,Svstern- .,l ... I ..l.. I .
Expense Reports piE,~,!?enseinstructions Contact Us Home Loaout Preierences
•'
~-~l~if~'t'.-·~"1~~~~<?.J(\~~J.
[ill,Confirmation~~~~~~·~~~--~~~~--~~~~~~~~~~~~~~~~~~Expense report number IEXP256167 was previously submitted for approval.
Expense Report !EXP256167'· P,e\Urri-; \ c.ti2t_e_~1ewE'x6en5e R.e0oi1 ) -~ . ·-- .....
',_Prin_r__atjle Page 1
03
Submission lnstructions*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.
Genera! lnformation. . -Name Barclay,
Christopher S(80313)
Expense Dates 09/03/2012 -09/29/2012
Cost Center 33201Purpose
Receipts Status Not Required
Report Submit Date 10/01 /2012Attachments None
i. A.cl cl )Report Total 263.09 USO
Reimbursement Amount 263.09 USO
; Expense Lines Exoense Allocations Weeki'/ Summary Approval Notes f1] Approvers
Business Expenses
ReimbursableAmount (USO) Details Attachments
0.555 18 87 ~' ~ cf}o
09/05/2012 09/05/2012 Mileage onCoreValues --
32(Miles)
0.555 17.76 ~ :::}
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Expense Report IEXP256 l 67 Page 2of3
Fiscal ~}09/10/2012 09/10/2012 Mileage Management 32 0.555 17.76 riJCttee Meeting . (Miles)
09/10/2012 09/10/2012 Mileage w/ st::iff _,g
32 0.555 17.76~
,£l.,I
(Miles)
09/12/2012 09/12/2012 Mileage Councilwoman 30 0.555 16.65~
d}(Miles)
.~ACES Media c{?09/13/2012 09/13/2012 Mileage Event - 5(Miles) 0.555 2.78
~Montgomery
.
CollegeTakoma ParkMeeting w/
32 0.555 17.76~
c:'}09/13/2012 09/13/2012 Mileage MCEA -Carver (Miles)
(~~ch wf Ms 409/14/201209/14/2012 Mileage is _ 22 0.555 12.21~(Miles)
.Rockville LaMadelinePolicy
32 0.555 17.76 tliJ ~09/18/201209/18/2012 Mileage Committee -Carver (Miles)
Me-eting-wfi d}09/19/2012 09/19/2012 Mileage ~t=;::i7P.f4e_ ) 6(Miles) 0.555 3.33 tiJ.
09/19/2012 09/19/2012 Mileage ;:,1~~~·v;~'-·-- ., 32 0.555 17.76~
c;;}(Miles)
09/21/2012.09/21/2012 Mileage Statham & or 32 0.555 17.76~
d}(Miles)
-
09/22/2012 09/22/2012 Mileage Sinkfield_ 23 0.555 12.77~ 9
(Miles).
09/24/2012 09/24/2012 Mileageg~.n~
32 0.555 17.76~
d}Setting -Carver (Miles)
RT National c!}09/24/2012 09/24/2012 Mileage Airpcrt- 23 0.555 12.77~
Arlington, VA (Miles).
(shuttle to NY)Meeting w/
34 0.555 18.87~
4=i09/27/2012 09/27/2012 Mileage MCAAP -(Miles)
-MCAAf? HQSchool c:}09/28/2012 09/28/2012 Mileage Community 35 0.555 19.43
~Unified in (Miles)PartnershipConference -USG
09/29/2012 09/:d9/2012 Mileage George B 6(Miles) 0.555. 3.33 tiil ,,;}ThomasLearningAcademy
Expense Report IEXP256167 Page 3 of 3
Opening Day -Blair HS
Total 263.09
___J _~~~nse_ Lines ___l__~~~-~~~~~~_:3----~~~-~_::~~~-~?~~~~~-~-~~l--~~~~~~-~-----·-----
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Expenses I iExoense instructions I Contact Us I Home I Looout I PreferencesCopyrighi (c) 2006, Oracle.All rights reserved. PrivacvStatement
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