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PURCHASING CARD Card Member Transaction Log

~
Office of the Chief Operating Officer Department of Materials Management MONTGOMERY COUNTY PUBLICSCHOOLS Rockville, Maryland 20850

MCPS Form 234-21 June 2009

Card member name Christopher Barclay School/office name Board o;fE~;:d:uc:a~t:io:n~---------------------~---------------------======= Work location CESC, Room 123 For the period: From December 29, 2013 To January 28, 2014

USE SEPARATE LOG FOR EACH ACCOUNT


Supplies/Services (required) (Student or other-must be identified.) Meeting with Mr. Williams, Minority Scholars Program Account (03, 05, etc.) 504091

Date Ordered 12/31/2013

Date Delivered 01/01/2014

Total Amount
($)

Supplier Name

Statement

Date

$36.74 Austin Grill, Silver Spring

01/28/2014

OJ/24/2014

01/26/2014

$274.52 Carlton Hotels, San Francisco


'

Lodging, while visiting charter public schools, Bay Area, CA (OJ/22-24114)

01/28/2014

504091

(tR-eimourseO'l>y Granf},J 01!09/2014 01/10/2014 $60.15 Clyde's Towers Oaks, Rockville L(missiug..receipt) 01/06/2014 01/23/2014 01107/2014 01124/2014

01/28/2014

504091

'-:I
Parking, Mtg. w/Anita Powell, NAACP Meal, while visiting charter public schools, Bay Area, California 01/28/2014 01/28/2014 504091 . 504091

$4.00 Colonial Parking, Rockville $7.29 Cup A foes Coffeehouse, California cjR.eunbL~.fil!d...Qx Gr.ID!tl

Total

$382.70

CERTlFICATION STATEMENT

PURCHASING CARD Card Member Transaction Log


~
Office of the Chief Operating Officer Department of Materials Management MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland 20850

MCPS Form 234-21 June 2009

Card member name Christopher Barclay School/office name Board of Education For the period: From December 29, 2013 To January 28, 2014 Work location CESC, Room 123

USE SEPARATE LOG FOR EACH ACCOUNT


Supplies/Services (required) (Student or other-must be identified.) Meal, while visiting charter public schools, Bay Area, California Meal, while visiting charter public schools, Bay Area, California Education Week subscription renewal Meal, while visiting charter public schools, Bay Area, California Meal, while visiting charter public Schools, Bay Area, California 01128/2014 504091 01/28/2014 01/28/2014 504077 504091 01/28/2014 504091 Account (03, 05, etc.) 504091

Date Ordered 01/24/2014

Date Delivered 01/25/2014

Total Amount ($)

Supplier Name

Statement

Date

$3.25 Cup A Joes Coffeehouse, California lReiffibursea~oyGranf)]

01/28/2014

01/24/2014

01/2.3/2014

$7.29 Cup A Joes Coffeehouse, California aReinioursed by Gran9

01/!912014
f--.

01J2.J/2014 01/22/2014

$84.94 Education Week, Onlin((no receipt~ $6.34 Farber News, Dulles Airport (CRTu~seaoy Grant)~

01/22/2014

O'i/22/2014

01123/2014

$14.51 Fly Bar and Restaurant, Airport (CReiiiibursed b;l GranQ]

Total

$116.33

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 in support of school programs as outlined in ):l~ PLJ.Dtiase Card Guide. I understand that any material rnisrepresent,rloilOr omission from this Jog maybe grounds for cancellation of my prct;ia}'e card pr!Yilegeand/or disrA'J<J"fi~ction.

[..,.rvu..~~~.~~

31lo1-1..!L
Date

SigmJt,;e~

~~

.5-1 f<i;r~
Date

PURCHASING CARD Card Member Transaction Log


~
Office of the Chief Operating Officer Department of Materials Management MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland 20850

MCPS Form 234-21 June 2009

Card member name Chiistopher Barclay School/office name Board of Education For the period: From December 29, 2013 To Januruy 28, 2014 Work location CESC, Room 123

USE SEPARATE LOG FOR EACH ACCOUNT


Supplies/Services (required) (Student or other-must be identified.) Mtg. w/Brian Roberts & County Staff Mtg. with Anita Powell, NAACP Round-trip tickets to visit charter public schools, Bay Area, California (01/22/2014 - 01/24/2014) Account (03, 05, etc.) 504091 504091 504091

Date Ordered 01117/2014 01/06/2014 Ol/15/2014

Date Delivered 01/18/2014 01/07/2014 01/16/2014

Total Amount
($)

Supplier Name

Statement

Date

$24.00 Tara Thai Asia, Rockville $33.00 Thai Pavilion, Rockville $932.00 United Airlines, Online ((Reimburseclb_y_Gr@DJ

01/28/2014 01128/2014 01128/2014

01/23/2014

01124/2014

$8.59 United Airlines, Inflight [:(Reinibirrsed.bx;

Snack, while visiting Charter Public Schools, Bay Area, California Ground transportation to San Francisco Airport

01/28/2014

504091

G"f.ijj}

Gl/24/2014
-

01125/2014

$60.75 Yellow Card Services, San Franciso r(Ifounbursed by Grant)

01/28/2014.

' 504091

Total

$ l,058.34

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 in support 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 pur ase ca d priv ea [c ciplina action.

---L..4~~~~~~~~;,4~4,'..L~!:t:~u:i~.-----

L;

L~e;_l!J_

Sianature. ~~

-J-; D~t{;_Ly.

PURCHASING CARD Card Member Transaction Log


~ Office of the Chief Operating Officer Department of Materials Management MONTGOMERYCOUNTY PUBLICSCHOOLS Rockville, Maryland 20850

MCP.S Form 234-21 June 2009

Card member name Christopher Barclay School/office name Bomd of Education For the period: From December 29, 2013 To January 28, 2014 Work location CESC, Room 123

USE SEPARATE LOG FOR EACH ACCOUNT


~;.

Date Ordered 01/24/2014

Date Delivered 01125/2014

Total Amount ($)

Supplier Name
1

Supplies/Services (required) (Student or other-must be identified.) 1Vle'iI',\while visiting charter public schools, Bay Area, California Parking, while visiting charter public schools, Bay Area, California

Statement

Date

Account (03, 05, etc.) 504091

$16.35 Fung Lw11 Restaurant, Airport (Reimbursed by Grant)

01/28/2014

01122/2014

01126/2014-

$30.00 Washington Dulles Int'I Airport (Reimbursed by Grant)


I

01/28/2014

504091

01/23/2014

01/24/2014

$9.80 Kabila, Union City, California (missing receipt)

~vhile

visiting charter public

01/28/2014

504091

schools, Bay Area, California Parking, ~ile visiting charter public schools, Bay Area, California cwrrll1--C:~l-;"Zarclfm:-B 1i.ker;-RU5enJ 01/28/2014 01/28/2014 504091 504091

12/31/2013 01/2312014

12/31/2013 01/24/2014

$3.00 MC Garage, Silver Spring

$346.m~ ..}Jeptune Waterfront Grill, California (Reimbursed by Grant)

Total

$405.23

CERTIFICATION STATEMENT

l 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 in support of school programs as outlined in the Purchase Card Guide. I understand that any material misrepresentation-oiBrnission from this log maybe grounds for cancellation 1r of my 1?7urc, e .card rivile and i~inary tion. ~

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Dote

10 .o:

Sia~Go'l;;;vina

c~,~-

Official

__;:_ 1rr;Jj? 1
Date

01/17/2014

Tara .'\s1a

199-D E. MrJiltgrnnery Ave.

Rockville. MD 20850 (301) 315-8008


\HHl )',\Ull t11H i-:Ut

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!Time:

2014-01-17 12:51 PM . - Number: 292076 .mt Type: CREDIT lran ID: 577097183
.;r :

19 i'lARYL~1ID AUElllJE W'

ROCKVIl l f MD 10850

3u:

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:1'144

AL ID: BOBB0498 t

Bank
34

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PL~HASt
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Card Numher: Cai-d Expire: Card Type:

REFtt: 7J

:,: :H H: 764 1~110UtH

AU!H M; 525

Sv1iped
I IP

l $Z7.9J
L------- ----.
$ , _

,'<,'/../XX

! OTAL

American Express

Cardholder Name: Approval Code:

C BARCLAY
5821'15 624
~

APPROVED
CUSTOMER COP'-.'

Reference

Number:

PUR~HASt:

i20.5

Gratuity: Total:
. 1

;. ids and/or

rdmember acknow1edges receipt of services in the amount the total shown heron and agrees perform the obl igations set forth ardmember's agreement with issuer

:jgnature:

01/06/2014 - Colonial Parking, Rockville Meeting with Anita Powell, NAACP

12/31/2013 - MC Wayne Ave. Garage, Parking, Mtg. with Mr. Williams, Minority Scholars Program

WELCOME TO ROGKUILLE TOWH SQUARE PLEASE KEEP THIS TICKET WITH \'OU
Entered: 2014/01/06 13:1l3 Ticket#:87289422g our:3:1l3:06

MONTGOMERY COUNTY HAYNE AVE GARAGE RECEIPT K21 ENTRY TIME:


13: Q[, 15:38

12/31/'l.3

Paid On:
2U14/01/ll6 16:06

EXIT TIME:
12/31/13

PARK-DUR.:
Paid:$ 4.00 Original Fee:$
Change:$ 0.00

HRS:MIN
0:02:38

!:\MOUNT:

AMEX

sc:S
*********'

o.oo

3.oo
~IND OF PAYMENT: AMERICAN ~~ooc0~

AHERIGAHEXPRESS
Seq#

799365

xxxxx
AUTH. THANK

101

CODE 545457 YOU FOR YOUR


I I .. I"~ T
-

Purchase 14/01/06 16:12:12


Auth# 56321l9

0 l/24/14 - In-N-Out Burger - Lunch

01/24/14 - Cup A Joe - Breakfast

2014-01-24 Ll Tl YOUR GUEST NUMBER


10

rs

12:31 PM

Cup A Joe

896 Sutter San Francisco, CA

94109

IN-N-OUT BURGER SUNNYVALE 2014-01-24 12:29 PM 130 1 472 1049

ph 415-563-7745

Guest Check Thank You for Visiting TABLE: Default Section #12 - 1 Guest Your Server was CASSANDRA 1/24/2014 7:06:59 AM Sequence #: 0000031

Cashier: MICHELLE VA Check : 10 Counter-Eat In Veggie


w

1.55 1.60 1.60 ITEM Big Oat Bar

ID # : 0425853

FF
Med Coke

OTY PRICE
1

$3.25 $3.25

~ounter-EatIn 4.75 TAX 8.75% .42 ~mount Due ~___,,


fender $20 ~hange $20.00 $14.83

Subtotal Grand Total Please Come Back! Guest Check

014-01-24

THANK YOU! L1 Tl 12:31 PM

--------------------------------~--------------------------------------------------

01/23/14 - Cup A Joe - Breakfast

Cup A Joe 896 Sutt2r San Francisco, CA 94109 ph 415-563-77 45 Guest Check Thank You for Visiting
TABLE: For Here #52 - 1 Guest

Your Server was CASSANDRA 1/23/2014 6:58:16 AM Sequence#: 0000013


ID #: 0425500

QTY PRICE TEM ----------------------------------------1 $2.75 ream Cheese 1 $3.95 resh O.J. Sales Tax Subtotai Grand Tota 1
$0.59 $6.70
C$7..:._29

24/l 4 - Fung Lum Restaurant - Subsistence 01/24/14 - Cup A Joe - Breakfast

~ng Lum Restaurant SFO Terminal 3


(650)821-8282 Cup A joe 896 Sutter S0.n Francisco, CA 94i09 Ph 415-563-7745

Bryan Num
.ok: 162

Guests: 1
01/24/2014 06:19PM

Guest Check Thank You for Visiting

----------------------------------~-----12.00 3.00 16.35

Dine In 2 ENT CMB0$8.50+3.50

BOTTLED WATER (LG)


AmPrir.:m
i="'.mr;:ic;s

TABLE: For Here #2 - 1 ;;uest Your Server was CASS~.NDRA 1/24/2014 6:49:32 AM
Sequence*: 0000021 ID #: 0425843 --------------------------------------QTY

Sub-Total Tax Payment


iange

ITEM Due

-----------------------------------------Cream Cheese 1 $2.75 Fresh O.J. 1 $3.95 --------------------------------------

PRICE

---------- Check Closed -----------

01/24/2014 06:20:21PM Thank Youl

Sales Tax Subtotal Grand Total

$0.59

-------------------------Please Come Back! Guest Check

$6.70

-------------------------------~------

7.2

====================================------de r Number: 162

)1/25114 - United In-flight - Subsistence .. " @?~


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O1/~15/2014 11,..,. ic1~ 1 n


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Rece i !JI #: !J 1!'1 I 1 ;Jliol,1('1 i IJll: 1-'.il !;':11 q \34"1:! i l~i~i

Sal" P1 udud I Hi\ 11. MIX


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0McPSa
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Division of Controller MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland 20850

MCPS Form 281-1 Aprtl 2013

INSTRUCTIONS: This form is required for authorization and accounting for funds for out of area travel. Authorization of Travel/Funds-At least 30 days prior to travel, this form must be approved by both the principal/director and the deputy/associate superintendent ..Advances will not be made more than 30 days before the trip. No advance will be made if estimate of expenses total less than $100 or if there are prior travel advances outstanding. Retain a copy of the approved form for use in final settlement of travel expenses. Accounting for Travel Expenses-Use the approved copy to account for travel expenses within 10 business days after completion of trip. Forward, with original receipts, as appropriate to your Associate Superintendent account manager, who will send the completed form as soon as possible to the Division of Controller, 45 West Gude Drive, Suite 3200, Rockville,Mar/land. Reference: Regulation DIE-RA Travel for Montgomery County Public Schools (MCPS) Purposes. PART!: REQUEST INFORMATION-Tobe completed by employee/traveler
Name Christopher Barclay Employee Number _Q_
(If teacher, indicate subject/grade and coverage required.)

l_ _Q_ l_ J_

Job Title Board Member


Dates of Leave _QJ__/ 22

t--1.!._

through

_Ql__;_2J_j--1..:L.
0 Annual

Days of Official Business _QJ__/ 22

1--1..:L. through _QJ_/


l 37.26

24

j_li_

Number of Days Requested _O_ Place of Travel San Francisco,

0 Professional

Cal ifomia Estimated Travel Experses S 1.490.52 Advance Requested$


Mode of Travel:

MCAAP/MCBOAT;.:.,r;,av:.;e::..,I ;_;Fu:::,n.:,:d:.:,s.:$;;;;;;===:.-----~-----...1 Purpose of Trave1(Visit h'IO chate.i:.Ji.ublicscbooJs....Ra}!...AJ:..e.a...California

ii

_0__

Lodging (per day)$

J;iJ b

Common Carrier

0 Privately Owned Vehicle .were by scheduled airline.

For benefit of MCPS-Attach justification if destination is more than 150 miles For benefit of employee-Reimbursemrnt limited to cost of airfare; lodging and subsistence limited to that incurred if travel

Board of Education
c-:
Schoo/(Department

__QL;_li_; 14
Date--

rART II: REVIEW ANDAUTHORIZATION-Tobe completed by Principal/Director


Substitute Day(s) Needed Max. Funds Allow~e
$

Account#: (Travel) Account#: (Registration) __ . . ._--. .0000.0000.00

/ 1-. r ,~ , u_____Q
Si~natJre, Principal(Director

_DU;-1!1_
Dot~

~_}_
Signature, Associate Supen"ntendent/Deputy(COO Date

PARTIll: ACCOUNTING FORTRAVEL EXPENSES-Tobe completed by employee/traveler


Please complete "Estimated" column with initial request; "Actual" column within 10 business days after completion of trip. Write "prepaid" by any item that was separately paid directly by MCPS. Expenses Lodging (Attach original receipts) Subsistence: (Attach original receipts) Common Carrier (Attach original receipts) Ground Travel (e.g., taxi, airport limousine, parking) Privately Owned Vehic!e: ,(Xr .:J1miles@ Registration (Attach receipted bill.) Other (Attach explanation and receipted bill(s)) Total Reimbursable Expenses Check# _
$ $

Estimated

sl.__ per mile

s s s s
;
$

274.52 150.00 932.00 60.00 34.00 0.00 40.00 J ,490.52


Less Advance (Attach check) Due Employee

s
$

/i/ r7

a 11. :zt?;

Actual ,,.;;i

Accounting

s CJJQl ClQ ~O r1_"5' 5


s _3..Q51 ~
$

s \ ri u ~ 1$ $ $

5__

J.(

~-
i
I

1$'

3S-(I;).....-

u,."00t...
APPROVED

~os~
_J_J_
Date

Signature. Associa(e Superintendent!Deputy/COO

:-: .,~
.:.'~ ..:..~~ ::.~.?-.-" ..

)hristopher S. Barclay

Room No.:

705
01-22-14 01-24-14 1of1

Jnited States

A.rrival:
Departure: Page No.:

:oy of Life Club#:


;ompany Name: !lock Code: >uest Name:
rte
Description

Montqornery County Public Schools 1401MONTGO

Folio No.: Conf#:


Cashier:
CRS:

65701 6610354 2806


l5564C0956360

Charges

Credits

22-14 -22-14 22-14 22-14 -23-14 23-14 23-14 23-14 24-14

Room Charge Occupancy Tax Business DistrictAssessments

118.00 16.52 2.66 0.08

CA Tourism Assessment Room Charge Occupancy Tax Business DistrictAssessments

118.00 16.52 2.66 0.08 274.52


XX/XX

CA Tourism Assessment American Express

Total. Balance

2~
0.00

Thank you for choosing the Hotel Carlton ee that my liabilityfor this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or iciafion fails to pay for any of the full amount of these charges. I also agree that all charges contained in this account are correct and Iis pute s or requests for copies of charges must be made at time of departure. Signature: _

1075 Sutter Street San Francisco, CA 94109 P: 415.673.0242 F: 415.929.8788

Corporate Purchasing Ca3'dmember Report


Prepared For

:::::,:::1'.:.:11111

Closing Date

:~~0:~~!r~~11i~:1:1::1:11 :r:1 ~~;;:~;.g(w~:.;r1;j;100:~:::,.


1

1:11i11::1::::::::1!

CHRISTOPHER BARCLAY MCPS MDTAX 3000"123-5

01/28/14

Page 1oi3

Balance

Previous 8alance $

New Charges $

Other Debits $

Payments$

other Credits $

87.0011

1,962.6011

O.OOIM< ,,:, . i:\:~TR?:ll:.'::/.: 0>,

;'~'.~P1

Due $ Do Not Pay


For important information regardingyour account refer to page 2.

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

Card Number
01/01/14 AUSTIN GRILL - - - - - - - - - . - REF#-046-7413 01/26/14 SILVER SPRING MD R-ESTAURANT12/31 /13

ReferenceCcde

- -

AriiOuriir-1:

\9,t?,9~tt#t)S9Be~BAft::iREMITi'AN.~EA~GEil/,ED_: :q}/qe:}:: .. ::.: . . .. : ,,.::;


04674130000

"<:: .: :> : ::.:;

r .. : :

.:-:~s?/09\.1
36.74( - - ... 274.52 (:

CARLTONHOTELS SAN FRANCISCO CA FOL# 16444898 LODGING 01/24/14 ARRIVAL DATE DEPARTUREDATE 01122114 01124114 oo ROG NUMBER16444898 CLYOES I OWEROAKS LG ROCKVILLE REF# 52 301-294-0200 COLONIAL PARKING #TT ROCKVILLE REF# 28870015 202-295-8167 PARKING FEES ROG NUMBER28870015 MO 01/09/14 MD 01/06/14

01240001999

I I
l :

I
i

01/10/14 01/07/14

52000000000

60.15 4.00/

Ii
11'

28870015000

~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-;'

l I
42550000000

01124/14 01/25/14 '01/25/14

CUP A JOES COFFEEHOU SAN FRANCISCO CA REF# 425500 415-563-7745 01/23/14 CUP A JOES COFFEEHOU SAN FRANCISCO CA REF# 425853 415-563-7745 01/24/14 CUP A JOES COFFEEHOU SAN FRANCISCO CA REF# 425843 415-563-7745 01/24/14

7.29) 3.25/ / 7.29V

I
I

42585300000

I
!
'

42584300000

Continued on Pe.ge 3

Do not staple or use paper clips

Account

Number

Payment Coupon

Please enter account number on all correspondence.

CHRISTOPHER BARCLAY MCPS MDTAX 3000123-5 850 HUNGERFORD RM123 ROCKVILLE MD

20850
Check here if address, telephone number, or e-mail address has changed. Note changes on reverseside.

Prepared For

Account Number

Closi~ Dale

Page 3 of 3

CHRISTOPHER BARCLAY MCPS MDTAX 3000123-5 Activity Continued 01/20/14 EDUCATION WEEK 3012803100 MD REF# 91304460 PROFESSIONAL SER 01/19/14 SERVICES (NOT ELSEW ROC NUMBER 91304460 FABER GIFTS/NEWSTAND WASHINGTON DC REF# 3571 2013301515 01/22/14 FLY SAN FRANCISCO CA REF# 79950072 415-441-4232 01/22/14 RESTAURANT ROC NUMBER 79950072 FUNG LUM CONCESSIONS SAN FRANCISCO CA REF# 880000472 B 6508218282 01/24/14 FAST FOOD RESTAURAN ROC NUMBER 880000472 880472 IAD DULLES ECONOMY 8 DULLES VA .... rv r- '"' " REr# 033875339 700-572-4564 'JI I c:::J I 1.,. KABILA UNION CITY CA 851808940 USFC94587 01/23/14 ROG NUMBER 8518089402498016 MCG DOT 82751 PRKNG SILVER SPRING MD REF# 070023001 240-777-6000 12/31/13 NEP'(IJNE' S. obbf -SAN FRANCYsco --- CA -.. REF# 1551 415-705-551i 01/23/14 TARA THAl ASIA 41700 ROCKVILLE MD REF# 624000004 3013158008 01/17/14 THAI PAVILION ROCKVI ROCKVILLE MD REF# 10156420140 3015450244 01/06/14 N1TED AIRCINES ATLANTA ] GA i:.K-T#-o-rn7374"5"s15442/\.-rnLTN"ETA"rn c o 1;15;14 PASSENGER TICKET BARCLAY/CHRISTOPHER UNITED AIRLINES UNITED AIRLINES ATLANTA GA FROM DULLES ARPT DC TO CARRIER CLASS SAN FRANCISCO CA UA U TO DULLES ARPT DC UA U TO UNAVAILABLE YY 00 TO UNAVAILABLE YY 00 UNITED AIRLINES HOUSTON TX 1-\-Iitt'l-ti:E'tA'I . , c o 1 I 2 3 I 1~, SPECIAL SERVICE TICKET BARCLAY I INFLIGHT SNACKUNITED AIRLINES UNITED AIRLINES HOUSTON TX FROM DULLES ARPT DC TO CARRIER CLASS SAN FRANCISCO CA YY 00 TO UNAVAILABLE YY 00

01/28/14

Reference

Ocde

Amount S

91304460000

84.94

/01/22/14
I

35710000000

6.34V 14.51 /

01/23/14-

79950072000

7 01/25/14

88000047208

16.351

01/26/14 01/24/14

00397599900

30.00/ 9.80 3.00

85180894{)24

12131/13 .01124/14 01/18/14 01/07/14 .01/16/14

070023CXJ100 1551cXro:XiQ- .

/I

346.0S

/!
I

624C0000400

24.00V i

10156420140

33.00,7 32.00

01150900000

01/24/14

02483717000

8.59

)J
Ii

TO
UNAVAILA3i_E TO 01/25/14
yy 00 UNAVAILABLE YELLOW CARD SERVICES SAN FRANCISCO CA REF# 1 TAXICAB & LIMOUS 01/24/14
OOOC0000001

yy

00

60.75 1,962.60 -87.00

Total for CHRISTOPHER BARCLAY

New Charges/Other Debits Payments/Other Credits

Itinerary: San Franci sco

Pagel of 2

San Francisco
Wed Jan/22/2014 - Fri Jan/24/2014

Itinerary# 168377504331

Important Information
Remember to bring your itinerary and government-issued photo ID for airport check-in and security.

Washington

{IAD}

-r

San Francisco

(SFO}

Wed Jan/2212014- Fri Jan/24/2014, 1 round trip ticket Your reservation Is booked and ticketing is in progress. No need to call us to reconfirm this reservation. Traveler Information Christopher Stone Barclay Adult
* Seat assignments, special meals, frequent flyer point awards and special

BOOKED United

JJZ30B

Price Summary
Traveler 1: Adult Flight $932.00 $846.51 $85.49 $0.00

No frequent flyer details provided

Ticketing in progress

Taxes & Fees Expedia Booking Fee otal:

ssszno

assistance requests should be confirmed directly with the airline. 01/22/2014 - Departure Nonstop Washington IAD 5:38pm ill United 1536 the airline" 01/24/2014 - Return Nonstop San Francisco SFO 10:30pm Washington .AD 6:36am +1 day (Arrives on 01/25/2014) United 1728 Economy/Coach (U) / Seat 43F / Confirm or change seats with the airline" Airline Rules & Regulations Total travel time: 5 h 6 m 5 h 6 m 2,426miles San Francisco SFO 8:29pm Total travel time: 5 h 51 m

All pricesquotedin USdollars.

Additional Flight Services


5 h 51 m 2,426miles The airline may charge additional fees for checked baggage or other optional services.

u><i-<0

Economy/Coach (U) l Seat 35G I Confirm or change seats with

186 points
For Pewards members

~Expediff

Join ExpediaRewardstoday

01/22/14 - Dulles Int'l Airport - Meal 01/22114 - United In-flight - Subsistence


Faber News #2006

Dulles Int'l Airport Terminal D Dulles, VA


; R/1.\1 ALMONDS 30Z 604003 IP MM~GOMADNESS 5% JUICE 16Z 80<100'1 IBTOTAL :3. 99 T 1 . 99 T Ol /'22/2014 UA1536 IAO-SIO Device ID GLX00041523 Receipt #: 0287 rransaction: 14012218165941.123 Sale AAV

: SALES TAX OTAL


rv11==-v 1KniASE

'IPED

croved.

information unavailable,

P1oduct Iauas 2

D: Not checked
!THU 566154 !VOICE #:

Price 8.59

Qty

Amt. 8.59

3571 .-22-1415:54:02

---------------Total
AMEX 1008

USO
USO

EMS 2
-22-1ll 04:54PM 2006 02 3571

faavale Thanks for shopping Faber


r-r
II CTI I

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

-n.ir.:

TUJ:'

ibe

01/22114 - Fly Bar and Restaurant - Subsistence

TIME. 6:30 :4BPM

5041022674
NEPTUNE \~AT.ERFRONT:GRILL. Building K -# 206

San Francisco, Ca 941 ts (415) 434-2260


PLEASE LEAVE SIGNED COPY WITH SERVER

Fly Bar and Restaurant

MEX

TH 508882
E-AUTH JUNT BENEFIT /es Tax

TBL 37 CHECK NEPTUNE

s
341551 Isaac 258.75 12.94 22.64

Server: Bar Fast Close/1


Guests: 0

01/22/2014 11:13 PM
30079

Tuna Helt Fries Sub Total Tax .Tota1 Balance Due For information on future events please f i11 1n your e-mail address below

9.50 2.00
11.50

1.01 12.51

-------------1------

3UBTOTA L
TIP
TOT AL

$
$

294.33
S!. {5

~ ..._

i:;i-j; . ~~~

==============

CUSTOMER

COPY

~---------

*************************************

Itinerary: San Francisco

Page 1 of 2

San Francisco
Wed Jan/22/2014 - Fri Jan/24/2014 Itinerary# 168377504331

Important Information
Remember to bring your itinerary and government-issued photo ID for airport check-in and security.

Washington

(IAD)--+ San Francisco

(SFO)

Wed Jan/22/2014 - Fri Jan/24/2014, 1 round trip ticket Your reservation is booked and ticketing is in progress. No need to call us to reconfirm this reservation. Traveler Information Christopher Stone Barclay Adult No frequent flyer details provided Ticketing in progress

BOOKED United

JJZ30B

Price Summary
Traveler 1: Adult Flight Taxes & Fees ExP,ediaBooking Fee $932.00 $846.51 $85.49 $0.00

* Seat assignments, special meals, frequent flyer point awards and special
assistance requests should be confirmed directly with the airline. 01/22/2014 - Departure Nonstop Washington !AD 5:38pm United 1536 San Francisco SFO 8:29pm Total travel time: 5 h 51 m All pricesquotedin USdollars.

Additional Flight Services


5 h 51 m 2,426miles The airline may charge additional fees for checked baggage or other optional services.

""'no i:ll

Economy/Coach (U) I Seat 35C I Confirm or change seats with the airline* 01/24/2014 - Return Nonstop San Francisco SFO 10:30pm Washington IAD 6:36am +1 day (Arrives on 01/25/2014) United 1728 Economy/Coach (U) I Seat 43F I Confirm or change seats with the airline* Airline ~ules & Regulations Total travel iime: 5 h 6 m 5 h 6 m 2,426miles

186 points i)Expedia


Join Expedia Rewards today

01/22/14

- Dulles Int'l Airport - Meal

01/22/14 - United In-flight - Subsistence


Faber News #2006

Dul Jes Int'l Airport Terminal 0 Dulles. VA

ALMONDS 3bZ-60~0
P~HANGO MADNESS 5% JUICE 16Z
1710""

01/:?2/2014 UA1536 IAD-sro


Device I[) GLXU004i.523

SUBTOT~.L
6'.i~ SALES TAX

TOTAL
J\fYIEX
r1.Jf\l11 ;n .. :n.::.

Receipt#: 0287
rransaction:

14012218165941~23 Sale

S'tVIPED Api::rovecl. AAV information unavailable. CID: Not checked AUTHJI 566154
rnvoi:cE #: 3571 01-22-14 16:54:02
ITEMS 2

P1oduct T apas 2

Price Qty 8.59 USO

Amt. 8 _.59

---------------------------------USO
8.59 ~.

Total
.~MEX1008

faavale
2005 02 3571

.!ij_9

01-22-14 04:54PM

Thanks for shopping Faber


II It CTI ( Tt..I~

TUt:'

01/23/ 14 - Neptune Waterfront Grill - D~1er._ Participants (Barclay, Creel, Zarclutk Baker. Ruben

01/22/14 - Fly Bar and Restaurant - Subsistence

DATE 1/23/14.

TIME. 6 :30:48PM

MID 329269199981

5041022674

NEPTUNE ~IAT.ERFRONT. GRILL. Building K -# 206

San Francisco, Ca
94119

(415) 434-2260

PLEASE LEAVE SIGNED AMEX

COPY WITH

SERVER

Fly Bar and Restaurant

XXXXXXXXXXX1008 AUTH 508882 TBL 37 CHECK PRE-.~UTH NEPTUNE


AMOUNT

s
341551 Isaac
258.75

Server: Bar Fast Close/1


Guests:0

01/22/2014

11 :13 PM
30079
9.50

Tuna Helt
Fries Sub Tota1

2.00
11 .50 1 .01

SF BENEFIT Sales Tax SUB TOT AL $

12.94
22.64

Tax
.Total Balance Due

-------------1-----294.33
S;, {5

\2.51

TIP
TOT.LJ.L

Y2-.ff1

For information on future == == ==:::: ::::::::: == ==- ::::::


:::=..::

=-=

events please fill in your

e-mail address below


@

CUSTOMER COPY ****************************************

ristophar

S. 8arc!ay

Room No.:

ltsd States

Arrival:
Departure: Page No.: Folio No.: Conf s: 01-24-14 l of 1 65701 6610354

I of Ufa Club#: mpany Name: Montgomery County Public Schools


140'!MONTGO

.ck Coda:
est Name:

Cashier:
CRS:

2806
1556'4:CD956360

Description

Charges

Credits

2-14 2-14 2-14 2-14 H4 3-14 s-14 l-14 ~-14

Room Charge Occupancy Tax Business District Ass es srn erits

118.00 16.52 2.66 0.08 118.00 16.52 2.66 0.08 274.52


XX:/XX

CA Tourism Assessment Room Charge Occupancy Tax Business OistrictAssessments

CA Tourism Assessment American Express

Total. Balance

274.52

274.52 0.00

Thank you for choosing the Hotel Carlton

s tnat myliabilityfort'lis bill is not waived and agree to be held personally liable in the event that the indicated person, company, or iation fails pay for any of the full amount of these charges. I also agree that all charges contained in this account are correct and ; pules orrequesis for copies of charges must be made at time of departure.

to

Signature:

01122/14 - 01/2.5/14 - Washington Dulles Airport Parking while traveling 01/24/14 - Yellow Card Services Ground transporation to San Francisco Airport Washington Dulles Int~l Airpo~t
Card i\ccour:t
: Card l/PE : Amer i can Expt..ess

Authot' i zat ion Code : 18388

Cashier : 2
License Plate

Seq# 35667
: XX nlZ31

Ent : 16:03 01/22/14 Lane 34 Exit: 07:35 01/25;'14 Lane 86


rEE s 30.00 30,00 0.00 30.00
0.00 0.00 30.00

AMOUNT TEND $
CASH
CREDIT CARD $

~~
$

CHECK
CHAl~GE CALC

.;,
T

Yellow Card Srvs San Francisco 415-839-4600 Customer Start Time 01/24/14 17:26 End Time 1/24/14 17:58 Veh: 5005/5 Trx: 4677485 Card: Al1EX Aprv: 543878 Fare: $48.60 12.15

PAID AT CT $ >i:H

Taxes J nc 1 uded

Thank You

***

For Service
333-3333

Call

eTicket
!lay Dat.e
Ued Fri

Itinerary
Til1!'2

and Receipt
Tir.I'

A STP..nAL!.JANCE lvi:=JviE::R

v;r~

Flight

Depart
W3shi"3ton-O"lles
San F!"'af'rCls::o

f\rr:ive
San F?"an.cisco

Etruip
Ph
P.M

M2d
Pur-chase Pue-c+ea e

22JAN14 Ufi153EU 24JRH14 UA172SU

5:38 Pl'!

a :20
6: lJ

757-300
?67-400

1i'l :30 PM

Uash i~gt.on-Ciu l r e s

BARCLAY/CHRISTDPHERSTON
Par4f of 1
BARrLR~/CHRISTDPHE~STON

Confi!"mation
Ticket Nt.imber
0167374-5815442

Seals
35C/43F

Nufr.')er: JJZ308 Frei uenl:. Fl\;ei

Per Perscn: 532.CO


/-i""tethoci

~Tic(et Tots!: 532.00

cf
~ul!!:s:

P=yer.ent:

Hfi'let-i:d.n

Exp:--e:s:-sMay

ffi
Cf)

F~:-e-

Ac-:iiti.:'.)nal snall

ch=iraes

appl~ fro~

for
da~~

:::-h~n9'es of iss~~.

-!his

in e ec i t i c n '(::o any ==r~ ;-L!l~:.;

lisd

.c ,

~;c[t

expir~

one year

01/24114 - In-N-Out Burger - Lunch

01/24/14 - Cup A Joe -Breakfasr

2014-01-24

Ll Tl

12:31 PM

YOUR GUEST NUMBER IS


10

Cup A Joe
896 Sutter

San Francisco, CA 94109


ph 415-563-7745

IN-N-OUT BURGER SUNNYVALE


201J-01-24 130 1 472 1049 Cashier: MICHELLE VA Check : 10 Counter-Eat In Veggie
w FF

12:29 PM

Guest Check Thank You for Visiting

TABLE: Default Section #12 - 1 Guest


Your Server uas CASSANDRA 1/24/2014 7:06:59 AM Sequence # : 0000031 ID #: 0425853 "
QTY PRICE 1 $3.25

1.55

Med Coke

1.60 1.60

ITEM
Big Oat Bar

Counter-Eat In TAX 8.75% Amount Due


Tender $20 2014-01-24 Ll Tl $20.00 12:31 PM

Subtotal Grand Total

$3.25
,,_5

Change $14.83 THANK YOU!

Please Come Back! Guest Check -----------------------------------~-----------------------------------------------

01/23/14 - Cup A Joe - Breakfast

Cup A Joe
896 Suttei

San Francisco, CA 94109


ph 415-563-7745

Guest Check Thank l'oufor Visiting

-----------------------------------------TABLE: For Here #52 - 1 Guest Your Server was CASSANDRA


1/23/2014 5:58:16 AM Sequence #: 0000013 ID #: 0425500 -------~----------------------------------QTY PRICE ITEM
1 $2.75 Cream Cheese 1 $3.95 Fresh O.J. -----------------------------------------$0,59 Sales Tax $6.70 Subtotal

Grand Tota -----------------------------------------PlP.ase Come Back!

1/24/14 - Fung Lum Restaurant - Subsistence

01/24/14 - Cup A Joe - Breakfast

=ung Lum Restaurant SFD Terminal 3


(650)821-8282

Cup A Joe 896 Sutter San Francisco, CA 94109


ph 415-563-7745 G~t~& Thank You for Visiting TABLE: For Here #2 - 1 Guest Your Server was CASSANDRA 1/24/2014 6:49:32 AM Sequence #: 0000021 ID#: 0425843 ITEM

10 Bryan Num --------------------------------------heck: 162 Guests: 1 01/24/2014 06:19PM ---------------------------------------

Dine In
2 ENT CMB0$8.50+3.50 BOTTLED WATER (LG)

12.00
3.00

American Sub-Total

ExorPss

16.35

QTY PRICE
1 $2.75 1 $3.95

T~v

CA

Payment
:::nange Due

Cream Cheese Fresh O.J. Sales Tax Subtotal Grand Total

----------- Check Closed ----------01/24/2014 06:20:21PM


Thank You!

$0.59 $6.70 $7.29

Please Come Backl Guest Check


------------------------------------------------------------------------~-------

)rder Number: 162

01/25/14 - United In-flight - Subsistence

01 /;i~i/201ll 11t.i 1:1fl so 1t-11 ll,"tl't JI) (~'i_(~l(;::::.i'J

f1ece i p I #:
l 1;;1"c.ic1 i uh:

!I l .\.i

l-'.il!/!,1"1';:34,j,J

i i~l'I

1'1odu.-t

1,, '" (Ji i

,\111!. -I .:
J

~I.

MIX)

1 :-''.)

Total
N41 X l!Xltl

w:11
ii ,Ji

01/22/14 -_01/25/14 - Washington Dulles Airport Parking while traveling 01124/14 - Yellow Card Services Ground transporation to San Francisco Airport Washington Int,.. -t r3.. i Dulles
rpcn---t:

C::n-d Account Ca;d Type : Ameri can Expn:-ss Authot- i zat ion Code : 18388

Yellow Card Srvs San Francisco


415-839-4600

C<tshi=:r : 2 Seq# 35667 License Plat;e ; XX 1NZ31 Ent : 16:03 01/22/14 Lane 34 Exit: 07:35 01/22:./14 Lane 86
FEE $ 30,00

Customer Start Time


01/24/14 17:26

End Time
1/24/14 17:58 Veh: 5005/5

AMOUNT TEND $ CASH s


CREDIT CARD Cf-!ECk

30.00
0.00 30.00

Trx: 4677485 Card: AMEX


Aprv:

CHANGE CALC

$ $ $

543878

0.00
0.00

Fare: Tip:

H8.60 $12.15

PAID AT CT $

30.00

***

Taxas Included
Thank You

***

For Service Call 333-3333

e!icket
Day
ld2d Fri

Itinera~y
Time
5 :38 Pr1

and Receipt
.A.

STP...R ""LUANCE

lvlElVleE?. -v~~

Dale
2.2Jflll14 24jillfH

Flight.
UiU536U UR1728U

Depart.
Yashi<"t9to~-Oulles
Sai"1

Arrive
San F?"'";;::!f"::::::i.s:zc

El!t'

Equip
75?-300 Ai'!

Meal
Pr.c:-chas a

.;!:2~ PM

Fran:.isco

in :30 Pl"l Uashiftstcn--Duliss

s . lJ

75?-400

Pu e-ehas e

BARCLAY/CHRISTOPHERSTON
Par-41 of 1
BARCLR~/CH~ISTOPHERSTON Seai:.s
:?SC/4JF

Confirmation
Tic.kst Number
D1E73745815442

Nu~Jer:

JJZ308

Fr-ei" u:nt Flyer

Fara:.

84E..51

Ta~: :55.4S
E~prass

Per Person: S32.nO

nst~cci ~f P~ym~nt: Ameri::r!n Fare Th!s ~:Jl=::!:s! Rc-:iit.i;0n.s!


t~=e::'5.t

cfo:.-3rS'es ~y
CO'e

app.:'.71 fro~

::er

changes ef

in :ddi.i-on

ee

a~y

-:.-~:=- --v t e-r

lis:./

-c .

shall

ez:"pirS;

ye er-

d2't.!!

iss

ce .

Notification Details

Page 1 of 2

:,_~; -~~' ... .Financial ,,,,)~ f4 I:. ~1[anagernen t iJ t [ .Svstciii -- :1 ~. L~ J


L__ ''-1

Expense Reports

i~rn~.,r1se instructions Contact us

Home Loaout Preferences Helo

Expenses: Expenses Home > Expenses Home >

ill Information
. This notification has been closed with the result: Appro~e

Expense IEXP304393for Barclay, Christopher (164.64 l.JSD)


From Expense Report for Individual's Cost Center Expense Report Total 02/17/201417:40:11 Attachments Barclay, Christopher Gibson, Rebecca Barclay, Christopher

To Sent Closed 02/211201412:44:42 ID 14461888 Responder Gibson, Rebecca

33201 164.64 USO

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

C_?_?_~_ and Other Expenses: Business Expenses


Line Date Expense Type Reimbursable Amount (USD) Justification 5.60 MCEA Legislativ akfast Attachments

01/04/2014 Mileage 2 01/0712014 Mileage 01/07/2014 Mileage

6.72 Fiscal Management Meeting - Carver 6.72 Meeting w/ Dr Starr

3
4 5 6 7 8 9 10 11 12 13 14 15 16 17 18

011_9}!20~4 ~il_eage
01/08(2014 Mileage 01/0912_014_ Mileage 01/10/2014 Mileage 01/15/2014 Mileage 01/16/2014 Mileage 01/16/2014 Mileage 01/20/2014 Mileage 01/20/2014 Mileage 01/22/2014 Mileage 01/25/2014 Mileage 01/27/2014 Mileage 01/28/2014 Mileage 01/28/2014 Mileage 01/28/2014 Mileage

"'"'----ic-. I NAACP
6.72 Strateqic Planning 8.96 Joint M.tgw/U~G &_MC_ Trustees .8.96 Howard Covin JH~ -Montgomery 6.72 Closed Session - Carver 1.68 Wheaton Wood ES Guest Reader 6.16 Meeting Rabbi - Congregation Beth El 2.80 MLK-Br-eakfa:l- North Bethesda MLK Celebration - Richard Montgomery 5.60 HS. 13.44 Travel to Dulles Airport 13.44 Travel From Dulles Airport 6.72 Meeting with Paul Peck - Carver ost..::.EirstWatch. 5.60 Council CIP Hearing 6.72 Operating Budget Worksession

"

1 0,..,

-----~~,.i

~~,,..Qm.::;/nA

HTML/OAisn?OAFunc=FND WFNTF DET... 4/15/2014

Notification Details

Page 2of2

19 20 21 22 23 24 25

01/29/2014 Mileage 01/30/2014 Mileage 01/30/2014 Mileage 01/30/2014 Mileage 01/31/2014 Mileage 01/31/2014 Mileage 01/31/2014 Mileage Total

5.04 Meeting w/ Constituents - Clyde's 5.60 Meeting w/ Chris Lloyd - First Watch 6.72 Meeting w/ Renter's Alliance - Carver 5.60 NBCT Celebration - MCEA 5.60 Meeting w/ Constituent - Rockville 5.60 Meeting at Blair HS Meeting with Adrienne Karamihas re CIP 6.72 Carver 164.64

_V Previously Submitted Expenses i Expense 'Merchant


1----. ----- -------~-- - -

Date.-

;Type

Name

02/27/2014 Mileage 02/26/2014 Mileage 02/26/2014 Mileage 02/22/2014 Mileage 02/21/2014 Mileage 02/20/2014 Mileage
-

Reimbursable; Payment Amount'. Method . ,. 6.72 USO Mileage 6.72 USO Mileage 5.60 USO Mileage 6.16 USO Mileage 4.48 USO Mileage 6.72 USO Mileage 3.36 USO Mileage 1.68 USO Mileage 6.72 USO Mileage 8.96 USO Mileage

.,.. . --- I

02/20/2014 Mileage 02/20/2014 Mileage 02/20/2014 Mileage 02/19/2014 Mileage

.. Justification ' Strategic Planning - Carver Meeting w/ Superintendent Carver Meeting w/ Councilmember Branson State of Black Montgomery Civic Center Meeting w/ Chief of Staff Meeting w/ MCPS Staff Carver Walter Johnson Cluster Meeting ~Tilde_nMS_ Edison HS Open House Meeting w/ MCPS Staff Carver A&S Meeting - Universities at Shady Grove

~pp_rovals History

seq. !;late . .
1 2

Approval Group 02/21/2014 12:44:42 Approved Gibson, Rebecca MCPS_IEXPENSE_APPROVER_GROUPS 02/21/2014 14:17: 15 Approved Chen, Bei MCPS_IEXPENSE_APPROVER_GROUPS

status

Performer

Comments

Related Applications

@1

Expense Report Details

Response
Note
_______ . ...,. ... _,_.,.,..,__.. __ ,_._...._. .---------~-~--.----..--... _ ---n----. ---~~ ----.......--.---~.--

Return to Worklist

D Display

next notification after my response


Privacy Statement

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

....

PURCHASING CARD Card Member Transaction Log


~
Office of the Chief Operating Officer Department of Materials Management MONTGOMERY COUNTY PUBLIC SCHOOLS Rockville, Maryland 20850

MCPS Form 234-21 June 2009

Card member name Christopher Barclay School/office name Board of Education For the period: From January 29, 2014 To February 28, 2014 Work location CESC, Room 123

USE SEPARATE LOG FOR EACH ACCOUNT


Supplies/Services (required) (Student or other-must be identified.) Testifying on MSA at House Hearing Testifying at Senate Hearing Meeting with Francis Frost County Council ClP Hearing Meeting with H. Marie Henderson (-:fV!eefifigWithrrancis FroSJ Lodging, Attending NSBA Advocacy (February 02 - February 04, 2014) Account (03, 05, etc.) 50409 l 504091 504091 504091 504091 504091 504091
- )f\'f

Date Ordered 02/05/2014 02/12/2014 01/30/2014 02/06/2014 82110/2014 01/30/2014 02/05/2014

Date Delivered 02i06/2014 02/13/2014 01/31/2014 02/07/2014 02.': l/2014 01/30/2014 02/05/2014

Total Amount
($)

Supplier Name

Statement

Date

$15.00 City of Annapolis, Parking $9.00 City of Annapolis, Parking $2.00 Colonial Parking, Rockville $2.00 Colonial Parking, Rockville $2.00 Colonial Parking, Rockville $27.00 First Watch, Rockville
1-:'1.

02/28/2014 02/28/2014 02/28/2014 02/28/2014 02/28/2014 02/28/2014 02/28/2014

-~:e:~
~,'..vi:~
\,\-'-'~ --.."'""'"

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tG

~
'!

074522

HiltonHOrel5,'WaSli@:~

02/28/2014 504091

02/ l 0/2014

02/I 1/2014

$13.78 La Tasca, Rockville

Meeting witnH. Marie Henderson

-
Total $816.00

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. All purchases were made in support of schQ6fbrogra.ms as outlined intl'f5P,k!}1chase Card Guide. I understand that any material rnisrepresentationor omission from this log maybe grounds for cancellation of my p~a;if/ca.rd pW-ilege 9i}<J/ordiscjplipfr( action.

C~VUl1.~<U0~M~
-. . J .

_3__;c:<5;_lj Date .

Sianatu e. borovina 01flcia.f

Si~XAQ

Q, ~

--:;;r- Date

/~I

z;;j /'({

PURCHASING CARD Card Member Transaction Log


~
Office of the Chief Operating Officer Department of Materials Management MONTGOMERY COUNTY PUBLICSCHOOLS Rockville, Maryland 20850

MCPS Form 234-21 June 2009

Card member name Christopher Barclay School/office name Board of Education For the period: From January 29, 2014 To February 28, 2014 Work location CESC, Room 123

USE SEPARATE LOG FOR EACH ACCOUNT


Supplies/Services (required) (Student or other-must be identified.)

Date Ordered 02/12/2014 01/28/2014

Date Delivered 02/13/2014 Ol/29/2014

Total Amount ($)

Supplier Name

Statement Date 02/28/2014 02/28/2014

Account (03, 05, etc.) 504091 504002

$13.78 Potbelly, Annapolis

c MeaLwhTie testifying at Senate hearing


".'

-,

{,.!_' I
I

~
$4.29 United Airlines

In-flight subsistence, Visit charter public schools, Bay Area, California (Original receipt with grant office)

Total $18.07

CERTIFICATION STATEMENT

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 in support ?f)chool programs as out ed i!Yl1iePurchase Card Guide. I understand that any material misrepresentation or omission from this log maybe grounds for cancellation of mG o&thase card prl[i1ge an r sCip!inarya on. r .~ r
J

-64~4-J.~~;&:i~~~Lu~~~....i:::.~~~--

--/

__ /__
Date

'--

=r

-~_x.~/ ~-

n~

--,----.-+! L.\f-__ ~(1


Date

Corporate Purchasing Ca.rdmemlber Report


'epared For Closing Date

. = _,,. =,

> rs.igl'l'iJP' lf~.,,o.,~i.n$:'<+r:


state.meht~f,-. ':::-:::=:=
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.~~:S~,:~;,;fi:~~fr'''ii)
02/28/14
Page 1of3

qcps

:HRISTOPHER BARCLAY MDTAX 3000123-5

Balance
PreviousBalance$ New Charges $ O\her Debits $

1,962.6011

876.2911

O.OOIF.:.<:

t;~f':~3lk

Payments$

other Credits $

Due $ Do Not Pay


For important information regarding your account refer to page 2.

-:=:.:

:::

/::~',9?:1

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

!\Ctivity

Date reflectseithertraoseofionor postingdale

12(06/14 CITY OF ANNAPOLIS ANNAPOLIS MD 15.00 REF# 0 4102637952 02/05/14 2/13/14 CITY OF ANNAPOLIS ANNAPOLIS MD 9.00 REF# 0 4102637952 02/12/14 ------------1/31/14 COLONIAL PARKING #77 ROCKVILLE MD 18890011000 2.00 REF# 18890011 202-295-8167 01/30/14 PARKING FEES ROG NUMBER 18890011 ----2/07(14 COLONIAL PARKING #77 ROCKVILLE 18890036000 MD 2.00 REF# 18890036 202-295-8167 02/06/14 PARKING FEES ROC NUMBER 18890036 COLONIAL PARKING #77 ROCKVILLE 2/11/14 MD 18890012000 2.00 REF# 18890012 202-295-8167 02I1oI14 PARKING FEES ROC NUMBER 18890012 ---------------------- -----------------------------------------------------1/30/14 FIRST WATCH 91 FIRST ROCKVILLE MD 20105000000 REF# 20105 100 NEW MARKETS 01/30/14

Continued on Page 3
)o not staple or use paper clips

>ayment Coupon

Please enter account number on all correspondence.

CHRISTOPHER BARCLAY MCPS MDTAX 3000123-5 850 HUNGERFORD RM123 ROCKVILLE Mr

20850
Check here if address, telephone number, or e-mail address has changed. Note changes on reverse side.

I.
Prepared For
Arr.nl Inf Nr imhPr

Closing Date

Page 3 of 3

CHRISTOPHER BARCLAY MCPS MDTAX 3000123-5

02/28/14

Activity 02/05/14

Continued

R&f'3tence Ccx:fe

Amount S

HILTON HOTELS WASHNG WASHINGTON 'o L!i"c}o"Q"3-:'.t8-2"~i11~0 ARRIVAL DATE DEPARTURE DATE 02/02/14 02/04/14 00 ROG NUMBER 0003282490 MD 02111/14 LA TASCA 65000000288 ROCKVILLE 02/10/14 REF# 10156320140 3012797011 02/13/14 POTBELLY 216 5429298 ANNAPOLIS MD REF# 000554076 3129610600 02/12/14 -01/29/(4-fUNnED AIRLINES HOUSTON Klff'O"io29'2'<l'962'17'1~s-A-tRr-lN rrxm SPECIAL SERVICE TICKET BARCLAY /INFLIGHT A LA UNITED AIRLINES UNITED AIRLINES HOUSTON TX FROM SAN FRANCISCO CA TO CARRIER CLASS DULLES ARPT DC YY 00 TO UNAVAILABLE YY 00 TO UNAVAILABLE YY 00 TO UNAVAILABLE YY 00 Total for CHRISTOPHER BARCLAY

00032824900

74522

10156320140

56.00 13.78

00055407600

02984716000

4.29

New Charges/Other Debits Payments/OtherCredits

876.29

-1,962.60

02/05/2014 - Hilton Hotels, Washington D.C. Lodging, NSBA Advocacy Conference

WASHINGTONHILTON 1919 Connecticut Avenue NW T: 202 483 3000

Washington, DC

20009

Washington Hilton
NAME AND ADDRESS:

F: 202 939 3271

W: washington.hilton.com
Room: Arrival Date: Departure Date: Adult/Child: Room Rate:

BARCLAY, CHRISTOPHER PO BOX 11541 TAKOMA PARK, MD 20913-1541

4118/K1 2/2/2014 2/4/2014 1{0 231.00 3:53:00PM 11:02:00AM

us

RATE PLAN

C-NSB

HH# 245401651 BLUE AL: CAR: CONFIRMATION NUMBER: 3115540341 2/4/2014


DATE

PAGE
DESCRIPTION ID REF. NO CHARGES

CREDl'l'S,

BALANCE

,u ....,_
HILTON

G~INTERNET ACCESS *MCCLELLANS 2/2/2014 2/2/2014 2/2/2014 2/2/2014 *ROOM SERVICE PARKING GUEST ROOM

LINTR LINTR LINTR IYEMANE IYEMANE IYEMANE

9610676 9610702 9610847 9611158 9611159 9611159 96122~3 9612396 9612817 9612818 9612818 9613987

$16.95 $19.00 $46.66 $36.00 $231.00 $33.50 $16.9 $44.66 $36.00 $231.00 $33.50 $745.22 $0.00

HHONORS

2/2/2014 ROOM TAX 21372014-...lNTERNET ACCESS 2/3/2014 2/3/2014


I

T-.li,L!"'::J~ . (l'jt),.'\:

...--~- ....

Llh!TR
LINTR IYEMANE IYEMANE IYEMANE YHART

-:R"ooM SERVICE PARKING GUEST ROOM ROOM TAX AX *1008 BALANCE

COi'iF',;\D

2/3/2014 2/3/2014 2/4/2014

@)

Hilton

EXPENSE REPORT SUMMARY 02/02/14 $264.50 $36.00 $65.66 $16.95 $383.11 02/03/14 $264.50 $36.00 $44.66 $16.95 $362.11 STAYTOTAL

ROOM& TAX MISCELLANEOUS FOOD & BEVERAGE SHOPS DAILY TOTAL

You have earned approximatefy 6443 Hilton HHonors points for this stay. Hilton HHonors(R) stays are posted within 72 hours of checkout. To check your earnings or book your next stay at more than 3,900
ACCOUNT NO. DATE OF CHARGE FOLIO NO./CHECK NO.

2/4/f.flTHORIZATION

1708643 A

INITIAL

_ .....--

IP!.!Vt~C'f:<:l;1r~o;

ESTABLISHMENT NO.&. LOCATION

ESTABWHMEHT AGl\E.E.5TO TRANSMIT TO CARD HOLDER FO" P.-.YMENT

PURCHASES&. SERVICES

BARCLAY, CHRISTOPHER
TAXES

TIPS & MISC.

..-r:.~
C~RD MEMBER'S SIGNATURE TOTAL AMOUNT Hf!t1m <';r<O>! l/;o.<;.".~i't)tlr,

MERCHANOISE ANO/OR Sl'RVICES PVRCHASl'O ON THIS CARO SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUNO.

PAYMENT DUE UPON RECEIPT

..

~
~

AMl:RICAS

EllROPt

MIDDLE EAST

AFRICA

JLSilA

AU~flt..ALASIA

01/25/14 - United In-flight - Subsistence

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O\ /;15/;!O14
IIi\1/'.'fl ~;HJ I fdJ ll1;' i Cl' In r~ '((1(1\;::: i'.i'}

Receipl #: \JH,1 l1il/1'),1i'ii1111: \.'.il!~-':,1.i1\::!4ii,iii'i!i

fl I 1Jdu,-t 111.~I\ MIX Total AMI X HJ(Ri

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02/12/2014 - Potbelly, Annapolis Meal While Testifying in Annapolis

Merchant Copy Please Sig~

Gibson, Becky
;; ?SS5

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From:

Sent: To: Subject: Attachments:

Workflow Mailer from PFMS< mcps_fms@mcpsmd.org > Sunday,April 06, 2014 8:23 PM 'Gibson, Becky Action Required: ExpenseIEXP307979for Barclay,Christopher (227.36USD) ATTOOOOl.gif; ATT00002.gif;Notification Detail.html

From To Sent Due ID

Barclay, Christopher Gibson, Rebecca 04/06/2014 20:22:05 04/11/2014 20:22:05 14532002

Expense Report for Barclay, Christopher Individual's Cost Center 33201 Expense Report Total 227.36 USO Attachments

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

cash and OtherExpenses:


Expense Line Date

Business Expenses
Attachments

Type

Reimbursable Amount (USO) Justification

02/02/2014Mileage 02/04/2014 Mileage

3 4

5
6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25

02/05/2014 Mileage 02/06/2014 Mileage 02/06/2014 Mileage 02/06/2014 Mileage 0210712014 Mileage 02/07/2014 Mileage 02/09/2014 Mileage 02/12/2014 Mileage 02/12/2014 Mileage 02/18/2014 Mileage 02/18/2014 Mileage 02/19/2014 Mileage 02/19/2014 Mileage 02/19/2014 Mileage 02/20/2014 Mileage 02/20/2014 Mileage 02/20/2014 Mileage 02/20/2014 Mileage 02/21/2014 Mil~age 02/22/2014 Mileage 02/26/2014Mileage 02/26/2014 Mileage 02/27/2014Mileage Total

12.32 NSBA Advocacy Institute (FRN) Washington Hilton 6.72 negotiations Meeting Carver League of Educators for Asian American Progress (LEAAP) formerly Asian American Educators Association 8.96 (AAEA) new Fortune 6.72 Group Discussion with Dr. Starr (Carver) 6.72 Meeting w/ Identity (Carver 5.60 County Council CIP Hearing 14.00 Visit to CSAAC 6.72 Meeting w/ Open Society Institute 34.16 Alexander Brown Foundation Celebration Mt Airy, MD 1.68 SkillsUSA Edison HS of Technology 37.52 Testimony on MSA - Annapolis Senate Building 6.72 Strategic Planning - Carver 5.60 SELP Issues Debate - Richard Montgomery HS 8.96 A&S Meeting - Universities at Shady Grove 5.60 Meeting w/ Recreation Dept Head 11.20 Meeting w/ Constituents 6.72 Meeting w/ MCPS Staff - Carver 6.72 Meeting w/ MCPS Staff - Carver 1.68 Edison HS Open House 3.36 Walter Johnson Cluster Meeting - Tilden MS 4.48 Meeting w/ Chief of Staff 6.16 State of Black Montgomery - Civic Center 6.72 Meeting w/ Superintendent - Carver 5.60 Meeting w/ Councilmember Branson 6.72 Strategic Planning - Carver
227.36

Previously Submitted Expenses


Date Expense Type Merchant Name )1/31/2014 Mileage Reimbursable Amount Payment Method Justification 5.60 USO Mileage Meeting w/ Constituent 1

01/31/2014 Mileage 01/31/2014 Mileage 01/30/2014 Mileage 01/30/2014 Mileage 01/30/2014 Mileage 01/29/2014 Mileage 01/28/2014 Mileage 01/28/2014 Mileage 01/28/2014 Mileage

6.72 USO Mileage 5.60 USO Mileage 5.60 USO Mileage 5.60 USD Mileage 6.72 USO Mileage

Rockville Meeting with Adrienne Karamihas re CIP - Carver Meeting at Blair HS M"Etebng w/ Chris Lloyd - Firs Watch J NBCT Celebration - MCEA

onslituents 5.04 USD Mileage 5.60 USD Mileage 6.72 USD Mileage 5.60 USD Mileage Status Performer Notified Gibson, Rebecca OperatinqBudqet Worksession Council CIP Hearing

Approvals

History
Approval Group MCPS_IEXPENSE_APPROVER_GROUPS Comments

Seq. Date 1 04/06/2014 20:22:05

Related .~pplications
~ Expense Report Details
Copyright (c) 2006, Oracle. All rights reserved.

Please click here to Respond

02/05/2014 - City of Annapolis, Parking Leadership Montgomery

02/12/2014 - City of Annapolis, Parking Testifying at Senate Hearing

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01/30/2014 - Colonial Parking, Rockville Meeting with Francis Frost

02/06/2014 - Colonial Parking, Rockville Attending County Council CIP Hearing

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Purchase 14/01/3ij Ruth# 562347

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The Daytime Cafe

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01/30/?014

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Notification Details

r -:: 1n1.i:>1t11) Page 3of3

02/21/2014 Mileage 02/20/2014 Mileage 02/20/2014 Mileage 02/20/2014 Mileage 02/20/2014 Mileage 02/19/2014 Mileage

4.48 USO Mileage 6.72 USO Mileage 3.36 USO Mileage 1.68 USO Mileage 6.72 USO Mileage 8.96 USO Mileage

Meeting wt Chief of Staff Meeting w/ MCPS Staff Carver Walter Johnson Cluster Meeting - Tilden MS Edis~m HS Open House Meeting w/ MCPS Staff Carver A&S Meeting - Universities at Shady Grove

App_r_Q'[.~lsHistory
Status - Performer Approval Group Seq. Date. _ 1 06/10/2013 15:26:24 Approved Gibson, Rebecca MCPS_IEXPENSE~P_PROV_ER_GR_OUPS MCPS_IEXPENSE_APPROVER_GROUPS 2 06/14/2013 12:35:25 Approved Chen, Bei Comments

Rel~~~~Applications

I~

Expense Reoort Details

Re:;ponse
Note
-~ - ....... ~ --.- .. -- . - ----- .. .,.. .......... Return to Worklist i ~ Display next notification after my response Copyright (c) 2006, Oracle.All rights reserved. PrivacyStatement

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