Preoared For

Corporate Purchasing
Cardmernbe1~eport
Sigro~upf'()i' QtjfJ J )~)
Statements
www. amencanexpress corrVchec;k';ourbiU
J OSHUA P STP..RR
MCPS MDTAX -
09/28/12
Balance
Due$ Do Not Pay
For important intormatior: ~
rngarding your account
refer to page 2. 11! 1
Pre1J ious8.aJ 81C.e.s ~iS111C:h2s;~3J ; Cth:r Ceb~ts =2y~er::s $ :.fr.er Oreciits $
._ _ _ _ 2_ 6 _ s_ .3_ _ , 7 11 15 5 .:3911 o.oo i 26 3.37 ll ? .ooj
0
II
iii
ill
For your records only - do notpay.
5
Forassistanceor questionsaboutyour account, contactusatWWliv.americanexpress.com/checkyourbiH or
call Customer Service at 1800~492-4920.
M
6 Activity Date reflects either trarsecrion er pcstinq care
0
g CardNumber
P, eiere:.ce CCC:e Amount$
09/07 112
09/ 01/ 12
CORPORATE REMI TT.AJ !CE RECEI VED
CORNER BAKERY CAFE GERMANTOWN
>2$&,qz -
18. 31i
2EF# 0 3012507203
MD
08/ 3" 1j 12
09/ 18/ 12 FI RST WATCH 91 FI RST ROCKYI LLE MD
REF# 30008 100 NEW MARKETS 09/ 18/ 12
28.38 3CDGWXC.CD
09i 13/ 12 I L PI ZZI CO 417000011 POCKVI LL2 MD
REF# 338000013 3013090610 09/ 12I 12
73_ 94 33BCOOO! 32'.J
09/ 19/ 12 MCG DOT 33942 PARKI N BETHESDA MC
REF# 011069979 240- 777- 8740 09/ 18/ 12
5. 00 Ci 1CCS97 90J
09t 25i 12 J 36 5 i 5 3S4CC MCG DOT 82793 PRKNG BETHESDA MD
REF# 036515984 240- 777- 6000 09: 24/ 12
2. 50
08/ 29/ 12 PANERA BREAD #3578 0 GAI THERSBURG MD is.is, CY '..,CCCE76CC
REF# 000005676 2406322546 08; 28/ 12
08/ 29/ 12 PA. YPAL' MABE
REF# 64868816
OTHER
415. 00. ,
4029357733
402- 935- 7733
CA
08/ 28/ 12
ROC NUMBER 64868816
08/30/12 26 .98
08/ 31/ 12
SEI BELS RESTAURANT 6 BURTJ NSVI LLE MD
REF# 10156420120 3014211897 08' 29/ 12
~~~~-
SHELL OI L 5754218710 BETHESDA MD
REF# 0219774 AUTO FUEL DI SPEN 08/ 30/ 12
44.5 5 .i
Coriirued en Page 3
Do not staple or use paper clips
Payment Coupon
N
0
0
0
0
0
0
N
0
0
g
P! ease enter account
number onall
ccrrespcndence.
J OSHUA P ST~oo
MCPS MDTAX
850 HUNGERFORD
ROCKVI LLE
DR
MD 20850- 1718
11.111, , , 1!I L .1.I .11., , , '' 111, , ; L l l 111HLII . I.! I , ' l! II! .!
Check here iiaddress,
telephone number, or
e-mail address has
changed. Note changes on
reverse sloe.
'--
~E.~
'~'\i_:L:=s:~"'.ii
~~~~~
~:~~-:;;:..;;;;;;;;::
PreparedFor
J OSHUA P STi'\Fi.R
MCPS i\llDT?.X
:::csing Usie
Page 3 of3
09/28/i 2
ActlvityContinued
09/07 /12 :iiU 6 9.6 7
0
g
REF# 043C413 AUTC FUEL DI SP~N 09/ 06 12
~~~~~~~~~~~~~~~
89/21/12 SUNOCO 074~5737C,C BLUE F\ I DGC SU
0"
i r-, 2SS6 27 S5 042 44.90 ,i
REF# 2556275504~ ; u r o FUEL DI SPEN 09 ~.:J '-< 2
'WASH ! viETROP.AIL 5J I00 BETHCSO.A
REF# OG9D0362
ivlD
09/13 2
CCrSCC.36 Ci:)J 7 00
f'iew Charaes/Ctner Debits
FJ c.ymerlts/Ot;--.ere:,-=:dits
7 5 5 .39
-'.:6 8.37
<
0

"'
"'
.,,.
0
"'
N
0
0
N
0
0
<
0
-c
"'
"'
..
0
a:
s
N
Q
g
0
American Express -September 2012
Dr. J oshuaStarr
Pa n e r a Br e a d
Ca f e 3578
Ga i t h e r s b u r g , MD 20877
Ph on e : 240- 632- 2546
8/ 28/ 2012
Ch e c k Nu mb e r : 550997
1 Ch i k Cob b Av oc a d o
1* " " " BAG/ ROLL
1REG. SODA
1 U PI CK 2
11/ 2 CAESAR
11/ 2 FRONTEGA
1* * * APPLE
Su b Tot a l
Ta x
Tot a l
Ame r i c a n Ex p r e s s
Acct .)
Au t h Cod e : 505244
Tr a n s #: 5676 -
12: 09: 39 PM
Ca s h i e r : Or b e l i n a
8. 59
N\~~
WS'<\~
A 'I II !Ilk I J
SPmPr~ WP~f~l iranr
WIN VI V I '1.VYll='L~il 'lll"L.I l'I:::
Cu s t ome r Cop y
1. 69
7. 69
Da t e 08/ 29/ 12 Ti me 12: 55p m
Reg, 2 Tb l ii
Chk 9040
QEBBE
18.07
1.09
19. 16
19.16
Ca r d T; i p e :
~.mer~can Exoress
C2r d Nu mb e r
e x p i r a t i on Da t e N~/NF
Re f s ~e n c e Nu mb e r 559729
Amoum
$21. 98
I f you d i d n ' t u s e you r Mv Pa n e r a c a r d .
k e e p t h i s r e c e i p t a n d e n t e r t h e c od e b e l ow
a t www. myp a n e r a . c om/ mi s s e d v i s i t
Not a me mb e r ye t ? As k a n As s oc i a t e f or
you r own c a r d a n d j oi n t od a y!
ii--'
Total:
I a g r e e t o p a y t h e a b ov e t ot a l a mou n t
a c c or d i n g t o c a r d i s s u e r a g r e e me n t
7333- 6801- 3832- 2301- 3511- 48
x ------------------------
TELL US HOW WE ARE DOI NG
AND YOU MAY WI N $ 2000
GO TO WWW. PANERALI STENS. COM
OR CALL 1- 600- 699- 0130
WI THI N 48 HOURS/ MONTHLY DRAWI NG
RULES AT WWW. PANERALI STENS. COM
S1g n a t u r e
STARR. J P
Thank v ou ST, l, RR, J P from DEBBI E
HERE
You r Or d e r Nu mb e r Is: 597
Cu s t ome r / Pa g e r :
Cu s t ome r Cop y
American Express - September 2012
Dr. Joshua Starr
September 12, 2012
Paul Vance, L unch Meeting
I L Pi ZZI CO
15209 FREDERI CK RD
ROCKVI LLE, MD. 20850
301- 309- 0610
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
IL PIZZICO
RI STORANi E
DATE: 09/ 12/ 12
TI ME: 01 : 45 PM
TABLE; 21 CHECK; 11
SEATS: 1
SRVR: 14 RAFFAELE
AUTHI : 58Rq.~:iTNV~: 200011D1
ACCT:
EXDT: XX/ XX
IL PIZZICO
12: 31 L 09/ 12/ 12 111
TABLE 21 RAFFAELE GUESTS 2
AUTH $ 58. 94
1 i NS TOMATO 7 . 95
2 SELEZI ONE DI PESCE 39. 90
1 I CE TEA 2.25
1 ESPRESSO 2. 7 5
1 COFFEE 2. 75
APPROVED: 586953
TI P $
SUBTOTAL 55. 60
CHARGE $
Sa l e s Ta x Food . 3.34
IAGREE TO PAY ABOVE TOTAL AMOUNT
ACCORDI NG TO CARD i SSUER AGREEMENT
TOTAL 58.94
X. _
STARR/ J P
TOP COPY- MERCHANT BOTTOM COPY- GUEST
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
I L PI ZZI CO
15209 FREDERI CK RD
Roc k v i l l e , Md . 20850
(301) 309-0610
* * * * * * * * * t '< ' '::~+~.t:i::\ , ;:J ::j:> ~t * * *
American Express - September 2012
D:r. Joshua Starr
Page 1of 1
August 28, 2012
PayPal -11.ABE Conference Registration
Secure pavments by PayPaf
Payment Receipt
Receipt ID
3022-1113-9816-7588
Total
$415.00 USO
We'll send a confirmationemail to Sandra_L_Napoli@mcpsmd.org.Thistransactionwill appear onyour statementas
PayPal *MABE.
Paid to
MarylandAssociationofBoardsofEducation
registration@mabe.org
410-841-5414 x 31
Shipped to
J oshua Starr
850 Hungerford Drive, Room122
Rockville, MD20850
UnitedStates
Your shopping cart
Description Price Quantity Amount
Paymentto Katherine Bennettfor invoice
$415 .00 1 $415 .00
2012Annua1Conf-MCPS
Item total $415.00
Total $415.00 USD
https://v .rww.paypal.com/us/cgi-bin/webscr? cmd= _ flow&SESSI ON=ahPxrODds_ J x8PFzp... 8/28/2012
American Express - September 2012
Dr. Joshua Starr
Page 1of 1
'"'"''"' A 1
"~~:' ~
T , . ~.:. :, ~.- -' :, c:::."::::::
August 28, 2012
PayPal -MABE Conference Registration
Secure pavments by PayPaf
Payment Receipt
Receipt ID
3022-1113-9816-7588
Total
$415.00 USO
We'll send a confirmationemail to Sandra_L_Napoli@mcpsmd.org. This transactionwill appear onyour statementas
PayPal *MABE.
Paid to
MarylandAssociation ofBoardsofEducation
registration@mabe.org
410-841-5414 x 31
Shipped to
J oshua Starr
850 Hungerford Drive, Room122
Rockville, MD20850
UnitedStates
Your shopping cart
Description Price Quantity Amount
Paymentto Katherine Bennettfor invoice
$415.00 1 $415.00
2012Annua1Conf-MCPS
Item total $415.00
Total $415.00 USO
https://v v ww.paypal.corn/us/cgi-bin/webscr? cmd= _ flow&SESSI ON=ahPxr0Dds_ J x8PFzp... 8/28/2012
American Express -September 2012
Dr. J oshua Starr
N\J HUZ.~cll~DQf_s
t". E.J -..J \
'
September 18, 2012
Marriott BridgesEv ent Parking
September ~8, 20El2 tTransportation ~~
tt Bridzes v en \J IAo.o, -
Mamo ~ , , u----'I o Y I
~ON
09/ 18/ 12 17: 12: 51
Betl1esda
Be t h e s d a HO
FOR CUSTOMER SERVI CE
CALL 202- 962- 5719
September 18, 2012
GeorgePerry, Breakfast Meeting
7450 Wi s c on s i n Au e
MEZZANI NE 12
HACHI NE 30
AN:
VENDOR: 012- 30- 31559
REF NO: 315596850766
AUTH NO: 564132
CREDI T PURCHASE
QUANT ITY SELECTED: 1
COST IS $ 7. 00 PER
FAREGARD
Fi r s t Wa t c h
Serv er: Host
09:24 AM
Ta b l e 7457/ 1
DOB: 09/ 18/ 2012
09/ 18/ 2012
3/ 30008
AMEX
Card #)
Ma g n e t i c c a r d p r e s e n t : STARR J P
Ap p r ov a l : 5 5 37 5 5
10485 92 S/N:
315590716850758
TOTAL AHOUNl : $ 7. 00
Amou n t : 23. 38
+Tip:
THANK Y OU
FOR RI DI NG METRDRAI L
=Tot a i : _
THE FUTURE ! S
RI DI NG ON METRO
x ~~~~~~~~~~~-
Cu s t ome r Cop y
Th 3n k You For Pa r k i n g At Th e
Be t h e s d a M~t r op l oi t 2n P2r k i n g F; c i l i
TL)/.~.! 1: u:-1: .::.1 ?=..::.
I! \..! :! ":-':r ! '! LI:: i_ ; .L ._ '._ "-'
GARAGE 1 LANE 1 CASHI ER 21- 29582
TI CKET 01- 514905 07 '/1Et/i2 7~02 F'M
5~04 PM
STAY 0 I t ; y03 h r s 58 mi n s
S: : CD
TDTAL DUE
:;,[:J
5: 00
AMOUNT PAI D ! Ame r i c ) $
: : .: : : : .~ : : : : .; > ~ .: - .: ' .: .1..:::<::<>~>=:>~~~~.::;{;.~
APPRl CODE~ 576316<APP
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
A A A A A A A A A A A A A A CUT HERE AAAAAAAAAAAAAA
~J ~I OCGS/445 7 37 85 I l~j42S:14i3i::@ !:;i
1;.8'.8
SiJ C:iMI AN !Rill Ei.~
STARR/ J F
rnv o;c~s11ses
AUTH 535304
? U~I P# S
REGI J L AR
PP!CtjGAl.
~; .255G
FUEL iG TAL
$ 44, SG
Suttotf =$ 4t96
Tax =s e.es
September 20, 2012 -Sunoco
[Temporary use, awaiting resolution gascards]
American Express -September 2012
Dr. J oshuaStarr
[ or n e r ~a ~e r y [ a f e ~ ~~~
August 30, 2012 -Shell
[Temporary use, awaiting resolution gascards]
19820 Ce n t u r y 61v d
; e r ma n t own , ND 20874
( 301) 250- 7203
~I ELCOME
SALES RECEI PT
57 542 187109
8/ 31/ 2012
Or d e r 400686
12 :01 :54 PH
Ca s h i e r : BEVERLY L
WELCOME
TO SHELL MD 90
SALES RECEI PT
57 542 187208
SHELL
12140 DARNESTOWN R
GAI THERSBURG MD 2087 8
DATE 09/ 06/ 12 7: 06PM
I NVOI CE# 430' 113
AUTH# 564336
AMEX
J , l"l f'\f'\ I ! ll '":" 111 r J l'*'Ir- l""I
SHELL
7628 OLD GEORGETOWH
BETHESDA
MD 20814
Sp i n a c h Swe e t Cr i s p Sa l a d 7. 29
As i a n Won t on 7 .99
Sod a 1 . 99
DATE08/ 30/ 12 5: 34AM
I NUOI CEtt 219774
AUTH# 558588
AMEX
ACCOUHT HUMBER
Su b Tot a l 17. 27
Ta x 1 . 04
GALLONS FUEL TOTAL
11. 140 $ 44. 55
TOTAL SALE $ 44. 55
Cod e : 08312120264068604
STARR/ J P
PUMP PRODUCT $ / G
02 REG $ 3. 799
GALLONS FUEL TOTAL
18. 340 $ 69. 67
TOTAL SALE $ 69. 67
Th e Fu e l Re wa r d s
Ne t wor k Pr og r a m.
Lowe r you r f u e l
p r i c e wi t h e v e r yd a y
p u r c h a s e s .
STARR/ J P
You r op i n i on is i mp or t a n t !
Go t o www. c b c f e e d b a c K. c om wl t h i n 72 h ou r s
PUMP PRODUCT $ / G
05 REG $ 3. 999
d tel [ 1:! l...1UL<~ -~'t_ ;'J I
11
SI t.
You c ou l d win S5, 000. GO
1n ou r q u a r t a r 1y d r a wi n g !
Ame r i c a n t XPr e s s
rnJ 1
10J 1
Fi n d ou t a l l t h e
wa ys t o s a v e a t
f u e 11~e wa r d s . c om.
Sh e l l Hi t r og e n
En r i c h e d Ga s ol i n e s .
Ho ot h e r g a s ol i n e
p r ot e c t s b e t t e r .
Tot a 1
THANK YOU
COME BACK SOON
THANK YOU
COME BACK SOOH
Approva 1:513461
September 6 , 2012 -Shell
[Temporary use, awaiting resolution gas cards]
Cor n e r Ba k e r y Cor p or a t e Of f i c e
1 ( 800) 309- 4642
Vi s i t u s a t : www. Cor n e r Ba k e r yCa f e . c om
Corporate Purchasing
Cardmember Report
..... . Sign~upFqf'Q.f11ii1~.. ..>
.....statements>>...
\V\W. amenc~expre~Conl/cileckyour~I! .
Prepared For
J OSHUA P STARR
MCPS MDTAX
Account Nurrosr Closin;; Date
10/28/12
-....:...::...::..::..:..._ ::.:..
Page 1of 3
Prevbus Balarr...e$ New Charges $ Other Debits $ Payments $ Other Credits $
1
7 5 5 .3911 7 6 3.6 811 0.0011 &wrsj ll r
8.801
763.68
Balance
Due$ Do Not Pay
For important information
regarding your account
refer to page 2.
For your records only - do not pay.
For assistance or questions aboutyour account, contact usatwww.arnericanexpress.com/checkyourbill or
call Customer Service at 1-800-492-4920.
Activity Date reflects either transaction or p:>Stingdale
Card Number
Reierenoe Cede Amount$
FONTA OCEAN CI TY
REF# Q- 410524353- 5. . .
10/ 06/ 12 CLARI ON RESORT HOTEL OCEAN CI TY MD 182. 33.
FOL# 648763 LODGI NG
. t i . RRI VALDATE DEPARTURE DATE
10/ 03/ 12 10/ 05/ 12 00
ROOM RATE $ 165. 00
ROC NUMBER 648763
10/ 19/ 12 COLONI AL PARKI NG #77 ROCKVI LLE MD J 5 5 1 OJ 30J ::J .J 2. 00
REF# 08810030 202- 295- 8167 10/ 18/ 12
PARKI NG FEES
ROC NUMBER 08810030
10/ 28/ 12 Fon t a i n e b l e a u Re s or t Mi a mi Be a c h FL CKl"i85210590 111. 81
FOL# 0018621059 LODGI NG 10/ 27/ 12
ARRI VAL DATE DEPARTURE DATE
10/ 24/ 12 10/ 27/ 12 00
ROG NUMBER 0018621059
10/ 09/ 12 GB- ROCKVI LLE 4513 00 ROCKVI LLE MD ; :3:ox:oJ ):J 29. 80
REF# 113 423- 424- 2000 10/ 08/ 12
FOOD/ BEVEP. AGE
ROC NUMBER 113
Continued on Paga 3
Do not staple or use paper clips
Payment Coupon
Please enter account
number on all
correspondence.
J OSHUA P ST,6.RR
MCPS MDTAX
850 HUNGERFORl J
ROCKVI LLE
UK
MD 20850- 1718
I, ,I,III111l, , I,, I, I,II,,,, 11III,,, I,,, II! 11I,, I, I,II,, 11, l I.I
Check here ifaddress.
telephone number, or
e-mail address has
chanced. Note chances on
reverse side. -
LJ
Prepared For Accourrt._ j umber Closing Date Pa g e 3 of 3
JOSHUA PSTARR 10/ 28/ 12
MCPS MDTAX
-----------
Activity Continued
BeterenceCede Amount S
10/ 04/ 12 HI GH' S DAI RY STORE # TRAPPE MD
Gf:..$
OOC>D4185700
HlAI~
((J F
31. 38.
REF# 000041857 4104420240 10/ 03/ 12
10/ 19/ 12 LA TASCA 65000000288 ROCKVI LLE l v 1D 10156320121 114. 73
REF# 10156320121 3012797011 10/ 18/ 12
10/ 26/ 12 OTG DCA VENTURE, LLC J AMAI CA NY IXKJ 15D4DDDO 12. 34
REF# 0001504 718- 656- 6210 10/ 25/ 12
FAST FOOD RESTAURAN
ROC NUMBER 0001504
10/ 26/ 12 Re n a i s s a n c e Ed e n Roe MI AMI BEACH FL 4C100038DDJ 52. 41/
LODGI NG 10/ 25/ 12
ARRI VAL DATE DEPARTURE DATE
10/ 25/ 12 10/ 25/ 12 00
10/ 06/ 12 ROYAL FARMS #082/ UNB SEVERNA PARK MD 45. 59
REF# 0 CONVENI ENCE 10/ 05/ 12
MJ>.~U::
UNBRANDED
Gf.\.S
TAX
10/ 20/ 12 SPI CE XI NG 650000003 ROCKVI LLE l v 1D 10156420121 32. 19
REF# 10156420121 3016100303 10/ 19/ 12
10/ 28/ 12 TAXI PASSMI AMI . COM 02 MI AMI FL 03761698340 42. 00
REF# 0376169934 TAXI CAB &LI MOUS 10/ 27/ 12
-
CHARTER SERVI CE
ROC~UMBER 0376169934
10/ 28/ 12 WESTBARD CI TGO 00013 BETHESDA l ~D 985X2DDD8:J 46. 86
REF# 9650020 301- 654- 4140 10/ 28/ 12
GAS/ MSC96 50206039
ROC NUMBER 9650020
10/ 17/ 12 0792 AC GOTT' S COURT ANNAPOLI S MD OQ0233Q:.;170 9. 00
REF# 0002330017 800- 291- 6111 10/ 16/ 12
PARKI NG FEES
ROG NUMBER 0002330017
10/ 13/ 12 110- 0476 1156 15THST WASHI NGTON DC 11. 00~
REF# TI CKETECH PARKI NG LOT &GA 10/ 12/ 12
Total for JOSHUA PSTARR
Ne w Ch a r g e s / Ot h e r De b i i s 763. 68
Pa yme n t s / Ot h e rCr e d i t s - 755. 39
10 .5.Joi~ ti\_A1'?ui::.. (at-r-
~KFAS\- ?AT G1NLUU..., N A~c__'i q<',t-D
Cl a r i on Fon t a i n b l e a u Hot e l
H1) t ' i z on s Restaurerr:
1201 f ~ys n
CHK 262 J B G ST 3
OCT05' 12 8: 09AM
Dining
1 01a:1~1eJ uice
2 Orne1E: t - H&C
3 acid niushrooms
1 Ornelet
1 acid pt;, _ ;pers
acid cheese
.rt
I .00
.5 5
tl.00
'! .00
o85
Fc10.j 3;i. 15
O.Sl City Ta x 0.16
6. 0l Food Ta x 1. 93
I ot.i: $34 .24
T'1ank vou for dining 11J ith us
------ . 1:p
_ _ _ _ _ _ , Tot a l
i~oomif ----
---------------
Print Name
Signature
D K ~'I v{[ {- +
FJ 11 3E: rv ice Revenue Cr~n/e1<-t1 o/fl <
CHEG K; 262
G ST CHK rD: 66
SERVER: 1201 Rya n
n ATE: OCT05' 12 9: 01AM
CARJ TYPE: American Fx n r R~~
ACCT 11:
EXP D~T~ XX/ XX
AUT~ LOJ E: 515340
J P STARR
SUBTOTii._ 34. 2.4
G ratu"it; c f , -
---------
I ot s1 : -- _ _ _ _ _ _ 1_ ~ . 2-L -l
- -- ----
v
(, '
-- ---, ~------ ---------
I a ~r ~e t o p a y the a b ov e amount
in 3CCOl'ciance uith card hoI dsr
s 2222J 27s s 3e - ~e 1
ROYAL FARMS ~ 82
517 RI TCHI E HWY
SEUERNA PARK MD
21145, 41~- 384- 7255.
AME><
- : - - -
D-
,,.;. )\\;
~~...:0
ID 5". 261'Z.
GA,'S>c.U ~.
~'\. \\. '(~ c.C,)...i\
" ...
~~1- ..=~~?~;z =-a: z ,,
- -..7 2
. -: 1~..,
~ ' _ c ! _ I
3. :'~8
s45. 3
-:.-iANf
f-;A , : t : A f' -
::rP~
Oc.::ro?-::- e... 2.G rz,
re B,'ZG \$ .j p..~ G,L t-f\A
L..u~ ~~~
GORDON BI ERSCH
BREWERY RESTAURANT
O 113 Ta b l e 2 #Pa r t y 0
J OE R Sv r Ck : 5 12: 17p 10/ 08/ 12
1 \ ~a t e r
1 Ar n ol d Pa l me r
1 Toma t o Ba s i l Bwl
1 Ahi Sa l a d
0. 00
2. 95
5. 95
14. 50
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
ENJ OY A FREE APPETI ZER
ON YOUS NEXT VI SI T
WI TH ENTREE PURCHASE
SHARE YOUR FEEDBACK I N 3 DAYS
www. myb r e we r yv i s i t . c om
ENTER SURVEY CODE:
713012- 211108- 035114
ti 'i1~TI -'I _ 'J l: ----
Not v alid wi t , 1er of f e r
Li mi t 1 c ou ~. t a b l e
Di n e - i n on l y. Ma x v a l u e $ 9. 99
Of f e r e x p i r e s 30 d a ys f r om d a t e of v i s i t
* * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * *
Su b Tot a l : 23. 40
Tax: 1.40
Su b Total: 24. 80
10/ 08 12; 41p TOTAL: 24. 80
FOOD
20. 45
REWARD YOURSELF
WI TH OUR PASSPORT.
ASK YOUR SERVER.
WE HAVE BEER TO GO!
t-f\.~f~\~
\~ , ?('
0113 ~( \
Se r v e r : J OE R l! J ~- ~ J"' Re c : 13
10/ 08/ 12 12: 59, Swi p e d T: 2 Te r m: 1
GORD1J N BI ERSCH- RDCKVI LLE
zcc E. MI DDLE L N
UNI T A
301) 340- 7159
MERCH. ANT #:
CARD TYPE ACCOUNT NUMBER
AMERI CAN EXPRES
Na me : J P STARR
DO TRANSACTI ON APPROVED
AUTHORI ZATI ON #: 5j l J 18
Re f e r e n c e : 1008010000113
TRANS TYPE: Cr e d i t Ca r d SALE
CHECK:
TI P:
TOTAL:
24.80
s - - -
}( _
* * * Du p l i c a t e Cop y* * *
CARDHOLDER WI LL PAY CARD I SSUER ABOVE
AMOUNT PURSUANT TO CAROHOLDER AGREEMENT
ASK ABOUT OUR BANQUET ROOM
d u p l i c a t e c op y- > c u s t ome r
_::Jf ~e.n_
Oc:_:ru~ e.. Zcl 2.
virvvt~ ul
st~+tJ -f['1~
La Ta s c a
Roc k v i l l e
141 Gi b b s St
Roc k v i l l e , MD 20850
301- 279- 7011
La Ta s c a
Roc k v i l l e
141 Gi b b s St
Roc k v i l l e , MD 20850
301- 279- 7011
Se r v e r : Fr a n k
Ta b l e 42/ 1
Gu e s t s : 2
Re p r i n t #:
10/ 18/ 2012
7: 44 PM
50008
Se r v e r : Fr a n k
07 :'.i1 PM
I able 42/ 1
DOB: 10/18/2012
10/iB/2012
5/50008
La Tasca 1
Es p i n a c a s
Fl a n ( 2 @5. 50)
Ch u r r os
65. 00
6. 50
13.00
6. 75
AME)(
Card
Ma g n e t i c c a r d p r e s e n t : Ye s
Ap p r ov a l : 519716
3145738
Su b t ot a l
91. 25 Amou n t : 96. 73
Sa l e s Ta x Ta x
5. 48
+Tip: I~
Tot a l Ta x
5 .48
= Tot a 1: l1.1..\.12'
Tot a l
96. 73
Balance Due
x
96.73
FOOD: 91. 25
Don ' t mi s s ou t on ou r g r e a t
d e a l s ! J oi n 1;s on Face~::r;k,
Rc~:.c:_ 1:i"' ,-: 3t~~c.. : c:;::. - : o m
2012-
J e t Roe Ba i a n d Grill
0a h i n g t on Re a g a n ~i r p or t
OTG Ma n a g e me n t
3051 Val
CHK 1-504 OCT24.
Chz Quc;s s. 4 s
I ,'-'
\) ; .....
T 0 T '\ L
"r I t r-
L.: 1J t $10
J e t Roc k Ba r a n d Gril 1
Wa s i n g t on Re a g a n Ai r p or t
Central Te r nt na i
CHECK: 150 4
SERVrn:
DA TE:
CARD TYPE:
ACCT #:
EXP DATE:
AUTH CODE:
3 o 1 \Ia1
!J C 24'12
.American E><Dress
xx xx
5 2 388
J P STARR
C: UBT' T, 11 ~ 0 - - : : : : 4-
u IJ "~-. ~ ~ -
I 1P _
Total _
X _
SI GNED
THAN
r'.l D
...-'"'lj - MERCHANT
- C STOMER
y 0u
SECOND CDFY
10. 2'4/10. 2."l
cc~r
D.\~~8? .-
CuL UG>(.. ~
t-f\)'\rtv\ FL
&&&41&&&
***** CREDI T C RD VOUCHER * * * * *
* * * * * * * * * * * * * * * * * * * * * * * * * * * * *
~ENAI SSANCE EDEN ROC RESORT
MI AMI BEACH, FLORI DA
15 00 RESTAURANT
CHECK: 1627
TABLE: 6 5 / 1
SERVER: 42 ERNESTO
DATE: 250CT'12 9:04PM
CARD TYPE: AMERT~AN FXPRF~~
ACCT #:
EXP DATE:
AUTH CODE:
X/ XX
19309
P STARR
SUBTOTAL:
5 2.41
* * * * GRATUI TY OF 18% I NCLUDED~* * *
ADDI TI ONAL GRATUI TY $ _
TOTH
$ _
SI GNATURE _
p l e a s e l e a v e s i g n e d c op y
wi t h you r s e r v e r
! <.>'-'-\. 2-0l'L
G ~ui--i 'D 1 1 2..J..i.i~ f or.: ... T.A"\1..o-N
I;
; :> ' -
t! ... t .-_ i I1 .'1e<
t-1gfAi~~:~
DATE SERVEi=\/CASHER
EXPI RAl'I ON 1------, ..-J -------;
~~]DATAAUTHORIZATION NO. REFORENCENO.
CHECK ED ,
i QTY .; DESCRIPTION I c, AMOUNT ;::-
t c. - ~_,.,; ,. c..
f'-- r < ,,.{,
f:;._ ..S.;' f- j ,_. / . ..c 8
I <, t> I '; l - : : ." : ~ c:
-? i ""'"' w
. PURCHASER. SlG._ !!.)-i3J l_E. . ;"li // _ ...---, TAX ":; -
0:E
r ~ / I "" ~ r
1, cX . ;7//i~.~y? / < l(\.'.''> f---r> . '""' ! n
'i . - - . , .- / t..r~"/ ,17 - : ! ' i . I t l ~ :l
-Canih<ilderackliov .1edgesmca1pt~~rsarv lcasintl'l~alfioJ m}f /, J \/ 1 "l'-. I o
-theTdtalshown hereon and agrees to perfonn the oblii;iatloc/"s.at forth () '-1 ; / --......
intheCardholders acreement with theissuer. a' ! / \ '-- "
,,.. _/ . ~l < - r }__; l c ...
IMPORT:J i.N.T:j Rl;J A! NrHIS C,9PY '"FORY OUR RECORD~
.. : -' . ' ,. ''> '
--- -- -- '--
1c. z.e. z.c1z...
Gk\SC\.--IUE
WESTBARD CI TGO , 00BL3S96039- 01
5471 WESTBARD AVE
BETHESDA I HD
10/ 28/ 2012 12: 11: 54 PM 949284792
1005 AMEX
rnv o 1CE 12085 6
AUTH 00-515276
REF %0005 00205
PUMP# 2
REGULAR
PRI CE/ GAL
12 .434G
3.7 5 9
FUEL TOTAL s 46. 86
Su b t ot a l = s 46. 86
Tax= s 0.00
Tot a l = s 46. 86
CRED11 s 45,86
FONTAiNEBLEAU Name
RoomNo.
Arrival
Departure
: Starr, J oshua
: 648
: 10/24/12
: 10/27 /12
Page No.
Company
Conf. No.
G roupCode
Date
: 1ofi
: Superintendent Advisory Panel
: 146 23223
:CLLG 1012
: 10/27 /12
J oshua Starr
DATE DESCRI PTI ON CHARGES I CREDI TS I BAL Ai'iCE
10/24/12 I Hotel Fee 17 .95
10/25/12 i Hotel Fee 17 .95
-- Vida Breakfast - Food --------------------- -----.-~-~---=-1 I l
10/26112
Line#648 : CHECK#3561550 .
0"50

~. Solo Lunch- Food j [ I
1
O/Zol12 Line#848 : CHECK#3233405 ,
22.40
.
10/26/12 Hotel ree I 17.95 I I
10127112
Arnerican Exoress \ 111.81 \ \
.. . . ;.. I - ..... .: . l CHAR\;ES , . CREDJ I S I BAL ANCE I
TOTAL I - I 111.81 I 111.81 I. 0.00 \
CJ Cl N ""1' \.0
==LC)=LD
00 0 N L i)LD
en 11
II 0 N
("")
II \.0 \.0 Cl II M II II 0
I! tS"l co LO CJ II - II II
II ~
II CD II II CD
II Lf"l UJ LO CJ II :::<:::
=
II ~~ II N
II ('""):Z: ('"")
:1 u u II \.D II
II 0::
II LLl <C II
..
11
,,
II L lJ :r: LLl II (J ) II
- +-' x w-
"
II L!....lc..::::;:u co ll Q) +-' II n::l c : n::l Ol n::l II
""
II uo:: II - fJ ) II
+-' ::J f--
L +-' II ::J
II =<C ~.-: 1-i
Ii L l Q)
Ii =1-- 0 0 ro 0 ii .c;
II LLl =:-- :::E II n::l ::J ii 3: Cf ) 1--
u ..cf-- II r_J ') -0
II 1-iU <C II f-- = II =<i: I (J ) (_ J
II 0 Q.) II
=
1-i
ii Ii Cl LL L l ~ II IJ ) --,
N II LLl LLl :::;;: i! II ----- ::J Cl Q.)
ll +-'
II
> u -~
<C Ii <C
II I OS en u ! I c L II z: t--1; - a= II
=
II
~ II QJ Q.)
0 ! I CJ >
1-i <C
II 1-i c II
==
> II
""
u ...c 11
u 0:: --=
>w II >CJ ~ II :Z:<C L
II >-, +-' c +-' :1 LU L' ..
_ _ J
II LD ::J II 1-i u Q)
11 n:::; (.i) (J )
-o ::J Ii 0:: CO a:i II LD cr~ ii :z : 1-i
UJ II 0..
- +-' .-- <( II =:i
w II ~ L \.0 II 1-i = II >- c ~.:l II Cl~
=
II lD n::l(Y ")
ii 0 LLJ
II Q)
co >-, II >-m 1-i N II LD.--. II z
7 E .-- II ~ <l: ~ II (Y ) _ !, <'. ..
II <C
\.D >-, 01 II 0:: 1--0 II ! I
>-N -c c; ::::; li CJ :Z: L. :Z:N II ..
""
II ~
L L J ..q-
CL ~ LL. II u... <:( c., Cl -----II
.. , _
c II
~r---
c II LL \.D II _ !, <'. Q) ~ Ii
r---
_ !, <'. ii UJ N II U> E II
Zlf"l n::l ro u II <I : ----- 11 QJ L L
II
CJ ~
+-' E QJ ! I
I 0 II _ c Q) O.l II ,,
0 0 <l.l ..c II :::..._ ) (/) l--
" = =
w
4441 COL L I NS A VENlJ E MI Al\tI I BEACH FL 33140 \ 305 -5 38-2000 [FONTAI NEBL EAU.COM
~~!
~Af6
'"' ' ', ':t.
100- B Gi b b s St
ROCKVI LLE MD. 20850
Se r v e r : POOL
Ta b l e 53/ 1
Gu e s t s : 2
10/ 19/ 2012
12:46 PM
40001
SPI CE XI NG
100- B Gi b b s St
ROCKVI LLE MD. 20850
Cl u b Sod a
We e k d a y Bu f f e t ( 2 @9. 95)
Pe r r i e r Sp a r k l i n g Wa t e r
2. 25
19. 90
3. 50
Se r v e r : POOL
12: 47 PM
Ta b l e 53/ 1
DOB: 10/19/2012
10/ 19/ 2012
4/40001
Su b t ot a l
25. 65
Food Ta x
1.5 4
AMEX
Ca r d #
Ma g n e t i c c a r d p r e s e n t : Ye s
Ap p r ov a l : 5 05 146
4194308 Tot a l Ta x
1. 54
Tot a 1
27 . 19
Balance Due
27. 1g
Amou n t : 27 .19
KARAOKE e v e r y Fr i d a y a t 9. 30p m
www. s p i c e x i n g . c om
301 610 0303
Ge t Pa r k i n g Ti c k e t Va l i d a t e d
+Ti p : L
=Tot a 1 : 32.. . 15\
Gu e s t c op y
l IJ ? 2-C. I'Z-Y Afl ..\L.\r: s G -
~~f'. N \_ f\~~~ ctJ s,
1156 15t h St r e e t NW
1156 15t h St r e e t NW
Wa s h i n g t on , DC 20005
AMEX STARR/ J P
CARO
0792 AC G OTTS COURT
250 NORTHWtST ST
ANNAPOllS, MD 21.\01
10/16 /2012
Merchant I D:
Terminal I D:
21917 9393-t
14:24:01 Li c e n s e .
0000000025 25 7 7 5
037 5 1299
DATE 1012-2012
TI ME 10:5 1:05
SAL E 11. 00
CREDii CARD
AMEX SAL E
PARKI NG
TI CKET; f 202994
CARD;;
I NVOiCE
Batch#:
Approv al Code:
Entry Mefriod:
Mode:
2330Di7
000233
5 385 24
Swiped
Online
APPROVED 53457i
Cu s t ome r Cop y
SAlc AMOUNT
1 a g r e e t o p a y a b ov e t ot a l a mou n t
accard~ ..g t~ "'=-.r~1s~j 1e<r f.Qrr:emR\"".+
CUSTOMER COPY
_ 1J H.~rn<
'~t'.. ;
WEL COME r o
ROCKUI LLE TOWN SQUAR
PLEASE KEEP THI S TI CKET
WI TH \ ' OU
10 s .z.otz_
G, AsouE.
N\.li.& (GU'f
En t e r e d / Ar r i u e e :
2l l 12/ 11l / 1817: 47
Ti t h e t / 8i l l e t #: 159424155
Du r / Du r e e : 2: 15: 10
Pa i d On / Pa ye Le :
2ll12/1B/18 2(l: ll2
DATE
TIME 3:Lb rn
AUTH# 551917
AMEX
Pa i d / Pa ye : $ 2.llO
Or i g i n a l Fe e : S 2. 33
GST:$ e.ne
PST:$ ll. ll!l
PUMP PRODUCT PPC
03 UNLD $ 3. 599
Ch a n g e : $ o. oo
AMEX
SC: S ll.uo
GALLONS
8.7 18
TUT AL
$31.38
Swi p e d
RMc n l GAN c X~H~Ss
Seq# 8~16 89
Pu r c h a s e 12/1fi/18 2fi:05 :26
Ruth# 523903
FUEL Y OUR J OUF(NE'i
HI GHSDAI RYSTGFl ~S. COM
CORPC:R.'\TE 1[
( 41 (_ )} ~-~3'.-~; 36 "36
:J f~2-
0.
j '-1\.fo.\:: ... (b~~~<:.E.
C>c:r '2-0l '"'L
Fon t a i n e b l e a u 3ot e l
10100 Coa s t a l Hi g h wa y
Oc e a n Ci t y, MD 21842
Un i t e d St a t e s
410- 524- 3535 ? a x : 410- 524- 3834
J os h u a St a r r
850 Hu n g e r f e r d Dr
Room 122
Roc k v i l l e , MD 20850
Un i t e d St a t e s
BEl OOl - Ma b e
Pa g e Nu mb e r : l
Gu e s t Nu mb e r : 648763
Fol i o I D : A
No. Of Gu e s t : 1
Room N u . mb e r: 1417
Cl u b Ac c ou n t :
J l ..R J l . c c ou n t
Ar r i v e Da t e : 10- 03- 12
De p a r t Da t e : 10- 05- 12
Cop y Ta x I n v oi c e
Fon t a i n e b l e a u Hot e l 10- 05- 12 10: 32 LEI L? _ M
Da t e Re f e r e n c e De s c r i p t i on
DEPOSI T De p os i t AppLa e d
RT1417 Room
Ex c h Ra t e : 0
RT1417
:S-
St a t e Sa l e s ' : ' a x ~ 0
RT1417 4. 5% Oc c u p a n c y Ta x
RT1417 Room
Ex c h Ra t e : 0
10- 03- 12
10- 03- 12
10- 03- 12
10- 03- 12
10- 04- 12
10- 04- 12
10- 04- 12
10- 05- 12
RT1417
RT1417
P..X
6% St a t e Sa l e s Ta x
4. 5%- occ u p a n c y Ta x
. ? : : . me r i c a n Ex p r e s s
* * * For Aut.hor iz . a t ion Pu r p os e On l y* * *
Da t e Code ~-ut:=.cri zed
246. 67 10- 03- 12 148621
** Total
* * * Ba l a n c e
Ch a r g e s Cr e d i t s
- 182. 33
165. 00
9. 90
7. 43
165. 00
9. 90
7. 43
- 182. 33
364. 66 - 364. 66
0. 00
Si g n a t u r e _
I a g r e e t o r e ma i n p e r s on a l l y l i a b l e f e r t h e p a yr n e n t of t h i s a c c ou n t if t h e
c or p or a t i on or ot h e r t h i r d p a r t y b i l l e d f a i l s t o p a y p a r t or a l l of t h e s e
c h a r g e s .
-
-
Prepared For
J OSHUA P STARR
MCPS MDTAX
~::iBflCi;;
Corporate Purchasing
Cardmember Report
Ciosing Date
11/28/12 Page 1of2
PreviousBal~$ NewCharaes$ OtherDe'oits$ ?avments$ other G re:lits$
1
7 6 3.6 811 i9i.s411 0.0011 >
18~, ~~ll
> > ~'.981
197 .5 4
Balance
Due$ Do Not Pay
For importantinformation
regardingyour account
referto page2.
For your records only - do not pay.
For assistance or questions about your account, contact usatwww.americanexpress.com/checkyourbill or
call Customer Serviceat 1-800-492-4920.
Activity Dalereflectsenhertransa::iionor postin2dale
Card Number
Aiilouiit s
88 WASHING TON
- -- -REF#--1- -- - - - - - - - --.:r-AXI-G A8-&-b'.MOU.S-"tG /2'77 '-1~- -
10/29/12 hlJ F TAXI SERVICES NORTH MIAIH B FL
REF# 02630055 786-355-7845 10/28/12
OTHER TRANSPORTATIO
ROG NUMBER 02630055
42.00,.
11/21/12 ORIG INAL PANCAKE HOU BETHESDA
REF# 000004816 P.ESTAURANT
MD OJ OOJ 45 16 :J D 35.02
11! 21/12
511877
ROC NUMBER 000004816
1't/28/12 ORIG INAL PAl~CAKE HOU BCTHESD:! .. MD
REF# 000004980 RESTAURANT 11/26/12
507640
ROC NUMBER 000004980
36.82
11/13/12 TAXIPASSfHAMI.COM 02 MIAMI FL
REF# 0381941919 TAXICAB & LIMOUS 11/13/12
CHARTER SERVICE
ROC NUMBER 03B1941919
42.00
Total for J OSHUA P STARR
l\J ewCharges/Other Debits
Payments/OtherCredits
197.54
-7 6 3.6 8
.. Do riofsfaple or use paper Clips
Payment Coupon
.A::::::::iu1: N..i! T'bs~ _ _ _ _ _ . _ , .,
Please enter account.
number onall
correspondence.
J OSHUA P STARR
MCPS MDTAX
850 HUNGERFUKl J
ROCKVI LLE
DR
2085 0-17 18
Checkhereifaddress.
telephone number, or
e-mail address has
changed ..Note changes on
reverse side.
I().28.2C\.7- ltLLEbE.6A'2.D
CoN~ G ~tvti-1 Q..i~..1-J s? b~Ttc, ...
(
~
iw bf + 1j voucher
_ 1-888-Taxi-Pay
- -- ~ 212-222-Taxi
Easy Secure Poyments. Guorameed
:~, :-~~;- :-:~---~-~, :~~? ~~~;_ "::_ ~~_ ? :~::::~~~~::
STCA.rr
Fare
Top Whit~ Ccpy Pass<=nger Rt::ceipt -- BottJ .mY e! \cv. CDJ '! Gri.1e:- Vo~:he;
TaxiPassSatisfaction G uaranteed
SlOO MaximumVoucherValue
www.TaxiPassReceipt.com
customerservice@taxipass'.com
f Date:
lCab#:
iTo:
j From:
Voucher sold byTextr'ass.anindependent 3rd party se:
\0 .?..B Zo rz .
G '2.60~D112..rtrus
C.6 u6 .TuAr2..D Co 0f"
0:....:-'i~K P'::AR\ .. \! r.:
2-!'1.l 26 T\iS"f ~E
'~.'iSHlNGI ON. UL 2li:J ~3
(202J 5 S0-r.;, ;:
t"1I C1 g87 88290221~b:+t
Sale
AM"V
Mtll
Total:
- - - - f J)- -
~ \ .- ire
; : - : - ..: : : : _: - - .: ..: ..- .- : .=: : .~ : : .
101LML
I nv ~: 000001
AoPrv a: Online
Custcee- CoPY
THANI<VQU!
COME AG SlN'
l\.'Z...\. 'Z.01'2.
t--1\, 1\\r Gf\.., DAL .
~ILF/4.S"i"" H\lb-
THE ORI GNL PANCAKE HSE
7700 WI SCOUS! N AVE
BETHESDA. MO 20Bl q
Me r c h n t I U: 2192300457
T~r m I D: 10077421
2192300q 57
Sale
AMEX
En t r Y Me t h od : Swi Pe d
APPr v d : On l i n e Ba t c h A: 19~
~8:03:15
I n v e : 000~08 APPr Cod e : 511~77
Re f ~: 004815 C~ Re f n :
29.02
/ ,,(\
---------- ~~ - ---- - -
iota l:
= = = = = = = ~~; 9= ~
\I. 2..~. 20\2-.
t-1\\).. \Ul ~U\\..J t< :-.
t312.W~ASI h\l'G
THE ORI G PANCAK HSE
7700 w COUSI N VE
BEl HES , MO 20 14
Hor c h on t J O: 2192300457
Te r m I D: 10077421
2192300~57
Sale
En t r v Me t h od : Swi Pe d
~PPr v d : ~n l i n e ~a t c h n : 000198
~9:21:12
I n v ff: 00000~ ~PPr Cod e : 5075~0
R e f fi: 0~~98~ ( M~ef U:
! .
HI Ti OUn t :
iip:
.& a l! ri
= = = = = = = = = = ~
Cu s toue r' Cof:>~
Corporate Purchasing
Cardmember Report
> ~ig~~t11>For Online:> ~
<:>statements
\\Q [~~~~~6 ~~~ess . com/~ec'.kyo~rbill
. -
PreparedFor
J OSHUA P STARR
MCPS MDTAX
AccournNumber ClosingDrue
, 2/28/12 Page 1of3
Balance
Due$ Do Not Pay
For important information
regarding your account
refer to page 2.
PreviousBalance$ NewCharges$ OtherDe~r.s$ Payme"" $ O'J 1erCredits$
I 197 .5 4ll 220.7 311 0.0011 _
0~01~11
. <. g~~~I
220.73
For your records only - do not pay.
For assistance or questions aboutyour account, contact usatwww.americanexpress.com/checkyourbill or
call Customer Service at 1-800-492-4920.
Activity Dalerefleciseithertransactionorposfingdale
R.cierenc:e Cede Amount>
Card Number
OXCD'i0:1360 19.03. 11/ 30/ 12 CHI POTLE 1822 0080 DAMASCUS MD
- REF# 00000-1-0036 --303-5 85 -4000 -- -- 11- / 29! 12-- - -
FAST FOOD RESTAURAN
ROG NUMBER 0000010036
12/ 17/ 12 300110J QJ DJ FI RST WATCH 91 FI RST ROCKVI LLE MD
REF# 30011 100 NEW MARKET S 12/ 17/ 12
37. 30
I
11/ 29/ 12 GB- ROCKVI LLE 4513 OD ROCKVI LLE
REF# 129 423- 424- 2000
FOOD/ BEVERAGE
ROC NUMBER 129
41.99 MD
11/ 28/ 12
12106/ 12 HYATT REGEl ~CY WASHI N 888- 472- 2870 DC
FOL# 000037859795 LODGI NG 12i 05/ 12
ARRI VAL DATE DEPARTURE DATE
12/ 03/ 12 12/ 04/ 12 00
ROC NUMBER 000037859795
27. 10
~
12/ 21/ 12 J J J J ~:54u: ORI GI NAL PANCAKE HOU BETHESDA MD
REF# 000005554 RESTAURANT 12/ 21/ 12
527180
ROC NUMBER 000005554
33. 17
j
12/ 04/ 12 MD
12/ 03/ 12
ORO POMODORO ROCKVI LLE
REF# 0 3012511111
36. 74I
Continued on Pe.gs 3
bo noi staple or use paper clips
Payment Coupon
P!ec.se~r.te: account
number on all
correspondence.
J OSHUA P STARR
MCPS MDTAX
850 HUNGERFURD DR
ROCKVI LLE MD 20850- 1718
Chee! ' here ifaddress,
'.elephone number, or
e-mail address has
changed. blote changes on
reverse side.
c
-
-
Prepared For
J OSHUA P STARR
MCPS MDTAX
AccoJ ;it Nurnoer Cl'.>SingDate
12/28/12
Page3of3
Activity Continued
Petererce Co:ie Amount S
6.65
6.75,
~
12.00 I
220.7; I
-197.54

12/04/12 WASHMETRORAI L 63100 ROCKVILLE
REF#023005956 202-9625711
MD
12/03/12
023005 95 6 00
12105/12 WASHMETRORAI L 63100 WASHING TON
REF#027009188 202-9625711
DC
12/04/ 12
C27 00S1880:1
12/11/12 110-0475 1101 15TH S WASHING TON
REF#TICKETECH PARKil~G LOT & G .A
DC
12/ 10/ 12
Total for J OSHUA P STARR
NewCharges/OtherDebits
Payments/OtherCredits
ll2- B.2.0\'2-
0129
Se r v e r : ROBEL W Re c : 35
11/ 28/ 12 13: 37, Swi p e d T: ZS Te r m: 7
GORDON BI ERSCH- ROCKVI LLE
200 E. MI DDLE LN
UNI T A
( 301) 340- 7159
MERCHANT #:
CARD TYPE ACCOUNT NUMRFP
AMERI CAN EXPRES
00 TRANSACTI ON APPROVED
AUTHORI ZATI ON #: 598694
Re f e r e n c e : 1128010000129
TRANS TYPE: Cr e d i t Ca r d SALE
CHECK:
35 .99
TI I P:
_ _ _ _ _ _ _ .----fr- c t ' >
TOTAL :
){ _
- - - - - - - - - - -
* * * Du p l i c a t e COPY* * *
C:A.RDHOL DER \~I L L PA\' CARD I SSUER ABOVE
AMOUNT PURSUANT TO CARDHOLDER AGREEMENT
ASK ABOUT OUR BANQUET ROOM
d u p l i c a t e c op y- > c u s t ome r
GOf;~DON BI ERSCH
Roc k v i l l e 4513
01 : 29 Ta b l e z s #Pa r t y 2
ROBEL W Sv r Ck : 4 12: 40p 11/ 28/ 12
1 Gi n g e r Al e
1 Soda Wa t e r
1 Ah i Sa l a d
1
. L ' 1 / 0ab
0k
S n r l
0j ur ,,,. Q, iu
2. 95
0. 00
14. 50
16. 50
****:~***********************************
ENJ OY A FREE APPETI ZER
ON YOUR NEXT VI SI T
WI TH ENTREE PURCHASE
SHARE YOUR FEEDBACK I N 3 DAYS
www. myb r e we r yv i s i t . c om
ENTER SURVEY CODE:
019212-241108-135 214
VALI DAT ON CODE: .
Not v a l d wi t h a n y ot h e r of f e r
Ll m1 1 c ou p on p s r t a b l e
Di n e - i n on l y. Ma x ~~l u e $ 9. 99
Of f e r e x p i r e s 30 d a ys f r om d a t e of v i s i t
Su t i Tot a l : 33. 95
Ta x : 2 . 04
Su t Tot a l : 35. 99
11/ 2! 3 1:35 pTOT;~L : 35 .99
FOOD
H/ A l 3EV
31.00
2. 95
REWARD YOURSELF
WI TH OUR PASSPORT.
ASK YOUR SERVER.
WE HAVE BEER TO GO!
WASHrNG iON, D.C J
ON CAPliOL Hill
INVOICE
Payee J oshua Starr
101Constitution
Washington DC 20001
United States
Membership
Bonus Code
Conftrrnation No. 1381992701
G roup Name EDUCATION COUNCIL
Date Description
- Restaurant Breakfast Food
- Restaurant Breakfast Tax
- Restaurant Breakfast G ratuity
American Express
12-04-12
12-04-12
12-04-12
12-04-12
Room#0601 : CHECK# 267608
Room#0601 : CHECK# 267608
Room#0601 : CHECK# 267608
XXJ XX
Hyatt Regency Washington on
Capitol Hill
400 New J ersey Avenue, NW
Washington, DC20001
Telephone: 1202737 1234
Fax: 1202 737 5773
www.hyattregencywashington.com
RoomNo. 0601
Arrival 12-03-12
Departure 12-04-12
Page No. 1of1
Folio Window
Folio 583093
Invoice
Charges
21.00
2.10
4.00
credits
27.10
No frequent traveler account has been credited for this
stay. To enroll inG old Passport, call 1-800-51-HY ATT, or
visit wvvw.G oldPassport.com.
G uest Signature
Iagreethatmyliabilityfor this bill isnotwaivedandIagreeto beheld
personallyliableinthe eventthatthe indicatedperson,companyor
associationfailsto payfor any partor thefull amountofthesecharges.
Total 27.10 27.10
Balance 0.00
Was your stay exceptional? Please let us know what you think ...
Simply e-mail us at QualityWasrw@hyatt.com
For more information onthe Hyatt Regency Washington onCapitol Hill or other Hyatt
Hotels and Resorts, visit us onthe web at W'v\IW.HY A.ITCOM
Lost & Found questions, please email Lost@hyatt.com
Please remit payment to:
Hyatt Regency Washington onCapitol Hill
PO Box 6012
Washingtori, DC 20042
Customer Service number: 1-888-863-3020
Customer Service email: Na.CustomerService@Hyatt.com
2.Cl t'2.
I 'Z. .\0 .2.0v a,
wN>\-\ 1-...:x=..TO,._ , j t~ ~At-.l~
-p~12..ILI t.J.G- l::>C-
1101 15 th Street NI '!
1101 15 th Street NW
Wa s h i n g t on , DC 20005
Li c e n s e .
AMEX STARR/ J P
CARD
DATE 12-10-2012
TI ME 11:08:01
SALE 12.00
APPROVED 5 01236
PARKING T ICKEH~ 2; 2329
Customer Copy
I agree ta PAY abov e
according to ct.
tot a1 amount
r _,1t
1'2r 2- \ r LO I '2_ _
DAi..i ~f2.cLU\~
~\<.SAC;.T ~IG-
\-Z...II. ZCl'2- k..~Is HA~
D~\'-ff>Sr rl\US
F 1rst l a t c h
Th e Da yt i me Ca f e
Ss r v e r : Hos t
03: 47 AM
Ta b l e 300/ 1
AMEX
Ca r d
Ma g n e t i c c a r d p r e s e n t :
Ap p r ov a l : 521808
DOB : 12/ 17/ 2012
12/ 17/ 2012
3/ 30011
1045598
STARR J P
Amou n t : 31. 30
G
+ Ti p :
= Tot a 1:
l r l RI G L PANCAKE HSE
1 0 W SCOUSI N AVE
E H E S A. M D 2 0 8 1 4
Sale
~n t r Y Me t h od : ~wi Pe ~
APPrv d: ~nline ~atchti: 0~0223
12121112 09: j1: ~:
111v I t: ~~001~
REf ~: 005554
P 1P P r [ JGe: :! 2718(1
en Rd ..
Amou~t:
i i P:
. . s ~
- - - - - - - - -
33. Y L
1'2, o, '2.0l"2- -::(~a.A S~t-.r\J!L.c.u.J.s..IU
i,\,.) u-\ rt \.TG-
IZ...I.-\ zc, 'L
H \ j : R D fA\2.-'E
fJ.~ rt\..,lb-
0003
Se r v e r : ANDREA C ( #112) Re c : 3
12/ 03/ 12 12: 51, Swi p e d T: 73 Te r m: 3
ORO POMODORO
33a Ma r yl a n d Av e
Roc k v i l l e , MD 20850
( 301 ) 251- 1111
MERCHANT #:
CARD TYPE ACCOUNT NUMBER
At 1ERI CAN EXPRES
Na me : J P STARR
00 TRANSACTI ON APPROVED
AUTHORI ZATI ON #: 533579
Re f e r e n c e : 1203010000003
TRANS TYPE: Cr e d i t Ca r d SALE
12/ 04/ 12 16: 49: 52
Un i on St a t i on N_
Wa s h i n g t on DC
FOR CUSTOMER SERVI CE
CALL 202- 962- 5719
700 Bl k St . SE NE
MEZZANI ME 25
MACHI NE 31
AN:
CHECK:
TIP:
TOTAL:
30.7 4
G-
VENDOR: 025- 31- 31523
REF NO: 315233505785
AUTH NO: 511341
CREDI T PURCHASE
DUANTi TV SELECTED: 1
COST I S $ 5_ 75 PER
FARECARD
S/ N:
3152307ZJ 505789
TOTAL AMOUNT: $ 5. 75
PHONE: ( )
* * * Du p l i c a t e COPY* * *
CAPn OLDER w PAY CARD I SSUER ABOVE
k AJ u Nf PURSUHNI TO CAROHOLDER AGREEMENT
SI GNED COPY - - MERCHANT
THANK VOU
FOR RI DI NG HETRORAI L
THE FUTURE I S
RI DI NG ON METRO
-o-t? ~(LJQ_ _
~LE.W\_"2: 0 - 26.z;
\ \ - L ..C \ Zo\B \:::,i~QQ).(L \.~.hL L -Y-\N \<;.
Cc Mt+.u\\Jrl'f 'bA 'i
You d e c i d e wh a t ' s i n s i d e .
9815 Ma l n St r e e t , Su l t e 1
Da ma s c u s MD 20872
( 240) 668- 3260
Hos t : Ta n i a
11/ 29/ 2012
ORDER #135
12:06 PM
10C36
Ch i c k e n Bu r r i t o
6. 37
Gu a c a mol e
1. 89
Sma11 Soda ( 2 @ 1.6 6 )
3. 32
Ch i c k e n Bu r r i t o
6. 37
Su b t ot a l
17. 95
Ta x
1. 08
T ~,\t OUT Tot a l
19, 03
AMEX
19. 03
AL. 1r i z i n g . . .
Ba 1a n i . , c - Du e
19. 03
Bu y $ 30 or mor e i n g i t c a r d s a t a n y
Ch i p ot l e f r om 11/ 16 o 12/ 31, a n d
b r i n g you r r e c e i p t b a c k on you r n e x t
v i s i t f or a f r e e b u r r i t o, b owl , or d e r of
t a c os or s a l a d , Of f e r e n d s 1/ 31/ 13.
17-. ~ . 2.cI 'Z- ti\,L IR 0
AP..~~t"f.v"ffi - b(L
12/ 03/ 12 17 :17 :27
Roc k u i l l e
Roc k v i l l e MD
FOR CUSTOMER SERVI CE
CALL 202- 962- 5719
251 Hu n g e r f or d Dr i u e
MEZZANI NE 17
MACHI NE 31
AN:
VENDOR: 017- 31- 32449
REF NO: 324493421041
AUTH NO: 546203
CREDI T PURCHASE
OUAN TI T1~ SELEG TED: 1
COST I S $ 6_ 55 PER
FARECARD
S/ N:
324490723421044
TOTAL AMOUNT: $ G_ 65
THANK VDU
FOR RI DI NG METRORAI L
THE FUTURE I S
RI DI NG ON METRO