DeRionne Pollard Credit card receipts Page 1 01 t5 I r; Bank . Corporate Card DERIONNE POLLARD 4 Accopj?g NUMBER CREDIT IN STATEMENT CREDIT CYCLE DATE 310000.00 $10,000.00 31 01131113 Purchases Cash Advances Total Fees Credits Total Activity $2,129.52 $0.00 $0.00 $0.00 $2,129.52 Tran Post Reference Number Transaction Description I Amount Date Date 31:10 01114 53011530110312544 AIRTRANAIR 3320137239439ATLANTA GA 552.30 . M00: 31?? MERCHANT-ZIP: 3282? NAME: POLLARDIDERIONN TICKET 3320137259439 TRAVEL AGENCY: AIRTRAN AIRWAYS - DHOLDER SIGNATUR DATE {3:21 .1 6415} 9103?? 5 if I For customer service, call To'??te 8- TlBenk regarding: For W53 bene?ts and i toll tree (800} 443-8571. \H/Eilling errors: 0. BOX 4028. Buifalo, NY 14240-4023 referral services. cal? Outside the US and Canada, call Payments: PD. OX 52120. Baltimore. MD 21264-2120 the Visa assistance (716) 535-4152. LosUStolen: 4551MIN STREET, SUITE 500? Butfalo. NY 14203 Center Visit us on the we% mw:mtb.oom MEMO STATEMENT gig. Eg??gza Account Number BUFFALO NY 14240-4028 Statement Date 01f31f13 Totat Activity $2,129.52 Remit to: 81 BANK P.O. BOX 52120 BALTIMORE MD 21264-2120 STATEMENT DO NOT PAYMENT DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTNI PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 13 3.121] PH Page 2 of Mag Bank Corporate Carol CCOUNT NUMBER DERIONNE POLLARD I CREDIT AVAILABLE DAYS IN BILLING STATEMENT my LEMIT CREDIT CYCLE DATE 3 $10,000.00 $10,000.00 31 01/31113 ll 01680310 - 011041 0001 - 0003 NOTICE OF BILLING RIGHTS II '6 F.- U) 0 (D .--1 CD p.11 2 U) This notice contains important information about your rights under federal law. to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be iiabie for any unauthorized use that occurs after you notify Bank orally or in writing, of any loss, theft or possibie unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by telephoning 1-800-443-8671; Except as provided in Section 26 of the Agreement, your for unauthorized use of the Card Will not exceed $50. Please be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in full by the due date may result in delinquency charges oer yourAgreement with us. We will credit any payments made upon conclusion of ourinvestigation of the unauthorized use claim, to the extent ofthe prOper amount due back to you. I - . I Page 3 of 6 Mg?? Bank - 1' Corporate Card DERIONNE POLLARD . 1 ACCOUNT NUMBER CREDIT iN STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 0031/13 Tran Post Date Date Reference Number- Transaction Description Amount LEG: 1 DATE: 01723713 CARRIER: L-AirTran Airways inc. DESTINATION: AtiantaI Georgia, United States Arlington County, Virginia (near Washing LEG: 2 DATE: 01723713 CARRIER: FL-AirTran Airways. Inc. . DESTINATION: Arlington County, Virginia (near Washing ORIGINATION: Atlanta, Georgia, United States 01710 01714 6.3011000465714646 UNITED 0162351756774713-324-5000 TX 176.60 M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERIONNEPDR 0162351756774 LEG: 1 ITINERARY 1583 FARE CODE: DATE: 02720713 CARRIER: UA-United Airlines1 Inc. DESTINATION: Tampa, Ftorida, United States ORIGINATION: Washington. BC (Virginia, United Stat LEG: 2 FARE CODE: KA14KN DATE: 02720313 I CARRIER: UA-United Airiines, inc. DESTINATION: Washington, DC. fVIthnIa. United Stat ORIGINATION: Tampa, Florida. United States 31710 01714 63011000465714653 UNITED 0162351758775713324-5000 TX 176.80 MCC: 3000 MERCHANT ZIP: 77002 NAME: JONESIROBYNAMS TICKET 0162351758775 LEG: 1 ITINERARY 1583 FARE CODE: DATE: 02720713- CARRIER: UA-United Airiines. Inc. TampaI Fiorida, United States ORIGINATION: Washington, DC. I Virginia, United Stat LEG: 2 FARE CODE: KA14KN DATE: 02720713 CARRIER: UA~Uniied Airlines, Inc. DESTINATION: Washington. DC. 7 Virginia, United Stat Tampa. Fiorida, United States 31710 01714 63011000465714661 UNITED 0162351756776713-324-5000 TX 178.80 MCC: 3000 MERCHANT 770-32 NAME: POLLARDJONESIMYLESJ TICKET 0162351758776 REE Mg?? Bank 8. Corporate Card Page 4 of 6 - . $4 DERIONNE POLLARD NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 01/31/13 Post Date Reference Number mu- m? mm Transaction Description Amount 01880310 - 011041 - 0002 - 0003 - 01/11 01l14 33011004077251720 01711 01/14 53012870120217745 01718 01/17 03018200078284358 31718 01121 03018118000178875 Z1720 01721 33020001194807993 U23 01724 83024000501396.3848 LEG: I ITINERARY 1583 FARE CODE: GAU21 DATE: 02720713 CARRIER: UA-United Airlines, Inc. - DESTINATION: Tampa. Florida, United State ORIGINATION: Washington, DC. I Virginia. United Stat LEG: 2 FARE CODE: KAMKN DATE: 02720713 CARRIER: UA-Unlted AirlinesI Inc. DESTINATION: Washington, 0.8. I'Virginial United Stat ORIGINATION: Tampa. Florida, United states MARRIOTT CONF CTR NORMAL NORMAL M00: 3509 MERCHANT ZIP: 81.781 CHECKAIN: 01709713 NUMBER OF NIGHTS: 2 NO SHOW: 0 PURCHASE IDENTIFIER: 3080008180001 DELTA AIR 00823210565790ELTA.COM CA MCC: 3058 MERCHANT ZIP: 30354 NAME: TICKET 11: 0082321058579 TRAVEL AGENCY CODE: 150098 TRAVEL AGENCY: DELTA.COM LEG: 1 DATE: 03101113 CARRIER: Air Lines Inc. .. DESTINATION: Romulus (near Detroit). Michigan, United ORIGINATION: between Baltimore, Maryland and Washingt LEG: 2 DATE: 03101113 CARRIER: DL-Deiia Air Lines Inc. DESTINATION: between Baltimore, Maryiand and Washingt ORIGINATION: Romuius (near Detroit), Michigan. United LEG: 3 DATE: 03101713 behveen Baltimore. Maryland and Washingi FIRST WATCH #91 ROCKVILLE MD 0100:5812 MERCHANT ZIP: 20850 ORDER NUMBER: 130118 091400. LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 GOTTS CT GARAGE MD MCC: 7523 MERCHANT ZIP: 21401 THAI TANIUM GAITHERSBURG MD MCC: 5812 MERCHANT ZIP: 20878 30 ABDI AMERICAN M00: 7299 MERCHANT ZIP: 30331 1L 285.38 233.80 23.82 11.00 110.51 GA 4188 Page 5 of 6 MEEBEMR Corporate Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 01/31/13 ?51 22:: Reference NumberJ Transaction Description Amount 31:24 01325 730A REAGAN WASHINGTON 00 20.00 MCC: r523 MERCHANT ZIP: 20001 31:24 0020 53025580250195704 AIRTRANAIR 3320137862623ATLANTA GA 10.00 MCC: 3177 MERCHANT ZIP: 32827 NAME: POLLARDIDERIONN TICKET 3320137852623 TRAVEL AGENCY: AIRTRAN AIRWAYS LEG: 1 CARRIER: FL-AirTran Airways, Inc. DESTINATION: Atlanta, Georgia. United States ORIGINATION: Arlington County, Virginia (near Washing LEG: 2 DATE: 01f23f13 CARRIER: FL-AirTran AirWays, Inc. DESTINATION: Ariington County, Virginia (near Washing ORIGINATION: Atlanta. Georgia, United States 011'28 43026207751800706 YELLOW CAB-CARD SERVICES 4049255668 GA 38.00 MCC: 412i MERCHANT ZIP: 30320 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 "0'25 01:28 3302?004079010134 HYATT HOTELS ATLANTA ATLANTA GA 250.95 MCC: 3840 MERCHANT ZIP: 30303 011'232'13 NUMBER OF NIGHTS: 2 NO SHOW: 0 PURCHASE 3609 I128 01f29 0302811800014935? GOTTS CT ANNAPOLIS MD 15-00 MCC: 7523 MERCHANT ZIP: 21401 Bank 8. Corporate Card FDERIONNE POLLARD ACCOUNT NUMBER Page'6 of 6 CREDIT $10:000.00 AVAILABLE CREDIT $10,000.00 DAYS IN BILLING CYCLE 31 STATEM ENT DATE 01/31/13 01030310 - 011041 - 0003 0003 FOR PERIOD ENDING: January 31, 2013 Cardholder Name: DeRionne Pollard Ext: 75264 Dept: Office of the President PURCHASE DESCRIPTION OF BUSINESS PURCHASE DATE MERCHANT NAME DESCRIPTION Bud et Account Number AMOUNT 9 RELATED PURPOSE . . Attending the Blaclg Brown and College Bound '3 li10fp0l3 Unlled 5 178.80 Alrfare Summit, Tampa. FL Ill 0190 I 3 United 178300 Airfare Ms. Jones attendance at the Black, Brown and I College Bound Summit, TampaT FL Myles JOnes attendance at Black, Brown and College morzma United 3 178.80 Airfare Bound Summit, Tampa. FL (to be reimbursed to the College} . Attended Annual Meeting 11102013 Airtran 5 552.80 Airfare President?s in Higher Education Palen at ACE. I Atlanta, GA lit 1/2013 Delta Air 3: 233.80 Airfare Attendance at Sl?lN Design Team meeting, Detriol. Ml 11.1 II 1 HI IBOIB Marriott Conf Nonnal 285.36 Hotel Reservation Attendance at Hea an community CO age lilo/2013 First Watch 23.32 Breakfast Meeting war. Edelstein and Dr. Stan- lil 8f20l 3 00th Ct Garage 3 11.00 Parking fee Attended meeting. MACC of?ce . . . Meeting w/Dr. Rai and Dr. Ajay Kela, Wadhwani Ugorzots Thai Tanlurn 110.51 D1nner Foundation a . . . From airport to hotel in Altg?ia. @313 112320 3 Sq AI: Abdt American Cab 5 41.88 Cab fare Annual Phgid?mg Emmi, lf24f30i3 DCA Reagan 5 20.00 Parking fee Annual Meeting $1373 ?'11 . 11?241?20 l3 Airlran 10.00 Baggage fee {no recelpr given) Annual Meeting 11:} E313 l/25f2013 Yellow Cab Card Services 38.00 Transportation From hotel to airport in Alti?ti'iialggA; Annual Meeting ?5 09512013 Hyatt Hotel Atlanta 5 250.95 Lodging Annual Meeting . i .. . I Eamon Gong Ct. Garage 3 1500 Parking fee MACC. Trustee Receotron 1 EXPENSE 3'5 _o . Uri? - rum. t'a? 1-.-: .11 "5 I .. a nine-5.2.2113; n- 1-. :1 "lira ,Jllr el (Jr-1? Name: Cath ones Date: 522 r' ill Name: Ste Rev. Report 3120 Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report ID: Expense Report Name: DERIONNE POLLARD January 2013 Expense Report . - ?1 Current Stalzu?sl:3 I Date: . Location: Run Date: 271372013 Time: 9:27 AM {Hark . Current 3991-9195153? MONTGOMERY COLLEGE PUR (NEW (00004! -. - II *Inro'r'm'ationi -- -. Date Range: 17172013 - 173172013 Memo-Posted Transactions: $2,129.52 Description: Grand Total: $2,129.52 DestinationDate Occurred Date Posted Merchant Original Amount Settlement Amount Description Ailocation Split Amount 171072013 171472013 UNITED 0162351758774 $178.80 $178.80 Airfare - attendan the Blackl Brown and College Bound Summit. Tampa, FL 171072013 171472013 6 UNITED 0162351758775 $178.80 $178.80 Airfare for M5. Jones attending the Black, Brown and Coltege Bound Summit, Tampa, FL 171072013 171472013 UNITED 0162351758776 $178.80 $178.80 Airfarewfor Myles Jones attendance at Black, Brown and College Bound Summit, Tampa, FL (to be reimbursed to the College) 171072013 171472013 AIRTRANAIR 3320137269439 $552.80 $552.80 Attended Annual President?s In Higher Education Panel at ACE, Atlanta, GA 171172013 171472013 I DELTA AIR 0062321056579 $233.80 $233.80 Airfare for attendance at SHN Desigr?eam Meeting, Delriot. MI 171172013 171472013 MARRIOTT CONF CTR NORMAL $285.36 $285.36 Purchase 10 3080008160001 Hotel reservation attendance at heartland CC 171672013 171772013 FIRST WATCH #91 $23.82 $23.82 Page 1 o! 3 Report 3120 Expense Report Run by: LYNETFE TELFORD Breakfast meeting wiDr. Edeistein and Dr. Starr Run Date: 'I'Ima: 9:27 AM 1.0812013 1i21i20?l3 GOTTS CT GARAGE $11.00 $11.00 Parking fee; attended meeting. MACC of?ce 1i'20i2013 1(2112013 $110.51 $110.51 Dinner meeting wi Dr. Rat and Dr. Ajay i-(elaI Wadhwani Foundation 1 1i23i2013 1i?24i2013 SQ AMERICAN CAB $41.88 $41.88 Purchase iD 134242?62 Cab fare from airport to hotel in Atlanta; attended Annual President?s in Higher Education Panel at ACE, Atlanta. GA 1i24i?2013 11'2512013 DCA REAGAN $20.00 $20.00 Parking tee: AAC8U Annual Meeting 1i24i2013 1i28i2013 3320137862623 $10.00 $10.00 Baggage tee: Annual Meeting 1112532013 1f28i2013 YELLOW CAB CARD SERVICES $38.00 $38.00 Purchase iD 000000436? Transportation: from hotel to airport in Atlanta. AAC 8U Annual Meeting ?2512013 132812013 HOTELS ATLANTA $250.95 $250.95 Purchase 3609 Lodging: AAC8U Annual Meeting 1i28i2013 1/2912013 GOTTS CT GARAGE $15.00 $15.00 Parking fee: MACC Trustee Leadership Conference 8 Legislative Reception Memo-P osted Transactions Totals Count:15 [Eh?ones Report History . - - Status DateiTime User Name Business Unit Notes Unsubmitted 21582013 1:14:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE Submitted 218112013 1:07:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR 1 Pending Approval 313112013 912?:00 AM CATHY JONES [Eisens's'Rleoort Summary MONTGOMERY COLLEGE PUR i Page 2 oi3 i Report 3120 Run by: TELFORD Reimbursable Total $0.00 Tlme: 9:2? AM Expense Report Run Date:2!13!2013 Signatures @111 er Date I i 5/00 Approver I Date/ /i Page 3 01'3 United Airlines Thank You for Choosing United Airlines Home Thank You for Choosing United Airlines Thank You for Choosing United Airlines United Confirmation Number HZWEKN Page 1 of 3 Purchase Summary 1 Child $157.00 2 Adults (age 18 to 64) ?$314.00 Additional TaxesZFees $65.40 Total $536.40 Payment Information Name of Cardholder: DeRionne Pollard i Card Type: Visa MileagePlus Members: Upon completion of this itinerary, you will earn up to 1,620 MileagePius award miles.* United Confirmation Number HZWEKN a .. Flight Details 1 11- -- .- 013 Washington, DC (IAD - Dulles) to Tampa/st. Petersburg, FL (TPA) Wed., Feb. 20, 2 ?nme;2 Award Miles; Flight: UA1583 Premier Qualifying*: Aircraft: Isateeing 737?900 810 [100% Fare Class: United Economy (G) Depart: Arrive: Travel 10:06 p.m. 12:.Wed., Feb. 20, 2013 . Thu., Feb. 21, 2013 Washington, DC (IAD - Dulles) Tampafst. Petersburg, FL Heal: None 1' i No Special Meal Offered. .1 . NT ,n -. W?sm: Sat, Feb. 23, 2013 Tampa/St. Petersburg, FL (TPA) to Washington, DC (IAD - Dulles) Travel?mezz Award Miles! Flight: UA1274 Depart: Arrive: 6:59 p.m. 9:11 p.111. hr 12 m? Premier Qualifyingt: Aircraft: Boeing 737-800 810 [100% Fare Class: United Economy (K) sat.l Feb. 23, 2013 Sat?. Feb. 23. 2013 Washington, DC (IAD Dulles) Tampal'St. Petersburg, FL (TPA) sze-?rwr Meal: Snacks for Purchase No Special Meal Offered. grew-~- Traveler(s) t?I? .- Dr. Derionne P. Pollard Special Meals Reggest: Not applicable for this itinerary Frequent Flyer: E?mail Address: Home Phone: (847) 494-9620 United States Business/Other Phone: (301) 801?1238 - United States Seal: Assignments: LAD TPA: 30A TPA IAD: 37A Myles J. Pollard-Jones Sgeciai Meals Reguest: Not applicable for this itinerary n?hu-u-n?a-nn-rw?g-g-gr, karma-n.va Seat Assignments: LAD - TPA: 30C TPA - IADannv 1/10f2013 United Airlines Thank You for Choosing United Airlines Ms. Robyn A. Jones 4 Seat Assignments: IAD TPA: Sgeciai Meals Request: Not applicable for this itinerary TPA - IAD: 37B Frequent Flyer: UA?vjv83979 Economy Plus Tampa/St. purchase Petersb?urg Hotels Economy From Plus? seating . and enjoy 3 $33; more space to reiax. Book Search ?otels early for the best Tampa/St. Petersburg Car Hertz Rentals Book with our preferred car partners to save up to 35% and earn 75 reward miles per day. Important Travel Information: ecurity alert level and implemented extra restrictions to assure the security of air travel. The U.S. government raised the res and restrictions on items allowed on board aircraft are detailed on the Travel Alert: Certain changes in airport procedu Elevated Securng page. Any changes to your ?ight reservations may incur additional charges Airlines require government isaued photo identi?cation upon check-in, such as a dn?ver's license or passport. Passoort, visa and health reoulrements may apply for this Itinerary. Each passenger must ensure he or she has all required travel documents as stated in Rule 19 of the Contract of Carriage. Information on this site is provided as a courtesy and should be veri?ed by the passenger before travel. Other resources include the consulate of the destination country and the us. Degartment of State. Please read important information governing airline iiabliitv limitations. You wili be contacted with any changes or additional information such as schedule changes, itinerary changes, etc. Special services are on a request basis and cannot be guaranteed. Special meal requests must be received at least 24 hours before the departure of your ?ight and cannot be guaranteed. *Mlies shown are the actual miles ?own for this segment. Fare class, Premier qualifying miles and other promotional bonuses are not included in the total miles shown. The award miles accrued on codeshare ?ights are based on the operating carrier and their equivalent fare class. This could result in differences between the purchased booking ciass and the booking class ?own, which iifying miies and Premier qualifying segments earned. award miles are determines the number of base and Premierqua not awarded for travei on airlines that are not MIieagePius partners. Miles indicated for nonhpartner ?ights or ?ight segments will not be awarded. MiieagePlus award mlies earned will vary depending on the Premier status of the customer. Important Baggage Information Carry-on baggage allowad United accepts the following items, per customer to be carried on the aircraft at no charge: One carry?on bag no more than 45 iinear inches or 114 linear centimeters (L H) or 14 inches 9 inches 22 inches (23 35 56 cm) One personal item (such as a shoulder or lapt0p bag). Learn more about carrv~on ooiicv Checking bags for this itinerary Checked baggage service charges are collected at any point in the itinerary where bags are checked. The bag service charges below re?ect a maximum outside linear dimension of 62 linear inches (157 cm) First and second baggage service charges per traveler as listed below: bag 2nd bag Weight per bag Wed., Feb. 20, 2013 Washington, DC (IAD - Dulles) to Tampay?St. 5-2?5 $35 50.0 (23 kgs) Petersburg, FL (TPA) Sat., Feb; 23, 2013 Tampa/St. Petersburg, FL (TPA) to Washington, DC 525 $35 50.0 (23 kgs) (IAD Dulles) .AirTran Airways Reservations Page 1 of 3 er I . (air?fran?com receipt 8 itinerary Thank you for choosing AirTran Airwayswill send you an email message containing your itinerary. 'llo ensure you receive the message, you may wish to 'add to your address book. COLLEGE t4 0F Ell-SittESS confirmation number: Y6LWQL . Booking date: Thu, Jan 10, 2013 Status: Con?rmed Should our flight schedule change, we will notify you by email as early as possible. Flight Details Departing: Wednesday, January 23, 2013 Washington, DC - Reagan (DCA) to Atlanta, GA (ATL) Flight 652 Coach 6:40 PM 8:20 PM RetL'rrning: Thursday, January 24, 2013 Atlanta, GA (ATL) to Washington, DC - Reagan (DCA) Flight Coach 2:20 PM 4:01 PM - Passengers and Seat Assignments Passenger Number DCA-ATL DeRionne Paulette Pollard Add Number 22C 19C DOB: added - Contact Information DeRionne Pollard 900 Hungerford Drive . 240-567-5264 (Tel) Suite 300 Rockville, MD 20850 United States of America Pricing Payments Total for 1 passenger (full detaili Payment via Credit Card Fare/Passenger: $526.80 Form of payment: Visa 1 passenger Payment status: Con?rmed Seat fees: $26.00 Payment amount: $552.80 Total price: $552.80 Terms and Conditions Fa re Restrictions Britton, Ida From: Delta Air Lines [DeltaAirLines@e.delta.com] Sent: Friday, January 11, 2013 1:39 PM To: The President Subject: BALTIMORE 01MAR13 LT A delta.com My Trips Earn Miles YOUR ITINERARY AND RECEIPT Please review this information before your trip. If you need to contact Delta or check your ?ight information, go to delta.com or call 1-800?221?1212. For a complete list of - - world wide phone numbers, please visit To access your boarding pass at _us, the airport, print email now and scan at a Ddta klOSk. You can exchange, reissue and refund eligible electronic tickets at delta.com. Take control and make changes to your itineraries at delta.com/itineraries. You can check in for your ?ight up to 24 hours prior to departure time. Check in online by clicking the link below or download the Fly Delta app here. You can also use the app to change seats, track your bag, View your ?ight status and so much more. Thanks for choosing Delta. Flight Con?rmation GXGBOS Ticket 00623210565795 Your Flight Information 6:05am BALTIMORE m7:47am DETROIT DELTA 1937 - ECONOMY (L) Con?rmed 5:10pm DEFROII AR 6:45pm BALTIMORE DELTA 1637 ECONOMY (U) Finn-"- 27?er Your Flight Details Manage Trip Passenger Details Flights Seats Free Bags DERIONNE POLLARD DELTA 1937 21D 0 PC DELTA 1637 MD 0 PC deita.com or use the Fly Delta app to view; select or change your seat Receipt Information Billing Details Passenger: Payment Method: Ticket Number: DERIONNE POLLARD [10623210565795 FARE: 197.21 USD Taxes/Carrier-imposed Fees: 36.59 Total: 233.30 USD This ticket is non-refundable uniess issued at a fully refundable fare. Some fares may not allow changes. If aliowed, any change to your itinerary may require payment of a change fee and increased fare. Failure to appear for any ?ight without notice to Delta will result in cancellation of your remaining reservation. Note: When using certain vouchers to purchase tickets, remaining credits may not be refunded. Additionai charges and/or credits may apply and are displayed in the sections below. Detaiis - Taxes/Carrier?imposed Fees Total: 36.59 Itemized; 5.00 AY 9.00 XF 7.80 ZP 14.79 US Fare Details BWI DL DTT107.91LA14ADNA DL BWI89.30UA21AONA USD197.21END ZP BWIDTW XF BWI4.5 BTW-4.5 Ticketing Details Passenger: Ticket Place of Issue: Issue Date: 32:?th DERIONNE POLLARD 00623210565795 LAXWEB IIJAN13 First] Business on. 1 An I: Baggage i ees 1 Economy uiass Class/BusinessEliteGD (per passenger . . . . _each way) Fees Weight/Size I Fees Weight/Size Carry~on Baggage Complimentary Up to 45 linear Compiimentary Up to 45 linear inches inches First Checked Bag Within U.S. and Canada: Up to 50 and ComplimEntary linear inches 62 linear inches2 2 U.S./Canada and Caribbean: $25 USD International: Complimentary Second Checked Within US. and Canada: $35 USD Up to 50 and Complimentary Up to 70 and Bag Mexico, Central America, and 62 linear inches 62 linear inches2 Caribbean: $40 USD Japan and Micronesia: $40 USD South America, Transatlantic to the Middie East and Southern Africa, and Transpaci?c: $75 USD Transatlantic to Europe and North Africa: $100 USD 1At the time of check in with Delta for Delta-marketed and Delta-operated ?ights, SkyMiles Medallion? members, SkyTeam Elite Elite Plus, Alaska MVP BL MVP Gold are eligible for fee waivers and other bene?ts. Basic Cardmembers with a Gold, Platinum, or Reserve Delta SkyMiIes Credit Card from American Express are eligible for the ?rst bag fee waiver. More details on the program can be found at Additional fees apply for oversize, overweight, or additional pieces of checked baggage. Please review Delta's baggage guidelines for details. 2FirstXEiusinessElite/Business Class weight allowance reverts to 50 for all checked bags beyond regular free allowance. Travelers to/from Key West, Florida are limited to one checked bag. You must be checked in and at the gate by Hie applicable check-in deadlines or your reservation may be cancelled. Please review Delta?s check-in requirements guidelines for details. Check?in requirements vary by airline, so if your ticket includes travel on other airlines, please check with the operating carrier on your ticket. Do you have comments about our service? Please email us to share them. Questions regarding your upcoming ?ight? Please contact us at the following: Delta 1-800221-1212 Air France 1?800-237-2747 [Alitaiia 1-800-223-5730 KLM SKY'MrLiase'b Hag-?2 BUY TRANSFER AMERICAN EXPRESS. TRIP INSURANCE. MILES. Save up to 40% and Up to 30,000 bonus Protect your trip against Need more miles? Buy earn 3,400 miles or miles. Plus, no annual trip cancellations and and transfer miles on more with this bestvin? fee for ?rst year. interruptions with deltacom. market Hertz offer. Apply now. valuable insurance from . Allianz Global Assistance. Terms 8: Conditions Conditions of Carriage Air transportation on Delta and the Delta Connection?5 carriers is subject to Delta?s conditions of carriage. They include terms governing for example: 0 Limits on our liability for personal injury or death of passengers, and for loss, damage of delay of goods and baggage. a Claim restrictions including time periods within which you must file a claim or bring action against Us. - Our right to change terms of the contract. a Check~in requirements and other rules established when we may refuse carriage. Our rights and limits of our liability for delay of failure to perform service, including schedule change, substitution of alternative air carriers or aircraft, and rerouting. a Our policy on overbooking ?ights, and your rights if we deny you boarding due to an oversold ?ight. These terms are incorporated by reference into our contract with you. You may view these conditions of carriage on deitacom, or by requesting a copy from Delta. You have received this email because you elected to receive your Electronic Ticket receipt sent to you via email. If you would like to take advantage of other Delta email programs featuring special fares, promotions, information and flight 3 updates, please visit: delta.com/emaiiprograms or deltacom/noti?cations. This document establishes the creation of your electronic in our computer systems. It does not constitute a document of carriage. Where this document is issued for transportation or services other than passenger air transportation, speci?c terms and conditions may apply. These terms and conditions may be provided separately or may be obtain from the issuing agent. COPYRIGHT IN FORMATION This emaii message and its contents are copyrighted and are proprietary products of Delta Air Lines, Inc. Deita Blvd. PO. Box 20706 Atlanta, GA 30320-6001. Any unauthorized use, reproduction, or transfer of this message or its contents, in any medium, is strictiy prohibited. This is a post only email. Please do not respond to this message. 2013 Delta Air Lines, Inc. All rights reserved. Aarrlo?. HOTELS RESORTS GUEST FOLIO 701 244.00 DUPLICATE 15:09 ROOM NAME RATE DEPART TIME 2 100 GD 01/09/13 TYPE ARRIVE TIME ROO DATE 1 REFERENCE 1 CHARGES CREDITS 1 BALANCE DUE 01/09 ROOM 701, 1 244.00 01/09 CITY TAX 701, 1 14.04 01/09 ST TAX 701, 1 14.64 01/10 2820 701 12.00 01/10 285.36 .00 Marriott. 8: RESORTS Th1; tutemmt is your 0th ruzclp-L You have. agreed to pay in cash or by personal check or In authorize us 10 charge'yaur mm and for: all amaunu charged [0 you. 'fhe amount shm'm in 1110 acdlu column opp-Mlle am.I audit uni mlr}I In 111:: [defence calumn above will be chatgn? lo the credit card number set forth elbow: (The credit card mmpanym'll in the usual manner.) Illa: any ream lhecmdil cani company does no! make payment on This accounl, you will am: In such amaunL if you are dined. in I.ha want payment not made ?ill-1111 25 day: after checkout, mu will own us lama! from lhechmlecmt data on any unpach amounl at the [110 of 1.5% pa monlh 101:}, or 11": maximum aliowad by law, plus Ihmcamnabla (0510! collection, including autumn-y SI 51-111mm i HYATT INFORMATION Hyatt Regency Atlanta 265 Peachtree Street NE Atlanta, GA 30303 Tel: 404-577-1234 Fax: 404-588-4137 Payee Dr Derionne Pollard I 8 H: I - Room No. 900 Hungeriord Drive Arrive; 01-23-13 3??9 300 retirement" Rockville MD 20850 ti? ataxia-:35 stasvms. Departure 3 United States Page NO- 1 0f 1 Membership Folio Window 1 Bonus Code Fotio No. 585788 Con?rmation No. 923544101 Invoice Group Name Assn Am Colieges Univ Booking No. 32SB4WGZ Date Description Charges Credits 0123-13 - In-Room Dining Dinner Food Room# 0250 3629 43.31 01?234 3 Package 179.00 01-23-13 Room Sales Tax 14.32 01?23-13 Room Occupancy Tax 14.32 01-24? 1 3 Visa 250.95 Your Goid Passport Account wilt be credited forthis stay. Total 250.95 250.95 Balance 0.00 Guest Signature i agree U1at my ?ahility for U113 bitt is not waived and I agree to be held personally ?able tn U13 event that U13 indicated person. company or association falls to pay for any part or the full amount of these charges .WE HOPE YOU ENJOYED YOUR STAY Thank you for choosing the Hyatt Regency Atlanta. Please share your thoughts directly with our General Manager. You may and leave your contact information or email guatityatira?hyattcom if you have any questions regarding your billing please contact our Customer Services department by phone at or by email at Please remit payment to: Hyatt Regency Atlanta PO. Box 100652 Atlanta, GA 30384 . Dr. DeRionne P. Pollard Corporate Card Expenses Janualy 2013 (receipts attached) Go?s Cf} I Expressparc Receipt First watch 9; 3mm 3313331: Tab1e 39/1 3/30013 1.33% 9153:: Eif?ill?-ttiz?ii? 13:13: it: Jew VISA 1048592 Magnetic card Drese PULLARD DERIUNNE Approve]: 078434 Amount: {13452 2 Total: INSERT END UP PECEIPT ggai It?t 21523f23 15'21 EEIT ?l/E?il? - 3 22,93 El?n 0F THREE VDBE Dr. DeRionne P. Pollard Corporate Card EXpens as January 2013 (receipts attachedP40. REFERENCE N0. ?3 Ln,? - - 1L. CITY. DESCRIPTION MOUNT my" I TAX SALES a? .- ctr-m SLIP to - Cardhoidar acknogyiadgas receipt 0! goods andlor sentas In the amount of [he Toltal?gbom hereon and agrees to pa?orm tho ob?ga?ons set forth in ma Caldhoa?dar's he ISSUEIL .. RETAIN THIS COPY FOR YOUR RECORDS textH0.txt You paid A1i Abdi $41.88. Receipt: Rep1y w/ APP to get a free Mobile Card Reader. Rep1y w/ HELP for more, rates app1y 2M3 FEB 18 A H2 1'qu CBLLEE-E gig-3,3 a? assuage?) ?t Page 1 MONTGOMERY COLLEGE Office of Business Services Date: February 18, 2013 To: Rockv?le Camp?s Cashier From: Joanna Kong Check From: Derionne Paulette Pollard - 458 geym Post/Deposit to Account Detail Code . AMOUNT ptaonal I 1110-1000006 005-7000 178.80 Additional Instructions: Return Receipt to Joanna Kong Thank you! sa-a?ws?n a/ia/ j? w- -- -- a; 42RANCH ammo mo musr n:me ., ,h BBT.com - - Casi Stat Receipt r: MONTGOMERYCIHLEGE Office of Business Services Date: February 18,2013 To: Rockville Campus Cashier From: Joanna Kong Check From: Derionne Paulette Pollard 458 Term Optiom? Post/Deposu to Account Detail Code AMOUNT 178.80 Montgomery College Rest. lle 51 Hannakee Street~ Rockville, MD 20350 240?567?5342 6 3 - R1 i04032 Trans Date: tnureday, February 21, 2013 Post Date: Time: Thursday, February 21, 2013 2:32:48 PM ance ia;t Name: Miscellaneous Deposit 0THE Fwarge Dese: Myles airfare 0003: U?uh. ACCT: PRDG: RUCL: Credit Am 100000 6005 7000 C. 8.80 Payment Details Payment Hettaor Paper Cheek Ret Hummer- Amount Change: Net pol 20130524876?804 $l78.80 $0.00 $178.80 eipt to Joanna Kong $35000 3350 MONTGOMERYCOL . Cashiersz) LEGE Page 1 0T 4 MAT Bank Corporate Card ACCOU NT NU MBER POLLARD CREDIT AVAILABLE DAYS IN STATEMENT CREDIT DATE 0228? 3 $10,000.00 $10,000.00 Credits Total Activity $0.00 $2,039.38 Purchases Cash Advances Total Fees $0.00 $0.00 $2,039.38 Transaction Description Reference Number I Date I: 02201 02104 03032118000116222 GOTTS CT GARAGE ANNAPOLIS M0 500 ?l MCC: T523 MERCHANT ZIP: 21401 I 02101 0204 33033286288900358 GB-ROCKVILLE 4513 ROCKVILLE M0 30.5? M00: 5812 MERCHANT ZIP: 20850 - I 4231?5555 MD 17555 RMA WORLDWIDE CHAFFEUR 301 M00: 4121 MERCHANT ZIP: 20052 ORDER NUMBER: Ree#:68? 8 LOCAL TAXINDICATO [02!04 022?08 5303570021945908? For [53 bene?ts and CARDHOLDER STGNATURE (- cusiomer service. cali Ba regarding: toll free (800) 443-86??i. . Blj?ngrerrors: PI). BOX 4028, Buifa'lo, NY 14240-4023 referrelsewioes,ca? Ouiside the US and Canada, call Peyme?ms: P.O. 62120. Beilimore. MD 21264~2120 the Visa assistance (716) 535-4152. {1 Lgsyetolen: 465 MA STREET. SUITE 500? Buffeio, NY 14203 Center at (300) 1? on The web at mm.unlb.cotn I a? EL: - Li? 53m MEMO STATEMENT n. 9355. Tg??gza Account Number BUFFALO NY 14240-4020 Statement Date 0208? Total Activity $20303 Remit to: 8-: BANK PO. BOX 52120 BALTIMORE MD 21264-2120 STATEMENT DO NOT REMTT PAYMENT POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTNI PATRICK JOHNSON T351 000 HUNGERFORD DR MD 208504720 0000000000000 Page 2 of 4 may Bank A. Corporate Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT m?W? LIMIT CREDIT CYCLE DATE my? $10,000.00 $10,000.00 28 02/28/13 01580590 - 0109'Ir'6 - 0001 - 0002 - NOTICE OF BILLING RIGHTS This notice contains important information about your rights under federal law. in this Notice, "you refers to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liable for any unauthorized use that occurs after you notify Bank orally or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing . MM Bank: ?30- BOX 4023, telephoning 1-800?443-8671. Except as provided in Section 26 of the Agreement, your liability for - unauthorized use of the Card will not exceed $50. Please be advised that futl payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in full by the due date may result in delinquency charges 3f your Agreement with us. We .will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent ofthe proper amount due back to you. 35:11: Page 3 014 8. Corporate Card DERIONNE POLLARD CREDIT LleT $10,000.00 ACCOUNT NUMBER AVAILABLE DAYS IN BILLING STATEMENT CREDIT CYCLE DATE $10,000.00 28 02120/13 Tran Date Post Date Reference Number I I Transaction Description a: wg. TAX 02707 02711 53039001131324053 Ashok New Delhi 13.05 02703713 NUMBER OF NIGHTS: 1 N0 32711 02712 03042113000143231 GOTTS CT GARAGE ANNAPOLIS MD 9.00 MCC: 7523 MERCHANT ZIP: 21401 32712 02114 33044700219457193 RMAWORLDWIDECHAPPEUR 30123135551140 135.33 ORDER NUMBER: LOCAL TA): INDICATOR: 2 NAT. INDICATOR: 0 02113 02715 73045200099201137 SILVER DINER ROCKVILLE MD 29.35 MCC: 5312 MERCHANT ZIP: 20352 32715 02113 03043113000157342 GOTTS CTGARAGE ANNAPOLIS MD 9.00 MCC: 7523 MERCHANT ZIP: 21401 32113 02113 03043343000713393 SEASONS 52 00045143 ROCKVILLE MD 132.43 M00: 5312 MERCHANT ZIP: 20352 32719 02721 33051930003411531 CUSANCORNERRESTAURANT ROCKVILLE MD 45.33 MCC: 5312 MERCHANT ZIP: 20350 32720 02722 73052531214741.3330 GORDON SIERSCH10530209 DULLES VA 4732 MCC: 5312 MERCHANT ZIP: 20133 32122 02125 33053030537309359 CAR FL 25.00 MCC: 4121 MERCHANT ZIP: 33307 12722 02725 33055004073290713 MARRIOTT337USWATERSIDE TAMPA FL - 20.39 MCC: 3509 MERCHANT ZIP: 33302 CHECKIN: 02722113 NUMBER OF NIGHTS: 1 NO PURCHASE IDENTIFIER: 9950000930001 :2123 02725 73055531214743337 GREEN IGUANA-10193323 TAMPA FL 33.91 MCC: 5312 MERCHANT ZIP: 33307 02725 33055004053207372 TAMPA FL 1,129.70 MCC: 3509 MERCHANT ZIP: 33307 CHECK-IN: 02121113 NUMBER OF NIGHTS: 3 NO . PURCHASE IDENTIFIER: 4230000330003 2723 02125 23055250550173229 IADDULLESPAYANDGOS1DULLES VA 33.00 MCC: 7523 MERCHANT ZIP: 20133 2725 02723 930550015?71523370 LA TASCA ROCKVILLE MD 50.95 MCC: 5812 MERCHANT ZIP: 20850 Page 4 of 4 Balk 8: Corporate Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS BILLING STATEMENT LIMIT CYCLE DATE $10,000.00 $10,000.00 28 02i28l13 ?gii Tran Post . . Reference Number Transaction Amount I Date Date 3-225 0227 73057463922410011 ARLINGTON VA 5.00 MERCHANT ZIP: 22209 .. 02:2? 0325 23058160580988693 MCG DOT PARKING OPS COB GROCKVILLE MD 3.50 M00: 5399 MERCHANT ZIP: 20850 CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: February 28. 2013 1 Montgomery College Cardholder Name: DeRionne Pollard . Ll: 5 333th Office of the President tilt-792% PURCHASE I M. . P: PURCHASE DATE MERCHANT NAME AMOUNT newloeso .. .. gouge Account Num er :Ll? DESCRIPTION OF BUSINESS . RELATED PURPOSE 5.00 Parking fee . Gotts Ct Garage 5 2/1i'20l3 e. Budget meeting wi'Couut)? Executive Gordon Biersch 30.517r Lunch I Meeting w/Sttrah Espinosa. P. HRDE RMA Worldwide ChatTeur Transportation To airport novel to India. 25:20 3 The Ashok 16.06 Breakfast AACC US-India Higher Education Partnership. New Dehli. India 2f] ?2013 Gotts Ct Garage 9.00 Parking fee ACES Testimony on the Senate. Education. Business and Admin. Subcommittee and the House Edu. Econ. Dev. Subcommittee 21? 22'20 I 3 RMA Worldwide Chaff'eur 3 135.68 Transportation From BWI airport: returning From travel to India. 2113/2013 SiIVer Diner - 29.85 Meal Meeting wa?Kevin Sexton, Holy Corss Hospital 2! I 51(20 l3 Gotts Ct Garage 5 9.00 Parking fee Meeting wl'Delegate Heather Mizeur. Annapolis. MD 21l6f2013 Seasons 52 162.43 Dinner Meeting w! the Galvins. donors 2!]912013 Cuban Corner Restaurant 46.66 Lunch Meeting WISamuntha Venemso 2120:2013 Gordon Bierseh 47.62 Meal Black. Brown College Bound Summit. Tum p21. FL 212232013 Marriott 33? U3 Waterside 3 20.39 Meal Black. Brown ?32: College Bound Stunt-nil. Tampa. FL 2?2f20l3 Sq. Addis Car Service, Inc. 3 25.00 Taxi Fare Black, Brown 86. College Bound Summit. Tampa. FL 2!23/20l3 IAD Dulles Pay and Go 61 3 63.00 Parking fee Black. Brown 8: CoIlege Bound Summit. Tampa. Fl. 2123/2013 Green Iguana 68.91 Meal Black. Brown 8: College Bound Summit. Tampa. FL 212512013 La Tosca 50.95 Lunch Meeting Peony 2J25r?2013 ASG~Lol?l20?l555 Wilso 5 5.00 Parking fee Meeting wlCouncilmember Valerie Ervin and Art Wallenstein 212712013 MCG DOT Parking OPS 3.50 Parking fee Meeting w/County Executive lazing l3 Manic.? Tampa westshore Black. Brown College Bound Summit. Tampa. 1.129.710 Hotel Expenses EXPENSE ard Wt? rr We or - Poll Name: Cat 35 Jones 1! I - Name: Steghen D. Cain it wine-ls, war we: at "#115451' ?If m?Le?c fun? 1 u? 1065? 7? Rev. '1 0/221'09 Expense Report Run Date: 33532013 Report 3120 Run by: LYNETFE TELFORD ?m3: 3109?? Header Note: Cardholder Name: Current Status: Pending Approval . Date: 3359.013 8:09:00 AM Expense Report 1D: 0001345021 Current Recipient: CATHY JONES Expense Report Name: February 2013 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! Date Range: 21012013 - 2128.001 3 Memo-Posted TransactEOns: $2,039.33 Description: if] Grand Total: $2,039.38 {2 DestinationDate Occurred Date ?98t8d 1753'; Merchant OriginatAmount Settlement Amount Desel??ion Allocation Split Amount LL51, 202013 Z4l2012? 313'. h, GOTTS CT GARAGE $5.00 $5.00 Parking: Budget meeting WICounty Executive 2012013 2412013 4513 330.57 530.5? . Lunch Meeting wiSarah Espinosa. VP, HRDE 2i4f2013 260013 RitriA WORLWIDE CHAFFEUR $1?5.56 $175.56 Transportation to Airport: Travel to india 2/71'2013 2112013 The Ashok $16.06 $16.06 Breakfast: MCC US?india Higher Education Partnership, New Dehii. India 3102013 I 3122013 CT GARAGE $9.00 $9.00 Parking Fee: ACES imony to the Senate, Education, Business. and Administration Subcommittee and the House Education and Economic Development Subcommittee 3132013 2/141?2013 RMA CHAFFEUR $135.68 $135.68 Purchase ?3 0000687463 Transportation from Airport; Returning from tndia 2032013 3132013 I SILVER DINER $29.85 $29.85 Meal: meeting w?500. Purchases Cash Advances Totai Fees Credits ?Totai Activity $770.12 $0.00 $0.00 30.00 0T70.12 3:22 Reference Number Transaction Description Amount 2303 03x14 "00?3?000? 4000103 HARD TIMES CAFE MD . $733.00 M00: 5012 MERCHANT 2th 20050 33.0 3 01m 5 630730005607?6560 0102359202130000-932?2732 TX 31?.00 MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERIONNEPDR TICKET 0102359202130 1/ a- 2 .1 ARDHOLDER DATE 1; 1/ wereFor customer service. call write {?11 82? Ba regarding: - For bene?ts and ion Ln - Billi?g erro-gepfoeox referr lsewices.caE Outside [he US and Canada. Gail ?vP?'yme?ls. PD. X62120, Baltimore, MD 21254-2120 the Visa 355mm (1'1 5) 635-4152. LosUStoten: 465 MAQN SUITE 500. Buffalo. NY 14203 Center 31 (300) VISA.Q1 1, Visit us on the web EMO STATEMENT 4 I Account Number 0 24 -4028 .1 0 Statement Date I 0381/13 Total Activity Remit to: 0 BANK PO. BOX 62120 MD 21264-2120 STATEMENT - DONOT REMFTPAYMENT DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 208504728 0000000000000 I Page 2 of 4 I Mg?? Bank Corporate Card 9 DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS iN STATEMENT LIMIT CREDIT CYCLE DATE 310,000.00 $10,000.00 31 03/31/13 NOTICE OF BILLING RIGHTS This notice contains important information about your rights under federal law. in this Notice, ?you refers to Client as de?ned in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we Open for you. You will not be liable for any unauthorized use that occurs after you notify Bank orally or in writing, of any loss, theft, or possible unauthorized use of the Card. You can do so by writing Bank, P.O. Box 4028, Buffalo, New York 14240?4028, Attention: Visa? Investigations, or by telephoning 1-800?443-8671. Except as provided in Section 26 ofthe Agreement, your liability for unauthorized use of the Card will not exceed $50. Please be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in full by the due date may result in delinquency charges per yourAgreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent ofthe proper amount due back to you. 2605* I . I an?; i- . f? - ?1 MEAT ESTER Corporate Card Page 3 01?4 DERIONNE POLLARD ACCOU NT NU MBER CREDIT LIMIT $10,000.00 DAYS IN BILLING AVAILABLE CREDIT CYCLE $10,000.00 31 STATEMENT DATE 037131713 Reference Number \u Transaction Description $13713 .3713 3713 3714 03715 03715 03715- 03715 63073000561611840 63.073000561611857 63073000561611865 63074200588300359 LEG: I ITINERARY 77: 0340 FARE CODE: LAG14G DATE: 04717713 CARRIER: UA~United Airiines. Inc. DESTINATION: San Francisco, California, United States ORIGINATION: Washington, DC. 7Virginia, United Stat LEG: 2 FARE CODE: LAC-314G DATE: 04717713 CARRIER: UA-United Airiines, Inc. DESTINATION: Washington, 0.0. 7Virginia, United Stat ORIGINATION: San Francisco, Caiifornia. United States UNITED 0162929709898800332?2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD 7FARELOCK TICKET 77: 0162929709896 LEG: I ITINERARY 77: 0340 FARE CODE: ED DATE: 04717713 . CARRIER: UA-United Airiines, Inc. DESTINATION: San Francisco, Caiifornia, UnIted States ORIGINATION: Washington. DC 7 Virginia, United Stat LEG: 2 FARE CODE: EDD DATE: 04717713 CARRIER: UA?United Airlines, Inc. DESTINATION: Washington. DC. 7 Virginia, United Stat San Francisco. Catitcrnia, United States UNITED 0162929733412800-9322732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD 7BULKHEAD TICKET 77: 0162929733412 LEG: 1 77: 0340 FARE CODE: EDD DATE: 04717713 CARRIER: UA?United Airlines, Inc. DESTINATION: San Francisco, United States ORIGINATION: Washington, DC. 7 Virginia, United Stat UNITED 0162929733413800-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD IBULKHEAD TICKET 0162929733413 LEG: I ITINERARY 77: 0485 FARE CODE: EDD DATE: 04723713 . CARRIER: UA-United Airltnes, Inc. . DESTINATION: Washington, DC. 7 Virginia, United Stat ORIGINATION: San Francisco, United States ADDIES ROCKVILLE MD MCC: 5012 MERCHANT ZIP: 20852 Amount 4.99 84.00 84.00 11116 Bank Corporate Card Page 4 0f 4 DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 03/3013 mm - .wwv .. 01680900 - 010335 - 0002 - 0002 - Tran Reference Number Transaction Description Amount Date Date 03.115 03(18 03074118000145469 GOTTS CT GARAGE ANNAPOLIS MD 9.00 M00: 7523 MERCHANT ZIP: 21401 3319 03/21 63079000688690952 FIRE STATION 1 SILVER SPRINGMD 42.78 M00: 5812 MERCHANT ZIP: 20910 4'31?20 03(22 0308020?099500286 BRIO ROCKVILLE MD 48.39 M00: 5812 MERCHANT ZIP: 20852 03127 03128 73086631150078234 WASH METRORAEL ROCKVILLE MD 25.00 MOO: 4111 33027 03128 73086631150526646 METRO SMARTRP TDM ROCKVILLE MD 10.00 M60: 4111 MERCHANT ZIP: 20055 i gomery College CORPORATE CARD EXPENSE REPORT .. FOR ENDING: March 31. 2013 ?ninCardholder Name: DeRionne Pollard Ext: 75264 Dept: Office of the Presrdent OF BUSINESS PURCHASE DATE MERCHANT In L: v? DESCRIPTION Bud et Account Number 9 RELATED PURPOSE 3l1312013 Hard Times Cafe 5 33.00 Lunch . . I Meeting war. Clarice Somevsall 31030013 Uniled 317.80 Airfare AACC Annual Meeting. April l7?23, 2013 3103.001?) United 5 4.99 Airfare Ticket hold fee [no receipt available): travel to AACC Annual Meeting, April l7~23, 2013 303(2013 United 5 84.00 Airfare Economy Plus upgrade for AACC Annual McetingJ 3fl3f2013 United 5 34.00 Airfare Economy Plus upgrade for AACC Annual Meeting 3Ildf'10 3 Addies 1.16 Dinner Meeting wf'l?rustee Reggie Felton 3.0 $2013 Gotls CT Garage 9.00 Parking Fee Attended County Executive's Budget Pres; Brie?ng 31l6120l 3 Fire Station 1 5 42.78 Lunch Meeting wr'Naney Leopold 1 30.020? Brio Bethesda 48.39 Lunch Meeting \w'Suzan Jenkins 3 Metro Smartrip TDM 5 10.00 Parking Fee Travel: meetings war. Bum pus and Generation Hope Board Of Directors . 31079013 Wash Meu?orail 25.00 Metro Ticket Travel to meeting wlDr.Walter Bumpun, Washington, . DC EXPENSE - - 770.12 I .. w: 3:1? 5 ?"57 - ill? l"relight.th Egg ,w 2 .. . 3.. Signature"? x? vet-'3? - twa- a A, 12.4 . I if. -, .v iiei?'l?nii? .dnl' . Signature: Rev. 100.2109 Report 3120 Expense Report Run by: LYNEITE TELFORD Header Note: Cardhoider Name: Expense Report ID: Expense Report Name: Run Date14l1012013 Time: 9:54 AM DERIONNE POLLARD Current Status: Pending Approval Date: 4110:2013 9:54:00 AM 0001909990 Current Recipient: CATHY JONES March 2013 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! EUmmary Information . Date Range: 3f1f2013 - 3.0112013 Memo-Posted Transactions: $7?0.12 Description: Grand Total: $7703.12 Destination: Wmo-Posted Transactions: Settlement Amount Date Occurred Date Posted Merchant Original Amount Description Allocation Split Amount 311312013 3111412013 . HARD TIMES CAFE $33.00 $33.00 Purchase ID 076030 Lunch meeting WDF. Clarice Somersali 31312013 311512013 UNITED 0162359292136 $317.80 $317.80 Airfare: AACC Annai Meeting, Aprii 1?-23. 2013 311312013 311542013 UNITED 0162929709898 $4.99 $4.99 Airfare: ticket hold fee for AACC Annual meeting (no receipt avaiiabie) 33131?2013 3115:2013 UNITED 0162929733412 $84.00 $84.00 Airfare: Economy Pius upgrade for Meeting 311312013 3l15f2013 UNITED 0162929?33413 $84.00 $84.00 Airfare: Economy Pius rde "nuai Meeting 391412013 3/1512013 ADDIES $111.16 $111.16 Dinner meeting warusiee Reggie Feiton 3.0512013 31'181'2013 CT GARAGE $9.00 $9.00 Parking fee: County Executive?s Budget Press Brie?ng Page 1 012 Report 3120 Expense Report Run Date: 410012013 Run by: TELFORD ?me: 9:54 AM 3f19f2013 3i21i2013 FIRE STATION 1 $42.78 $42.78 Purchase ID Lunch meeting wlNancy Leopold 3(20l2013 BRIO BETHESDA $48.39 $48.39 Lunch meeting wiSuzan Jenkins 3127;2013 METRO SMARTRP TDM $10.00 $10.00 Purchase ID 308617023212 Parking fee: Travel: Meetings w! Dr. Bumpus and Generation hope Board of Directors 32842013 WASH METRORAIL $25.00 $25.00 PurChase ID 3 8617023246 Metro Ticket: Meeting with Dr. Walter Bumpus, Washington. DC Memo-Posted Transactions Totals Countr? Expense Report History 1 Status Date?'Ime User Name Business Unit Notes Unsubmitted 4f5i2013 11:22:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR I Submitted 410032013 9:53:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR I Pending Approval 9:54:00 AM CATHY JONES MONTGOMERY COLLEGE PURI lExpense Report Summarluf Reimbursable Total $0.00 Signatures A x7 {fag} de r- - Date 5/97/7Z/i?c4?9r App ?sum/W Date We i, 37 L/Vli? Oh? Page 2 of2 Ticket Itinerary and Receipt Page i or 2 Con?rmation: DK8G3G A STAR MEMBER coeds?IL: Issue Date: March 13, 2013 Traveler eTicket Number Seats 0162359292136 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Wed, 17APR13 UA340 WASHINGTON, DC SAN FRANCISCO, CA A-320 Purchase (IAD DULLES) 4:47 PM (SFO) 7:50 PM Tue, 23APR13 UA486 SAN FRANCISCO, CA WASHINGTON, DC Purchase (SFO) 3:36 PM (IAD - DULLES) 11:40 PM INFORMATION Fare Breakdown Form of Payment: Airfare: 275.34USD VISA US. Federal Transportation Tax: 20.66 Last Four Digits U.S. Flight Segment Tax: 7.80 September 11th Security Fee: 5.00 US. Passenger Facility Charge: 9.00 Per Person Total: 317.80USD eTlcket Total: 317.80USD The airfare you paid on this itinerary totals: 275.34 USD The taXes, fees, and surcharges paid total: 42.46 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Wed., Mar. 13, 2013/Vlsa 3609 was charged 84.00 USD for the following: Bulkhead Premium Charges: Seat/ EDD 01629297334136 Wed., Mar. 13, 2013/Vlsa 3609 was charged 84.00 USD for the following: Bulkhead Premium Seat/ EDD 01629297334125 Baggage allowance and charges for this itinerary. Baggage fees are per traveler Origin and destination for checked baggage - 0 San Francisco, 4/17/2013 Washington, DC (IAD Dulles) CA 0 Max wt dim per piece 50.01bs (23.0kg) 62.0in 157.0cm 50.01135 (23.0kg) 62.01n 157.0cm Baggage check?in must occur withUnited or United Express, and MileagePlus? Premier? Silver membership must be valid at time of check?in to qualify for waiver of the service charge for the first checked bag (within speci?ed size and weight limits). 4/23/2013 San Francisco, CA Du Additional Baggage Information Carryvon baggage information United accepts one carry?on item of no more than 45 linear inches or 114 linear centimeters in the aircraft cabin, along with one personal item (such as a shoulder or laptop bag). Due to FAA regulations, operating carriers may have different carry?on requirements. Please check with the operating carrier for more information or go to united.com. General Baggage Information First and second bag service charges do not apply to active~duty members of the US. military and their accompanying dependents. For additional information regarding baggage charges allowances, weight/size restrictions, exceptions or embargoes, or charges for overweight, oversized, excess, odd- sized baggage, special items m- -r 4/10/2 03,1129. Dr. DeRjonne P. Pollard Corporate Card Expenses March 2013 (receth attached) 3? ,4 Joe. . -. at - PIKE - ROCKVILLE, 110. 20352 lava - a (301) ao1uooa1 {Sty 00;? Empt: Sarah . Chkt: 1000033~1 Open: 00:34 PM 2a:;ay;t 000310 Station: 2 Guest: 1 1a11e: 0003 Qty Description Price Amount . .- I it]; 17:" 1 Caesar Sa1ad 11.00 11.00 TJ- 1- 1 Prosciutto Hozzaret] 13.00 13.00 1 Trout 24.00 24.00 i=t't? k? . 1 Hahi Maht 21.00 21.00 i (3 1 Tea Lemonade 3.00 3.00 5 [Sorbet 0.00 0.00 10-310? 00 Item Bount:0 Sub Tota] 00.00 Bates Tax 5.10 Tote] 31.10 total 00a 1 31.15 Thank you for dining with us! We hope to see you again soon. Fo1100 us on Faoebook and twitter 0Let31 .13 . Expressparc Receipt C00 C35 TRAN INTIME OUTTIME FEE cc# a I Dr. DeRjonne P. Pollard Cmporate Card Expenses March 2013 (receipts attached) tit CARD Brio Tuscan :3 Paseo Dr. MD 20852 Ph: {240) 221?2691 Date: Mar20?13 Ferd Tyrr' Visa rr Lari Lair}: SWIPED Trans Type. PURCHASE T?xns Key: A1n000748143143 art? Code: 078102 Cr.;a: 222 Taaie: 24/1 Server: 7096 Timothy Subtotai: alt) .E3E3 Gratuity: Join the mantD Loyalty Program at Guest Copy. Washington Hetropoiitian AArea Transit Authority 03/27/ 13 11:29:22 15903 Drive MD 20855 Device: AN - Ref No: 30861702321 Auth No: 076084 Purchase Amount: $10 Receipt No: TDH0187002160 Thank You For Riding Metro Have A Nice Day! For Customer Service Caii 03x27K13 11:30:31 Shady Grove Rockville MD FOR CUSTONER SERVICE CALL 202?962-5719 15903 Dr. REZZANINE 18 MACHINE 32 AN: VENDOR: 018?32~31141 REF KC: 31 413c4bc30 RUTH NO: 008802 I CREDIT PURCHASE ADD $25.00 VALUE TO 0167 0379 2258 2505 8568 Mg? Corporate Card DERIONNE POLLARD ACCOUNT NUMBER I CREDIT AVAILABLE DAYS: 1N STATEMENT LIMIT CREDIT 331N012 [Lg .52. (301.0 DATE - $10,000.00 ..- .30. 0423003 Total Fees Credits Total Activity I Purchases Cash Advances $0.00 $0.00 $425.58 53.03205 $4.25?.82 Amount Tran Post . . . Date Date Reference Number Transaction 04m 0404 43093040200017332 SANEEANCISCDCA 2,117.43 MCC: 3504 MERCHANT 94102 CHEC K-IN: 04l03f13 NO SHOW: 0 PURCHASE 0004099390 0404 04405 23094160946490471 MCG DOT PARKING OPS COB MD M00: 5399 MERCHANT ZIP: 20050 04IO4 049?05 53095200700000024 EXPRESS MD 6.00 7.95 SARDHOLDER SIGNATURE I ?ForWsa and ?1 ,r r? A: gas; 1 DATE eta/p?pitm . To write 8. ank regarding: For customer service. call toll free (000) 443?36?. Billing errors: 0. BOX 4028. Buffalo. NY 14240-4020 referral services. cal} Outside lhe US and Canada. call Payments: PD. BOX 62120. Balilmore. MD 2126102120 the Visa assistance (716)035-4152. LosUStolen: 465 IN STREET. SUITE 500. Buffalo. NY 14203 Center 31 (300)Visa_g11l Visit us on the web a -n~w.mlb.com MEMO STATEMENT Account Number 8 -Ol\ 14240-4020 .. Statement Date I 04(001'13 TotalActivity $300200 1 Remit to: BANK PO. BOX 52120 BALTIMORE MD 212642120 STATEMENT I '3 - DONOTREWPWENT DERIONNE POLLARD i MONTGOMERY COLLEGE CRP ATTNZ JOHNSON 3577- Li 900 HUNGERFORD DR . ROCKVILLE MD 208504723 . 0000000000000 Page? of 4 Corporate Card mm Mail? Bank DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 30 04/30r13 g; 33 NOTICE OF BILLING RIGHTS This notice contains important information about your rights under federal law. in this Notice, "you" refers to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card Issued by us for use wIth any Visa? Account we open for you. You will not be liable for any unauthorized use that occurs after you notify Bank orally or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by telephoning 1?800-443?8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card will not exceed $50. Please be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in full by the due date may result in delinquency charges )er your Agreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. I: Mw? Bank Corporate Card I DER10NNE POLLARD ACCOUNT NUMBER CREDIT LIMIT $10,000.00 113130.913 IN BILLING CREDIT 11910170030 {10 STATEMENT DATE 04730/13 Reference Number Transaction Description 04718 104119 94123 34722 34123 04715 04717 04717 04718 04719 04722 04722 04722 04723 04724 04724 047 25 23098150981282483 83102701347144212 03106253517010148 33107104023823276 63108000851922047 63108000020076667 63109700219459147 23109261099741067 03111900016184817 83112286641300216 63113000780010192 03113900013931686 63114000038964773 MCC: 5614 ZIP: 20650 MCG DOT PARKING OPS C06 GROCKVILLE MD MCC: 5399 MERCHANT ZIP: 20650 8407 KITCHEN 6AR SILVER SPRINGMD MCC: 5612 MERCHANT ZIP: 20910 IL PIZZICO ROCKVILLE MD MCC: 5612 MERCHANT ZIP: 20650 RESTAUR OLNEY MD MCC: 5612 MERCHANT ZIP: 20632 SQ CAB San MCC: 4121 MERCHANT ZIP: 94105 UNITED 0162607980794800-932-2732 TX MCC: 3000 MERCHANT 77002 NAME: POLLARD TICKET 0162607980794 LEG: 1 ITINERARY 0340 FARE CODE: EDD DATE: 04717713 CARRIER: UA-Unlted Airlines. Inc. DESTINATION: San Francisco, California, United States - D.C./Virginia, United Stat RMA WORLDWIDE CHAFFEUR 301~231-6555 MD MCC: 4121 MERCHANT 20852 ORDER NUMBER: Res#:707419 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 AMERICAN ASSOC OF COMMUN1202-7280200 DC MCC: 8220 MERCHANT ZIP: 20036 ORDER NUMBER: 001041920120002 LOCAL TAX INDICATOR: 0 NAT. TAX1NDICATOR: 0 HOTEL NIKKO F818 SAN FRANCISCOCA MCC: 5812 MERCHANT ZIP: 94102 BLUESTEM BRASSERIE SAN FRANCISCOCA MCC: 5812 MERCHANT ZIP: 94103 80 KAL LIMOUSINE SE FranciscoCA MCC: 4121 MERCHANT ZIP: 94128 JILLIANS BILLIARDS CLUB OSAN FRANSISCOCA MCC: 5812 MERCHANT ZIP: 94103 UNITED 0162608297455800-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 54.58 208.69 68.24 48.00 100.00 130.68 95.00 136.36 967.83 48 .00 16.59 MELT Bank Im 7' Corporate Card Page 4 of 4 DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVATLABLE DAYS IN BILLING STATEMENT CYCLE DATE $10,000.00 I $10,000.00 30 Tran Post Date Date Reference Number Transaction Description Amount 4524 04f26 63?! 15000394428651 4.25 04126 4311504020002678? 4325 04129 631 16700219450826 NAME: POLLARD TICKET 01626082970155 LEG: 1 ITINERARY 0485 FARE CODE: EDD DATE: 04T'23f13 CARRIER: UA~United Aidines, Inc. DESTINATION: Washington. DC. IVIrgInia, United Stat San Francisco, California, United States UNITED 0162923187959800-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD IINFLIGHT TICKET 016292318?959 LEG: 1 ITINERARY 0486 FARE CODE: EDD DATE: 0412303 CARRIER: CO-Continentai Airiines, Inc. DESTINATION: Washington. DC I Wghla, Uni?ed Stat DRIGINATION: San Francisco, Californial United States HILTON HOTELS SAN FRANCISCOCA M00: 3504 MERCHANT ZIP: 94102 RMA WORLDWIDE CHAFFEUR sea-2313555 MD MCC: 4121 MERCHANT ZIP: 20552 ORDER NUMBER: LOCAL INDICATOR: 2 . Er . mew.- . NAT. TAX {aJDuun . OR. 0 8.59 42556 - 135.68 Montgomery Coilege CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: Agr1130,2m3 Cardholder Name: DeRionne Poilard Ext: 75254 Dept: Office of the President PURCHASE DATE MERCHANT NAME PURCHASE AMOUNT ITEM DESCRIPTION Budget Account Number DESCRIPTION or RELATED PURPOSE 42?3/20 3 Hilton Hotels Adv Plan :5 2,117.43 Hotel Expenses Attended AACC Convention, San 42?4i?20 i 3 MCG Dot Parking Ons Coh 5 V- 6.00 Parking Fee F?nniehn A Meeting wr'CoLincii members Andrews. 42?44?20 i 3 Ambrosia Grille ?r 195 Meat 4183013 MCG Dot Parking Oos Cob 3 1/ 6.00 Parking Fee Beriiner Elrich Rockviile MD Attended the HiIIrnan Program Launch, Pr?m?mrnum P?mhtl? Meeting wiCounciImelnber Flooreen, COB Rookviile MD 4fiil20i3 8407 Kitchen Bar 3 v? 54.53 Dinner 41161200 Ricoiuti's Restaurant 55 68 .24 Dinner Meeting Lewis Meeting w/Ms. Lewis 4116:9013 II Pizzico 69 1, 208.69 Lunch Meeting \vlFaculty 4.1170013 United 3} 100.00 Baggage Fee Attended AACC Convention, San Francisco. CA 4H 3(2013 Sq Yellow Cab 43.00 Taxi Fare Attended AACC Convention, San Francisco. CA 4nsr20i3 RMA Woridwide Chaffeur :s V, 130.68 Transportation Attending the AACC Convention. San Francisco, CA 4fi9i'2013 American Assoc. of ("Mir-mac 3 v/ 95.00 Dinner Hotel Nikko 138.36 3 v? Dinner Attended Gala Dinner at AACC (?nnw-ntinn Q-m Fromm-icon FA Four (4) persons in attendance. Attended AACC Convention, San Francisco, CA 4Q l20 3 BiueSte Brasserie 96?.83 Dinner SALT members, preSenters in attendace. 42'222'2013 Club 55 16.59 v/ Meal Attended Ram Attended AACC Convention, San Francisco 41239013 Sq Sf Kai Limousine 3ch 55 48.00 Taxi Fare Attended AACC Convention, San Francisco, CA 42?23f201 3 United 3 - 3/10000 Baggage Fee Attended AACC Convention, San If. Francisco 4/242?20 13 United 8.59 Meal 4r?ii?2513 Hilton Hoteis Adv Den- (425.56) Credit Attended AACC Convention. San if Francisco CA Towards Hotel expenses: AACC (?nvention San Francisco CA 4125/2013 RAM Worldwide (?hqf?firmr 135.68 Transportation Attended AACC Convention, San I EXPENSE TOTAL: [rim it a] timid Wit Name;- .anet Wormeck 21s:- . Name: Stephen D. Cain Signature: 3,332.05 1,11- ,r X, w'a?b 5?7} hang f3;- '0 i . earn testamentaran 1r . :9 Pram-icon 31W I Rev. torzzroe Report 3120 Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report ID: Expense Report Name: Run Date: 5!1!2013 Time: 2:12 PM Expense Repo? 200 H4 A i2: 80 Current Status: Unsubmitted page; l. 252152053 53%:09 PM Current Fteoipient? MONTGOMERY COLLEGE PUR (NEW) POLLARD 0001954800 Aprii 2013 Location: i 9i} mime?r9: information . - . - - Date Range: 4f1f2015: - 4f30f2013 'Mem o-Posted Transactions: $3.332-05 Description: Grand Total: $3332.06 Destination: Memo?Posted TransactionsDate Occurred Date Posted Merchant Originai Amount Settlement Amount Description Allocation Spiit Amount 41'312013 414.9013 HOTELS ADV DEP 52.11143 52.117.43 Purchase ID 0004099390 Hotel Expenses: Attended AACC Convention. San Francisco. CA 414(2013 4l5r2013 MCG DOT PARKING OPS COB $6.00 $6.00 Parking Fee: Meeting wiCouncilmembers Andrews. Beriiner, Eln'ch, COB. Rockvilie, MD 4l4f2013 4f5l2013 AMBROSIA GRILLE EXPRESS $7.95 $7.95 Meet: Hiilman Program Launch 4f9/2013 I MCG DOT PARKENG OPS COB $6.00 $6.00 Parking Fee: Meeting wiCounclimember Floreen. COB. Rockville, MD 4111(2013 4.1152013 KITCHEN BAR $54.58 $54.58 Dinner meeting wlNicole Lewis '23 :3 42?17i2013 RESTAUR $68.24 $66.24 Dinner meeting wrMs. Lewis '4I16f2013 4I17f2013 EL PIZZICO $206.69 $208.69 I 2) 3 Lunch wlFeculty Page 1 of 3 Report 3120 EXpense Report Run by: TELFORD Run Date: 5/112013 Time: 2:12 PM 411712013 471972013 UNITED 0162607980794 . $100.00 $100.00 Baggage Fee: Attended AACC Convention. San?Francisco, CA 411872013 411812013 SO YELLOW CAB $48.00 $48.00 Purchase ID 72057594055215641 Taxi Fare: Attended MCC Convention, San Francisco, CA 411872013 412272013 RMAWORLDIMDE CHAFFEUR $130.68 $130.68 Transportation: Attending AACC Convention, San Francisco. CA 411912013 472272013 AMERICAN ASSOC OF $95.00 $95.00 COMMUNI Purchase so 001041920120002 Dinner. Gaia Dinner at MCC Convention, San Francisco. CA 411972013 412 272013 HOTEL NIKKO F86 $138.36 $138.36 Dinner. Attended AACC Convention, San Francisco, CA Four (4) persons in attendanca 412112013 412312013 BLUESTEM BRASSERIE $967.83 $967.83 Dinner: Attended AACC Convention. San Francisco. CA Trustees, SALT members. Presenters in attendance 472212013 472472013 BILLIARDS CLUB 0 $16.59 $16.59 Meat: Attended AACC Convention. San Francisco, CA 5 472312013 412412013 SQ SF KAL LIMOUSINE SERV $48.00 $48.00 Purchase ID 216172782145755673 ,_Taxi Fare: Attend'ed AACC Convention. San Francisco. CA 412312013 472512013 UNITED 0162608297455 $100.00 $100.00 Baggage Fee: Attended MOO Convention, San Francisco, CA #2472013 412612013 UNITED 0162923187959 $8.59 $8.59 Meal: AACC Convention, San Francisco. CA Page 2 013 Expense Report Repon Run Date: Run by: LYNETTE TELFORD Tm PM 4!25!2013 4326(2013 HILTON HOTELS ($425.56) ($425.58) Purchase ID 0004099390 Credit: Towards Hoiei Expenses; AACC Convention, San Francisco, GA 43.252013 4i29i2013 RMA WORLDWIDE CHAFFEUR $135.68 $135.68 Purchase 10 0000?0?423 Transportaiion: Attended AACC Convention, San Francisco, CA Memo-Posted Transactions Totals I - Status DatefTime User Name Business Unit Notes Unsu?omitted 5l1l2013 1:34:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR .I Reimbursable Total $0.?ax/3E; Card old r77? Date f" fry Daie f-aJ 3 ?Ln?.Page 3 of 3 HiltOn SAN FRANCISCO SQUARE SAN FRANCISCO SQUARE 333 O'Farrell Street I San Francisco, CA I 94102 T: 415 77:1 1400 W: hilton.com F: 415 771 6807 NAME AND ADDRESS: POLLARO, DERIONNE Room: 3182811? 900 HUNGERFORD 717711751 Date: 471772013 SUITE 300 Departure Date: 4f231'2013 ROCXVILLE, MO 20550 Adult/Child: 170 US Room Rate: 229.00 RATE PLAN 111111 AL 5O NUS AL CAR Con?rmation Number: 351955071 472372013 PAGE 1 DATE DESCRIPTION lD REF. NO CHARGES CREDITS BALANCE LA 47272013 VS *3509 CDEGUZM 15741741 52,117.43 Hm 471772013 ROOM URBAN LINTR 15521457 $41.25 HHONORS TAVERN 471772013 GUEST ROOM YUNAK 15523550 $229.00 471772013 TOURISM TAX YUNAK 15523550 50.15 471772013 CITY OCCUPANCY TAX YUNAK 15523550 $32.05 471772013 SF TOURISM IMPROVEMENT YUNAK 15523550 $3.44 1151395 OISTRIC - 471572013 GUEST ROOM YUNAK 15530534 $229.00 471572013 CALIFORNIA TOUR1SM TAX YUNAX 15530534 50.15 471572013 CITY OCCUPANCY TAX YUNAK 15530534 $32.05 .2553:th 471572013 SF TOURISM IMPROVEMENT YUNAK 15530534 $3.44 '33 1. 471972013 GUEST ROOM EGONZALE 15537375 $229.00 471972013 CALIFORN1A TOURISM TAX EGONZALE 15537375 $0.15 3 A 471972013 CITY OCCUPANCY TAX EGONZALE 15537375 $32.05 :1 mm 471972013 SF TOURISM IMPROVEMENT EGONZALE 15537375 $3.44 7? OISTRIC 472072013 GUEST ROOM EGONZALE 15541710 $229.00 472072013 CAL1FORNIA TOURISM TAX EGONZALE 15541710 $0.15 7 mm 472072013 C1TY OCCUPANCY TAX EGONZALE 15541710 $32.05 :3 472072013 SF TOURISM IMPROVEMENT EGONZALE 15541710 $3.44 .. OISTRIC 472172013 URBAN TAVERN LINTR 15542507 $52.53 472172013 GUEST ROOM YUNAK 15545545 $229.00 472172013 CALIFORNIA TOURISM TAX YUNAK 15545545 $0.15 472172013 CITY OCCUPANCY TAX YUNAK. 15545545 $3205 472172013 SF 1MPROVEMENT YUNAK 15545545 53.44 472272013 GUEST ROOM YUNAK 15552015 $229.00 one 05011111155 rouo 7107015011710. I 2921307 A le-Out Check-Out AUTHORIZATION Good Morning 1 We hope you enjoyed your stay. With Zip?Out Check?Outa there is no need to stop at the Front Desk to check out. 9 Please reviewthis statement. it is a record of your charges as of late last evening. a For any charges after your account was prepared, you may: pay at the time of purchaSe. charge purchases to your account, then stop by the Froat Desk for an Updated statement. or request an updated statement be malied to you within two business days. if the statement meets with your approval, simply press the Zip-Out Check-Out button on your guest room telephone. Your account will be automatically checked out and you may use this statement as your receipt. Feel free to leave your key(s) in the room. Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. PURCHASES 81 SERVICES TAKE 59.11551 MISC TOTAL AMOLI HT H?lon Grand Vacations PAYMENT DUE UPON RECEIPT Hllton SAN FRANCESCO UNION SQUARE HILTON SAN FRANCISCO UNION SQUARE 333 O'Farreil Street i San Franc15c0,CA 1 94102 T: 415 771 1400 F: 415 771 6807 W: hilton.com NAME AND ADDRESS: POLLARD, DERIONNE Room: 31828!? 900 HUNGERFORD DRIVE Assn] Date: #1732013 SUITE 300 Departure Date: 4f23f2013 ROCKVILLE, MD 20850 ?0 U8 Room Rate: 229.00 RATE PLAN 0000 AL BONUS AL CAR Con?rmation Number: 3519575071 43239013 PAGE 2 DATE DESCRIPTION REF. NO CHARGES CREDTTS BALANCE #232013 CALIFORNIA TOURISM TAX YUNAK 15852015 $0.18 4232013 CiT?t? OCCUPANCY TAX YUNAK 15852015 $32.06 HHONORS 4.2212013 8F TOURISM IMPROVEMENT YUNAK 16852015 $3.44 DISTRIC WALDORF BE SETTLED TO VS *3609 ($42555) EFFECTIVE BALANCE OF $0.00 con RAD E: 'J?l l I 7.1.: Huron HHonons(RJ stays are posted Within ?2 hours of checkout. To check Hilton your eamings or book your next stay at more than 3,900 hotels and resorts p? in 91 countries, please visit HHononsoom. Thank you for choosing Hilton! Book your next stay at hiftoncom and take advantage of our intemet-oniy Advance Purchase Rates and limited-time specie! otters! DOW-W: . it? I Emenhm' DATE or CHARGE FOUD NOJCHECK no. I 2921307 A Z1p~0ut Check-Out Good Morning 1 We hope you enjoyed your stay. With Zip?Out Check?Outs Amoamnow mm there Is no need to stop at the Front Desk to check out. 3 Please review this statement. It is a record of your charges as of fate iast Funny-.555 g, 553mg evening. For any charges after your account was prepared, you r'nay: TAXES HOME pay at the time of purchase. charge purchases to your account, then stop by the Front Desk for?an Updated statement. . TIPS 8? or request an updated statement be mailed to you within two business days. if the statement meets with your approval, simply press the Zip-Out Check-Out TOTALAMOUNT moan? out-ton on your guest room telephone. Your acmunt wil! be automaticaiiy checked out and you may use this statement as your receipt. Feel free to leave your key(s) PAYMEPWDUE UPON RECEIPT in the room. Please can the Front Desk ifyou wish to extend your stay or if you have any questions about your account. Telford, Lynette From: Sent: To: Subject: Britton, ida Wednesday, February 08, 2013 10:15 AM Telford, Lynette I Hate/l Qamvwm 4' (ff, FW: Your Hotel Reservation - AACC 93rd Annual Convention From: American Association of Community Colleges? 93rd Annual Convention Sent: Thursday, October 11" 2012 2:31 PM To: The President Subject: Your Hotel Reservation AACC 93rd Annual Convention Dear DeRionne. This is an automated acknowledgement, for the AACC 93rd Annual Convention from Orchid Event Soiutlons (formerty The Houaing Connection). Please do not repiy to this acknovviedgement. You will not receive a return response, please see betow for further contact information. Please review atl information for accuracy. Welcome to San Francisco for the AACC 93rd Annual Convention. Thank you for making your hotel reservation on 11?Oct-2012 for AACC 93rd Annual Convention being held in San Francisco, CA. .. mime? .E- a qu??wh, All reservation changes can be made at the event website by clickino here, or by calling (International). Through 11-Apr~2013, after this date please contact Hilton San Francisco Union Square directly at 415-771-1400. All cancellations must be made online, by clicking here, or in writing by e-mail helo@orchideventsoiutionscom or fax 801-355-0250. Passkey - 326HJT26 Acknowledgement Number: Your hotel: Hii?ion San Francisco Union Square I Check-in: '3 Check-out: [Fifi?AprQO?i 3 Room type: 1 King Bed 1 I (Room type requesrs cannoi be guaranteed) Guests per room: _2 . Guest name: DeRionne Pollard Share withs: Requests: (Room iype requesis cannot be guaranteed) [Guarantee method: Credit card Rates: . -- Date Guest-{3) Status I mew? - -. lees:- .. 2013 Con?rmed . -. 1?7'Apr. 3:11.: 1+ 3 2013 Con?rmed - - . .4 18-Apr? 2013 Con?rmed 19-Apr- 2013 Confirmed 20-Apr~ 2013 Con?rmed 21~Apr- - 2013 Con?rmed 1: Jr 22-Apr? 2013 Con?rmed 229.00 23?Apr~ 2013 Con?rmed 229.00 Additional Person Charges: 1,832.00 .. taxes not included (subject to change) Cancellation Policy: Reservations cancelled after January 30, 2013 will be subject to a $30.00 cancellation fee for each room cancelled charged by Orchid Event Solutions. Deposit of one night's room and tax will be forfeited entirely if cancellation occurs within 72 hours of arrival date. An early departure fee of $100.00 will be charged if you check prior to your scheduled departure date. Irma?.- . I Hotel Name: Hilton San Francisco Union Square Address and Phone: 333 O?Farrelt Street San Francisco, CA 94102 4157714400 Weather: View the Vain?tether Forecast A kind note about callino the hotel "iust to be sure? I Please do not call your hotel "to be sure" until after 11-Apr?2013. Please understand that processing your reservations from Orchid Event Solutions into the Hotel system will take a few days. Rest assured that if you have received a con?rmation number already from Orchid Event Soluttons. the hotel will honor your booking. Thank you for your cansideration. After11~Apr-2013, all reservation changes can be made by contacting the hotel directly at 415??71~1400. Passliey, its reservation system andror their agents act only in the capacity of agent for all customers in all matters pertaining to hotel reservations, and as such are not responsible for guaranteed hotel rooms. damages, expenses. inconveniences or damage to any person or property from any cause whatsoever. C-rchio Erent Corporate Card Expenses April 2013 (receipts attached) REPRIN: AMBROSM GRILLE 1' 4M: 500 ?v?Ei?iUE MD 20850 0-. 3?4 3013 110913 *i?niw' 000000002i8l598? T. ID 03243700 54:31::3993 CREDIT CARD VISA SALE CARD {Hr?l?f 0002 Bald] -: 000010 Apes-mi Code: ?310342 Enh} Me?pd: Super} Mode Onmw ?kJiEl? to pa,- aE-m tubs! amemt atmrding tr: zed t-Su'd agreement (J-iadm? a; Mimi if Genlil Val-:1 m} 30.51am:? ?ot Required EOPY Dr. DeRjorme P. Pollard MEALS ?:090??0?47??23) 840? kitchen bar 8407 Ramsey Ave. Silver Spring, HD. 20930 (301) .9 ?e Empl: DENIS Invu:?0104499 Station: 1 Guest: 2 Table: 0024 Sub Total 43.00 Food Tax 2.58 - Fatal $5 58 Visa Auth:090115 Ref: visa 45.50 Tip __qfi::ZZ_ Tn?ra1 I Dr. DeRjonne P. Poliard Corporate Card Expenses April 2013 (receipts attached) H1cc1ut1?e . 3308.01ney783ndy Spring 01nay, Hary1and 20832 301e570?3388 Server: Bee: - 07:45 PM 04/10/2013 Table 41/1 2/20013 1130 1043530 Card Magnetic card present: PULLARD DERIUNNE 400'0431: 064446 Amount: 57.24 Tip: PL.ASE LEAVE SIGN CUri 008: 3401812013,;- hiEhAlJS ?ame Law/1 IL PIZZICO 15209 FREDERICK RD RUCRVILLE, MD. 20850 TIME: 01 33 PM TABLE: 23 CHECK: 12 SEATS: 1 SRVR: 1 USHAR 037123 000 0001: VISA EXUT: XX/xx APPROVED: 037123 AUTH 174.89 TIP :01 01 1111-1 E1111 4: 0.342. . Dr. DeRionne P. Pollard Corporate Card Expenses - April 2013 (receipts attached) Hctet tikka awza 222 Hascn Street Francisco, ca 94102 (415) 394?1100 Date: Card Type: Acct a: Card Entry: Trans Type: Auth Code: 004820 Cneck: 2875 Check 10: 11 Ber 3r' 2013 APRIL San 1 1 L3. 23 fuhtcta]: 7 7317-3? T5 garages-z;sz 1% 1 One Yerba Buena Lane San Francisco, Ca? 94103 (415) 547.1111 Date: Card Type: Visa Acct Card Entry: SWIPED Trans Type: PURCHASE Trans Key: 010001838143498 Auth Code: 070751 Check: 1739 Tabte: 73/1 Server: 1007 Bryce Subtotat: 917.83 Gratuity: mu Totat' (Egg; ,1 a In: 1 Bee Lmna??w? Ul?tmnn?ru 1N1 ?-Pa ?p1mxmumam0 hi m7?: I iazflp$Tim I ?nimwmva .Ew ill? a? .Cb ruy Wig/31145 Telford, Lynette K. From: Britten, Ida Sent: Tuesday, April 30. 2013 ?11:48 AM To: Telford, Lynette Subject: FW: Thank you for your payment PAYMENT RECEIPT Dear Lynette: Can you add this to your receipt folder for Dr. Ida From: Sent: Tuesday, April 30, 2013 11:47 AM To: Pollard,r DeRionne Cc: Britten, Ida Subject: Thank you for your payment - PAYMENT RECEIPT Dear DeRionne Pollard: Thank you for your recent payment by Visa of $95.00. This email serves as a receipt of your payment. Your payment has been applied to the following items you have recently ordered: liitem . . . . Amount . . Gala Dmner Mon> [54311122, $95.00 1000134976 2013 from 6:30pm - 9:15pm Copyright 2011 American Association of Community Colleges I ., 1 l1! Alt-i EIUZ :r?lt Elli-1'19] J. .. Ian 1? .I. STAPLE HERE HEW. 3'12 CSMN4 Run 12-12 PRINTED BY MTJIL. Dr. DeRjonne P. Pollard Cmporate Card Expenses - April 2013 (receipts attached) BAGGAGEFBBS ?i 5" Issue Babe: 1? HPR 2013 IHU are Fees $100.00 Description Qty Overweight Fees (51 - 70 lbs.) 1 Baggage Document utszsu?980?94 Ticket Number 0162355252135 FEES L430 $100 . 00 Total Fees Excess Baggage Terms and Conditions: 911 eeoess baggage is subject to space availability. - Receipt For payment must be presented at bag chec?. - For refunds or adjustments, see a United representative. Baggage Receipt Issue Date: 23?gpaj2q;3 UNITEDEQL Baggage Document Description Qty Fees 0162698297455 Overweight Fees (51 73 lbs.) 1 $108.03 Ticket Number 3162359292136 Total Fees Excess Baggage Terms and Conditions: All excess baggage is subject to space availability. - Receipt for payment must be presented at bag check. - For refunds or adjustments, see a United representative. NT REFERENCE.15. STAR. MEMBER Hethnd of Pagment Uisa Eerdhn lder Nana DERIOHHE Confirmation: Carrier Routing rSTAR ?1 Helhnd of Payment Vii-e Caldholder Name DEHIONNE POL LARD Confirmation: Carrier Routing LA SFO - IAD Hu- wan-u: -. v. .z-h . 'n u? 31 M1. 33353 :?4ii - ?ll? mules-I. Ill: Wit-17581 lam: IEI: Sale Entrv Hethod: Saiped Unline Cow BIBB we: GEES Dr. DeRjonne P. Pollard Corporate Card Expenses - April 2013 (receipts attached) PARKE Fit" lul- DPS 1:1 ma?m? ?#:1196813? 23:. ST [113. 25358 Jami. 1L1: MMTEBI new ID: Sale 2" M?k? .m8%%4 mww:mhm Customr Comr :95 Narrow text_0.txt You paid Ye110w Cab $48.00. View full receipt: Page 1 ?1 0 :21 was E131 Hrs/re Telford, Lynette From: sent To: Subject: Attachments: Britten, Ida Monday, Aprii 22, 2013 6:16 PM Teiford. Lynette FW: Taxi receipt for Dr. Pollard?s next expense report. Thanks, lda From: 3018011238@vzwpix.com Sent: Thursday, April 1'8, 2013 12:43 AM To: Britten;F Ida SubjectEdi TECH Cl: eyes/2:3 text?O (2).txt You paid sf kai limousine servies $48.00. View ful] receiptEi?l Page 1 I is Telford, Lynette 0544 490:? From: Britton, Ida Sent: Monday, April 22, 2013 10:56 AM To: Teiford, Lynette Subject: FW: Ride Receipt for Reservationit 707419 Lynette: For Dr. Poilard?s expense report. Thanks, Eda From: accounting@rmaiimo.com Sent: Thursday, April 18, 2013 11:39 AM To: Britten, Ida Subject: Ride Receipt for Reservationaft 707419 RMA Chauffeured Transportation 6010 EXECUTIVE BLVD. SUITE 101 ROCKVILLE, MD 20852 Phone: 301-231~6555 Fax: 301?231-9358 Email: Web: Ride Receipt COLLECT ACCOUNT - 2012 CLIENTS Account# Invoice# . 041813 Inv Date 04/18/13 Date Description Charges Credits Res#: 707419 04/ 17/13 Drop: IAD 340 UA Pickup: 14:00 Dropoff: 14:43 Passenger: POLLARD, DERIONNE Flat: SEDN $99.00 :55 Req By: IDA BRTFON Chauf: 0484 f: Wait Time: - Wait Chg: Phone: Mina Phone: Voucher# E707419 ?p STC: $11.88 :3 53. Gratuity: $19.80 C3 Discount: Deposit; Ride Totai: $130.68 . Trip Amount Due: $0.00 A rec?oinniended tip of 20% IS included. This tip is snbject to your discretion and may be increased, decreased, or eliminated entirely. 7731119 Telfo rd, Lynette From: Britten, ida Sent: Thursday, Aprii 25, 2013 12:07 PM To: TeitordI Lynette Subject: FW: Ride Receipt for Reservation# 707423 RMA Receipt. From: accounting?rmaiimo.com Sent: Thursday, April 25, 2013 11:03 AM To: Britten, Ida Subject: Ride Receipt for Reservation# 707423 RMA Chauffeured Transportation 6010 EXECUTIVE BLVD. SUITE 101 ROCKVILLE, MD 20852 . Phone: 301-23146555 Fax: 301?231?9358 Email: Web: WUWILRMAUMQCOM Ride Receipt COLLECT ACCOUNT - 2012 CLIENTS Account# Invoice# CCBO42513 Inv Date 04/25/ 13 Date Description Charges Credits Res#: 707423 PU: IAD 48 Drop: .. 04/24/13 Pickup: 00:00 Dropoff: 00:39 Passenger: PDLLARD, DERIDNNE M, c: :3 Flat: SEDN $99.00 _j Req By: IDA BRTTON Chauf: 0464 52 Wait Time: Wait Chg: TS. Phone: - Mine Phone: :3 Voucher# 15707423 Parking: $5.00 C3 are $11.88 - Gratuity: $19.80 Discount: Deposit: Ride Total: $135.credit Trip Amount Due: - $0.00 - 046' A tip of 20% is incl-Iuded. This tip is subject to your discretion and they be increased, decreased, or eliminated entirely. Page 1 0t 4 I {Bank 8. Corporate Care PCLLARD ACCOUNT NUMBER CREDIT DAYS TN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10.000?00 31 I 05/31/13 Purchases Cash Advances Total Fees Credits Total Activity $1,675.58. $0.00 $0.00 $0.00 $1,875.58 Tran FUSE Reference Number TransactionDescription Amount Date Date 05:01 05102 73911160001002}? CHOPHOUSE ROCKVILLE MD 6078 M06: 5812 MERCHANT 20850 3502 05:06 63123000313387663 UNITED 255.60 M00: 3000 MERCHANT ZIP: "r7002 NAME: POLLARDIDERIONNEPDR TICKET 0162365050303 SIGNATURE DATE I 1' I For customer service, can 0 te E. regarding: For Vise bene?ts and Toll free (800) 443?8671. ilii 9 errors: P. BOX 4028, Buffeio, NY 14240-4028 referral sewicesl cat; Outside the US and Canada, ceil meals: PD. 62120. Baliimore, MD 212644120 {he V1531 assisgance (716) 535?4152. LosUSiolen: 455 SUITE 500, Buffa?lo. NY 14203 Came,- Visit us on the web at MEMO STATEMENT 40 Account Number FALO 42 4028 Statement Date 05/31/13 Totei Activity $1,675.56 Remit to: BANK PD. BOX 62120 BALTIMORE MD 21264-2120 STATEMENT ONLYM DO NOT REMIT PAYMENT DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: JOHNSON 900 HUNGERFORD DR MD 208504728 Page 2 of 4 mar Bank T*Corporate Card . DERIONNE POLLARD ACCOUNT NUMBER I CREDIT AVAILABLE DAYS 1N BILLING STATEMENT MM: LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 05/3013 01661510 - 005979 - 0001 - 13002 - NOTICE OF BILLING RIGHTS This notice contains important information about your rights underfederai law. In this-Notice, "you" refers to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liable for any unauthorized use that occurs after you notify Bank orally or in writing,_ of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by telephoning 1-800-443-8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card wili not exceed $50. Please be advised that fuli payment of all outstanding balances remains due, even while we investigate your unauthorized use Claim, and failure to pay in full by the due date may result in delinquency charges per yourAgreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use Claim, to the extent ofthe proper amount due backto you. MET Bank It Corporate Card Page 3 of4 JERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 05/31/13 Tran Post Date Date ReferenceNumber Transaction Description Amount 05:02 05,106 63123000314490817 05:03 05:06 53125080080254064 9308 05107 23126151254628398 osxoe osno 03129254192010109 95109 Como 7312essr1sooseem 05"1 051?1 3 631310002270681T9 LEG: 1 ITINERARY II: 4839 FARE CODE: WA14KN DATE: 06.30213 CARRIER: UA?United Airlines. Inc. DESTINATION: Cleveland. Ohio. United States ORIGINATION: between Baltimore, Maryland and Washingt LEG: 2 FARE CODE: TA14KN DATE: OBIOZIIS CARRIER: UA-United AIrIInes. Inc. DESTINATION: between Baltimore. Maryland and ORIGINATION: Cleveland. OhioI United States UNITED TX M00: 3000 MERCHANT ZIP: T7002 NAME: POLLARD TICKET 11': 0162923906555 LEG: 1 ITINERARY II: DATE: 06I04I13 4805 FARE CODE: EDD CARRIER: UA-United Airiines, Inc. DESTINATION: between Baltimore. Maryland and Washingt ORIGINATION: Cleveland, Ohio. United SIaIes Founding Farmers MD Potomac MD MCC: 5812 MERCHANT ZIP: 20895 MCG DOT PARKING OPS COB GROCKVILLE MD NICO: 5399 MERCHANT ZIP: 20350 JIM COLEMAN INFINITI BETHESDA MD MERCHANT ORDER NUMBER: 0 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 WASH METRORAIL NICO: 4111 ROCKVILLE MD UNITED 0152365049859800-932-2732 TX M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERIONNEPDR TICKET 11': 0162366049659 LEG: 1 ITINERARY FARE CODE: BACFN DATE: 06I02f13 CARRIER: UA~United Airlines. inc. DESTINATION: Cleveland. Ohio. United States ORIGINATION: Arlington County. Virginia (near Washing LEG: 2 FARE CODE: BAOFN DATE: 05f02f'13 CARRIER: UA-Uniied Airlines. Inc. DESTINATION: Arlington County, Virginia (near Washing ORIGINATION: Cieveland, Ohio. Untied States 16.00 36.74 T50 199.95 35.00 682 .00 IE Bank Corporate Card Page 4 of4 i DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 05/31/13 Post Date Reference Number Transaction Description Amount mm005979 - 0002 0002 - 05/14 {35715 5729 35729 05713 05715 I 0571? 05731 05731 63131000227780815 231341 61344207675 03136118000103233 73150105193926833 63150980003411573 UNITED 0162924628443800-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD FE TICKET 0162924628443 LEG: 1 ITINERARY 4737 FARE CODE: EDD DATE: 06702713 CARRIER: UA-United Airlines, Inc. DESTINATION: CIeveIand, Ohio, United States ORIGINATION: Arlington County, Virginia (near Washing MCG DOT PARKING OPS COB GROCKVILLE MD M00: 5399 MERCHANT ZIP: 20850 GOTTS CT GARAGE MD MCC: 7523 MERCHANT ZIP: 21401 STAPLES 00106971 GERMANTOWN MD MCC: 5943 MERCHANT ZIP: 20876 ORDER NUMBER: 000637070 LOCAL TAX: 7.80 LOCAL TAX INDICATOR: 1 NAT. TAX INDICATOR: 0 CUBAN CORNER RESTAURANT ROCKVILLE MD MCC: 5812 MERCHANT ZIP: 20850 200.00 1.00 5.00 13775 38.04 CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: May 31, 2013 Cardholder Name: DeRionne Pollard Ext: 75254 Dept: Of?ce of the President PURCHASE DATE MERCHANT NAME PURCHASE - - DESCRIPTION OF BUSINESS AMOUNT ITEM DESCRIPTION - Budget Account Number RELATED PURPOSE 3 Nicks Chophouse ?6078 Lunch Meeting, wad Roberts 5QQ013 United 255.80 Airfare Travel to SHN Colloquium. Cleveland, OH sic/2013 3 16.00 Economy Plus fee If Travel to SHN Colloquium, Cleveland. OH 513/2013 Founding Farmers MD 36.74 Breakfast Meeting waancy Nueli 52?620] 3 MCG DOT Parking OPS COB 7.50 Parking Fee Attended Full Council Budget Worksession. Rockville, MD 5f9f2013 Wash Metrorail 35.00 TransPortation Fee Attended MSCHE Townhall Meeting. Washington. DC 519(2013 Jim Coleman ln?niti 199.95 Servicing Fee Servicing of President's vehicle 5flOI?2013 United 3 682.00 Airfare Due to change in flight; travel to CHN Colloquium, Cleveland. OH 5110f2013 United 200.00 Change Fee Change to Airline ReservatiOn $140,013 MCG DOT Parking OPS COB LOO Parking Fee Attended Council meeting. Rookville, MD SH 5320 I 3 Gotts CT Garage 5.00 Parking Fee Meeting waoveI'nor O'Malleyand the Indian Union Minister 53202901 3 Staples 137.75 Supplies Supplies purchased 5&91?2013 Cuban Corner Restaurant 3 3.04 Lunch Meeting warustee Levine EXPENSE TOTAL: grg?l?ggojm? Ii? Name: DcRionne Pollard . . . . .l mu? "331?? Name: Name: ?teghen D. gain 1,675.56 - ?u "new theme". . a W: warmer-"re i" .7 small-?Vite get-u: .u {glim'I-u v? .v . nus-l U1 . enema - imd?n Rev. 10(221?09 Report 3120 Expense Report Run Date: 611212013 Run by: LYNETTE 12:15 PM 5l9f2013 5f10!2013 JIM COLEMAN $199.95 $199.95 Purchase {0 0 Servicing of President's Vehicle 51'10!2013 5? 312013 UNITED 0162366049659 $682.00 $682.00 Airfare: due to change in flight: travel to SHN Colloquium, Cleveland, OH Passenger: Ticket: Travei Date: Travel Leg: POLLARDIDERIONNEPDR 0162366049659 61212013 DCA UA CLE CLE UA DCA 5102013 51312013 UNITED 0162924628443 $200.00 $200.00 Change fee to airline reservation Passenger: Ticket: Tra vet Date: Travei Leg: POLLARD FE 0162924628443 6f2!2013 DCA UAE CLE 5f14r'2013 5/15r2013 MCG DOT OPS COB $1.00 $1.00 Part-ring FeeIAttended Council Meeting. Rockvitle, MD 5i15f2013 5f17f2013 GOTTS CT GARAGE $5.00 Part-ring Fee: Meeting wiGovernor Martin O'Maltey and the Indian Union Minister 52912013 531112013 STAPLES 00106921 $137.75 $137.75 Purchase ID 000637'070 - Supplies Purchased 5:29:2013 5131;2013 CUBAN CORNER RESTAURANT $38.04 $38.04 Lunch meeting warustee Levine gt 1n -. 1:.le Memo-Posted Transactions Totals Count:13 Eigs'nse. Report History . Status Datemme User Name Business Unit 1 Notes teaser Unsubmitted 6532013 2:23:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR incomplete 6151'2013 2:53:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 61'512013 3:09:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 6r10r2013 2:40:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Approved! Closed 6312(2013 10:20:00 AM Janet Wormack MONTGOMERY COLLEGE PUR approved [Earpense Report Summanr Reimbursable Total $0.00 Page 2 of3 Repurt.3120 Expense Repo? Run Daie: Run by: TELFORD Time: 12:15 PM Signatures . . a? Pn?nt Cardholder Name L?Ey??d?r Sign?e Dar? I f) 3%?va '5 Print Approver Name CA?pprover Signature ?ate I Page 3 of 3 Dr. DeRionne P. Pollard Corporate CardlExpenses - May 2013 (receipts attached) . Customer oy Nicks Chop House 700 King Farm Bivd. MD 20850 Date: 05/0 Time: 2:15 PM Server: 1. TEAM 1 Order: 263726 Description: Table 24 Card Type: Visa/ MC Card No: Appr Code: 095536 Purchases: 5? Tip: bow-ii? poiiard/derionne Total: I agree to pay the above total amount according to the card issuer agreement. Hu?e?s Founding Fars:rn 12535 Park Potomar Park Potomac, HD 2085i . Eeruer? DUB- Duf?s; {til-I34 05,603?? a: me SALE .. smut: PULLARU femurs Cu?hmsh?m? innovar ?i?it nemmti +Tiw iota]: intal amount according card issuer agreemes Founding Farmers is open iariy tii late. Meet for breakfas enjoy a cookteii at the ban or dine with friends anytime. Follow us! @FarmersHoCo HeAreFoundingFermers.eom Guest COPY Dr. DeRionne P. PoIIard Corporate Card Expenses - May 2013 (receipts attached) SIHIPIJDES Low prices. Every item. EVQIY may. Frederick Road GERMANTUNN, MD 208?6 (301) 540v5446 1546150 0 006 37071 009? 0??5 i i I {4.41 .tg?FL-z ?31441 . PRICE BIU INTENSITY FINE 070330188815 5:99 1 ARC LEATHER NTBK .T18103183154 19.99 1 TARGUS BLACK VERSA 092838289889 59.99 1 USL QUAD GUSSET CU 838918884843 83.99 1 ARC POLY TAB DVUR T18103148283 3,0: [ll-IL :0 gm [ax? 8.0031 .60 "01.0. 503'? 1?5 33 . Gard No.2 Ruth N0.: 015020 Dr. DeRionne P. Pollard Corporate Card Expenses May 2013 (receipts attached) .a?m H56 DOT DPS DIVISION OF 255 JEFFERSON ST ~35. ND. 29358 ?erchani 3322741551 Term 10: 901554530302?3?1331631 Sale fi??l'?m??gg HER Elm He?m". Smart-:3 Total: 1.3: 35/14/13 @3131? Code: M435 4 I Hm? .?gr . 8mm? . Ir'lx i1: menuhut 4.261361 Sale rurthn?c .?ul LOPY ft" ?3 f? 3: 2? CO Expressparc Receipt -TRAN OUTTIMIE FEE 4 r? 4 u, I ranTelford?, Lynette From: Britten, lda Sent: Tuesday, May 14, 2013 11:06 AM To: Telford, Lynette - Subject: Dr. Pollard's United Receipt for SHN in Cleveland, June 2-4 Con?rmation: 1. STAR MEMBER Check-In Issue Date: May 10, 2013 Traveler . eTicket Number Seats 0162366049659 FLIGHT INFORMATION - Day, Date Flight Class Departure City and Time ArriVal City and Time Aircraft Meal Sun, 02JUN13 UA4737 WASHINGTON, DC CLEVELAND, OH (DCA NATIONAL) 10:06 AM (CLE) 11:26 AM Flight operated by CHAUTAUQUA AIRLINES, INC doing business as UNITED EXPRESS. .. 0114717; CLEVELAND, OH I WASHINGTON, Dc ERJ-14S '5 - .1 2 ((113) 12:59 PM - (DCA NATIONAL) 2:15 PM INC doing business as UNITED EXPRESS. . - . . FARE INFORMATION Form of Payment: Fare Breakdown 852.10USD VISA Airfare: US. Federal Transportation Tax: 63.90 Last Four Digits 3609 September 11th Security Fee: 5.00 U.S. Flight Segment Tax: 7.80 US. Passenger Facility Charge: 9.00 Per Person Total: 937.80USD eTicket Total: 937.80USD The airfare you paid on this itinerary totals: 852.10 USD The taxes, fees, and surcharges paid total: 35.70 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Add Collect: An additional amount for the difference in fare was charged to VISA on Friday, May 10, 2013. $682.00 USD per ticket for an additional total of $682.00 USD was collected. Additional Thu., May. 2, 2013/Visa 3609 was charged 16.00 USD for the following: Bulkhead Standard Seat/ EDD Charges: 01629239065554 Fri., May. 10, 2013lea 3609 was charged 200.00 USD for the following: Change Penalty Fee EDD 01629246284433 . Baggage allowance and charges for this itinerary. Baggage fees are per traveler Origin and destination for checked baggage 1? bag 2?3 bag Max wt/ dim per piece 6/2/2013 Washington, DC (DCA - National) to Cleveland, OH (CLE) 0.00 USD35.00 USD 50.0le (23.0kg) - 62.0in (157.0cm) 6/4/2013 Cleveland, OH (CLE) to Washington, DC (DCA A National) 0.00 USD 35.00 USD 50.01bs (23.0kg) 62.0in (157.0cm) IM PORTANT CONSUM ER NOTICES Your travel is subject to United?s Contract of Carriage terms. The Contract is available at any CD ticketing facility, united.com or by calling (1600?8646331). The Contract terms include rules about limits on liability for personal injury or death and for loss, damage, delay of goods and baggage, checkHin times, overbooking, security issues, reservations, denial of carriage, refunds,'claims limits and restrictions, including time limitations for filing a claim or lawsuit, and schedule changes and irregularities. On domestic flights, United?s maximum liability limit for checked baggage is $3300 USD per passenger, and United excludes liability for all unchecked baggage. United excludes liability for fragile, valuable or perishable items carried in all baggage including jewelry, computers, cash, camera equipment and similar valuables. If any of these items are lost, damaged or delayed, you will not be entitled to any reimbursement. on international flights governed by the Warsaw Convention (including the domestic portions of the trip), maximum liability for checked baggage is approximately $640 USD per bag, and $400 USD per passenger for unchecked baggage. On international flights governed by the Montreal Convention (including domestic portions of the trip) maximum liability for baggage is 1,131 SDRs per passenger for checked and unchecked baggage. You can declare excess valuation on certain baggage at the airport, additional fees will apply. For international flights, a treaty known as the Warsaw or the Montreal Convention may apply to the entire journey. When applicable, it governs, amongst other things, the liability of the carrier for baggage and death of or injury to passengers. The Contract of Carriage contains further detail of these terms. Personal Health For important health tips before your flight, including information on a serious condition called Deep Vein Thrombosis, please go to united.com or call 1800WECARE2. This information is also in the United magazine on board your flight. Thank you for choosing United Airlines Med-stem Lgal Isolates. Privag Eolig Copyright 2013 United Airlines, Inc. All rights reserved. Please do not reply to this message using the ?reply" address. For assistance, please contact United Airlines via telephone or via e?mail. United Airlines - Thank You for Choosing United Airlines Home Thank You for Choosing United Airlines Thank: You for Choosing vetted Alrl?nes United Confirmation Number Page 1 of3 Purchase Summary . -. - . . Adults (age 13 to 64) $234.00 3 i Additional Taxesjf?eeg $21.80 i Price Details Economy Plus $16.00 5 Total . . Payment Information i; Name of Cardholder: DeRionne Pollard Card Type: .r'l Card Number: I. MileagePlus Members: Upon completion of this itinerary, you will earn up to 628 MileagePlus award miles.* :1 Flight Details United Confirmation Number sum, Jun. 2, 2013 1 Baltimore, MD (BWI) to Cleveland, OH (CLE) Depart: Arrive: Travel Distance: Flight: UA4839 1:51 3:25 p.m. Tlrnetl .314 miles Operated by COMMUTAIR 3 Sum, Jun. 2, 2013 Sun., Jun. 2, 2013 34 DBA UNITED MD (BWI) Cleveland, OH (CLE) - mn Aircraft: Bombardler Q300 fr Fare Class: United Economy (W) 5? Meal: None . No Special Meal Offered. 5 - *5 Note: Flight 4839 is serviced by a non~3et equipment type. 32-1-21: 7 r: :m?ez? Tue., Jun. 4, 2013 Cleveland, OH (CLE) to Baltimore, MD (BWI) Depart: Arrive: Travel - Distance: Flight: UA4605 7:10 p.m. 8:25 p.m. Tlmezl 314 miles Operated by EXPRESSJEF l_ ;i Tue., Jun. 4, 2013 Tue.., Jun. 4, 2013 hr 15 AIRLINES DBA UNITED 3 Cleveland, OH (CLE) Baltimore, MD (BWI) mn EXPRESS. 11 Aircraft: Embraer R3145 Fare Class: United Economy (T) 3: Meal: None No Special Heal Offered. ii 5/2/2013 United Airlines Thank You for Choosing United Airlines Page 3 of 3 i: Important Baggage Information Carry-on baggage allowed United accepts the following items, per customer to be carried on the aircraft at no charge: One carry~on bag no more than 45 linear inches or 114 linear centimeters (L H) or 14 inches 9 inches 22 inches (23 35 56 cm) One personal item (such as a shoulder or laptop bag). Learn more about carrv~on baggage policy Checking bags for this itinerary Checked baggage service charges are collected at any point in the itinerary where bags are checked. The bag service charges below re?ect a maximum outside linear dimension of 62 linear inches (157 cm) First and second baggage service charges per I - . traveler as listed below: bag 2M bag Weight per bag Sum, Jun. 2, 2013 BaltimOre, MD (BWI) to $25 9150* $35 50.0 (23 kgs) Cleveland, OH (CLE) Tue., Jun. 4, 2013 Cleveland, OH (CLE) to $273; - $35 50.0 (23 kgs) Baltimore, (BWI) ,9 Check Two Bags for Free 1; Save up to $240 per roundtrip. Primary Cardmembers and a companion traveling on the same reservation will receive their ?rst and second standard checked bags free on United-operated ?ights when purchasing tickets with their Club Card. Learn more Baggage check~in must occur with United or United Express, and MileagePlus? Premier? Silver membership must be valid at time of check-in to quality for waiver of the service charge for the ?rst checked bag (within speci?ed size and weight limits). First and second bag service charges do not apply to active-duty members of the U.S. military and their accompanying dependents. For additional information regarding baggage charges, allowances, weight/size restrictions, exceptions or embargoes, or charges for overweight, oversized, e>9 1370/ PAULETTE Con?rmed (Fri, Jun 21) GLCI WASHINGTON DULLES, DC FRANKFURT. GERMANY I - - -- -- Distance (in Miles): 4065 Arriving At: 7:20am GLOBETROTTER TRAVEL MGMT. SERVICES 301?570-0800 DEPARTURE: FRIDAY 21 JUN I ARRIVAL: SATURDAY 22 JUN (Sat, Jun 22) TerminaI: TERMINAL 1 Status: Frequent Flyer AIRLINES . - BOEING 777 JET . StDp(s): 0 TRAVEL CONSULTANT 6G eTicket 0167285675823; Dinner Meals: Please verify ?ight times prior to depanure UNITED AIRLINES FRA UA8905 . Operated Dy: Departing At? 1 :45pm (sat: Jun 22) I TerminaI' - - 3'a'ssenger Name: Seats: Class: .I 10G 3AULETTE jCDn?rmed . DEL FRANKFURT, GERMANY .. Arriving At: 12:30am DEPARTURE: SATURDAY 22 JUN ARRIVAL: SUNDAY 23 JUN DELHI, INDIA I (Sun, Jun 23) I Terminal: TERMINAL3 Status: Frequent Fiyer 2 .5 Air I - 3 Distance 3804 Stews): 0 {123i .eTiDIcel Redeipt(s): 0167285675823 3 Snack Meals: GLOBETROTTER TRAVEL MGMT. SERVICES Phone: 301 570-0800 GLCJ EIETFIDTTEFI Electronic Invoice Prepared For: PAULETTE SALESPERSDN I Be INVOICE NUMBER 1333844 - 13,hn12013 ROUND TRIP FARE 5879.00 OUT OF DULLES DATE: Fri, Jun 21 Flight: UNITED AIRLINES 989 From WASHINGTON Departs 5:20pm DULLESI DC To FRANKFURT, Arrives 7:20am GERMANY . Arrival Terminal 1 Duration 08hr(s) :00rnih(s) Class Type BOEENG JET Meal Dinner EStopIs) Non Stop QSeat(s) Details POLLARDIDERIONNE Seatls) - OTC UA - PAULETTE DATE: Sat, Jun 22 Flight: UNITED AIRLINES 8906 From FRANKFURT, Departs 1:45pm GERMANY To DELHI, INDIA Arrives 12:30am Departure Terminal 1 Arrival Terminal 3 Duration 07hr(s) :15min(s) Class - 74H Meal Snack ISIOPISI Non Stop Seat(s) Details UA PAULETTE DATE: Wed, Jun 26 Flight: UNITED AIRLINES 83 From DELHI, Departs 10:50pm To NEWARK, NJ Arrives 4:25am Departure Terminal' 3 Arrival Terminal . Duration - ?15hr(s) :05min(s) Class Type BOEING 777 JET - Meal Dinner :Stopls) Non Stop Seat(s) Details Seat(s) 30D I PAULETTE DATE: Thu, Jun 27 Flioht: EINITFD mm IMFR 1am: HI: C, 10 sis; CORPORATE CARD EXPENSE REPORT nlgomery College FOR PERIOD ENDING: June17-30 2013 Dept Office of the President Ext: 75264 DESCRIPTION OF BUSINESS Budget Account Number RELATED PURPOSE Travel to India Cardholder Name: DeRionne Pollard PURCHASE PURCHASE DATE MERCHANT NAME AMPUNT ITEM DESCRIPTION 6!l3a?2013 Agent Fee 5 5.879.00 Air Fare Agent Fee 18.75 Agent Fee enmmz? Agent Fee Meeting wa?Margaret Lalimer 611729.013 Copper canyon Grill 3 36.74 Lunch Travel to India Washington Passport 195.00 Passport Fee Travol to India India Visa Center 5 116.00 Visa Per? ?Ml Meeting wai?ny Crowley 6319x2013 Colinial Parking#123 10.00 ParkingFee 6! 1937.0 13 American Tap Room- 3 40.92 Lunch Rock (1324.52013 RMA Worldwide Chef?feur 6f26l'20l3 Welcomgroup Hotel 7857538 Travel to airport; attending, India Conference Attended India Conference 130.68 Transportation 1,439.34 Hotel Fee EXPENSE - TOTAL: 5 7,916.4 - IA Name: DeRionne Pollard ftp. Ion-.1an nl? ?ames-min? and?" Windmill? 9w 'nwmuw . Janet Wormack a' - Nnme: ?teghen D. Cain Signature: Expense Keport Run uaie: Haul.) Report 3120 ,Run by: LYNETTE TELFORD Tm ?45 PM 61192013 69132013 AMERICAN TAP ROOM-ROCK $40.92 $40.92 Lunch wiAmy Crowley 8f24l2013 6f28I2013 RMA WORLDWIDE CHAFFEUR $130.88 $130.68 Transportation: Travel to airport; attending lndia Conference 6f26!2013 I 6l28l20?l3 Welcomgroup Hotel T857588 $1,489.34 $1,488.34 Purchase ID 0000000000000000000000000 Hotel Fee: Attended india Conference Memo-Posted Transactions Totals I CountStatus DatelTime User Name Business Unit Notes Unsubmitted 7mm 3 ?:46:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Incomplete 7X1f2013 8:02:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 1:1 7:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 7/11?2013 1:45:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Pending Approval W1 {2013 1:45:00 PM Janet Wannack MONTGOMERY COLLEGE PUR - -- Reimbursable Total $0.00 -- - Eta/699 VIM 2 r6 Print Cardholder Name Jammie/rue Print Approver Name (/Approver?Signkture 00 HE: Tilt" - Page 2 of 2 lelford, Lynette From: Britten, Ida Sent: Thursday, June 13, 2013 11:35 AM To: TeIfDrd, Lynette Subject: FW: PDIIard/India for her trip to India. This shDuId be charged to this account- e: This is Dr. PDIIard's receip da Fro Kim Averno [mailtozkima betrotterm mt.com] Serit: Thursday, June 13, 2013 11:31 AM To: Accounts Payable; Britten, Ida Subject: NO. 1333844 DATE: 13 JUN 13 SALES PERSON: 66 DUPLICATE DFIQVE PAGE: 01 M. '7 . :3 FOR: PAULETTE RDUND TRIP FARE 5879.00 OUT OF DULLES 211UN 13 - FRIDAY AIR UNITED AIRLINES FLT-.989 . LV WASHINGTON DULLES 520P EQP: BOEING 777 -. OSHR OOMIN 'SATURDAY AR FRANKFURT 720A ARRIVE: TERMINAL 1 REF: 1M DTDD CD AIR UNITED AIRLINES FLT18906 BY LUFTHANSA LV FRANKFURT 145P EDP: BOEING 747F800 IE DEP ART: TERMINAL 1 07HR 15mm 13 SUNDAY AR DELHI 1230A ARRIVE: TERMINAL 3 REF: IMDTQO. SEAT-106 26 JUN 13 WEDNESDAY AIR UNITED AIRLINES FLT183 LV DELHI 1050'? - EDP: BOEING 777 1 DEPART1TERMINAL3 15HR05M1N 27 JUN 13 - THURSDAY AR NEWARK 425A ARRIVE: TERMINAL (3 REF: SEAT-10D AIR UNITED AIRLINES UNITED ECONOMY OPERATED BY AIRLINES DBA UNITED EXPRESS LV NEWARK 600A EQP: EM BRAER 145 JET DEPART: TERMINAL A AR WASHINGTON DULLES 716A NON-STOP REF: UA-WSS42995 ON PAGE 2 SALES PERSON: 66 NO. 1333844 DATE: 13 JUN 13 DUPLICATE DFIQVE PAGE102 r; FOR: PAULETTE :13 L71. r" SERVICE FEE x00591154711 POLLARD DERIONNE PAU .17 BILLED TO VISA Sf; CID SERVICE FEE x00591154712 BILLED TO VISA 1815* 4f SUB TOTAL 5,897.75 NET cc BILLING 5,897.75* TOTAL AMOUNT DUE 0.00 - 146?? I Card Entry" Trans TYPE: Trans ?r?xevi 818008 Ruth (30 at 072976 1012 Check Tame: Servart we was? Subto?td 1 AG 92 22;; Dr. DeRjonne P. Pollard Cerporate Card Expenses June 17-30, 2013 (receipts attached[5/19/2013 15-10 liIIHqu? mufmu? id'Pllti?nmia mum-Lu 1 i vim [5/19/2013 - O?n?f'zm'j 11:45. -- mum 10M . . Hutu HRH 7:3ng It: Qum??r - u. Hum . Flw??lh' MLUD . A 391233 M1 w. w' $10111 rum?. 2'5 00 TOLIJI M- I'm - 135.00 we. 19511:: TOW mm Fa. $10.03 . . . -. . .ii'l'i 115nm?: alumna-1. PEEL igyisa?via ?Wk 5?9? For? 3?01? EEPEMEE (me - m?atm; 313.5. P?eabe aga'm HUGE hilly-2 QED..- m2.? I 16h 25.13:: 53533335; gm mu if?filijf?j in}: - th His EHEIL gnu. I. h?rtnn?maue?.siate.??eu mm; l. DEPI 51m ii I 51 IN DC 29335 TERHIHFIL Hui MEWS 33:3 t1: 9013mm LEI 3H.) Mans mumcgRRIH RUIH 53-1?. gum-km . c3 519k at EUSIUTER . India Conference Receipt {Ia visa in ia. um Washington Received: (16f19f3013 3:33pm EST Processed By: NS Nil [WIlil??l?i?lmil?i 15079257 Name: Pollard, DeRinIme Application 1 Passport Nationality: United States \?sa Type: Conference Visa Length: 3 Months Consular Fee: $103.00 Service Fee: $13.00 Totai Fees: $116.00 Pickup Date: Unavailable Pickup Time: 4:30pm - 6:00pm All fees are non-reihndable. Paid By: Visa - $116.00 Signature Print 13am: Date Telephone Number - - U-Lbu Lu ans?D citizens have a some cases may take by mail. zens and Naturalized US citizens: reference and all 0 two weeks, and whether applying in between 4:30pm and 6: citi zens who requi cessing schedule applies plications is Fora? US citi minimum pro longer. This'tim Pickup for in person ap lication ID: #i50?926?3=l< a -.'Travisa Outsourcing App ference V15 DC 20007 2013 2:20pm Jun 19, Reservation Date [Time: Wednesday Perso al Information Web File Number 0 Co eted USAW02827513 Visa Application 235, Form): .. [Service Type: Visa Conference Visa 7 Dayls) i; Name: DeRionne Pollard Shipping Information Shipping From Travisa Outsourcing Pickup in person at window - back to You . Additional Personal Information Date of Birth: Nov 08, 1970 a, 6/19/2013 Travisa Outsourcmg 2:20pm 6/19/2013 E?t?ton, Ida From: Sent To: Subject: INDIVIDUAL ACCOUNT 2012 CLIENTS ?28158 06/21/13 Fiat: Req By: IDA BRTTON WaitTtme: Phone: - Mins Stops oucher# E728158 Drop: 0989 UA Pickup: 1400 Dropoff: 14:50 Pas accounting/@rmaiimoeom Monday, June 24, 2013 4:23 PM Britton, Ida Ride Receipt tor Resentment/t 728158 RMA Chauffeurs-d Transportation 6010 EXECUTIVE BLVD. 101 ROCKVILLE, MD 20852 Phone: 301-231?6555 Fax: 301?231?9358 Email: 0: .RMALIMO.COM Ride Receipt Account# Invoke/t 3 inv Date 06/24/13 ret senger: POLLARD, DERIONNE SEDN $99.00 Chauf: 0454 Wait Chg: Phone: Stops: $0430 :33 STC: $11.88 -_rl Gratuity: $10.80 ?5 Discount: Deposit: 17'. . CD Ride Totai'. $130.68 Trip Amount Due: $0.00 A recommended tip of 2 is included. This tip is 3 object to your discretion or eliminated entirely. and may be increased, decreased Dr. DeRionne Pollard L: ti'rlexl an Are you c: member? Enroll new or quote your membership number to credit "Green Points" to your account INFORMATION PROFORMA INVOICE 900 Hungerford Drive Room Type - Executive Club Exclusive Double Non Suite 300 Room - MD 20350 Anival - 220014-13 23:59 Hours United States - Departure. - 26-JUN-13 Hours - 1 1? 0 US EMBASSY US Non Government Delegation PM . Room Rate INRHOUU Email Id Con?nnation lnvoiceii - 204711 Stay points credited to your card SPGM 43184589800 PAN #3 Luxury Tax Registration DVAT TIN 07350024966 CST Registration it LCJI9102496611051. Service Tax Registration Date Description Reference Debit Credits - . (Amount in 22-06113 Room Charge with lnel. BFF 11,000.00 22-06?13 Ltixury Tax Room 1,400.00 22-06-13 VAT 12.5% 68.75 22-06-13 Service Tax Room 815.76 230613 Food Pavilion Roomii 2406 03607143 1,868.50 23-06-13 Food - Room Service Roomii 2406 CH 0176552 1,838.00 23-06-13 Room Charge with lnel. 1 1,000.00 23-06?13 Luxuw Tax Room 1,400.00 23-06-13 VAT 12.5% 68.95 23?06-13 Service Tax - Room 815.75% 240613 Food Pavi1ion Roomii 2406 CH 0360968 1,902.60 1" 240643 Food - Bukhara Roomii 2406 0034393 1 1 09-6596 oi 24?06-13 Welcomgroup Contracted Blocl 13,284,511 25*0643 Welcomgroup Contracted Bloci 13,284,512 26?06?13 Food Pavilion Room# 2406 CH 0361242 c3 26-06-13 SPA Charges Roomii 2406 caeeror 9726 4,926.00 26?06?13 T-7 Up 1666'! 26?06?13 VAT 20% 33.33 Printed By MALIK #2 263179 Page i 013 Printed At 26 JUN-13 19:12 Hours You create a Positive Footprint when you stay with us. distinctions of'oeing water positive. carbon positive and solid waste recycling positive" ?gia inspiring Years Mom-m. New Delhi Collection hotel is independently owns Diplomatic Enciave, New Deihi 110 021,1ndia 1?21 +91 11 26112233 fnx+91 1126113333 Registered Office: ITC Limited= Virginia House. 37 1. L. Nehru Road, Kolkata 700 071,1ndia so ITC is [he otti)? in the world of its size. to achieve the three major global environmental and operated bleC Limited and operated under iirensefroin Sheraton Inc. - . INFORMATION PROFORMA Dr. DeRionne Pollard 900 Hungerford Drive Room Type EXecutive Club Exciusive Double Non Suite 300 Room - MD 20850 Arrival - 22-1UN-13 23:59 Hours United States Departure 26-IUN-13 Hours . Pa): - i 1' 0 US EMBASSY US Non Government Delegation I Room Rate ?000 Email Id - Con?rmation 1? Invoice it . 20471} Stay points credited to your card SPGM 43184589800 PAN ti Tax Registration it DVAT TIN Ft 07350024966 CST Registration i: LCJi?a?mirI?Join?lil?l. Service Tax Registration t?t Date Description Reference Debit Credits - {Amount in 226-0643 Service Tax - 8.24 2606-13 Up F1 166.6? 26-06-13 VAT- 20% i 33.33 26-0613 Service Tax - me 8.24 . 7: 1111101 L111 HtiURi?ti 26-06-13 [vi-Bingo Piam 8.89 2606-13 VAT 12.5% g. 1.11 2606-13 Service Tax - me 33? 0.44 26-06-13 M?DarkFantasy 931111: 3311111531 11111: 06725526111165 5 22-33 26_06_}3 BeLeht irate: 385663 2.78 I - ?IlBl 26, 13 19111112 Card: UISR 26-06-13 Servtce Tax SQLE 1.10 26-06-13 VISA Card 2? ?new. amok?: ocean: 78,423.49 DERIDHIIE Exp: tit-fili- code: 933938 iiliilt 311?1'?'illj6763 571' -3. h) 811; - 11312366113. 3.3 ESELEEI 1111 11111 i it 31112 mount 1 11130 1111111111 a .131 $11,423.19 1,372.52 0 .1l 111 11111 131111251111 571165 service is 6116?611 tag the - . I narcitatii's service pro-Jitter, 111th Fit I Printed By TSHAAN MALIL o: 263179 ?rm at We rm plus [m pt. rm?. 2 At. 26-IUN-13 19.12 Hours You create a Positive Footprint when you stay with us. Because ITC Perm?? I have 5 than? Dr Fm" BIJLIES he I?nree major globni environmental distinctions ofbcing water positive. carbon positive and soiid Waste re: ?law-I1?? NR and L9 Pay ?b?me 2: total amount according to card n; agreeieni. git Cardholder's signattu?t? grins: can: noun! 1111 4 3e. I 100 ospiring Yeors Dipiomatic Enclave, New Delhi 110 021, India 121+:11 1130113133 Jinx +51 11 2611 3333 Registered Office-1TH? Limited. Virginia House. 37 I. L. Nehru Road, Koikata 700 India Ion/"t mm: Tin-urn Platinum: itniei is fndeoemienriv ot-vned and operored by ITC Limited and operated under license-front Sheraton International Inc. INFORMATION PROFORMA INVOICE Dr. DeRionne Pollard 900 Hungerfmd Drive Room Type - Executive Club Exclusive Double Non Suite 300 Room Roelevtlle MD 20850 Arrival - 23:59 Hours United States Departure - . Hours - - I 0 US EMBASSY US Non Government Delegation Pax Room Rate INR ?000 Email id - Con?rmation/ lnvoiceitE - 204711 Stay points credited to your card SPGM 43184589800 PAN Luxury Tax Registration tormmomsr. TIN is 07350024965 CST it Service Tax Registration it Date Description Reference Debit Credits . (Amount in TNR) Total 78,423.49 78,423.49 Balance 0.00 INR Room Charges 44,000.00 Food Beverage 17,094.46 Other 4,350.00 Ta): 12,979.03 Billing Instructions Information - 1 agree' that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person, company or association fails to pay for any or the full amount of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for cepies of charges must be made within ?ve days of my departure. Dr. DeRionne Pollard Please validate your . .. - . . . number 5- iff- email id to ensure credit of w; points to your accountPrinted By MALIK it: 263179 Page} of3 Printed At: 363804?13 19:l2 Hours You create a Positive Footprint when you stay with us. Beeause ITC is the only Company in the world orits size. to achieve the three major global environmental distinctions orbeing water positive, carbon positive and solid waste recycling positive" Diplomatic-Enclave, New Delhi 110 021, India tel +91 11 26112233 fax+91 11 26113333 inspiring ?t?eors Registered Office: ITC Limited, Virginia House, 37 J. L. Nehru Road, Kolizata 700 071, India TTC Mamj'a, New Delhi a Luxury Collection hotel is independently owned and operated by Limited and operated under license?'am Sheraton International Inc. Page 1 Of 4 Mg??ank a. 7 Corporate Card POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT i LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 07731713 . .. Purchases Cash Advances Total Fees Credits Total Activity $543.60 $0.00 $0.00 $0.00 $543.88 Tran 7 Reference Number Transaction Description .7- Amount Date Date a} 35728 07101 63181700219453711 RMA 301-231?0555 MD a: 130.00 M00: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: ?715?! LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 [le :3 07722 07724 53.204349603597032 AGE 2022060400 DC E: w: 404.00 MCC: 3501 MERC NT ZIP: 20030 g2; LOCAL TAXINDI TO :0 5g: 7, I NAT. TAX INDI mg: 0 . 57' It? k. CARDHOLDER SIGNATURE 1' MNOR For Visa mna?is and referral services, ORE the Visa assisiance Cenier a1 1. Ben regarding: . . OX 4026? Buiiela, NY 14240-4028 Paymenis: PD. 0; 62120, MD 21254-2120 LosUSiOien: 465 MAIN 500, Bufieio. NY 14203 For customer service. nail to? free (300) 443-8571. Outside the US and Canada. cali (718) 535-4152. Visit us on lhe web at MEMO STATEMENT 424 4028 Account Number 0- Statement Date TotalACtiVity $54358 Remit to: BANK ROI BOX 52120 BALTIMORE MD 21254-2120 STATEMENT ONLYH DO NOT REMIT PAWENT DERFONNE POLLARD MONTGOMERY COLLEGE CRP ATTNZ JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850?1728 I - I: IMF: i Ell Bank . Page 3 0f 4 Corporate Card ERIDNNE ROLLARD ACCOUNT NUMBER CREDIT I AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 07:31/13 1 20030 37:23 07324 53205200590200st ARROW PARKING BALTIMORE MD ZIP: 21201 LOCAL TAX INDICIXTOR: NATCr.? SOEZIOL ?at! :ognwu?gs ?g ?If L. .- :zunmu?gs I Mfr? lumen-31$ 89'5129 1'5. 3'51 14 113 Eupsam duo?mom ?ugpund paseg aounuuoysd pepusnv gupped 00 6 Elm-Had MOI-IV svlooq 01 95008 0017017 3 HOV QDUQJQJ L103 egpul aLn BLIgmenB mute undue wag [gnarl 39 DU 3 worm 003 anOW?v? Ja um unoaa 35 SSENISHS do Noudmosaa V1 8 I HWVN BLVD luapsseid 40 33940 i?da? 119291 auuol?a? WHEN JaploupJeo ELOZ LE ENIGNEI 30:1 GENO EILWOCIHOO Report 3120 Expense Report Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report ID: Expense Report Name: POLLARD Current Status: Pending Approval Date: arr/2013 7:47:00 AM 0002127176 Current Recipient: Janet Wormack July 2013 Location: Run Date: amzma 7:47 AM MONTGOMERY COLLEGE PUR (NEW) (00004: [Summary information - .. Date Range: 7MI2013 7.3319013 Memo-Posted Transactions: $543.63 Description: Grand Total: $543.68 Destination: [Merrie-Posted-Tran'SactiOns: - Date Occurred Date Posted Merchant Original Amount SettiementAmount Description Allocation Split Amount 6?2812013 7i1!2013 RMA CHAFFEUR $130.68 $130.68 1 Transportation: travel from airport ailer attending the indie Conference 7(222013 7.324201 3 AGB $404.00 $404 .00 Purchase lD 9560859692 10 Books purchased 7f23l2013 7f24l2013 ARROW PARKING $9.00 $9.00 Purchase ID 69920026 Parking: attended Performance Based Funding Workgroup Meeting at MHEC. Baltimore. MD Mem o?Posted Transactions Totals Count:3 Ewe-nee Report History - . i Status Date?'ime User Name Business Unit Notes Unsubmitled Br'7f2013 7:36:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted emzm 3 7:47:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Pending Approval 7:47:00 AM Janet Wormack MONTGOMERY COLLEGE PUR lExpense Report Summanr Reimbursable Total $0.3er 333:3? 37.1.! i :93 'w ad 9% SEVERE Page 1 of 2 Repurt3120 EXpense Report Run Date: 30:2013 Run by: LYNETTE TELFORD ?me: Signatures ggbm?p; Print Cardholder Name in IL 4/01.? Print Approver Name L'L/Cardholdergigna re (higprover Signature?~ 55/6 [Date gag/a Date Page 2 of 2 Britten, Ida From: Sent: Friday. June 28, 2013 11:49 AM To: Britten. ida Subject: Ride Receipt for Reservatiomtt 728182 RMA Chauffeured Transportation 6010 EXECUTIVE BLVD. SUITE 101 ROCKVILLE, MD 20852 Phone: 3101-2316555 Fax: 301-231-9353 Email: Web: Ride Receipt INDIVIDUAL ACCOUNT - 2012 CLIENTS Account# . - Invoice# 8062813 inv Date 06/28/13 Date Description Charges Credits Res#: 728162 PU: IAD 3806 UA Dro 06/ 27/ 13 Pickup: 07:16 Dropoff: 08:32 Passenger: POLLARD, DERIONNE Fiat: SEDN $99.00 Req By: IDA Chauf: 0543 Wait Time: - . Wait Chg: Phone: - Mins Phone: Steps Stops: $0.00 Voucherit E728162 STC: $11.88 Gratuity: $19.80 Discount: Deposit: Ride Total: $130.68 Pa'd BY cred": carw Trip Amount Due: $0.00 A recommended tip of 20% is included. This tip is- subject to your discretion and may be increased, decreased, or eliminated entirely. ASSOCIATION OF GOVERNING BOARDS OF AND COLLEGES 1133 20TH ST. N.W.. SUITE 300 WASHINGTON. DC. 20036 203296-3400 FAX: 20212233053 a; 3 DeRionne Pollard Egg; DeRionneP Pollard . . . Montgomery College-Central Adminisggatchn Montgomery College?Central Administration :30 Hu??gegol?jpr Rm 300 900 Hungeriord Dr Rm 300 an?? Be "19' NET. Rockv?le, MD 20850-1728 311;; Mannakee Butidlng, r: Rockville, MD 20850-1728 AGE FED. ID 84?0502574 DeRionne Pollard Customer '03 Montgomery College?Central Administration invoice No: 10246350 900 Hungerlord Dr Rm 300 . invoice Date: 77222013 Mannakee Building, Order No: 11815000 MD 20850-1728 PO Number: Stock# Description Ordered Shipped Price Discount Total 8304 Risk Management: An Accountability Guide for 10 - 10 $49.00 $98.00 $392.00 University and College Board Order Subtotal: $392.00 UPS Ground Service Shipping Charges: $12.00 Tax: $0.00 Paid: $404.00 Total Amount Due: $0.00 Paid in full: Visa 3609 Thank you for your order. For questions concerning your order please call AGB Press at 800?356-6317. FOR USE ONLY: Please Remit Payment To: Amount Paid: Association of Governing Boards Date Received: 1133 20th Street, NW, Suite 300 Check Washington, DC 20036 Batch lD: . Dr.DeRbnneP.PoHard Corporate Card Expenses July 2013 PARKING (receipt attached) Arrow Parkinr 210 H. Baltimore Balltmore,\HD. 2120} Fee Comg.ler Number: Cashier: Exited: th: Area: Rate: Parking Fee: Tota: Fee: Visa Credit Card Numh r: Total Paid: ?ave a HJCU day! In #101 29187 07/23?2013 13:50 07/23??013 #1 Lot 1 Area 1 Arrow Baltimore i $.00 H.00 H.00 9.00 FEE Bank 8 IT Corporate Card DERIONNE ROLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 0503013 Pure hases Cash Advances Total Fees $735.34 $0.00 - - ?he-,6 seem?? a . Tran Post gDate Date Reference-Number Transactlon Description Credits - Totat Activity $0.00 $0.00 $735.34 Amount 0:2 .. 00007 00:00 5.3220200002000034 Sushi Demo Roskvilte MD 101.00 0100:0012 MERCHANT ZIP: 20050 00:09 0002 03222211000394140 PIERI 00000000 ROCKVILLE MD 0:031; "0 449.05 MERCHANT ZIP: 20052 ORDER NUMBER: 00000000000000000 543,2: LOCAL 25.47 LOCAL INDICATOR: 1 NAT. INDICATOR: 0 my?; 00I20 00I22 33233010000030000 51 MONROE PARKING ROCKVILLE MD 1:51:24 3.00 ?if, SARDHOLDER For customer service, call To write E: toll free (800} 44343671. Billing errors: P. . BOX 4023. Buffalo, NY 142404028 Outside the US and Canada, call Payments: PD. 2120. Baltlmore. MD 21264-2120 (7?16) 535-4152. LosUStolen: 455 MAIN STREET, SUITE 500. BulTalo, NY 14203 00k regarding: Visit us on the Web at MNGR For Visa 1101101110 and referratservices. sail the Visa assistance Center at (300) VISA-911. MEMO STATEMENT TBANK PD. 0): 4028 Account Number BUFFALO NY 14240-4028 Statement Date TotatACtiVi?W Remit to: BANK PO. BOX 62120 BALTIMORE MD 212642120 POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR MD 20850-1728 0000000000000 0881/13 $735.34 STATEMENT DO NOT REMIT PAYMENT Page 2 of 4 ?33 :3 Corporate Card . DERIONNE POLLARD ACCOUNT NUMBER W: AVAILABLE DAYS IN STATEMENT m? LIMIT CREDIT CYCLE DATE Em $10,000.00 $10,000.00 31 00/31/13 01682430 - 005799 0001 - 0002 - NOTICE OF BILLING RIGHTS This'notice contains important information about your rights under federal law. in this Notice, "you refers to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You wilt not be liable for any unauthorized use that occurs after you notify Bank oraily or in?writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffato, New York 14240?4028, Attention: Visa? investigations, or by telephoning 1?800?443?8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card will not exceed $50. Please be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use ciaim, and failure to pay in fuli by the due date may result in deiinquency charges oer your Agreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. 8. 7' Corporate Card I'ng a LI DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10.000.00 Reference Number_ Transaction Description 18,020 21321 I 3728 3.027 .3127 3/2 9 3729 08722 08:22 08.?27 08729 08(29 08730 08:30 63233000081239939 03233200095582999 93238001775523240 83.240838000071878 03240207099500283 63242207288700079 83242838000038875 M00: 7523 MERCHANT ZIP: 20350 LOCAL TAX INDICATOR: 0 NAT. TAX 0 UNITED, 0182923066188800-932~2732 TX M00: 3000 MERCHANT ZIP: TT002 NAME: POLLARD SRUA T10 KET 0162923065186 LEG: 1 ITINERARY II: 0340 FARE CODE: EDD DATE: 0471843 CARRIER: CO-Continenta! Airlines, Inc. . DESTINATION: San Francisc0. California, United Statesc?li?t'. Washington. United Stat FIRST WATCH #91 ROCKVILLE MD MCC: 5812 MERCHANT ZIP: 20850 ORDER NUMBER: 130821 094800 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 LA TASCA ROCKVILLE MD M00: 5812 MERCHANT ZIP: 20850 CORNER BAKERY GERMANTOWN MCC: 5812 MERCHANT ZIP: 20874 BRIO BETHESDA ROCKVILLE MD M00: 5812 MERCHANT ZIP: 20852 HARD TIMES ROCKVILLE MD M00: 5812 MERCHANT ZIP: 20850 CORNER BAKERY GAITHERSBURGMD MCC: 5812 MERCHANT ZIP: 20878 MD "3 227.49 21.08 56.93 17.85 32.15 30.93 14.48 TEE Corporate Card Page 4 of4 POLLARD ACCOUNT NUMBER . CREDIT AVAILABLE . DAYS IN STATEMENT LIMIT CYCLE DATE $10,000.00 $10,000.00 31 08/31/13 01582430 - 005789 - 0002 - 0002 - CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: August 31, 2013 Cardholder Name: DeRionne Pollard. . . '3 Ext: 75264 Dept Of?ce of the President PURCHASE . DESCRIPTION OF BUSINESS PURCHASE DATE MERCHANT NAME ITEM DESCRIPTION Budget Account Number RELATED PURPOSE AMOUNT 1 t' 0 ?1 8/7/20 l3 Sushi Dame . $101.80 Meal Lunm Mae ma ebbeii R1: LGBT Networking In) if Of?ce Supplies Purchased l. 3/9/2013 Pier 1 449.65 Office Supplies Meeting Vii/Congressman Van l-lollen, . RE: Grant. Attended HERDE, San Franci .00 CA . Pa.) ?new; Brealafa?t Meeting w/Trustee lKen Hoffman Lunch Meeting w/Trustee Ben Wu Breakfast Meeting wTrustee Mike Knapp Lunch Meeting w/Trustee Marsha Suggs Smith Breakfast Meeting w/Trustee Gloria Aparicio Blackwell Lunch Meeting w/Trustee Sasha Stone 3/20/20?1 3 51 Monroe Parking 3.00 Parking 8/20/2013 United 7.49 Meal 8/2i/20 i3 First Watch #91 21.06 Meal 8/26/2013 La Tasca 56.93 Meal 8/27/2018; Corner Bakery 8 17.85 Meal 8/27/2013 Brio Bethesda 32.15 - Meal 8/29/20] 3 Corner Bakery . 14.48 Meal 8/29/2013 Hard Times Cafe - 30.93 Meal EXPENSE 735.34 SignatureSignature 3th: .r ?4 j! 1 . ?rm! E'ni [my .111 I with.in 1- - . Name: SteghenD.Cain Signature: Run Date: 9!3t2013 Expense Report Report 3120 Run by: LYNETTE TELFORD ?me? 2?53 PM Header Note: Cardholder Name: POLLARD Current Status: Unsubmitted Date: sisrzors 1:22:00 PM Expense Report ID: 0002173982 Current Recipient: LYNETTE TELFORD Expense Report Name: August 2013 Location: MONTGOMERY COLLEGE PUR (NEW) (000045 $735.34 $735.34 Date Range: 8Hr?2013 - 8t3ti2013 Memo-Posted Transactions: Grand Total: Description: Destination: Memo?Posted Transactions: Date Occurred Date Posted Merchant . Description Allocation Amount Original Amount Split Amount $92013 Sust?lt Demo $101.80 010180 Lunch Meeting warica Webber, RE: LGBT Nervrorking $932013 63122013 PIER 1 00008086 . $449.65 $449.65 Purchase ID Of?ce Supplies 3120:2013 3:22:2013 51 MONROE PARKING $3.00 $3.00 up a ?g lef Purchase tD 68863000 Parking FeeiMeettng WICongressman Van Hollen, RE: Grant srzorzors semen :0162923066186 - $7.49 $7.49 ?#3961 111%;er Meat: Attended San Francisco, CA Passenger: Ticket: Travel Date: Travel Leg: OLLARD S-UA 0162923066186 4? 7!:2013 CO SFO $21.06. $21.06 3:22:2013 FIRST WATCH #91 Breakfast Meeting wfor. Ken Hoffman 8t26f20?l3 8t2?2013 LATASCA $56.93. $56.93 Lunch Meeting vrt't'rustee Ben Wu - Page 1 of 2 Report 3120 EXpense Report Run Date: 91312013 Run by: LYNETTE TELFORD ?me: 2:53 PM #712013 8112912013 CORNER BAKERY $17.85 $17.85 Breakfast Meeting warustee Mike Knapp 427(2013 8I2912013 BETHESDA $32.15 $32.15 Lunch Meeting wiTrustee Marsha Suggs Smith ?812912013 813012013 CORNER BAKERY $14.48 $14.48 Breakfast Meeting warustee Gloria Aparisio Blackwell 812912013 813032013 HARD TIMES $30.93 $30.93 1110 100000 6321 ?000 Lunch Meeting wITrustee Sasha StOne Mem o-Posted Transactions Totals Count:10 Expense Report History . Status DatelTime Usar Name Business Unit Notes Unsubmitted 91312013 12:55:00 PM LYNETTE TE LFORD MONTGOMERY COLLEGE PUR incomplete 91332013 1:20:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmi?ed 91312013 1:22:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR LExnense Report Summarv Reimbursable Total $0.00 Signatures no, 9119/ Print Cardholder Name WM Mm mas/? PrintApprover Name VApprover Signature m??mzwp ?ag/?3 6816 Page 2 012 Dr. DeRlonne P. Pollard Corporate Card Expenses August 2013 (receipts or 01.8 100 1.011 1v .1000 10 0000 Card llsa 9:12:25 PM SERVER: Roman 01 PARTY BIKE: Itea 00001: ll 1 $10.00 1 5.00 BQAPEERUIT 9.00 1 80080 $15.00 1 eetov 5.50 1 SHEET TEHRURA 5.50 801KYO CHILEAN $28.00 $80.00 11x 3 1 34.80 Total before tie: 4.80 110 amount: Growj total: SEEDIT CARD PURCHASE $84.00 Card Type: V1 a Treweaotlon . Ref Mum: 01t1 Code: 0:2101 03rd Entry Method 301090 038030: 8/7f2013 7:45:43 PHI Please enter your Ema1l or Cell No. for our d1seounts luarr you for your patronage, tie folloelno are ore-tax suggested gralJity amounts for your oonveolenee: 123 012.00. Total -02 .u .- 06.00 1200 1.100020 ?oched) HASH DCXRODKVILLE MD 1590 RDCKUILLE PIKE ROCKVILLE, MD 208521602 Telephone: {301) 23069028 Store: 0808 Reg; 03 Date: SALES TINGTING BUNDLE 2488370 1 15_og PLW BEADED SUNBU 2485204 1 8 27.96 PLW ULVT STRP 88 2607503 1 8 23,98 PLW EHBR FLORAL 2691890 1 8 34,95 8/ FLOWR 2589450 1 8 19.95 DIFF OIL ASIA 2450101 2 8 12.00 Alr Freshene 2545315 1 8 4.80 36k Air Freshene 2545315 1 8 4.80 DIFFUSER REED 10 2253381 1 8 2.00 DIFFUSER REED 10 2253381 1 8 2.00 Odor Eliminatln 2586393 1 8 2.80 DUO DADDY OCEANS 2498796 1 8 15.00 GLOBE 12 WEIRD 2553402 1 l? 95 RED 2427869 2 8 39.00 8061.- 5616:; - 1100,011- Total Visa Card No. Expiration Date ax.. Anth. No 34291 Tran: 9414 SALE 16.00 - SALE 27.96 SALE 23.96 34.95 19.95 SALE 24.00 SALE 4.80 SALE 4.80 .00 P.) 2.00 SALE 2.80 15.00 SALE 47 198.00 $424.18 em. a? j- I I DLIDemonneP.Pono Corporate Card Expenses - August 2013 (receipts attached) Server: Margaret 08f21/2013 Cashier: Host Table l607Xl 4 9:46 AM Guests: 2 #30009 Reprint Order Type: ORDER Seat 1 LTD Brulee 7.99 LTD SMEooler 2.99 Subtotal l0.98 Tax 0.66 Total lT.64 Seat 2 Via Veneto 8.89 No Beverage 0.00 Subtotal 8.89 Tax 0.63 Total 9.42 Complete Subtotal l9.87 Subtotal l9.87 Tax 1,19 Total 2lt06 21.06 VISA Auth1011788 Tip: Total: 141 ulDbS St MD 20790 801?279?701l I Server: Linda DUB: 93:39 Da_ 08/26/2t" able 29" I 3l45729 are two: magnetic oard 'resent: Yes Approval: l061:? Amount: 48.93 lib; CustomEr Cop Pleaee Keep [MuDeRmnneP.Pone Corporate Card Expenses August 2013 (receipts attached) GQESZO 93?tllf ??gl4 CARD Brio Tuscan Grille . 0 20 Paeeo Dr. Dme Ill ll al MD 20852 Ph: (240) 22THZEQT 8/27/2013 8:33:30 All Date: Order 8 Card Type: Visa Acct Corner kaet Combo 4.89 Card Entry: SHIPED Power Panrnl Thin Sausage Trans Type; PURCHASE Side Fruit Hadley Trans Key: 1 Hot Sm 2'79 Auth Code: 065016 805* Milk - 0-39 Cheek: 744 Cafe Bottledl?later TBET Tame: 55/} waalla Orange 2.29 Se 8 . 1 Corner kast Combo 4.89 rv r' 7 7 err18k POHBF Paninl Thin SBUSBQB Subtota]: 15 Combo Datmeal bl 1 1884 Grammy: #?W'Mv?f a Tax 1'31 Total: . 22" :5 Signature: Home Tell us how we?re doing. Visit or call within T2 hau.a and you could win our drawing. Total I 17.85 llsa Approval:098037 Corner Bakery Corporate Office 1 (BOD) .Jf Dr. DeRionne P. Poilard Corporate Card Expen Gamihorobur (som??xoaa We 1n ii '13 823\:13 NH Ordor Ba hxer' 1 Eorner kaot Combo 4.69 Power Panini Thin Sausage Combo Uatmea\ 1 Bt\ 1 f9 Bott\od Mater 99 Berry h1mond 99159 A 99 1nd. Swoot Eriop 1 Foffee Hd? 1.99 SuoTota\ 13.69 Tax 9.82 ?9119 ses a August 2013 receipts Otto ched) C10 1 1 Server: 9 gal?) Reg; 12:51, Smy?Ji-E" Harm: 99) EME- N?a? NELSUH ST L319 32% ~9?ffi? HEM-W CARD WPE RESUME NLMBER xxwmosmto Home {am-4E PM ARK) 00 TRANSM A ?mm L. $39 1 GEEABE Reference: 9999910099911 TYPE: Credit Bar 9 ?b - =93 ilk-{ECK UT AL PHONEES Bank Corporate Card Pagei or 0 1 POLLARD 44?? 1660 4758 3609 CREDIT LIMIT $1 0, 000.00 ACCOUNT NUMBER AVAILABLE DAYS IN BILLING CREDIT CYCLE 30 $10,000.00 STATEMENT DATE 09/30f13 Purchases Cash Advances . 3 $3,192.09 50.00 $0.00 Reference Number IT :3 - is: - . Total Fees Credits $0.00 Transaction Description Total Activity $3,192.09 Date Date 3930 OQIO2 23243200099200253 SILVER DINER ROCKVILLE MD 27.75 MCC: 5512 MERCHANT ZIP: 20552 39103 09105 Sushi Demo Rockviile MD 46.50 9100:5512 MERCHANT ZIP: 20550 5 3304 09:05 33245207255700094 COLONIAL PARKING #771 ROCKVILLE MD 100 M00: ?(523 MERCHANT ZIP: 20550 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATQR: 0 SIGNATURE DATE {gr} 3; MNGFII- For cusjemsr service? call Mo wr?e B: 1: regarding: Biliing errors: P.O. 4028, Bu?eic. NY 14240-4028 Payments: P.O. BOX 62120. Baltimore, MD 21264-2120 465 MAIN STREET. SUITE 500. Bu?alc, NY 14203 Toll free (800) 443-85?1. Outside the US and Canada, calf (7'16) 635-4152. TBANK P.O. BOX 4028 BUFFALO NY 14240?4020 Visit us on the web at mm.mth.ccm Remit to: 8: BANK PD. BOX 62120 BALTIMORE MD 2126452120 DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850?1108 0000000000000 For bene?is and Ieierral services, cal [he Visa assistance Center at (800) VISAST 1. - MEMO STATEMENT Account Number Statement Date Totai Activity 9 If 3:33 .?gqr?rUiI-E {1777: grams? STATEMENT 447? 1550 47'58 3509 09/3011 3 $3,192.09 @9599sz l' . 3 130 51-23.? Page 2 of 6 52%? Corporate Card. i DERIONNE POLLARD ACCOUNT NUMBER . m" AVAILABLE DAYS IN BILLING STATEMENT LIMIT - CREDIT CYCLE DATE 8 $10l000.00 $10,000.00 30 m? 3 NOTICE OF BILLING RIGHTS This notice contains Important Information about your rights under federal iaw in this Notice, "you" refers to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liabie for any unauthorized use that occurs after you notify Bank oraiiy or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffaio, New York 14240-4028, Attention: Visa? Investigations, or by telephoning 1?800?443~8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card will not exceed $50. Please be advised that full payment of all outstanding balances remainsdue, even while we investigate your unauthorized use claim, and failure to pay in full by the due date may result in delinquency charges per your Agreement with us. We wiil credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. Bank Corporate Card DERIQNNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE I DAYS IN BILLING - LIMIT CREDIT CYCLE $10,000.00 $10,000.00 30 Page ?3 010? STATEMENT DATE Reference Number Transaction Description Amount 1'9!ng 9309 3311 1?12 5' 03:11 09M 1 09i11 09.113 03:13 09MB 33252004064512486 63253000453345038 63253000454259394 63253000454259402 GAYLORD NATIONAL OXON HILL MD M00: 3505 MERCHANT ZIP: 20?45 NUMBER OF NIGHTS: 3 NO SHOW: 0 PURCHASE IDENTIFIER: 6010001200001 UNITED 0162379506??6800-932-2732 TX M00: 3000 MERCHANT ZIP: T7002 NAME: POLLARDJDERIONNEPDR TICKET II: 01623?9506??0 LEG: 1 ITINERARY 111:0282 FARE CODE: WE143Q DATE: 09.60113 CARRIER: UA-United AIrIines. Inc. DESTINATION: SeaTaC (near and Tacoma), Washin ORIGINATION: Washington. DC. I ngnia. United Stat LEG: 2 FARE CODE: WEI-430 DATE: 09f30l13 CARRIER: Airlines, Inc. DESTINATION: Washington, DC. I Virginia, United Stat ORIGINATION: SeaTac (near SeaItIe and Tacoma), Washin UNITED 0162924033822800-932-2732 TX M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARD TICKET I31: 0302924033022 LEG: I ITINERARY 0250 FARE CODE: EDD DATE: 10I04f13 GARRIER: UA-United Airlines, Inc. DESTINATION: Washingion, DC. 1' Virginia United Stat ORIGINATION: SeaTac (near Seattle and Tacoma), Washin UNITED 0182924533623800-932-2732TX M00: 3000 MERCHANT NAME: TICKET II: 0162924633623 LEG: I ITINERARY II: 0282 FARE CODE: EDD DATE: 0900;13. . 121125;; CARRIER: I: r'v' . DESTINATION: SeaTa'orIn'ear Washin 9325500073? 4?3837 23255262550231 000 ORIGINATION: Washington, 0.0. I VITgInia Didi:ch fiat . J3 SPICE XING ROQKVILLE M00: 5812 MERCHANT ZIP: 20350 MOO DOT 82751 OPS GSILVER SPRINGMD NICC: T523 MERCHANT ZIP: 20910 RELAYIIMQBZ MISSISSAUGA ON 0100:5499 151.20 613.80 92.00 107.00 53.40 3.00 3:68 . . Page 4 of 6 FE Bank Corporate Card DERIONNE POLLARD I ACCOUNT NUMBER 3 I CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 30 09/30/13 01632730 - 009343 - 0002 - 0003 - 'm .m I'm T: Tran Post Date Date Transaction Description Amount Reference Number ORIG AMOUNT: 8.86 CONV RATE: 1.020737 09715 09717 03258920172208604 HEIRLOOM TORONTO AMF ON 156.55 M00: 5814 ORIG AMOUNT: 159.34 CONV RATE: 09710 09:13 03200700219450270 RMAWORLDWIDE CHAFFEUR 3012310555 MD 221.70 ORDER NUMBER: Res#:748352 LOCAL TAX INDICATOR: 2 INDICATOR: 0 09721 09723 13204401008229401 RELAY #4954 MISSISSAUGA ON 2.77 MCC: 5499 ORIG AMOUNT: 2.01 CONV RATE: 1.014440 .r 09719 09723 73263132638888399 XI AN JIAN GUO 247.54 M00: 5970 MERCHANT ZIP: 71000 ORIG AMOUNT: 1,500.00 CONV RATE: 0.059020 39721 09723 03265206000055823 CATHAY HOUSE COMMERCIAL CBEIJING 100.70 M00: 5411 . MERCHANT ZIP: 10082 09723 09725 63267700219456836 RMA WORLDWIDE CHAFFEUR 301-231?6555 MD 179.58 MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: Res#:748363 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 739724 09726 63288000911673552 UNITED 0162381167012800-932-2732 TX 997.80 MCC: 3000 MERCHANT ZIP: 77002 JON TICKET 0162381467012 LEG: I ITINERARY 0357 FARE CODE: UA7QN DATE: 10702713 CARRIER: UA-United AIrIInes, Inc. - DESTINATION: SeaTac (near Seattle and Tacoma), Washin ORIGINATION: Washington, DC 7 Virginia, United Stat LEG: 2 FARE CODE: UA7QN I DATE: 10702713 CARRIER: UA?United AiriinesI Inc. - 1 DESTINATION: Washington. D.C.7V1rginia, United Sta . ORIGINATION: SeaTac (near Seattle and Tacoma), Washin 39724 09728 63268000912333578 UNITED 0182925843489800?932?2732 TX 92.00 MCC: 3000 MERCHANT ZIP: 77002 NAME: JONES TICKET 0162925843459 I (TQBU a? Bank Corporate Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 30 09f30/13 . 3. ?32353?ng MP . .e Tran Post Reference Number Transaction Description 0 Amount I Date Date . LEG: 1 ITINERARY 035? FARE CODE: EDD I DATE: 10f02?fi3 CARRIER: UA?United Alrilnes, Inc. 1 DESTINATION: SeaTao (near Seattle and Tacoma), Washin ORIGINATION: WashingtonI D.C. Nirginia. United Stat 39124 09126 60268000912333506 UNITED 0162925843470800-932-2732TX 79.00 MCC: 3000 MERCHANT ZIP: 77002 NAME: JONES TICKET 0162925043470 LEG: 1 ITINERARY #z 0250 FARE CODE: EDD DATE: 1010413 CARRIER: UA-United Airlines, Inc. DESTINATION: Washington. 0.0. Virginia, United Stat ORIGINATION: SeaTac (near Seattie and Tacoma), Washin 3994 09,?26 43268570306228123 PABC BALTIMORE MD 4.00 MCC: 7523 MERCHANT ZIP: 21201 Page 6 0f 6 ?g Corporate Card PCLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT i CREDIT . CYCLE DATE $10,000.00 $10,000.00 30 09/302113 1!thWIanw A - CORPORATE CARD EXPENSE REPORT September 31. 2013 FOR PERIOD ENDING: Cardholder Name: DeRiohnePollard PURCHASE DATE MERCHANT NAME rat. PURCHASE AMOUNT ITEM DESCRIPTION iExt 75264 Budget Account Number 5 Dept: Office of the President. DESCRIPTION OF BUSINESS RELATED PURPOSE 8/30/20 3 Silver Diner $27.75 Meal 9/3r2013? Sushi Demo 33 46.50 Meal 9/4i?20l3 Colonial Parking #7?71 7.00 Parking Fee: Breakfast Meeting wfl'rustee Felton Lunch Meeting w/Trustee Levine Attending China Mission Cultural Orientation Meeting 9f9/?20l3 Gaylord National 3 l51.20 Hotel EXpense Repayment for one nights stay. Check #71 1 attached. 9/9/20l3 Un itecl 613.80 Airfare Attending and ACCT Leadership Congress, Seattle, WA 9K9r?20l3 United 35 92.00 A i rfare Additional charges for bulkhead Premium Seat; attending and ACCT Leadership Congress, Seattle.WA 9/9/20l3 United 107.00 Airfare Additional charges for economy Plus Seat; Attending HERDI and ACCT Leadership Congress. Seattle.WA 9N l/20l3 Spice Xing 53.48 Meal Lunch Meeting w/Jeffrey Slavin; RE: Generation Home Gala. 9112f20l3 MCG DOT 3275i Parking Ops 3.00 Parking Fee Attended Montgomery Moving Forward Symposium The Suburbanizaiton of Poverty. No receipt issued. 9/]5/20l3 Relay #4932 8.68 Meal WISKEOIB Heirloom 156.55 eal 93l5f2013 RMA Worldwide Cha?l?feur 221.76 Transportation Visit to China w/Sister City Delegation Visit to China w/Sister City Delegation To BWI airport. Visit to China w/SisterCity Delegation. 9/l9f2013 Xi An Jian Guo 247.54 Meal Repayment for meal :visit to China wr'SisterCity Delegation. Check 1 attached. 9121:9013 Cathay House Commercial 3 100.70 Meal Repayment for meal :visit to China w/SisterCity Delegation. Check #7?1 1 attached. gal/2013 Remy #4954 I 2.77 Meal Returning from China w/Sister City Delegation 9/23/2013 RMA worldw?de 179.56 Chaffeur From returning from China w/Sister City Delegation Attended State Capital Budget Hearings, 9/24/2013 PABCMultI?Space 4-00 ParkingFee Baitimore,MD 9f24f2013 United 997.80 Airfare Robyn Jones traVeI to Seattle, WA United 92.00 Airfare 9/243201 3 United 3 79.00 Airfare Economy Plus Seat for Robyn Jones Bulkhead Premium Seat for Robyn Jones EXPENSE - TOTA L: Name: DeRionne Poiiard .- MI-uq" 'mu'T. ?attention I :l b] mm m. 3.440339 - retrain" '1 rt"? 1 in wax; Run Date: 1 0!9l?2013 Report 3120 Run by: LYNETTE TELFORD . ?m5: ?53 PM Header Note: Cardholder Name: DERIONNE POLLARD Current Status: Pending Approval Date: 10f9f20?l3 1:53:00 PM Expense ID: 000223439? Current Recipient: I Janet Wormack Expense Report Name: September 2013 Location: MONTGOMERY COLLEGE PUR (N EW) (00004! Summary information Date Range: 9f1f20?l3 9330.32013 Memo-Posted Transactions: $3,192.09 Description: Grand Total: $3,192.09 Destinatiom Memo-Posted Transactions: - I Date Occurred Date Posted Merchant Original Amount SettlementAmount Description Allocation Split Amount 9!2r2013 SILVER DINER $273.75 $27.75 Meal: Breakfast Meeting wffrustee Felton. 9!3!2013 9l5i?2013 Rnshi Damo $48.50 $46.50 Meal: Lunch Meeting wfrrustee Levine. $049013 9!5i2013 COLONIAL PARKING #7?1 $77.00 $7.00 Purchasa ID 28070009 Parking: Attending China Mission Cultural Orientation Meeting. Ql0f2013 9i10!2013 GAYLORD FID $151.20 $151.20 Purchase ID 6010001200001 Repayment for additional nights stay. Check #711 attached: Check?in: Check~0ut: Number of Days: Room Rate: 9039013 . 3 $0.00 90902013 9!11f2013 UNITED 01623?9506776 $613.80 $613.80 Airfare: Attending and ACCT Leadership Congress, Seatlte. WA Passenger: ?cket: Travetpaf?ei Travel Leg: 0182370506776 . . j; eragigojajg; :59 Rampart SEASEA J-I i! h? 9i9f2013 9!11!2013 UNITED 0162924833822 $92.00 L: Lagging]; Page ?i of 3 . Report 3120 Expense Report Run Date: 10l9l2013 Run by: LYNETTE TELFORD ?me: 1:53 PM Airfare: Additional charges for bulkhead PremiumSeat; Attending and ACCT Leadership Congress, Seattle, WA. Passenger: Ticket: Travel Date: Travel Leg: POLLARD 0162924633622 1074l2013 SEA UA 9l9l2013 9l?l?ll2013 UNITED 0162924633623 $107.00 $107.00 Airfare: Additional charges for economy Plus Seat; Attending and ACCT Leadership Congress, Seattle, WA. Passenger: Ticket: Travel Da te: Travel Leg: POLLARD 0162924633623 9l30l2013 UA SEA 9l1112013 9713:2013 SPICE XENG $53.48 $53.48 Meal: Lunch Meeting wl Jeffrey Slavin; RE: Generation HOpe Gala. 9l?l2/2013 9lt372013 MCG DOT 82751 OPS $3.00 $3.00 Parking: Attended Montgomery Moving Forward Symposium ll: The Suburbanization of Poverty. No receipt i55ued._ 9715:2013 9l16l20t3 RELAY ll 4982 $6.86 $8.68 Meal: Visit to China wlSister City Delegation. 9l15l2013 9l17l2013 $159.34 $156.55 Meal: to China wlSister City Delegation. 9l16l2013 9l16l2013 RMA CHAFFEUR $221.76 $221.76 Purchase JD 0000743352 Transportation: To BWI to China wlSister City Delegation. 9l19l2013 922372013 Xl AN GUO I $247.54 Repayment for meal: Wait to China wlSister City Delegation. Check ll 711 attached. 9l21'l2013 9l23let3 HOUSE COMMERCIAL 6100.70 $100.70 Repayment for meal: Returning from China wlSister City Delegation. Check it 711 attached. 9l2tr'2013 9l23l2013 $21341: he} $2.77 ?tr. fun-?Ll: Meal: Retuming fr0m China wlSister City Delegation. - 6'2" US 0 I L- I 9l23l2013 9l25lei3 RMA WORLDWIDE CHAFFEUR $179.56 $179.56 Page 2 of 3 Expense Report Run Date: 10192013 Report 3120 Run by: LYNETTE TELFORD ?me: ?53 PM Purchase iD 0000748363 Transportation: From BWixeturning from China wlSister City Deiegation. 912472013 972612013 PABC $4.00 $4.00 Parking: Attended State Capital Budget Hearings, Baltimore, MD. 912472013 972672013 UNITED 0162381167012 $997.80 $997.80 Airfare: Robyn Jones; travel to Sealtie, WA. Passenger: Ticket: Tra vet Date: Travel Leg: 0162381167012 107212013 UA SEA SEA UA IAD 972412013 972612013 UNITED 0162925843469 $92.00 $92.00- Airfare: Robyn Jones; additional charges for Economy Pius Seat. Passenger: Ticket: Travel Date: Trave.f Leg: JONES 0162925843469 101272013 JAD UA SEA 972472013 972612013 UNITED 0162925843470 $79.00 $79.00 Airfare: Robyn Jones; additional Charges for Bulkhead Premium Seat. Passenger: - ?cket: Trave! Date: Travel Leg: JONES JECONOMY 0162925843470 107472013 SEA UA Memo-Posted Transactions Totats Count:20 [Ekpense Report History Status DatetTime User Name Business Unit Notes 101212013 12:40:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE Incomplete 107272013 12:51:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 101312013 8:49:00 AM LYNE1TE TELFORD MONTGOMERY COLLEGE PUR Submitted 101912013 1:53:00 PM TELFORD MONTGOMERY COLLEGE Pending Approvai 101912013 1:53:00 PM Janet Wormack MONTGOMERY COLLEGE PUR [Expense Report Summarv Reimbursable Total $0.00 Signatures I 1 I 20/67/54 Print Cardholder Name (Weft mf?? Dai?e I . I . 35761/ Qty/m2 F'n'ntApprover Name Signature .- Da{e I I .1 I. with ?his! Page 3 013 eTicket Itinerary and Receipt Page 1 of 3 Confirmation: A STAR MEMBER coma; UNETED Issue Date: September 09, 2013 Traveler eTicket Number Seats 0162379506776 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrivai City and Time Aircraft Meal - Mon, 30SEP13 UA282 WASHINGTON, DC WA (IAD - DULLES) 8:34 AM (SEA) 11:20 AM Fri, 04OCT13 UA250 SEATTLE, WA WASHINGTON, DC A-320 Purchase (SEA) 12:45 PM (IAD DULLES) 8:43 PM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 550.70USD VISA U.S. Federal Transportation Tax: 41.30 Last Four Digits 3609 U.S. Flight Segment Tax: 7.80 September 11th Security Fee: 5.00 U.S. Passenger Charge: 9.00 Per Person Total: 613.80USD eTicket Total: 613.80USD The airfare you paid on this itinerary totals: 550.70 USD The taxes, fees, and surcharges paid total: 63.10 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Mon., Sep. 9, 2013/Visa 3609 was charged 107.00 USD for the following: Economy Plus Seat/ Charges: EDD 01629246336233 Mon., Sep. 9, 2013/Visa 3609 was charged 92.00 USD for the following: Bulkhead Premium Seat/ EDD 01629246336222 Mon., Sep. 30, 2013/Visa 1876 was charged 50.00 USD for the following: Onetime pass/Valid at paid Club Only/Club Rep Oniy/ EDD 01629263021805 Baggage allowance and charges for this itinerary. Baggage fees are per traveler Origin and destination for checked baggage 1? bag 2?d bag Max wt dim per piece 9/30/2013 Washington, DC (IAD Duiles) to Seattie, WA 0.00 0.00 70.01bs (32.0kg) - 62.0in (SEA) USD USD (157.0cm) 10/4/2013 Seattle, WA (SEA) to Washington, DC (IAD - 0.00 0.00 70.0]bs (32.0kg) 62.0]n Dulles) USD USD (157.0cm) Baggage check-in must occur with United or United Express, and you must have valid MileagePius Premier? Gold membership at time of check-in to qualify for waiver of service charges for up to three checked bags (within Speci?ed size and weight limits). Additional Baggage Information Carry~on baggage information United accepts one carrywon item of no more than 45 linear inches or 114 iinearcentimeters in the aircraft cabin, along with one personal item (such as a shoulder or laptop bag). C13: 1: Due to regulations, operating carriers may have different carry-on Ea: operating carrier for more information or go to united.Com. .- 7 General Baggage Information . ,3 i First and second bag service charges do not apply to active-duty members of the U.S. military and accompanying dependents. For additional information regarding baggage charges - allowances, weight/size restrictions, exceptions or embargoes, or charges for overweight, oversized, excess, odd? sized baggage, special items . or sporting equipment, visit united.comfbaggage. eTicket Reminders . . - -..I i ?tli:?ilr2 .. 10/3/20 13 .e'l'ieltet itinerary and Receipt Page 3 of3 a Notice?Overbooking of Flights - Airline ?ights may be overbooked, and there is a slight chance that a seat wili not be available on a ?ight for which a person has a con?rmed reservation. If the flight is overbooked, no one will be denied a seat until airline personnel ?rst ask for volunteers willing to give up their reservation in exchange for compensation of the airline?s choosing. If there are not enough volunteers, the airline will deny boarding to other persons in accordance with its particular boarding priority. With few exceptions, Including failure to comply with the carrier's check?in deadline which are available upon request from the air carrier, persons denied boarding involuntarily are entitled to compensation. ihe complete rules for the payment of compensation and each airline's boarding priorities are available at all airport ticket counters and boarding locations. Some airlines do not apply these consumer protections to travel from some foreign countries, although other consumer protections may be available. Check with your airline or your travel agent. a Personal Health For important health tips before your ?ight, including information on a serious condition called Deep Vein Thrombosis, please go to united.com. Thank you for choosing United Airlines united.com Legal Notices._ Privacy Policy Copyright 2013 United Airilnes, Inc. All rights reserved. Please do not reply to this message using the "reply" address. For assistance, please contact United Airiines via telephone or via e-mail. .t htto ://xmanv.united. com/web/en?US/aoos/reservatio hit] 5 a. .. 1 0/3/201 3 e?l?icket Itinerary and Receipt Page 1 of 3 Con?rmation: A STAR ALLIANCE MEMBER umrao Check-In Issue Date: September 24, 2013 Traveler eTicket Number Seats 0162381167012 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Wed, 020CT13 UA3S7 WASHINGTON, DC SEATTLE, WA A-320 Purchase (IAD - DULLES) 12:30 PM (SEA) 3:16 PM Fri, 04OCT13 UA250 SEATTLE, WA WASHINGTON, DC Purchase (SEA) 12:45 PM (IAD - DULLES) 8:43 PM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 907.90USD VISA US Federal Transportation Tax: 6810 Last Four Digits 3609 US. Flight Segment Tax: 7.80 September 11th Security Fee: 5.00 US. Passenger Facility Charge: 9.00 Per Person Total: 997.80USD eTicket Total: The airfare you paid on this itinerary totals: 907.90 USD The taxes, fees, and surcharges paid total: 89.90 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Tue., Sep. 24, 2013/Vlsa 3609 was charged 79.00 USD for the following: Economy Pius Seat/ Charges: EDD 01629258434705 Tue., Sep. 24, 2013/Visa 3609 was charged 92.00 USD for the following: Bulkhead Premium Seat/ EDD 01629258434694 Wed., Oct. 2, 2013/Vlsa 6625 was charged 25.00 USD for the following: First Checked Bag EDD 01626069512034 Additional Baggage Information Carry-on baggage information United accepts one carry-on item of no more than 45 linear inches or 114 linear centimeters In the aircra?; cabin, along with one personal item (such as a shoulder or laptop bag). Due to FAA regulations, operating carriers may have different carry-on requirements. Please check with the operating carrier for more information or go to united.com. General Baggage Information First and second bag service charges do not apply to active-duty members of-the US. military and their accompanying dependents. For additional information regarding baggage charges allowances, weight/size restrictions, exceptions or embargoes, or charges for overweight, oversized, excess, odd? sized baggage, special items or sporting equipment, visit united.com ba eTicket Reminders .- . :1 Mn? 5 Check?in Requirement Bags must be checked and boarding passes obtained at scheduled departure. Baggage will not be accepted and advance seat assignments may be cancelled condition is not met. departing from Anchorage, Atlanta, Chicago, Cincinnati, Cleveland, Denver, Honolulu ,1 a, Houston, Indianapolis, Jacksonville, Kahulul,-Kona, Las Vegas, Los Angeles, Maul, 7 lab i; ii}; Miami, Newark, Orange County (SNA), Orlando, Philadelphia, Phoenix, Reno, San Francisco, San Juan,?PR, St. Louis, Seattle, Tampa or Washington, DC (both IAD and DCA), the check In requirement time for Passengers and Bags is 45 minutes. a Boarding Requirement - Passengers must be prepared to board at the departure gate with their boarding pass at least 15 minutes prior to scheduled departure eTicket Itineralji and Receipt Page .3 of 3 Thank you for choosing United Airlines united.com Legal Notices. Privacy Policy Copyright 2013 United Airlines, Inc. All rights reserved. Please do not reply to this message using the "reply" address. For assistance, please contact United Airlines via telephone or via e-mail. .. 1 08/2013 Britten, Ida From: Sent: To: Subject: accounting@rmaiimo.com Monday, September 16, 2013 12:46 PM Britten, ida Ride Receipt for Reservation# 748352 RMA Chauffeured Transportation 11565 OLD GEORGETOWN RD ROCKVILLE, MD 20852 Phone: 301-231-6555 Fax: 301 ~231?9358 Emaii: Web: --Ride Receipt INDIVIDUAL ACCOUNT 2012 CLIENTS Account# Invoice# . CC8091613 Inv Date 09/16/13 Date Description Charges Credits Res#: 748352 09/15/13 Drop: BWI 7927 AC Pickup: 02:00 Dropoff: 03:36 Passenger: POLLARD, DERIONNE Fiat: SEDN $133.00 Req By: DeRionne Pollard Chauf: 0553 Wait Time: 35 minutes at $60.00/hour Wait Cng: $35.00 Phone: - Mins Phone: Stops Stops: $0.00 Voucherat? E748352 STC: $20.16 Gratuity: $33.60 Discount: Deposit: Ride Total: $221.76 Find By credit Trip Amount Due: $0.00 A recommended tip-of inoitided. tip subjeet to wyou; . or eliminated entirely. and may be increased, decreased, Britten, Ida From: Sent To: Subject: twalsh@rmalimo.com Monday, September 23, 2013 3:39 PM Britlon: lda . Ride Receipt for ReservatiomilE 748363 RMA Chadffeured Transportation 11565 OLD GEORGETOWN RD - ROCKVILLE, MD 20352 Phone: 301?231-6555 Fax: 301?231?9358 Email: Web: Ride Receipt INDIVIDUAL ACCOUNT 2012 CLIENTS Account# Involce# . 13 .v Inv Date 09/23/13. Date Description Charges Credits Res#: 748363 PU: BWI 7936 AC 09/21/13 Pickup: 22:28 ropoff: 23:58 Passenger: POLLARD, DERIONNE Flat: . SEDN $133.00 Req By: DeRionne Pollard Chauf: 0545 Wait Time: - Wait Chg: Phone: - Mins Phone: Stops Stops: Voucherii E748363 Parking: $4.00 ST C: $15.96 Gratuity: $26.60 Discount: Deposit: Ride Total: $179.56 Pa'd BY credlt card Trip Amount Due: $0.00 0600000000 A recommended tip of 2 0% is mended- ihis 6360a 0300 adage?a or eliminated entirely,- may be increased, decreased, - Dr. DeRionne P.P011ard Corporate Card Expenses September 2013 (receipts attached) Rookvil 12276 Roekti11L uate: Aug3t?13 0 AM Card Type: Visa/M.L Acct Card y' auto}? Trans Trans '01251 Auth Etn- - 0; Tot 1.: .1/1 Server; 108 Seggie summah Sighature P1ease 381 ct amount be1om according my card issuer agreement. Customer Copy 47113.73": h?-f - . ?In ?13-?5?8 ?1 Je?L'fwf? If. u. L. . a. .23R .1010) mwu .uehidam0.oom '81. 301.340.8010 11 10111111119051.1? 9.1111 0120118110 115.0 1:33:37 PM 6000 1 Pile BIKE: 1 Iten ?ount: m? "Hi?.50 1 .0qu31; 1510010 0.000 0.00 3 PUTAFO 1EHPURA RULL 1.00 '1 0-1200) 01-10001. Rou. 08.00 I. 13.1399 0.01305 $30 .50 110 amount: ?tomj tota1: Ewtna 0000 PUREHASE $30.50 211) mpe: . ?XX/xx 31013001100 1900: Rat Hum: BEER- Bede: 000410 Rarj Entry Method Smjped -- 030130: 9/3/2013 12:30:20 PM Please enter your E0011 or Ce11 No. for our d1se0unts 1101( 300 for your patronage, [we fol1ow1ng are ore?tax suggested amounts for your oonventenoe: Tota1 $44.28 1i: EEK-29.) 10161 46.20 ll Dr. DeRionne P. PoHard - Corporate Card Expenses September 2013 {receipts attached HELCBHE TD HUEHUILLE TDHH snunRE PLEHSE KEEP THIS TICKET HITH Entered: 09:93 Dur:h:13:22 Paid Dn: 1h:62 Paid:$ 7-00 Original Fee:$ Changez$ ?.00 UISH 50:3 0.00 UISH Seq: 951913 Fuhg?ase 13/?9/Hh 1h:??:59 I nuthtt usul??fh SPICE XING IOU-B Gibbs St ROCKVILLE MD. 20850 Server: 003: 09/11/2013 01 41 PM 09/11/2013 Table 13/1 4/40010 VISA 4194322 Magnetic card present: Yes Approva]: 038387 Amount: 45,48 T10: 10131: Dr. De?Rionne P. Pollard Corporate Card Expenses September 2013 (receipts attached) [f?yqfijrr Sent: Sunday, November 10, 2013 8:44 PM To: The President Subject: Your Refund Request 1 November 10, 2013 PASSENGER: 015 2924 533 623 REQUEST Dear Derionnepdr Pollard: Thank you for contacting Customer Refund Services regarding the above referenced ticket. are pleased to inform you that your request has been approved. A refund was processed in the following manner: Amount: $107.00 Form of Payment: Vl..ending in Date: 10/01/2013 Thank you for choosing United Airlines. We appreciate your business. Sincerely, Customer RefuncfSerw'ces FAX: 713-324?1431 Britten, Ida - From: United Airlines, Inc. Sent: Thursday, December 05, 2013 4:02 PM To: The President Subject: eTicket Itinerary and Receipt for Confirmation MKZEIX Con?rmation: MKZE1X ?as unateegig A STAR ALLIANCE MEMBER Issue Date: October 07, 2013 . Traveler eTicket Number Seats 0162382649482 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Thu, 17OCT13 UA3884 WASHINGTON, DC PITTSBURGH, PA (IAD - DULLES) 9:52 PM (PIT) 10:56 PM Sun, 200CT13 UA4883 PITTSBURGH, PA WASHINGTON, DC (PIT) 6:05 AM (IAD DULLES) 7:19 AM INFORMATION Form of Payment:_ Fare Breakdown 316.28USD VISA Airfare: US. Federal Transportation Tax: 23.72 Last Four Digits U.S. Flight Segment Tax: 7.80 September 11th Security Fee: 5.00 US. Passenger Facility Charge: 9.00 Per Person Total: eTicket Total: - if g; l. f: The airfare you paid on this itinerary totals: 316.28 USD The taxes, fees, and surcharges paid total: 45.52 USD Additional charges may apply for changes in addition to any fare rules listed. Fare Rules: Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. . y? . Additional Mon., Oct. 7, 2013/Vlsa 3609 was charge 00.00 USD or the following: ange Penalty Fe? Charges: 01629268725840 Additional Baggage Information Carry?on baggage information . - United accepts one carryvon item of no more than 45 linear inches or 114 linear centimeters one personal item (such as a shoulder or laptop bag). Due to FAA regulations, operating carriers may have different carry?on requirements. Please check with the Operating carrier for more information or go to united.com. General Baggage Information ?rst and second bag seNice charges do not apply to active?duty members of the US. military and their accompanying dependents. For additional information regarding baggage charges allowances, weight/size restrictions, exceptions or embargoes, or charges for overweight, overSIZed, excess, odd?sized baggage, special items in the aircraft cabin, along with 1 ADVICE T0 INTERNATIONAL PASSENGERS 0N CARRIER LIABILITY a Passengers on a 3'0 ultimate destination or stop in a country other than as the Montreal Convention, entire journey, including any of carriage embodied in applicable tariffs, governs a to passengers, and for destruction or loss of, or Notice~0verbooking of Flights available on a flight for seat until airline personnel ?rst ask for volunteers its particular boarding priority. With few exceptions, are available upon request from the air carrier, pers complete rules for the payment of compensation counters and boarding locations. Some airlines do countries, 3- Personal Health - For important health tips before Vein Thrombosis, please go to united.com. or its predecessor, the Warsaw Convention, portion thereof within a country. damage to, baggage, Airline flights may be overbooked, and there is and each airline?s although other consumer protections may urney involving an the country of departure are advised that international treaties known including nd may limit the liability of the which a person has a con?rmed reservation. If the flight is their reservation in exchange airline?s choosing. If there are not enough volunteers, the airline will deny boarding to other persons including failure to comply Wit ons denied boarding involuntarily are entitled to comp boarding priorities are available at all airport ticket these consumer protections to travel from some foreign be available. Check with your airline or your travel agent. your flight, including information illing to give up ot apply Thank you for choosing United Airlines Lea otla. united .com a Poll _g_LlL_c__5 Copyright 6 United Airlines, Inc. All dghis reserved. Please do not reply to this message using the reply address. For assistance, please con tact United Airlines via telephone or via For such passengers, and for delay of passengers a slight chance that a seat will not be its amendments, the treaty, may apply to the including special contracts Carrier in respect of death of or injury overbooked, no one will and baggage. be denied a for compensation of the in accordance with the carrier?s check-in deadline which ensation. The a serious condition called Deep Dr. DeRionne P. Pollard Corporate Card Expenses October 2013 (receipts attached) MEALS STARBUCKS SHUTTLE . UULL E53 TIRNRT TOT-1M: AIRPORT Faber. NQWEB #20015 FHA 02.11193 Int'T Terminal Dulles, Va is?? . - - 055000;: WIT-R 20.7 02. ?1050:1120 2.29 198 i3 05 000.0 0.03m 502 a . a . . .9 3:33;; 3.19 33 00311338 ROASTED SALTH) 002 . . . - 004013 3-99 Reg BMW 3?93 mm 000:: NUTS SEA 001.1 1.402 Reg 9FCUP 4.40 010501117 10.47 3 :3 3.09 . . - c- 12.991 Subtota 1 8 a 35 STE-UM 10mm mm: Paid .. 5 05550150100 mm @431 8 I 5 maximum . TOR (YB KEVIN 00 .eom mom; #1 16.51 1?03?572vd??10 0900?12; 05:36:53 I ITEHS ?If Fiat:th the Ti?aveters Day Better 09433.13 {5:36:01 20:15 02 1661 Store Code 5040002 Cir-35:? Find Us On Faeebook 33". 37: I Dr. DeRionne P. Pollard Corporate Card Expenses October 2013 (receipts attached) WALS Thank you for dining with P.F. Chang?s China Biatrog #90 Pine St. Suite 136 Seattleg MA 9810i DUB: 09/30f2013 99/3352013 5;5?044 Server: Juan 02:2? PM 312Jf2 SALE Visa Card Magnetic card preaent: DERIDNNE Bard Entry Method: 5 817131 Amount: 1 agree to pay the auova total amount.according card isauer agreement, . Dr. DeRionne P. Pollard Corporate Card Expenses October 2013 (receipts attached) LAIEKXIJS - ~r 29? 22995. Eggf 99 Server: .1 REL. ll. ii {Cl-,2 2141?} ?it-1 'lfeliut drum {amp moving [h (Hm! I 801 SEATILE. H9 9915; Saie u. BARB IYPE - V139 Aawk.'5* Name: Vb iiVU I 99 1R999f 2 lolal 1H.ui Wan Hum Referez'nte hm- TRAHS CVPI. Pag?rl {11.12.51 ?l 1 8.55] I lam?- [3l4li[jl{ {?'i93 .iar} 1 1J3 li}ii?999 . '5 li? 2088246800 Ext $3 Free WiFi w/Purchase PHONE: I .rkiink 5943 Dot04?13 Get 0 HiLi 19? ant AMOUNT Pnauuini a- :iEE'faxii:Hu 1 HDT TURKEY 1 CHICK PANINI 9.95 1 BUITLE 9999 2 9 1 99 FUUNTN 2.50 1 CHIPS 1 2 a a Visa 25.49 . . I Inna 23.28 Dr. DeRionne P. Pollard Corporate Card Expenses October 2013 (receipts attached) IVDEIXIJS gap/t r~ Chef Geoff?s Recky111e 12256 Reeky1118 Pike Reeky111e, MD 20852 [240) 621?3090 . Date: -. 0et21'13 Card Type: Visa heat 1: 5 Card Entry} SWTPED Trans Type: PURCHASE euth Code: 027647 48 Check: 141/1 Server: 3059 Quentin eubtotah 50 . 67 Tip: {1 .TotaT: Sigleture I agree to pay above tota1 according to my card issuer agreement Merchant Copy Burden Biersch Brewery 21111 E. Hidd?te Lane. Unit Hecky?e, 14111 20550 301151104159 Sewer: Jesen DUE: mm 21113 sevezpe 'gfebxe 35I1 :1 111511 62913613,, Hz} ,tara uxxeh. 533;? I ?nene?tic cern present: Cd - Eerd Entry Hethud: ?ppreua?n: 0111911 :35; I: II 11 Regent: 1? 5 39.11 I agree to pay the ab tnte1 aeuunt accurdine Dr. DeRionne P. Pollard Corporate Card Expenses - October 2013 (receipts attached) Dulles Int?l Airport 00010 Saaninen Dulles, VA 20105 Customer Service Number: (703) STEHASBO Shift/Seq. lit Entry lane 15: 00:55 am Payment lane 18: 10/00/13 00:11 pm PURCHASE Amount: $51. 00 Card: $51.00 Approved Vlsa EXplratlon: Authorization: 030189 LPA: 7588 Sequence: l? - "Exit Before 10/05/13 10:25 am Or Additional Charges Nay 'Apply' Thank You And Nice Day PARKING Expressparc Receipt . Li} TRAN INTME OUTTIME FEE cc# COLONIAL PARKING lb? 3100 AVE WASHINGTON, DC 20006 10000013 14:30:51 ID: 00000000284590 Teimlnal ID: 04226852 025045117884 CARD 03A SALE CARD A INVOICE 0000 Batch 00009} Aoproval Code: 015726 Entry Nelhod'. Swiptd Node: Onllne bin-ant: $0.00 510E AMOUNT $17.03- CUSTOMER COPY 12:34 l0f23 14155 $5.00 3803 '1 I Britten, Ida From: Sent To: .SubjectLila-m: ?m seattleres@kimptonhotels.com Tuesday, September 24, 2013 1:58 PM The President Reservation Confirmation: (MODIFICATION) Confirmation: CIS3GZE Monaco Seattle, 3 Kimpton? Hotel - - ?x -. . ~12, A .- I 2 ?1513}- 1* excited about Relax? Everything?s taken care of. rolls smoothly Thanks for your reservation at Monaco Seattle a your arrival as you are. Until then, we?ll be right here during your stay. See you soon! ton? Hotel. We're as aking sure everything Your Confirmation Number: CISBGZE YOUR SCHEDULE Your Arrival Date: Monday, September 30, 2013 Friday, October 04, 2013 Your Departure Date: Adults/ Children: 2 I 0 . Rooms: YOUR INFORMATION Guest Name: DeRionne Pollard Email: Loyalty Level: Not a member? MTE INFORMATION Monaco Seattle, a Kimpton? Hotel Hotel name: Rage 1 of 1 Hotel Monaco Seattie 1101 Fourth Avenue Seattlo?WA 98101 P: 208.521.1730 F: R: 800.?155513 Wmonaooseattlacom A HOTEL PRE DeRionne Room Number: Daily Rate: 309.00 Room Type: MCST 900 Hungerford' Drive Rockviile, 20850 US No. of Guests: 2 I I - CATEGORY Eon/30m 10/04/13 . RL3 IRMS EATQEV DESCRIPTION '1 REFERENCE omens 712 VISA VISA (52.23736) 10:94:31.3 712 VISA VISA CREDIT $2287.76 {53 TOTAL DUE: $0.00 ts aoommon - PTONahotels rosA?ouron .Britton, lda From: T.Cieveland@HERDl [herdi@comcast.net1 Sent: Wednesday, October 30, 2013 8:51 AM To: Azusa Johnson; Pollard. DeRionne Cc: Nick Sowle Subject: Re: Hotel Monaco Seattle Wa Final have paid for two of your nights stay at the room rate. 1 want to make sure you received that credit of $440.96 back to the credit card you used to book you stay in Seattle. See note below from Azusa Johnson. Thanks! 1 Toni Phone (804) 516-6970 From: "Azusa Johnson" To: ?Nick Sowle" "T.Cleyeland@HERDl? Sent: Friday, October 25, 2013 5:44:57 PM Subject: RE: Hotel Monaco Seattle Wa Final Hi Toni, Please see the attached Rev Folios. $1436.80 charge has been removed. please see the attached page 10. $189.00+ Tax: $220.48 X2 nights: 440.96 Pollard Derionne?s stay We also credit back to yourAX $995.84 7 Which is . I I, Thank you so much. Azusa Johnson Accounting Clerk Hotel Monaco Seattle Wa1206.516.5002 From: Herdi [mailto: . - - . Sent: Friday, October 25, 2013 12:12 PM To: Nick Sowle Cc: Azusa Johnson . I. (.3: Subject: Re: Hotel Monaco Seattle Wa Final - I 'v .243. Did you ever gets chance to get - things straight regarding the Pollard charges following the emails sent -- Toni ?if?H" Toni Cleveland - Yes $3328.80 is AV charges. 7 I -. From: T.Cleveiand@HERDI Sent: Tuesday, October 22]r 2013 11:28 AM To: Azusa Johnson Cc: Nick Sowle Subject: Re: Hotel Monaco Seattle Wa Final Azusa: have two questions. It is my understanding that Derionne Pollard pre paid for her room and yet you have also charged me $1 ,43680. i am only willing and only the amount for our rate. She had requested a suite and would be responsible for the difference and the nights of the 2nd and 3rd. The second question is regarding-Audre Levy. She should be responsible for the night of Oct 2. However my notes indicate she was checking out on the second? - lwiil try to call you or Nick on both of these. Thanks, Toni Toni Cleveland President, 28 Cobblestone Circle #4 Richmond, Virginia 23238 Phone (804) 516-6970 Fax (804) 708-0126 A Division of Alliances L.L.C From: "Azusa Johnson? To: Cc: "Nick Sowle? Sent: Tuesday, October 22, 2013 10:36:45 AM 7 ii; as: Subject: RE: Hotel Monaco Seattle Wa Final r217 r3? Good morning, 3517?? c3? Please see the Revised Folio. - . $32.00 Has been removed from the master account. I am very sorry for the confusioni Credit back to American express) Thank you. Azusa Johnson I Accounting Clerk Hotel Monaco Seatle Wa 1 20551550021 .- EXPRESS CHECKOUT - Montgomery County Family us tice Center Foundation 2013 Bene?t Receipt for Dr. DeRionne Pollard Bidder 166 Purchases: Pkg.# Package Name Qty. Value Sale Price 35 Large Sterling Silver Pendant 1 $90.00 $40.00 66 Small Dooney ?5 Bourke 1 $200.00 $50.00 301 Appeal 100 1 $0.00 $100.00 Value: $290.00 GRAND TOTAL: $190.00 Payments: Date Payment Type Check/Card Ref Amount 10/15/13 Auctionpay Credit VISA ?a $190.00 Total Payments: $190.00 Total Due: $0.00 The amount of any contribution that is tax deductible is limited to the excess of any money war the value of goods or services provided. Any auction item values listed above are estimations by the donor and do not necessarily re?ect the fair market value of the item at the time of sale. All gifts over $75 per ticket used are tax deductible to the full extent of the law. Ta}: 94-3 444962 r? it '33? .35: {Risk 1??ch c? 31;; .h Montgomery County Family Justice Center Foundation - . :3 MM Bank T1195 I A Corporate Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN STATEMENT. LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 30 11/30/13 Purchases $239. 42 Cash Advances 0000 Credits Total Activity $0.00 $239.42 Total Fees $0.00 Transaction Description $21: 32:: Reference Number I 11/12 1013 63316000412510198 LEVENGER CATALOGELWEB BOO-54543242 FL 218.40 . 21.02 1022 93325900001397451 ISLAND PRIDE ROCKVILLE MD M00: 5812 MERCHANT ZIP: 20850 {2:7 Cf mun. SIGNATURE DATE 3 Mme CF, I e? For customeg service. call To wn?le E. enk regarding: E?fFor weer bene?ts and toll free (800) 443-86?1. BlIling entire: 0. BOX 4028, BUITEIO, NY 14240-4028 cu!? referralleervicee, call Outside the US and Canada, calf Payments: P.O. OX 62120, BaIIimDre, MD 21254-2120 the we? asstsiance (HG) 5354152. Lost/Stolen: 465 IKIN STREET, SUITE 500I Bu?an, NY 14203 .2017; Cenl?'r'ag (30.3) \nsAgH. f' It? VISIT US on the web at mm.mlb.con1 MEMO STATEMENT Eg??za Account Number BUFFALO NY 14240-4028 Statement Date $239.42 Remit to: 31 BANK P.O. BOX 52120 BALTIMORE MD 21264-2120 ACIIVIW STATEMENT DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 0000000000000 CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: November 30, 2013 3 Dept; Of?ce ofthe President Ext: 75264 Budget Account Number - RELATED PURPOSE Cardholder Name: D?eRionne Pollard PURCHASE ITEM DESCRIPTION MERCHANT NAME AMOUNT Elfl3f2013 Levengercatalog?g? 213.40 Web Meal 1 ?2232013 Island Pride 3 21.02 PURCHASE DATE Purchase 01" of?ce supply. Of?ce Supply Meeting w! r. Walker-Gri I'Tea Halt,? luv I I ii. .f 51mg" i?i?lr? EXPENSE I: Date: a4 5&4" I . an?. . [7 d?huf" -n".lI a r. R?onne?PolIaerl Sign?fuTc: Tim? .. (M - Signature: . I .. and. Name: Janet ?Wormack .SignaturePub Name: ?tcgh on D. gain. Expense Report Run Date: 121212013 Report 3120 I Run by: LYNETTE TELFORD ?me: 1020 AM Header Note: Cardholder Name: Current Status: PendinQCApproval Date: 1222013 1:229:90;er 0002354897 November 2013 Expense Report ID: Expense Report Name: Current Recipient: Janet ?Wormack ("(233 . Location: MONTGOMERY COLLEGE PUR (NEW) (00004: O'?mmary Information I Date Range: 11f1f2013 - 11f301?2013 Memo?Posted Transactions: 3239.42 Description: Grand Total: $239.42 Destination: I Memo?Posted Transactions: 1 Date Occurred Date Posted Merchant Original Amount SettlementAmount Description Allocation Split Amount 11f12f2013 111?1 31'2013 LEVENGER $218.40 $218.40 Purchase ID W27780040000 Of?ce Supply 11f202'2013 11122.32013 ISLAND PRIDE $21.02 $21.02 Meal: Meeting err. Walker-Gaffes Memo-Posted Transactions Totals Count12 Ekpense Report History Status Date?'lme User Name Business Unit Notes Unsubmitted 12.3212013 10:14:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR I Submitted 12122013 10:20:00 AM LYNETTE TELFORO MONTGOMERY COLLEGE PUR Pending Approval 121?2!201 3 10:20:00 AM Janet Womack MONTGOMERY COLLEGE PUR I Eipense Report Slummarv Reimbursable Total $0.00 Sfi?lnatu res (as, Pn?nt Cardholder Name Cardholder Signs 3 re D?at r? a Jamil? LLJOJ ma?k . 41M 937/wa l' PrintApproverName (/?Approver Signature ate Orders: soo-s44-osso . Fax:800-544-6910 Service: 800-545-0242 - international: 561-276-4141 Fax: 561-311-0253 Levenger.com Click OUR STORES on Levenger.corn For retail locations. ACCOUNT ORDER 3 OLD TO SHIP TO II Shipping charges on partial shipments and back orders are prorated so that you pay no addi?o?al shipping. We ship back orders as soon as they?re ava?able, and charge credit card orders only when the merchandise ships. WHSE. Loc QTY. ITEM DESCRIPTION PRICE EACH TOTAL PRICE 31103111005 1 AL7830 BK NM Road Scho1ar - Black 7920 79.20 [313038005 1 AL12415 Bomber Jacket work P1ay 1Pad F0110 119.20 119.20 11/10/13 308A000N3HBBI2A 11/12/13 0001703015 Net product 193.40 20.00 Tote] Shipment 218.40 Amt Charged to V1 218.40 Sea important sales tax on back BDX: Levenger Returns Dc 5265 Hickory Hill Rd Suite 104 Memphis, TN 38141 FROM: TO: Dr. DeRionne P. Pollard Corporate Card Expense November 2013 (receipt attached) 13'!Nb PRIDE DR ND 20850 301-315-2563 Herchant ID: Term ID: 1511 Sale VISH Entrr Method: Swiped Unline Batch?: 968809 11/28/13 14:93:24 98888828 anr code: 932495 Rmount: i Tip: Total: 21,9? Mail? Bank DERIONNE POLLARD Page 1 Of 4 Corporate Card ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 121?31/13 Purchases Cash Advances Totai Fees $135.29 $0.00 I $0.00 Credits Total Activity 50.00 5135.29 .-.- I. aim?eses?m - - I - panama. Tran IP05: Reference Number Transaction Description Amount Date Date 12:04 1305 33339105009464910 COSI #153 ROCKVILLE MD 28.14 MCC: 58M MERCHANT ZIP: 20850 1205 12:06 2334020778?300708 LAZ PARKING 0?0204 WASHINGTON DC 31100 MCC: Y523 MERCHANT ZIP: 22003? LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 000000000 233451?3452911563 MCG DOT PARKING OPS COB GROCKVILLE MD 1.00:: I as: . ml I 33'; I a" SIGNATURE For customer service, call TO write 8: Bank regarding: DATE j? 34' 2? 7 For Visa bene?is and icli free (800) 443-86?1. Billing error PD: BOX4D2BI Buffalo, NY 14240-4028 referral services, c?aE Outside the US and CanadaI call Payments: 0. BOX 62120, Baltimore, MD 21264-2120 the V153 assistance (T16) 635?4152. 85 MAIN STREET, SUITE 500, Bufialo. NY 14203 Center Wail us on lhe Web at 8. TBANK PO. BOX 4028 BUFFALO NY 14240-4028 Remit in: 8: BANK P.O. BOX 52120 BALTIMORE MD 21254-2120 MEMO STATEMENT Account Number Statement Date - 12/31/13 Total Activity $135.29 STATEMENT DO NOT REMIT PAYMENT DERIONNE POLLARE) . Huannsses MONTGOMERY COLLEGE CRP (NE ATTN: PATRICK JOHNSON 900 HUNGERFORD OR ROCKVILLE MD 20850-1728 - Page 2 of 4 Mg?? Bank Corporate Card - DERIONNE POLLARD . ACCOUNT NUMBER CREDIT AVAILABLE . DAYS IN BILLING - STATEMENT .. CREDIT CYCLE DATE $10,000.00 $10,000.00 31 1231/13 01633650 005325 0001 - 0002 - NOTICE OF BILLING RIGHTS This notice contains important information about your rights under federai law. In this Notice, "you" refers to Ciient as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be llabte for any unauthorized use of any Card issued by us for use wath any Visa? Account we open for you. You will not be iiabie for any unauthorized use that occurs after you notify Bank orally or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by telephoning 1-800?443-8671. Except as provided in Section 26 ofthe Agreement, your for unauthorized use of the Card will not exceed $50. Please be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in fuil by the due date may result in delinquency charges per your Agreement with us. We will credit any payments made upOn conclusion of our investigation of the unauthorized use claim, to the extent ofthe proper amount due back to you. MIng Bank DERIONNE POLLARD 7" Corporate Card ACCOU NT NU MBER Page 3 014 CREDIT AVAILABLE DAYS 1N BILLING STATEMENT CREDIT CYCLE DATE $101000.00 $10,000.00 31 12/31/13 32:: Reference Number Transaction Description Amount M00: ?523 MERCHANT ZIP: 20050 12112 12113 MCG DOT PARKING OPS COB GROCKVILLE MD 3.50 MCC: 7523 MERCHANT ZIP: 20050 12112 12113 03347207000000000 A01A TASTE 301?730?0720 MD 23.40 MCC: 5012 MERCHANT ZIP: 20050 2:10 12/17 03350000041142350 000-333-0530 co 10.00 MCC: 5000 MERCHANT ZIP: 00027 52110 12:23 733'54200090201204 SILVER D1NER ROCKVILLE MD 32.25 MCC: 5012 MERCHANT ZIP: 20052 [El Corporate Card Page 4 of 4 POLLARD ACCOUNT NUMBER . M. AVAILABLE DAYS IN STATEMENT i LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 12mm JAN 8 .Ixr-r-thr: I \lS-w qtnarm Le" Ju: 01 553650 - 005825 - 0002 - 0002 rage: I u: Mg? Bank 8 7' Corporate Card . I COLLEGE CRP (. 1 NUMBER CREDIT DAYS IN STATEMENT LIMIT - CYCLE DATE $75,000.00 $68,533,264: :31 12/31/13 -. . I .x - ZONSOLIDATED RAVEL TACCOUNT NUMBER PURCHASES CASH ADVANCES FEES CREDITS TOTAL ACTIVITY $2,853.00 $0.00 $0.00 $489.80 32.36320 I E2: Reference Number Transaction Description I Amount LEG: 2 FARE CODE: OLNUPN DATE: 02105114 WN-Souihwest Airiines Co. DESTINATION: between Baitimore, Maryland and Washingi ORIGINATION: Tampa, Florida, United Staies TERIONNE LLARD ACCOUNT NUMBER . a PURCHASES CASH ADVANCES FEES CREDITS TOTAL ACTIVITY $135.29 $0.00 $0.00 $0.00 $135.29 Reference Number Transaction Description Amount 2104 12105 33339105009464910 ROCKVILLE MD 28.14 0100:5814 MERCHANT ZIP: 20850 .105 12105 23340207?87300?08 LAZ PARKING 070204 WASHINGTON DC . 31.00 MCC: 7523 MERCHANT ZIP: 2003? LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 DEST. POSTCODE: 000000000 3.111 121'12 233451T3452911583 MCG DOT PARKING OPS COB GROCKVILLE MD 1.00 MCC: T523 MERCHANT ZIP: 20850 312 12/13 23346173463?84644 MCG DOT PARKING OPS COB GROCKVILLE MD 3.50 MCC: T523 MERCHANT ZIP: 20850 121'13 8334T207000000098 ASIA TASTE 301-738-9728 MD 23.40 MCC: 5812 - MERCHANT ZIP: 20850 316 53350000841142T50 MAGAZTNE 800-333-8535 00 18.00 MCC: 5958 MERCHANT ZIP: 8002? 1?19 12/23 73354203099201254 SILVER DINER ROCKVILLE MD 32.25 MCC: 5812 MERCHANT ZIP: 20852 M011 CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: December 31 2013 PURCHASE DATE Cardholder Name: DeRionna Pollard ERCHANT NAME PURCHASE AMOUNT DESCRIPTION Ext: 7?5254 DESCRIPTION OF RELATED PURPOSE 121412013 Ccsi #1153 3 26.14 Meal Working iilnch meeting waanel Wormack, Senior Vice President for Administrative and Fiscal Services. 121512013 Laz Parking 0710204 31.00 Parking Fee 5-146 w?i?m' i" I 1211112013 MCG DOT Parking Ops COB 1.00 Parking Fee Attended CE Budget Meeting. 12112312013 Asia TasLe 23.40 Meal Working lunch meeting wa'Susan Madden. Chief" Government Relation: Of?cer 1211212013 MCG DOT Parking Ops COB (3 3.50 Parking Fee Meeting wiCouneilmeInbers. Council Offices. 1211612013 Nation Magazine 1 8.00 Magazine Purchase Magazine Purchase 1211912013 Silver Diner 32.25 Meal Lunch meeting waevin Sexton. EXPENSE $135.29 ii Ial 41?: Expense Report Run Date: 11732014 Report 3120 Run by: LYNETTE TELFORD ?53 PM Header Note: Cardholder Name: DERIONNE POLLARD Current Status: Unsubmitted . Date: 11712014 12:43:00 PM Expense Report ID: 0002430179 Current Recipient: LYNETTE TELFORD Expense Report Name: December 2013 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! Sommary information Date Range: 12f1i2013 - 12fS1i2013 . Memo-Posted Transactions: $135.29 Description: Grand Total: $135.29 Destination: Memo-Posted Transactions: - Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Ailocation SpiitAmouni 1214(2013 12512013 (3081 a #153 $26.14 $26.14 Meal: working lunch meeting wiJanet Wonnack. Senior Vice President forAdrninistrative and Fiscai Services 121612013 LAZ 0?0204 $31.00 $31.00 Purchase ID . 0000000079 Ir Parking Fee: TEDX Bethesda Women Meeting m: 121112013 121121201 3 MCG DOT OPS 008 $1.00 $1.00 Parking Fee: Attended CE CIP Budget Meeting 1211232013 12131302013 ASIA TASTE $23.40 $23.40 Purchase ID $0000009301?389?28 Meal: working lunch meeting wlSusan Madden. Chief Government Relations Of?cer 121212013 131312013 MCGDOT PARKING OPS COB $3.50 $3.50 Parking Fee: Meeting wiCounciimembers, Council Of?ces 1211612013 12,11702013 TNC MAGAZINE $18.00 $18.00 PurchaseJD 01371350132 Magazine purchase Page?iofzg Report 3120 Run by: TELFORD 1319:2013 1212312013 SILVER DINER Run Date: 1m2014 Time: 1:55 PM Expense Report $32.25 $32.25 Meal: lunch meeting wiKevin Sexton Memo-Posted Transactions Totals Countz? [Expense Report History I Status Date?'ime User Name Business Unit Notes Unsubmitted 1!?!2014 12:43:00 PM LYNETTE TELFORO MONTGOMERY COLLEGE PUR IEX?pense Report Summary Reimbursable Tote! I $0.00 Signatures . 3 tw'? Print Cardhetder Name rlCardhoIder SignatureI Da?te I 2 e?mm" Mom-d4 QM Jug/n Print Approver Name MApprover Signature Date ?1 .f c: 3.: lutt Page 2 of 2 Dr. DeRionne P. Poliard Corporate Card Expenses December 2013 201 0 Washington #290 Rockv111e, MD 20850 (301) 251-1408 Server: F1913 DOB: 12/04/2013 11340 0% 12/04/2013 4/40031 SALE VISA 4194330 Card Magnetic card present: POLLARD DERIUNNE Card Entry Method: 8 Approva1i 010702 Amount: 26.14 Tip: 10ta1: I agree to pay the tota1 amount according to the card issuer agreement. MERCHANT COPY WASHINUI UL 1305/2013 19:11:15 Marchant 10: 00000000150008 TenntelID: 0221978? 498021528886 CREDIT CARD VISA SALE CARD 11 . INVOICE 0019 Batch #1 003303 hmmUVaICode: 035201 Entry Melted: Embed homered: 0mm .Tax 151110011: $0.00 5110111110011 $31.00 cusromm com nil: hm UPS 01011-1011 3" Martina] 23: JEFFEHSUH Sf r?a. 20350 n?L?l ?gl- I o'er Ill: 0L110b4tt10u?k11?2 1'4! Sale mammaaxt 11311 Entrt? 1130104: 3011380: 10131: 1.03 12/11/13? 15:55:29 [rm 1: 00154 0.00? feds: 039180 ?m??im?m Costume. Cop? W11 THSTE 1519f FREDERICK R001 HD 20850 3 {1158138 HID: 000000002847941 TIUI 04230358 33425251288? CREDIT CHRU UISH SHLE CHRD: IHUUICE 0009 Batch 0! 000458 Free Code! 06124? Entru Node: Hanual Node: Unline ?us Bode! card Code: PRE-TIP F1111 119;..40 TIP "emit? TUTHL CUSTOHER COPY Dr. DeRionne P. Pollard Corporate Card Expenses December 2013 ?rig-Him on; cf-i .1531 1 Hit ID: l! i'qm'sia?i Sale mm}:me V139 Enirr Hethcd: Swi?ed Total: 1 3.5% 12:19.43 11:33:53 A In? 3%3%?q Eud:: 3355?1 uv? - [irrline [uraiwm? Con? Roukvi'le 12276 Rookv*]1n Pike ite: Dec19'13 1rd Type: not Entry: SHIPED *ans Type: PURCHASE ?an; Key: Ruth Code: 098903 Chec<: 7612 Tab1a: 15/1 Server: 403 oria Subtata]: Tota1: 318358 931ecr amount hel* :oordinu in my card greament. Herohant Eopy a The Nation Magazine Customer Service Page 1 of 1 The Nation Magazine My Nation Magazine Account Summary My Current Order: m? Service Options Account Number: Mailing Address: Current Order Date: Dec 13. 2013 Account Summary Derionne Poliard - Subscription Term: 4? issues Change My Credit Card Account Status: 900 Hungerford Road Last payment Amount; $13.00 Give a Gi? Acme Pa? Rockw'ie- MD 20350 Start issue: Jan 20, 2014 Expire issue: Last issue Mailed: Feb 10, 2014 Change My Address NOV 24. 2014 E?mali Address. . 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For future reference. piease be wary of the numerous companies thal magazine subscriptions and renew them as a item?party agency. Note that we do use some legitimate I subscription services to soil our pubscation. if you rosette a renewal notice and are unsure of its anther-diary, please can our subset-mascara department and orderyourreneweithrough them. You may contact subset-Baa seMces by caring omen-tree nun-?ner. {300) 333-8536. The safest and roost eoonorn?eoa?y secure way is to p-?ace yourorder dressy through our website or through the Na?on?s legitimate maeed notices. For more Wonnaiion visit Give a Girl The Nation Magazine Home 2014 The Nation Magazine 1/16/2014 Page 1 of 4 . 1 Mg? Bank Corporate Card POLLARD ACCOUNT NUMBER . "m CREDIT AVAILABLE DAYS IN BILLING STATEMENT LTMIT CYCLE DATE $10,000.00 31 . 0031114 Purchases Cash Advances Total Fees Credits Total Activity $?6,92 $0.00 $0.00 $0.00 $?6.92 Reference Number Transaction Description Amount 940090004454204T3 SPICE XING ROCKVILLE MD 42.42 M00: 5812 MERCHANT ZIP: 20350 - 01(20 04019113000152586 GOTTS CT GARAGE ANNAPOLIS MD 11.00 M00: 7523 MERCHANT ZIP: 21401 31(26 01(27 3402T207856500152 COLONIAL PARKING T53 WASHINGTON DC 20.00 MCC: T523 MERCHANT ZIP: 20005 . NAT. TAWDICATCR: 0 LARDHOLDER SIGNATURE DATE avg/77L I 332E .- .. {in a; . For cusiomar servicel call me Bank regarding: For Visa bene?ts andfd' free (800) 443-8671. Billing errors. P.O. BOX 4023. Buffa'lo, NY 14240-4028 referral services, Call; . . Outside the US and Canadal calf Paymenis: PO. BOX 62120, Baltimore. MD 21254-2120 the Visa assistance IT (715) 635-4152. LDsUStoien: 465 MAW STREET. 500. Buffalo. NY 14203 Cenler at Visit us on the web at Twmibnom I MEMO STATEMENT goal Eg??ggze Account Number BUFFALO NY 14240-4028 Statement Date 01131/14 Total Activi $76.92 ty Remit to: 8: BANK PO. BOX 62120 MD 21264?2120 STATEMENT DO NOT DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 FEB 12. 2010 PH I i Corporate Card 1331 Bank Page 3 of 4 POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS 2N STATEMENT LIMIT - CREDIT CYCLE DATE $10,000.00 $10,000.00 31 Transaction Reference Number BEST. POSTCODE: 000000000 H28 01f29 MCG DOT PARKING OPS COB MD M00: ?523 MERCHANT ZIP: 20850 3 .50 TGOMERY COLLEGE CRP ACCOU NT NU MBER CREDIT LIMIT $75,000.00 AVAILABLE CREDIT $53,070.21 DAYS 3N STATEMENT CYCLE DATE 31 01/31l14 Page 26 Of 30 NNE POLLARD 3.. ACCOUNT NUMBER IRCHASES CASH ADVANCES FEES CREDITS TOTAL ACTIVITY $75.92 $0.00 $0.00 $0.00 $76.92 Post . . -- Data. Reference Number Transaction 1-: Amount 01710 94000000445425473 SPICE XING ROCKVILLE M0 - 5 3 42.42 MERCHANT ZIP: 20550 1.. 01720 04019115000152505 GOTTS CT GARAGE ANNAPOLIS MD 11.00 MCC: 7523 MERCHANT ZIP: 21401 ,1 01727 34027207555500152 COLONIAL PARKING 753 WASHINGTON DC 11?23:. 20.00 MCC: 7523 MERCHANT ZIP: 20005 LOCAL TAX INDICATOR: 2 v' - NAT. TAX INDICATOR: 0 .. BEST. POSTCODE: 000000000 01729 24020150257570214 MCG DOT PARKING OPS COB GROCKVILLE M0 3.50 M00: 7523 MERCHANT ZIP: 20550 Page 17 of 17 CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: January 31. 2013 'Cardhoider Name: DeRionne Pollard Dept: Of?ce .of the President- PURCHASE PURCHASE DATE MERCHANT NAME DESCRIPTION OF BUSINESS . I AMOUNT RELATED PURPOSE Lunch Meeting wx'Uma Athwalia, RE: Breaking Two Generations of Poverty. Attended Dinner meeting wfl?aolo Moya, MC Graduate. Attended County Council Proclamation ceremony for Professor ITEM DESCRIPTION Budget Account Number Spice Xing 42.42 Meal Gotis CT Garage U26I2014 Colonial Parking 753 MCG DOT Parking . 1 Ops COB 3.50 Parking Tee 1 1.00 Parking Fee (A 20.00 Parking Fee 122120.033 EXPENSE 41.- d. 1. 71w. B. I 53n.5- r. . .: Quay-1; P21- mere: 5: I Signature12'7?Qzignatu re: Expense Report Run Date: 2rsr2014 Report 3120 Run by: LYNETTE TELFORD 935"? Header Note: Cardholder Name: POLLARD Current StatUs: Approved! Closed i Date: 2:5r2014 0:15:00 AM Expense Report 1D: 0002485246 Current Recipient: Janet Wormack Expense Report Name: January 2014 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! Memo-Posted Transactions: $?6.92 Date Range: Description: Grand Total: $75.92 Destination: - Date Occurred Date Posted Merchant Original settlement Amount Description Allocation Split Amount 1l8i2014 1H 0!2014 XING $42.42 $42.42 Meal: Lunch Meeting w?Jma Ahiuwalia. Re: Breaking Two Generations of Poverty 111312014 1I20l2014 GOTTS CT GARAGE $11.00 $11.00 17?: -. Parking Fee: Attended Meeting a: . 3.55. 1l26{2014 1f27l2014 COLONIAL PARKING 753 $20.00 Purchase 1o 0000000000 f' Parking Fee: Dinner Meeting w! Paolo Moya. MC Graduate I 1l28!2014 1.12912014 MCG DOT PARKING OPS COB $3.50 $3.50 Parking Fee: Attended County Council Proclamation Ceremony for Professor Gergory Wa'nl Memo~POsted Transactions Totals Count:4 . . - - Status DateiTirne User Name Business Unit Unsubmitted 21412014 10:49:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 21412014 11 :00:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE Approvedi Closed 2132014 8:15:00 AM ?Janet Wormack MONTGOMERY COLLEGE PUR approved pending supporting documents laser?s Reimbursable Total $0.00 Page 1 of2 Expense Report Run Date: 21512014 Report 3120 Run by: TELFORD ?me: 5535?? ?0 rmP/ hf): Print Cardholder Name Cardhoider Sign are - te I 8+ ?(B-mm 9? PrintApprover Name A?prover Signature Date 1 Page 2 of 2 Dr. DeRionne P. Pollard Corporate Card Expenses -?January 2014 SPICE $11881: 100?8 81 RUBKVILLE MD. 20850 008: 01/08/2014 Tab1e 54/1 4/ VISA 4194318 Ca rd Magnetic; card present: Yes Approvah 046700 38.42 Amount: +110: Guest copy 3 Expressparc Receipt 1100889 TRAN INTIME OUTTIME FEE 4' - - I H. ?829 01? 00:20; 01:1; 021.00 WASHINGTON, DC 20005 0026/2014 17:13:10 eachant 10: 00000000204552} Termhal ID: 04226856 825045121886 - CREDIT CARD A VISA SALE CARD 0 WE INVOICE 0000 Batch 0: 000845 ?ppmva! Code: 003791 Entry Metimd: Sw1ped Node: Onfm Tax Amomt: $0.00 . 50001000 $2000, 1' CUSTOMER 11:88 00? FERN-KING DPS 3130311811 0F Pf?ilil? 258 ST rm. 2&150 248-?Ti?-8?1? 3 Term 11!: W11 75310811 Sale VISH Entr?r? 108100: Swiped Iota]: 1 1118341. 10:26:51 law 11: 11.00:? ?nder 11313950 000: Unline P.-L l- -.-. J. Kali511;: Corporate Card Page 1 o? 4 DERIONNE POLLARD ACCOUNT NUMBER . DAYs IN CREDIT CYCLE DATE $10,000.00 $10,000.00 20 02100114 Purchases $1,566.12- Cash Advances $0.00 Total Fees $0.00 Credits $0.00 Total Activity $1,566.12 Tran Beference Number Transaction Description Amount Date Date . 0150 02:03 04031118000187446 GOTTS CT GARAGE ANNAPOLIS 9.00 M00: 7523 MERCHANT ZIP: 21401 02i05 02106 3403T286288900303 4513 ROCKVELLE 33.72 0100:5812 MERCHANT ZIP: 20850 02100 02111 54042313009926889 MAGIC ALEXANDRIA 18.36 MCC: 4121 ZIP: 22303 LOCAL A NAT. TAX INDICAT CARDHOLDER DATE MNG or Visa bene?ts and For customer service. call loll free (600) 443-3671. Outside The US and Canada. cell 635-4152. To write 8. Bank erding: Billing errors: PD. BC 4028. Buifelo, NY 14240-4020 Payments: PD. BOX 62 20. Baltimore. MD 21264?2120 LchSioien: 465 MAIN STREET, 500, Buffalo. NY 14203 Visit us on the Web at anmibmm THANK P.O. BOX 4028 BUFFALO NY 14240-4028 Remit to: BANK PO. BOX 62 20 Account Number Statement Date Total Activity 1. BALTIMORE MD 21264?2120 POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR MD 20850-1728 0000000000000 referral services, call the Visa Cienter at (800) VISA-91 1. MEMO STATEMENT 02128/14 $1,566.12 STATEMENT DO NOT REMIT PAYMENT '1 5? mnn. 45?! 3.13153 ['11 .J: .31. .25..- Mgf?Bank 8 Corporate Card ACCOUNT NUMBER DAYS IN BILLING CYCLE- ERIONNE POLLARD CREDIT LIMIT STATEMENT DATE AVAILABLE CREDIT $10,000.00 $10,000.00 28 02128i14 Reference Number Transaction Description Date Date 02111 34042083732991134 855-347-8371MA MCC: 7290 MERCHANT ZIP: 01821 ORDER NUMBER: LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 - 02(10 02.03 34043200?31702405 TOWNE PARK LTD-0172 WASHINGTON DC 38.00 MCC: 7523 MERCHANT ZIP: 20008 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 0 02111 02113 24043250430175090 IAD DULLES HOURLY 53 DULLES VA 5.00 MERCHANT ZIP: 20166 I 02114 0207 34045200091500170 AUCTION CAFE ANNAPOLIS MD 20.29 M60: 5012 MERCHANT ZIP: 21401 02:14 02m 04047119000129491 GOTTS CTGARAGE ANNAPOLIS MD 9.00 MERCHANT ZIP: 21401 02117 0209 04049110000134500 GOTTS CTGARAGE ANNAPOLIS MD 5.00 MCC: T523 MERCHANT ZIP: 21401 0200 02:20 04050000729294617 UNITED 0162397037440800-932-2732TX 970.00: 000:3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERICNNEPDR TICKET II: 016239763T440 LEG: 1 ITINERARY II: 0379 FARE CODE: BAOHY CARRIER: Inc. DESTINATION: OrIando, Florida, United States ORIGINATION: WashingtonI 0.0. I'Vlrginia. United Stat LEG: 2 FARE CODE: LATHN DATE: 04(12114 CARRIER: UA?UnIted AIrIInes, Inc. DESTINATION: Washington, 0.0. Vlrginia. United Stat - ORIGINATION: Ortendo, Florida1 United States 0220 0224 94052001271518547 SPICE XING ROCKVILLE MD 30.00 MCC: 5812 MERCHANT ZIP: 20850 0321 02(24 04054118000128921 GOTTS CT GARAGE ANNAPOLIS MD 13.00 MCC: T523 MERCHANT ZIP: 21401 0224 0225 04055253260010104 IL PIZZICO ROCKVILLE MD 89.15 - M00: 5812 MERCHANT ZIP: 20850 02l22 02126 3405710101302644? GRILLMARX CLARKSBURG MD 231.10 MCC: 5812. MERCHANT ZIP: 20871 022? I 0228 I 24058170584440003 NICG DDT PARKING OPS COB GROCKVILLE MD 3.50 Montgome .. 1" ry College CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: Februarv 23, 2014 Cardholder Name: DeRionne Pollard Ext: 75264 Dept: Office of the President MERCHANT PURCHASE business DATE NAME AMOUNT DESCRIPTION Budget Account Number RELATED PURPOSE 1/30/2014 Gotts CT Garage 3 9.00 Parking Fee Leg?siat?l?e appo?ment ?Senator Nancy KARO. 2/ 5/2014 SEBROCIWIHB 33.72 Meal Lunch meeting w/Linda Youngetob . . TD Bank Minority Leadership . 13 2/10/2014 Taxt Magic 3 13 36 Ca Fare Program Tysons Comma VA. Towne.P . Attended SHN New Member 2/10/2014 5" 3 33.00 Parking Fee Networking Dinner, Washington, 0172 DC 2/1 1/2014 Precheek #5031 35.00 Registration Fee TSA Pre~checlt registration. 2/11/2014 IAD Dulles 500 Parking Fee TSA IFre-oheclt registration Hourly 53 appointment. Attended MD General Senate 2/14/2014 Auction Cafe 3 20.29 Meal Assembly Community College Operating Budget Hearings; testi?ed. Attended MD General Assembly 2/ 14/2014 Gotts CT Garage 3 9.00 Parking Fee House Community College Operating Budget Hearings. Attended MD General Assembly 2/ 17/2014 Gotts CT Garage 3 5.00 Parking Fee House Committee Budget Hearings .t . I (house appropriations). . I 7 "r 1 Attending AGB National Conference 2/18/2014 U111th 9.70.00. Transportation on Trusteeship April 124412014- 2/20/2014 Spice mg: "as l. . . . 30.00 Meai bum? mam?? W?Tmstee M?ke Knann. . . Attended Meetinor Gotts CT Garage 3 13 00 at mg ee Annapolis, PURCHASE MERCHANT I PURCHASE DESCRIPTION OF BUSINESS DATE NAME AMOUNT ITEM DESCRIPTION Budget Account Number RELATED PURPOSE . Attended Ist AnnuaE State of Black 231.10 Meal lvlorltgornerya Silver Spring; MD- 2/24/2014 11 Pizzico 89.15 Meal Lunch meeting w/Steve Kaufman. . MCG DOT . . 2/27/2014 Parking OPS 3.50 Parking Fee Ame?de county Educat'on Worksessron; RE: CIP. COB EXPENSE TOTAL: 1,566.12 Name: DeRionne Pollard Signature: 1 . a a. a 5""51 gulf 1131mm?- . .. Name: Janet Wormack Signature535% . .. him: aims.? Name: Stephen D. Cain Signature: Expense Report Run Date: 31512014 Report 3120 Run by: TELFORD ?me: 9:23 Header Note: Cardholder Name: DERIONNE 0 Current Status: Unsubmitted Date: 3/5/2014 2:05:00 PM Expense Report to: 0002549853 Current Recipient: TELFORD Expense Report Name: February 2014 Location: MONTGOMERY COLLEGE PU (NEW) (00004! Summary Information - - I Date Range: 31(2014 - 2f28i20't4 Memo-Posted Transactions: $1,566.12 Description: Grand Total: . $1,566.12 Destination: - I?emo-Posted Transactions: 1 Date Occurred Date Posted Merchant Original Amount SettiementAmount Description Ailocation Split Amount 1130:2014 2!3!2014 CT GARAGE $9.00 $9.00 Parking Fee: Legisialive appointment thenator Nancy King 2522014 369014 GBROCKVELLE 4513 $33.72 $33.72 Parking-Bee: interview wiCommunity Cottage Dairy 2H 032014 2111(2014 TAXI MAGIC $18.36 $18.36 Purchase iD 00992688 Cab Fare: Attended TD Bank Minority Leadership Program, Tysons Corner. VA 2i10I20?i4 2H 312014 TOWNE PARK LTD-0172 $38.00 . $38.00 Purchase ID 0000000210 Parking Fee: Attended SHN New Member Networking Dinner, Washington. DC. 2!11l2014 2!12!2014 PRECHECK #5031 ?85.00 $85.00 Purchase 1D UZZY11BRR9 0000858279 TSA Preacheck Registration Fee 2!11!2014 2!13!2014 DULLES HOURLY 53 $5.00 $5.00 Parking Fee: TSA Precheck Registration Amintment 2i14!2014 211722014 AUCTION CAFE $20.29 $20.29 Page 10:3 Report 3120 Expense Report Run Date: 31612014 Run by: LYNETTE TELFORD ?m5: Meal: Attended MD General Senate Assembiy Community Coltege Operating Budget Hearings; testi?ed. 211412014 211712014 GOTTS CT GARAGE I $9.00 $9.00 Parking Fee: Attended MD General Senate Assembly Community College Operating Budget Hearings. 211712014 211912014 CT GARAGE $5.00 $5.00 Parking Fee: Attended MD GeneralAssembiy House Committee Budget Hearings (House Appropriations). . 211812014 212012014 . UNITED 0162397637440 $976.00 $976.00 Transportation: Attending AGB National Conference on Trusteeship April 12-14, 2014. Pass anger: Ticket: Travet Date: Tra Vet 1. eg: POLLARD1DERIONNEPDR 0162397637440 411212014 UA MCO MCO UA IAD 212012014 212412014 SPICE XING $30.00 $30.00 Meal: Lunch meeting thrustee Mike Knapp 212112014 212412014 GOTTS CT GARAGE $13.00 $13.00 Parking Fee: Attended Meeting. Annapolis, MD 212 212014 212612014 $231.10 $231.10 MeaizAttended 1stAnnuat State of Btack Monthmery. Silver Spring, MD. 212412014 212512014 . 1L $89.15 $89.15 Meal: Lunch meeting w1Steve Kaufman 212712014 212812014 MCG DOT PARKING OPS COB $3.50 $3.50 I Parking Fee: Attended County Council Education Committee Worksession; RE: Mem o-Posted Transactions Totals Count:15 IExpense Report History Status Date??ime User Name Business Unit Notes Unsubmitted 31512014 2:05:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Expense Report Summary Reimbursable Total $0.00 Page 2 013 Report 3120 Expense Report . Run Date: SIGIZOH Run by: LYNETTE TELFORD Time: 9:23 AM Signatures Print Cardholder Name 754d Moir?a?k Print Approver Name ardhoider Signaiure Mp?rover Signaiure Pages ofa eTicket Itinerary and Receipt Page 1 of 2 Con?rmation: A STAR ALLIANCE MEMBER UNITEE Check-In Issue Date: February 18, 2014 Traveler eTicket Number. Seats 0162397637440 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Sat, UA379 WASHINGTON, DC ORLANDO, FL (IAD - DULLES) 3:12 AM Mon, 14APR14 UA1244 ORLANDO, FL (MCO) 6:50 PM (MCO) 10:30 AM WASHINGTON, DC (IAD DULLES) 9:04 PM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 887.44USD VISA U.S. Federal Transportation Tax: 66.56 Last Four Digits U.S. Flight Segment Tax: 8.00 September 11th Security Fee: 5.00 US. Passenger Facility Charge: 9.00 Per Person Total: 976.00USD eTicket To'tal: 976.00USD The airfare you paid on this itinerary totals: 887.44 USD The taxes, fees, and surcharges paid total: 88.56 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules liSted. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. IMPORTANT CONSUMER NOTICES a Incorporated Terms - Your travel is subject to United?s Contract of Carriage terms. The Contract is available for inspection at any UA ticketing facility, united.com or by calling Passengers have the right to receive the full text of the terms incorporated by reference free of charge by mail or other delivery service. The Contract terms include rules about limits on liability for personal injury or death and for loss, damage, or delay of goods and baggage, check?in times, overbooking, security issues, reservations, denial of carriage, refunds, claims limits and restrictions, including time limitations for ?ling a claim or lawsuit, and schedule changes and irregularities. The Contract of Carriage contains further detail of these terms. 5 Additional Terms - Depending on the rules applicable to the fare paid, one or more restrictions including, but not limited to one or more of the following, may apply to your travel: (1) the ticket may not be refundable but may be exchangeable for a fee with another restricted fare ticket meeting all the rules/restrictions of the original ticket (including the payment of any difference in fares); (2) a fee may apply for changing/canceling - reservations; or (3) travel may be restricted to specific ?ights and/or times and minimum and/or maximum stay may be required. - a Baggage Liability - on domestic ?ights, United?s maximum iiabillty limit for checked baggage is $3400 USD per passenger and United excludes liability for all unchecked baggage. For travel within the U.S., United excludes liability for fragile, valuable 0r perishable items carried in all baggage including jeWelry, computers, cash, camera equipment and similar valuables. If any of these items are lost, damaged or delayed, you will not be entitled to any reimbursement. You can declare excess valuation on certain baggage at the airport, additional fees will apply. a ADVICE T0 INTERNATIONAL PASSENGERS ON CARRIER LIABILITY Passengers on a journey involving an ultimate destination or stop in a country other than the country of departure are advised that international treaties known as the Montreal Convention, or its predecessor, the Warsaw Convention, including its amendments, may apply to the entirejourney, including any portion thereof within a country. For such passengers, the treaty, including special contracts of carriage embodied in applicable tariffs, governs and may limit the liability of the Carrier in respect of death of or injury to passengers, and for destruction or loss of, or damage to, baggage, and for delay of passengers and baggage. 3/ 5/20 1 4 eTicket Itinerary and Receipt Page 2 of_2 Notice??Overbooking of Flights Airline flights may be overbooked, and there is a Slight chance that a seat will not be available on a ?ight for which a person has a con?rmed reservation. If the flight is overbooked, no one will be denied a seat until airline personnel ?rst ask for volunteers willing to give up their reservation in exchange for compensation of the airline?s choosing. If there are not enough volunteers, the airline will deny boarding to other persons in accordance with its particular boarding priority. With few exceptions, including failure to comply with the carrier?s check?in deadline which are available upon request from the air carrier, persons denied boarding involuntarily are entitled to compensation. The complete rules for the payment of compensation and each airiine's boarding priorities are avallabie at ail airport ticket counters and boarding iocations. Some airlines do not appiy these consumer protections to travel from some foreign Countries, aithough other consumer protections may be available. Check with your airline or your travel agent. a Personal Health - For important health tips before your ?ight, inciuding? information on a serious condition called Deep Vein Thrombosis, please go to united.com. Thank-you for choosing United Airlines united.com Legal Notices. Privacv Poiicv Copyright 2014 United Airlines, Inc. All rights reserved. Please do not reply to this message using the "reply" address. For assistance, please contact United Airlines via telephone or via e-mail. 3/5/2014 Dr. DeRionne P. Pollard Corporate Card Expenses - February 2014 PARKING (Receipts Attached) :3 I 2000 00000000 00000 Expressparc Recegpt 0005010000001, DC 20000 0200:2015 20:52:40 010005010: 000000000505005 TRAN 110mm OUTTIME FEE cc# 03155731 . 0250215040031 0000150000 1/ 3'0 7551 01505000 - XX 00/0100 0210 I Batch 0: 000302 METROPOLITAN WASHINGTON AIRPORTS AUTHORITY Womlcw: 03840 THANKS You FOR PARKING Enlw 000m: Swlped WASHINGTON-BULLESJHTERNATIDNAL AIRPORT lime: 3m, I ,3 I Tax?mmt: $0.00 CUSTOMER COPY PARKING RECEIPT . 51301 2100114010 mm 512121 EMILLQO WILL r0 50119065 g; Jdleoea medssedeg Dr. DeRionne P. Pollard Corporate Card Expenses February 2014 PARKING (Receipts Attached) 'Nrrapol is M). 21401 mama DPS . . Miami!? 255 F. JEFFERSM 83156 Pay Statim Huber: mggh?g'n?gm lntu'ed: [m?zvzom I -. 5 - 9:13 AM qi'?ii??i lxited: [Ia/Qualm Sale 2:25 PM Ticket turbo?: 55418 . Tr?ar?eaotim Norm". 5731; 1111:? M11041: $319311 Rate: I I5 Parking Fee: $1311] 113131' Total Tax: mu] 32/21/14 11:12:31 1m 1; mm 1w Code: 963951 199M: Unline a Total Foe: $1r Fee Paid: moval mites": I M51411 IUI JUL. 100-8 Gibb Dr. DeRionne P. Pollard Corporate Card Expenses February 2014 s-St MD. 20850 Server: PO0L 01:03 PM Table 52/1 (3.1 ?1 C1. =14: )4 )4 )4 )4 )4 Magnetic oar Approval: )4 )4 )4 )4 )4 presen . 094808 Yes Amount: Tip? Total Guest copy 008: 02/20/201 4/4000' 41943' 26.93 . ., 30: {Receipts Attached) 1 L183 resale/9r 74W, Can/W Steakhouse Raw Bar 12011 Snomden Farm Parkma Clarksburg. MD 20871 301 918 1529 Dos! 02/2222014 r: Alex 1 PM 02/22/2014 2 51,1 1/10028 SALE . 1048608 [1 DERIUNNE 1 Entry Method: rovali 057213 Amount: 196.10 ~355" =Total'- I agree to pay the above total amount according to card issuer agreeme Please Join For Sunday Brun For Questions or Comments Please Contact info?grillmarxsteakhousr Merchant COpy Dr. DeRionne P. Pollard Corporate Card Expenses February 2014 MEAL (Receipt Attached) I IL PIZZICO 15209 FREDERICK RD ROCKVILLE, MD. 20850 301?308?0810 DATE: 02/24/14 TIME: 01:51 PM TABLE: 55 CHECK: SEATS: SRVR: 2T EHAHAOER AUTHTT: 004230 I010: 4000002 ACCT: VISA EXOT: APPROVED: 004230 000:0 74.15 00 (a Ir? 8M5 I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER OREEHENT TOP BOTTOM COPY-GUEST Dr. DeRionne P. Pollard Corporate Card Expenses February 2014 CAB FARE (Receipt Attached) GUYS Hinwh? CAB 45 VAR FACE 1D 02/10/14 TR 0516 SIARI END 1T151 18:12 2.5 RATE Hi FARE EXTRA: 1.:5 Eb.?0 1911 311 ttw?d itl 45-14913? WH.DEIAX1.DC.BUV A -. Tom Dr. DeRionne P. Pollard Corporate Card Expenses February 2014 (Receipt Attached) Washington Dulles International Airport - (5031) 1 Saarinen Circle Sterling, Virginia 20166-7547 Untuersat Date: PM Applicant: DERIONNE P. POLLARD KTN: UNASSIGNED UE 1D: Service: TSA ENROLL $85.00 Paid: $85 00 Method: gj Auth 032057 IMPORTANT NOTE: Within 21 days, TSA notify you of your TSA Prat/TM status. Check the status of your service at: Dr. DeRionne P. Pollard Corporate Card Expenses February 2014 MEAL (Receipts Attached) 11 I401 010412014 12:20:95 Merchant ID: 1 00000000246522 Huckuile, HD 20850 27620833le 301-3404159 CREDIT CARD VISASALE Saw norm 000: 02/0512014 my 01:50 PM 02/05/2014 Tabla 5m ammo INVOICE OMB Batch 0: 000505 SHLE Apploval Code: Eritry Melhod: Striped 3333522 Mode: On?ne Hagnetic card present: BEHIDHHE Card Entry Hethad: approval: 094904 CUSTOMER COPY nmnunt: 3 Hip: Total: I agree to pay the tatal aanunt accurding he card issuer asre d/ ?uast tap? AC e, WACA 1540AM RADIO AMERICA . 2730 University Boulevard West, Suite 200 a Wheaten, MD 20902 Of?ce: (301)9423-500 . Fax (301) 942?7798 - Studios (301) 962-1540 radioarnericanet I i" Invoice No. 1685 cam .Mmioowm Here?? Ol/zce 73mm Tel- 0113536 341?! 43 Cell Phone {Maya PAM MD em: 2; - Fax Contact H17 Title a Email A .010 am . g. Salesperson Start Date z1? if 3% End Date 3?6 Payment as follows 323-1 Cost per Spot ?ail/0 . a 1' Spot Lenght 30' 60 8the?? a Contract Total ?0 Deposit . - . Balance -- his document'represents'a binding sales-contract authorizing AC Acquisitions. LIJC Radio Am?riea 1540 to advertise on.our behalfthe above product 'or service. I full}r understand that in to event any unpaid balancesare turned over for collection. 1 will be liable for all Cost-.1 incurred legal and contract is subject to approval by AC Acquisitions. LLC that will-retain 1e absolute right to reject any advertising announcements which in the event of its sole lion deems contrary to the public interest. i understand that my advertising announcementsm?lbc red on (ETA) Best TimeAvallable unless herein speci?ed. Each party-has the right to cancel this contract at any time and {or any rear-on. Cancellation contract must Be noti?ed in least 7 (seven) days prior to the cancellation date. Ac Acquisitions. LLC may cancel this contract for non-payment and will charge a $25.00 fee for returned checks. ACAcquisi?ons audits station, WACA, do not discriminate in advertising contracts on the basis ofrace and will not acceptany adyertising which intended to die basis ofrace or ethnicity. The Advertiser represents and wants that it is not purchasing advertising time Ernrn AC Acquisitions or WACA that is intended to aiminateon the basis oft-ace or ethnicity: Ident Signature Print Name Date Namewtea?ogm arena Position Date I hereby authorize AC Acquisitions, LLC to charge my Credit Card Exp. Date SC As follows nature Print Name Date Jay?s Restaurant Grbup, Inc. Customer Quote (This is not an order=see bottom) Jay's Phone: 410-685-3861 Jay's Fax: 410-783-1938 1/15/2014 Kristie 11:30 AM. 11:30 AM. 2/9/2014 Sunday Montgomery College?Of?ce of Financial Aid?College Goal 7600 Ta ko'ma Ave. Suite 243 Takoma Park, MD 20912 Credit Card OR School Check 7625 Fenton St. 20912 (LN. Student Services Bldg. Room 233 Wendy Maldonado 240?567-3935 Executive-Boxed Lunches (Veggie, Roast Beef, Ham Cheese, Tuna Salad, 60.00 Roast Turkey, Chicken Salad) ln?House Paper: Napkin, Knife, Fork NO Beverages Distance Fee Delive Cha . This form is only a price quote. lfyou wish to make this order de?nite, you must sign it and e?mail OR fax it back to us at 410-783-1938 and make payment arrangements prior to it being considered an actual order. if you have a charge account with us, you will simply need to sign and e?maii OR fax it back to us. it is aiso suggested that a follow-up phone cail be placed to ensure that we have in fact received the signed quote. ?5 Bank 8. Corporate Card Page 1 of 4 DERIONNE POLLARD ACCOUNT NUMBER CREDIT LIMIT $10,000.00 AVAILABLE DAYS iN 3 CREDIT $10,000.00 31 DATE .03f31/14 Purchases $280.29 Cash Advances $0.00 Credits Total Fees $0.00 $0.00 Total Activity $280.29 Tran Post Reference Number Transaction Description Amount Date Date 3298 03303 04061110000165713 GOTTS CT GARAGE ANNAPOLIS MD 5/ 5.00 M00: 7523 MERCHANT ZIP: 21401 33.? 4 030 7 04075113000109863 GOTTS CT GARAGE ANNAPOLIS MD 9.00 MCC: 7523 203121401 33? 7 03/18 94076001159135158 LA TASCA ROCKVILLE MD 121.76 MCC: 5812 ZIP: 20050 33.09 03120 34078205054500574 COLONIAL PAR #557 DC 15.00 MCC: 7'523 RCHANT Zip: 20005 SIGNATURE \Q?b DATE MNGR For customer serviceI call toll free (800) 443?35?1. Outside the US and Canada. call (715) 635-4152. To write Bank regarding: error PD. BOX 4028, NY 14240-4028 Payments: .0. BOX 62120, Baltimore. MD 2126442120 LosUSioien: 465 MAIN STREET. SUITE 500, NY 14203 Visit us on the ab at mm.mtb.corn 8. THANK P.O. BOX 4028 . BUFFALO NY 14240-4028 Remit to: BANK . PO. BOX 6 1 For Visa bene?ts and referral services, ca? the Visa assistance Center at (800) VISA-91 1. MEMO STATEMENT Account Number Statement Date Total Activity 2 20 BALTIMORE MD 212642120 POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 1x01000559? 0381/14 $280.29 STATEMENT DO NOT REMIT PAYMENT BCIIR 8. Corporate Card Page 3 of4 STATEMENT I DATE DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE LIMIT CREDIT CYCLE 010000.00 $10,000.00 31' -. z; Post Date Tran Reference Number Date. - Transaction Description 33f19 03(21 84079200938308101 0311 9 54079700001205158 0325 03(27 44085900010400023 331'27 03f28 24080170866194985 33:27 03128 24086170866195552 3312? 03:31 2408?0408?1122576 33:27 03331 5408798?107730?69 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 DEST. POSTCODE: 000000000 . DC PARKING METERS WASHINGTON DC MCC: 9222 MERCHANT ZIP: 20030 ORDER NUMBER: 21917705121 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 0000000000 FOUNDING FARMERS MD POTOMAC M00: 5012 MERCHANT ZIP: 20095 BETHESDA METRO CENTER OPSBETHESDA MD M00: 7523 MERCHANT ZIP: 20014 MCG DOT PARKING OPS COB GROCKVILLE MD M00: 7523 MERCHANT ZIP: 20050 MCG DOT PARKING OPS CO0 GROCKVILLE MD M00: 7523 MERCHANT ZIP: 20050 CAPRITZ ART STORE SILVER SPRINGMD 1/ MCC: 0220 MERCHANT ZIP: 20010 CUBAN CORNER RESTAURAN ROCKVILLE MD M00: 5012 MERCHANT ZIP: 20050 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 4.00 50.70 10.00 0.00 3.50 0.07, 38.30 Page 14 Df20 Mg?? Bank Corporate Card AONTGOMERY COLLEGE CRP ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $75,000.00 $63,213.42 31 03731114 3 IERIONNE POLLARD ACCOUNT NUMBER 01690900 - 000071 0007 - 0010 PURCHASES CASH ADVANCES FEES CREDITS TOTAL ACTIVITY $280.29 $0.00 . $0.00 $0.00 $280.29 - Reference Number Transaction Description Amount 2728 03i03 04051118000165718 GOTTS CT GARAGE ANNAPOLIS MD 5.00 M00: 7523 MERCHANT ZIP: 21401 3714 03717 04075118000109868 GOTTS CT GARAGE ANNAPOLTS MD 9.00 MCC: 7523 MERCHANT ZIP: 21401 3717 0371B 94076001189135158 LA TASCA ROCKVILLE MD 121.76 M00: 5812 MERCHANT ZIP: 20850 3719 03720 34078206854500574 COLONIAL PARKING #557 WASHINGTON DC 15.00 M00: 7523 MERCHANT ZIP: 20005 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 DEST. POSTCODE: 000000000 3719 03721 84079200938308161 DC PARKING METERS WASHINGTON DC 4.00 MCC: 9222 MERCHANT ZIP: 20030 ORDER NUMBER: 2191705121 LOCAL TAX INDICATOR: 2 NAT. INDICATOR: 0 BEST. POSTCODE: 0000000000. . 3719 03721 54079700001206158 FOUNDING FARMERS MD POTOMAC MD 58.76 M00: 5812 MERCHANT ZIP: 20895 3725 03727 44085900010400023 BETHESDA METRO CENTER QPSBETHESDA MD 10.00 MCC: 7523 MERCHANT ZIP: 20814 3727 03728 24086170866194985 MCG DOT PARKING OPS COB GROCKVILLE MD 6.00 MCC: 7523 -MERCHANT ZIP: 20850 5727 03728 24086170866195552 MCG DOT PARKING OPS COB GROCKVILLE MD 3.50 MCC: 7523 I MERCHANT ZIP: 20850 3727 03731 24087540871122576 CAFRITZ ART STORE SILVER SPRINGMD 8.97 MCC: 8220 MERCHANT ZIP: 20910 :3727 03731 54087987107730769 CUBAN CORNER RESTAURAN ROCKVILLE MD 38.30 M00: 5812 MERCHANT ZIP: 20850 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 Fiji Mg?'Bank Corporate Card Page 15 0f 20 MONTGOMERY COLLEGE CRP ACCOUNT NUMBER 4477 1000 5500 0300 CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $75,000.00 $50,070.32 30 00:30:14 . . . . CONSOLIDATED TRAVEL ACCOUNT NUMBER 4477 1566 2931 770? PURCHASES CASH ADVANCES FEES CREDITS - TOTAL ACTNITY $7,050.45 $0.00 00.00 $910.25 $0,740.20 32:: Reference Number Transaction Description Amount LEG: 4 DATE: 07f18f14 CARRIER: DL?Delia Air Lines inc. ORIGINATION: Bloomington, Minnesota, United States DESTINATION: between Baltimore, Maryiand and Washingt A. DERIONNE POLLARD ACCOUNT NUMBER 447710550015 4777 PURCHASES CASH ADVANCES FEES CREDITS TOTAL ACTIVITY $1,132.04 $0.00 $0.00 $0.00 $1,132.04 Tran Po? Reference Number Transaciion Description Amount Date Date 05:20 00:02 04150700219451045 RMA WORLDWIDE CHAFFEUR 301?231-6555 MD 132.00 MCC: 4121 MERCHANT ZIP: 20052 ORDER NUMBER: Res#:820290 LOCAL TAX INDICATOR: 2 NAT. TAX 0 00:05 44155000000551001 Nicks Chophouse Rockville MD 39.02 :7 MERCHANT ZIP: 20050 [00:04 00:00 54150007140111070 CUBAN CORNER RESTAURAN ROCKVILLE MD 30.04 0100:5012 MERCHANTZIP: 20050 LOCAL INDICATOR: 2 . NAT. TAX INDICATOR: 0 '00:05 00:00 34157103014350050 WASHINGTON DC 11.51 M00: 5014 MERCHANT ZIP: 20000 00:00 00:10 44101211000050304 THE LINKS INCORPORATED WASHINGTON 00 020.00 - MCC: 0300 MERCHANT ZIP: 20005 00:12 00:10 44104004019004050 FLACSHIP CARWASH CENTER ROCKVILLE MD 10.05 M00: 7542 MERCHANT ZIP: 20050 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 53.42 05?? 06119 24169205188000239 TOWER OAKS ROCKVILLE MD M&T_Bank Corporate Card Page 16 of 20 MONTGOMERY COLLEGE CRP ACCOUNT NUMBER 44?? 1608 5580 9396 CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $5,000.00 $59,679.32 30 DERIONNE POLLARD ACCOUNT NUMBER PURCHASES CASH ADVANC ES FEES CREDITS TOTAL ACTIVITY $1.132.84 $0.00 $0.00 $0.00 $1,132.84 Reference Number Transaction Description Amount M00: 5812 MERCHANT ZIP: 20352 06m 06m 2417312173896?938 Sheraton Silva SPRINGMD 14.00 MCC: 3503 MERCHANT ZIP: 20910 06f25 06(2? 04177118000192523 GOTTS CT GARAGE ANNAPOLIS MB 5.00 MCC: T523 MERCHANT ZIP: 21401 CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: March 31,2014 i Li 'i . pL10f?ce?of?the President -. - . . . ?1 Cardhoider Name: DeRionne Pollard. De Ext; Y5264 PURCHASE MERCHANT PURCHASE DATE NAME - AMOUNT 2/23/2014 Gm CT 5 5.00 Parking Fee Garage 3/14/2014 Gm CT 5 9.00 Parking Fee Garage RELATED PURPOSE Coiiege Campaign meeting waoungent?ob, R0dlil?1ld,SiaVi?. Attended Meeting. ITEM DESCRIPTION Working lunch wi?MC delegatidn to discuss County Executive's budget release. - 3(170014 La Tasea 5 121.76 Meai Coioniai . 3fl9f2014 Parking 55 15.00 Parking Fee DC Parking Meters Founding 31?19i?20 14 Farmch MD 58.76 Meal Bethesda 3/25120 I 4 Metro Center 3 10.00 Parking Fee OPS MCG DOT 332132014 Parking OPS 3.50 Parking Fee COB MCG DOT 3/270014 Parking OPS 6.00 Parking Fee COB Caf?ritz . S?s/2702014 Art Store 8 97 ea] Lunch meeting wKCathy Jones. Board Pianning Meeting 1.iw?Nicoie Lewis. Breakfast meeting wiDou Ryder and Trustee Reggie Feiton. Meeting walarke. Rognrud, Slavin. 3fi9f2014 4.00 Parking Fee Attended Operating Budget Meeting waOunciimember Rice. Attended Operating Budget Meeting waouneiIi-nember Branson. Attended OH Board of Directors Meeting. Cuban Comer Lunch meeting wiTrustee Levine. f2 3 W20 I 4 Restaurant 3 3830 Meal EXPENSE TOTAL: 280. 9 DeRi Name: iar Name: Janet Wor Writer- 112i?, Name: Stephen D. Cain Signature: .. it silt Report 3120 Expense Report Run by: LYNETTE TELFORD Header Note: Cardholder Name: ExpenselReport ID: Expense Report Name: POLLARD Unsubmitted .- Run Date: 41332014 Time: Current Status: Date: 4182014 ?:43:00 AM 000262095? Current Recipient: g. March 2014 Location: MONTGOMERY COLLEGE (NEW) (00004: :S'ummary Information Date Range: 3i1f20?i4 381.2014 Memo-Posted Transactions: $280.29 Description: Grand Total: $280.29 Destination: Memo-Posted Transactions: Date Occurred Date Posted Merchant Originai Amount SettlementAmount Description Aliocation Split Amount 2282014 33312014 CT GARAGE $5.00 $5.00 M, Parking Fee: College Campaign meeting wNoungeniob, Rognrud. Siavin 32'14f2014 3!1?!2014 GOTTS CT GARAGE $9.00 $9.00 Parking Fee: Attending Meeting 3f1?r2014 $182014 LATASCA $12136 $12116 Meal: Lunch meeting WIMC deiegation to discuss County Executive?s budget release. 32'192014 320.2014 COLONIAL PARKING #55? $15.00 $15.00 i/ Purchase ID 00000000? Parking Fee: Lunch meeting WICathy Jones 3.0912014 3202014 DC PARKING METERS $4.00 $4.00 Purchase ID 2191705121 Parking Fee: GH Board Planning Meeting wiNicole Lewis 31912014 31212014 $58.?6 55836 1/ Meal: Breakfast meeting wr'Doug Ryder (HCH) and Trustee Reggie Fetion . 3252014 3r2rr2014 BETHESDA METRO CENTER $10.00 $10.00 Page 1 of2 Expense Report Run Date: 4IBI2014 Report 3120 Run by: LYNETTE TELFORD 1?34? Parking Fee: Meeting wiClarke, Rognmd,Siavin 3:27:2014 312812014 MCG DOT OPS COB $3.50 $3.50 Parking Fee: Attended Operating Budget Meeting wiCouncilrnember Rice 3.327720? 3l28l2014 MCG DOT OPS 008 $6.00 56.00 Parking Fee: Attended Operating Budget Meeting wlCounclImember Branson 34'2?201fi 3502014 CAFRITZ ART STORE $8.97 Meai:Attended (3H Board of Directors Meeting 3:27:2014 31302014 CUBAN CO AURAN $38.30 $38.30 Meat: Lunch meeting wITrustee Levine . Memo-Posted Transactions Totals Count:11 Immense Report History 1 Status DateJTime User Name Business Unit Notes Unsubmilted 41302014 LYNETTE TELFORD I MONTGOMERY COLLEGE PUR {Expense Report Summarv x! Reimbursable Total $0.00 Signatures I a, Ramp, rg/Af? {qr/W421 Print Cardhoider Name Ogriholder Sig ature [3th .114 ?f . ?1 - . (7.212?? Hmre? May/W Print Approver Name Signature 3 Page 2 of 2 Dr. DeRionne Pollard Corporate Card Expenses March 2014 PARKING (receipts attached) TRAN INTIME OUTTIME FEE 1 .13: anKeon DISPLAY 0N VEHICLE DASHBOARD 277-587 TRAN IN TM OUT TM FEB 00# name CENTER 3 METRO CENTER BEmzsm. no 29-814 if? i; I 1'7 :3 Herc-hant ID: 2299 Ref 14: @332 5h1ft u: 1 Sale . mm; VISA Entrr Method: smed I Total: 18.38 I raps/14 1mm I IW .H Mi- Iransaction ID: Fwd: Unline Batch?: W4 Link- Custoser Cova .. 3mg:- .1, .. lug-"HI Tat-2 .?momt . SALE AMOUNT CUSTOMER Dr. De RionnePoHard Corporate Card Expenses March 2014. I I PARKING (receipts attached) Li .. .. mm but maxim umsmu or PRRHIHG mwaem 255 JEFFERSON s: ROCHVILLE. m. 20359 A- -.L ID: tglh?: Sale Entrr Hethod: Swiped 3% 1hm14 Inv E93859 ?ppr Code: 924?10 ?uprvd: Unline Custoaer' Cup? HCG DOT PARKING LIPS MVISIUH 0F PARKING 50? ST 29353 Her'xhant Hi: BBEENTEBJ. Term ID: Sale xmnmuu VISA Entrr Hatrde 3mm Total: 5.38 03!??xlq gig; Hm? Code: ?fi'?gii Putl at?, .L Dr. DeRionne Pollard Corporate Card Expenses March 2014 MEALS (receipts attached) - *3 fit; or .?L?iin9 HE. -. ., Terr . WW 209% I .. 2" . C1 f9. j?w-3?Server: sari?: 933- - of 02:19 3H I4 . 59? J- :ab1e ?35. -Uvn . "Hm . k-t'q .. Viawann- Tale! a Mo:- I I I I sill Dr. DeRionne Pollard Corporate Card Expenses March 2014 1. LINER Hmrm'wl 33E. HR lau?vilji. nil {?qu I 5115 3?3 U310 ?whian Ill: Uhu;;nuw392 ?run "mil. Sale hm 00$ ?tmnt: Ta: 1 Hi? Tip: Total: [0'21?44 13:13:21 hulk FIDDF fade: 645993 WM: Unlint Halt-hi}: {533195 Vahda?ontmk: SPR NU blur-HRH Ilk'illh "n?lliJ! FIR ?l REIRIH MEALS (receipts attached) 1 Montgomery Cuties-1?. NC Book? Here 930 Kins St. Silver Spring, MD 20910 TRRNEIETBZ - HQURFINH 20 02 12159bd (591.41) 1'41 RQURFIHH 20 02 01215908 ?191.43? 1?4} AJURFINH 20 02 ."15908 :1 0 1.41) 1.4} 20 02 .:215908 1?41 20 DZ 012'5908 (1 1.41 RQUHITNH 2U 02 01215908 (I I41) 1.41 Subtotal ?h8.40 T1 Sales Tax (06.0002) 0.51 TUTHL 8.9? UISH 8.97 Card?: Expdate: Ruth Code: 002312 8. Corporate Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT 3 . . DATE $10,000.00 $10,000.00 30 04/30/14 Purchases Cash; awee'E Credits $5,573.62 Total Activity on an. \PUanv $0.00 $5,573.02 Tran Post IN FEAT ?f 20% Sate Date ReferenceNumber Transaction Description Amount 0360 mm 64090000048557480 CAROLINAIGTCHENBARGRI HYATTSVILLE MD 248.92 03131 04301 24091130917902946 MCG DOT 82751 OPS GSILVER SPRINGMD 4.00 049131 04302 34091720033852394 M5089 OF MD DERWOOD MD - 6.67 04:02 04104 T4093459m1005709 TAXI CHARGE DC M00: 5812 MERCHANT ZIP: 20782 M00: ?523 MERCHANT ZIP: 20910 MCC: 5-814 MERCHANT ZIP: 20855 BROOKLYN NY 13.81 0100:4121 MEBQHANT ZIP: 11203 CARDHOLDER SIGNATURE For cUslomer service, caIl toll free (800) 443-86?1. Outside the US and CanadaI call Payments: PD. 80 62120. Baltimore. MD 21264?2120 (T15) 035?4152. 3> TE Ill) T0 erIe 81 Bank For Visa bene?ts and errors: PD. 8 4028, Buffalo. NY 14240-4028 referralsewices,ca1] the Visa assistance LesUSIulen: 465 MAI STREET, SUITE 500, BuIIan. NY 14203 center at Visit us on the web at .mth.com MEMO STATEMENT Eig?g?gza 4028 Account Number - 14241} . Statement Date Total Activit $5,573.62 Remit to: 8: BANK P.O. BOX 62120 BALTIMORE MD 21254-2120 STATEMENT ONLYM DERIONNE POLLARD - . ,Hgo?g ATTN: PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 0000000000000 E- 04:11:: 8. Corporate Card Page a or DERIONNE POLLARD ACCOUNT NUMBER CREDIT DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE 010,000.00 $10,000.00 30 04/30/14 Tran Date Post Date Reference Number Transaction Description 04702 04403 04303 04105 04107 04307 04438 - D4312 D4313 041'1 4 34413 04104 04/04 041'07 04407 04108 04:08 04709 04114 04415 041'15 04115 54094313009304878 84094207096400020 74094459781812480 54096700007317875 34.000200731401374 341098207488600044L 34098004044058517 841 0326 2785750363 64104000920685833 74104090796257239 34104072007861096 TAXI MAGIC ALEXANDRIA VA MCC: 4121 MERCHANT ZIP: 22303 LOCAL INDICATOR: 0 NAT. INDICATOR: 0 ACE PRKING PS #44000 WASHINGTON DC MCC: 1523 MERCHANT ZIP: 20005 ORDER NUMBER: 2578 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 DES T. POSTCODE: 0000000000 TAXI CHARGE DC BROOKLYN NY MCC: 4121 MERCHANT ZIP: 11203 District Commons Washington DC MCC: 5812 MERCHANT ZIP: 20037 TOWNE PARK LTD-0172 WASHINGTON DC MCC: 7523 MERCHANT ZIP: 20008 LOCAL TAX INDICATOR: 2 I NAT. INDICATOR: 0 DEST. POSTCODE: 000000000 COLONIAL PARKING #776 WASHINGTON DC 0100:7523 MERCHANT ZIP: 20000 LOCAI. TAX INDICATOR: NAT. TAX INDICATOR: 0 MARRIOTT 337Wo WARDMAN PKWASHINGTON DC MCC: 3500 MERCHANT ZIP: 20000 CHECK-IN: 04102114 NUMBER OF NIGHTS: 0 NO SHOW: 0 PURCHASE IDENTIFIER: 25000? ACE CA0 ORLANDO FL MCC: 4121 MERCHANT ZIP: 32024 UNITED 0102021221307000932-2T32 Tx MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD ICHANGE FE TICKET 0102021221307 LEG: 1 ITINERARY 1244 FARE CODE: EDD DATE: CARRIER: AirIIneS, Inc. DESTINATION: Washington. DC. 1? Virginia, UniIed ORIGINATION: Orlando. Florida. United States CITY CAB OF ORL ORLANDO FL MCC: 4121 MERCHANT ZIP: 32806 HYATT REGENCY ORLD CC FL 12.17 23.60 18.00 1,792.80 49.26 200.00 46.50 4.53 MDT Bank Corporate Card Page 5 of 6 I DERIONNE POLLARD ACCOUNT NUMBER I CREDIT AVAILABLE DAYS IN BILLING STATEMENT . LIMIT CYCLE DATE $10,000.00 $10,000.00 30 04/30/14 Tran Date Post Date Reference Number . . Transaction Description 04715 34:05 34715 )4718 34725 14729 04717. 04717 04717 04721 04/28 04730 64106000776060079 641 06000778060087 34106004085121018 34109207533500312 04117113000131321 34119207661900075 LEG: 1 ITINERARY it: 1707 FARE CODE: DATE: 0771 971 4 CARRIER: UA-United Airlines, Inc. DESTINATION: San Francisco, California, United States ORIGINATION: Washington, DC 7 Virginia, United Stat LEG: 2 ITINERARY I444 FARE CODE: TAAZII DATE: 07119714 CARRIER: UA-United Airlines, Inc. DESTINATION: Washington, DC. 7 Virginia, United Stat ORIGINATION: San Francisco, California, United States UNITED 0162921402573800?932?2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: JONES IECONOMY TICKET 0162921402573 LEG: 1 ITINERARY it: 1444 FARE CODE: EDD DATE: 07723714 CARRIER: UA-United Airlines, Inc. DESTINATION: Washington, DC. 7 Virginia, United Stat ORIGINATION: San Francisco, California, United States UNITED 0162921402575800?932?2732 TX M00: 3000 MERCHANT ZIP: 77002 NAME: JONES IBULKHEAD TICKET 0162921402575 LEG: I ITINERARY ii: 170? FARE CODE: EDD DATE: 0771904 CARRIER: UA-United Airlines, Inc. DESTINATION: San Francisco, California, United States ORIGINATION: Washington, DC. I Virginia, United Stat HYATT REGENCY ORLANDO CC ORLANDO FL MCC: 364-0. MERCHANT ZIP: 32819 CHECK-IN: 04712714 NUMBER OF NIGHTS: 3 NO SHOW: 0 PURCHASE IDENTIFIER: 3609 SILVER DINER ROCKVILLE MD M00: 5612 MERCHANT ZIP: 20852 GOTTS CT MD MCC: 7523 MERCHANT ZIP: 21401 COLONIAL PARKING 522 BETHESDA MD M00: 7523 MERCHANT ZIP: 20814 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 000000000 03.00 79.00 656.57 51.81 9.00 12.00 PURCHASE DATE Cardholder Name: DeRionne Pollard MERCHANT NAME PURCHASE AMOUNT ITEM DESCRIPTION CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: April 30,2014 I . ext: 752544 Budget Account Number Dept: Office, of the President, DESCRIPTION OF BUSINESS RELATED PURPOSE 3/30/2014 Carolina Kitchen Bargri 248.92 Meal Attended the HOPE. Stroll Walk to bene?t Generation Hope. 3/31/2014 MCG DOT 82751 OPS SE 4.00 Parking Fee Attended Montgomery Moving F0rward Symposium, Silver Spring, MD. 4/1/2014 McDonald?s M5089 ofMD 6.67 Meal Attended Lt. Govornor Anthony Brown?s Event/Meeting; RE: Minimum Wage Roundtabie. 4/2/20l4 Taxi Charge DC 13.81 Cab Fare Attended HERDI Advisory Board Meeting, Washington, DC. 4/2/2014 Taxi Magic 53 12.17 Cab Fare Attended Advisory Board Meeting, Washington, DC. 4/3/2014 ACE PS #44608 23 .60 Parking Fee 4/3/20i4 Taxi Charge DC EB 14.18 Cab Fare Attended Pearson 1, Washington, DC. Attended HERDI Meeting. 4/5/2014 District Commons :5 136.40 Meal Attended AACC Annual Convention, Washington, DC. 4/7/2014 Colonial Parking #776 18.00 Parking Fee Attended AACC Annual Convention, Washington, DC. 4/7/2014 Towne Park Ltd? 0 172 38.00 Parking Fee Attended AACC Annual Convention, Washington, DC. 4/8/2014 Marriott 337WO Wardman PK 1,792.80 Hotel Attended AACC Annual Convention Washington, DC. 1 4/12/2014 ACE Cab 8 49.26 Cab Fare Attending AGB Annual Conference on Trusteeship, Orlando, L. Cardholder Name: DeRionne Pollard PURCHASE DATE MERCHANT NAME PURCHASE AMOUNT 5 Ext: T5264 . ITEM DESCRIPTION Dept: Of?ce of thePresident- . Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE 4/13/2014 United 200.00 Meal Attending AOB Annual Conference on Trusteeship, Orlando, 4/13/2014 Taverna OPA 454.88 Meal Dinner w/Board of Trustees; attending AGB Annual Conference, Orlando, FL. 4/13/2014 Taverna OPA 311.52 Meal Dinner w/Board of?i?rustees; -sattending AGB Annual Conference, Orlando, 4/13/2014 Hyatt Regency Orld CC F858 4.53 Meal Attended AGB Annual Conference, Orlando, FL. 4/14/2014 City Cab of Orl 46.50 Cab Fare Attended AGB Annual Conference, Orlando, FL 4/14/2014 Dulles Pay and Go 16 51.00 Parking Fee Airport Parking while attending AGB Conference in Orlando, FL 4/15/2014 nited 418.00 Air Fare Attending AGB Annual Conference on Trusteeship, Orlando, FL. 4/15/2014 United 418.00 Air Fare Ms. Robyn 2014 President's Academy Summer institute. July 19-23. 2014. 4/15/2014 United 418.00 Air Fare Myles Pollard?Jones: AACC 20l4 President?s Academy Summer Institute, .luly l9~23 (will be reimbursed to the College). 4/15/2014 United 83.00 Air Fare Economy Plus fee for Ms. Jones; AACC 2014 President's Academy Summer Institute, July 19?23, 2014. 4/15/2014 United 79.00 Air Fare Blukhead fee for Ms. Jones; 2014 President's Academy Summer Institute. July 19-23. 2014. 4/15/2014 Hyatt Regency Orlando CC 658.57 Hotel - Attending AGB Annual Conference on Trusteeship, Orlando, FL 4/18/2014 Silver Diner 51.81 Meal Board Meeting Preparation; Generation Hope. 4/25/2014 Gott CT Garage 9.00 Parking, Fee Attended Meeting, Annapolis, MD ECardhoIderName: DeRionne'PoIIard -- . - . 75254 Dept: Of?ce of the _President_ PURCHASE MERCHANT PURCHASE I I I I DESCRIPTION OF BUSINESS DATE NAME AMOUNT ITEM DESCRIPTION Budget Account Number RELATED PURPOSE Attended CFMC Orientation, Bethesda, MD Egomalparmg 12.00 Parking Fee EXPENSE TOTAL: . Name: DeRionnePollard j: A Expense Report Report 3120 Run by: LYNETTE TELFORD Header Note: Cardholder Name: DERIONNE POD Current Status: Unsubmitted 00026637178 April 2014 Expense Report tD: Expense Report Name: Location: Date: 9:53:00 AM Current Recipient: LYNETTE TELFORD MONTGOMERY COLLEGE PUR (NEW) (00004! Run Date: SIBIZDH Time: 10:49 AM Summary Information 3 Date Range: 4102014 - 480(2014 MemoCPosted Transactions: 55.573.62 Description: - Grand Total: $5573.62 Destination: Memo-Posted Transactions: Date Occurred Date Posted Merchant Original Amount SettiementAmount Description Allocation Spiit Amount 3.8082014 411.2014 $248.92 $248.92 Purchase iD 000809 Meat: Attended The HOPE Stroll Walk to bene?t Generation Hope. . 3f31r'2014 4I1I2014 MCG DOT 82?51 OPS $4.00 $4.00. Parking Fee: Attended Montgomery Moving Forward Symposium, Silver Spring. MD. 4i1!2014 4r?2!2014 M5089 OF MD $8.67 $8.67 Purchase :0 Meat: Attended Lt. GovernorAnthony Brown?s EventiMeeting. RE: Minimum Wage Roundtable 1' 4i2f2014 4f4i'2014 TAXI CHARGE DC $13.81 $13.81 Cab Fare: Attended HERDI Advisory Board Meeting. Washington, DC. 4I2f2014 4i4!2014 TAXI MAGIC, $12.1? $12.1? Purchase ID 00930487 Cab Fare: Attended Advisory Board Meeting. Washington, DC- 4J3f2014 4i4!2014 ACE PRKING PS #44608 $23.60 $23.60 Purchase lD 0000002570 Parking Fee: Attended Pearson i, Washington. DC. Page 1 of4 Report 3120 Run Date: 51612014 Expense Repon Run by: LYNETTE TELFORD ?me: 10:49? 4.132014 41172014 TAXI CHARGE DC $14.18 $14.18 Cab Fare:Attended Meeting. 43512014 4!?!2014 District Commons $136.40 $138.40 Meal: Attended AACC Annual Convention, Washington. DC. 4372014 4(81?2014 COLONIAL PARKING #776 $18.00 $18.00 Purchase ID 8860004 Parking Fee: Attended AACC Annual Conference, Washington, DC. 4W2014 4.1812014 TOWNE PARK LTD-0172 $38.00 $38.00 Purchase ID 0000000132 Parking Fee: Attended AACC Annual Conference, Washington. DC. - 41812014 41912014 MARRIOTT WARDMAN $1,792.80 $1 ,792.80_ PK Purchase ID 25606 I Hotel: Attended AACC Award of Excellence Gala, Washington, DC. Check-In: Check-Out: Number of Days: Room Rate: 41212014 8 $0.00 4112112014 411 4.2014 ACE CA8 $49.26 $4 9.28 Cab Fare: Attending AGB Annual Conference on Trusteeship, Orlando, FL. 4.1131'2014 512014 UNITED 0162921221387 $200.00 $200.00 Air Fare: Change Fee; Attending AGE Annual Conference on Trusteeship. Orlando, FL. Passenger: Ticket: Travel Date: Travel Leg: POLLARD FE 016292122138? 411412014 MCO UA 441312014 411512014 TAVERNA OPA $454.88 $454.88 Meal: Dinner waoard of Trustees; attending AGB Annual Conference, Orlando, FL. 411132014 411512014 TAVERNA OPA $311.52 $311.52 Meal: Dinner waoard of Trustees; attending AGE Annual Conference, Orlando. FL 411312014 410512014 REGENCY ORLD CC F88 $4.53 $4.53 Page 2 of4 Rebortnzo" I I Expense Report Run Date: 5rer2014 Run by: LYNETTE TELFORD ?me: we? Hotel: Attending AGB Annual Conference, Orlando, FL. Check-in: Check-Out: Number of Days: Room Rate: 411212014 - 3 $0.00 4/181'2014 4!21!2014 SILVER $51.81 $51.81 Meat: Board Meeting Prep. Generation Hope. 4.125.?2014 4r23r2014 GOTTS CT GARAGE $9.00 $9.00 Parking Fee: Attended Meeting, Annapolis, MD. 4r29r2014 4r30r2014 PARKING 522 $12.00 $12.00 Purchase ID 0000000005 Parking Fee: Attended CFMC Orientaljon, Bethesda, MD. Mem o-Posted Transactions Totals Count:2? Expense Report History I Status DaterTime User Name Business Unit Notes Unsubmitted 5m2014 12:36:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Incomplete 5102014 12:50:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmilted 5r1i?2014 1:10:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Incomplete 5!6i?2014 9:40:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 5!6!2014 LYNETTE TELFORD MONTGOMERY COLLEGE PUR Eisense Report Summarv Reimbursable Total $0.00 Signatures @anne, .- We Print Cardholder Name LJQard?older Signature date! I vii/Hi4 Pn'ntApprover Name Approver Signature Date Page 4 of 4 Dr. DeRionne P. Poliard Corporate Card Expenses "Aprii 2014 MEALS (receipts attached) . e. .Jii 1L_e. aea?aoofi?rg?? .1 Faun-a: BEL can: ernu' Ua.a11na Kitcwen . ET 5501 emerican B1v? Hyattsv111e, MD 207a 3019272933 HYATT REGENCY URLANDD Date: COFFEE ETC. Cm? hm! ?V*a 9801 Internationa1 Drive Ami Ur1ando, F1or1da 32819 Exp Date: we (407) 284-1234 Auth Code: [1110509 CHECK: 3541 meek: ?a SERVER: 805 MARTHA ?3 'Tab1e: 105/1 DATE: Serve.: 105 Kimber1 CARD ACCT Subtotah 238 . 92 EXP DATE: 'Hua_m"_ 0 041314103620 DERIUHNE POLLARD SUBTOTAL: 4. 53 I agree to pay abole Tota1 according to my ca isomer agreement. TOTAL a Guest Copy 1 SIGNATULE: -a I agree to pay the above tota1 amoun1 according to c*rdho1der aorBBmEHt. District Commons 1 2200 Ave. nw Washington DC, 2003? Date: Apr05?14 Card Type: Visa Acct Card Entry: SRIPED Trans Type: PURCHASE Trans Key: AIA011586031504 Ruth Code: 036956 Check: 959 1/1 Server: 101? Joce1yn SubtotaT: 1 1 11. 41C) Tip: we Suggest 20% on 11? of our Service Stat . Thank you. TotaT: I- I agree to pay a ove totaT according to my rd issuer agreement. Dr. DeRionne P. Pollard Corporate Card Expenses - April 2014 MEALS (receipts attached) I Dot/101(6) Server: CESAR I 04/13/14 21:37, T: Rec: 62 51 Term: 3 TAVERHA ope or ORLANDO 9101 INTERNATIUNRL DRIVE SUITE 2240 (401)351?eaao g: MERCHANT ??oi CARD TYPE ACCOUNT VISA Name: DERIONNE POLLARD fi.f 00 TRANSACTION AUTHORIEATIDN 0604?? Reference: 0413010000169 TRANS TYPE: Credit Card SALE [IriEiflri 537??l. E3E3 Efize TOTAL: $$*Dup110ate HILL Pe? CARD ISSUER ABOVE RMUUNT PURSURNT TU CARDHULDER AGREEMENT PLERSE SIGN 1 COPY RHD KEEP 2ND 1:4: 1 Dr. DeRionne P. Poilard r75 5 Corporate Card Expenses ?April 2014 (receipts attached) 0232 (I Server: CESAR Rec: 63 ipe 04/13/14 21:37, SR T: 51 Term: 3 TAVERNA OPA OF ORLANDO 9101 INTERNATIONAL DRIVE SUITE-2240 (407)351?8660 NERCHANT A: CARD TYPE ACCOUNT NUMBER VISA OD TRANSACTION APPROVED AUTHORIZATION 066171 Reference: 0413010000232 TRANS TYPE: Credit Card SALE CHECK: 261 52 TIP: 3/19? Exec/17%, ?Lgae? *$*Dup1icaLe Copy#** 2 a - CARDHOLDER WILL PAY CARD ISSUER ABOVE AMOUNT PURSUANT TO CARDHOLDER AGREEMENT NRN.TAVERNAOPARESTAURANT.CON PLEASE SIGN 1 COPY AND KEEP THE 2ND (31 SiTyer Diner RockyiTTe 12276 RpekyiTTe Pike Date: Apr16?14 Card Type: Visa/M.C. Acct Az. a Card Entry: SUTPED Trans Type: PURCHASE Trans Key: Auth Code: 646366 Check: 103 TebTe: 24/1 Seryer: Sofia . SubtotaT: ?163 .Ei? Tipien,e_ H?_emeum . 3/ Tota] -. . Signature select amount elew according to my card issuer agreement. 4 A Customer Copy Dr. DeRionne P. Pollard Corporate Card Expenses - April 2014 MEALS (receipt attached) ?\Cx Buy One Get One Free Quarter Pounder w/ Cheese or E99 HcHuffin Go To and tell us about your visit. Validation Code:_ l580] Frederick Road DE!er - H0 1} 20855 THANK YOU i i 301-926?5836 Store? 1797 i335 13 Apr.01?l4 (Tue) 14:17 HFY SIDE 2 KVS Order 2? QTY ITEM TOTAL 10 HoNuggets Heal 8.28 2 Creamy Ranch CUP 1 Light Lemonade Subtotal 8.23 Tax 0.38 Take?But Total 5.87 Cashless 5.8? Change 0.00 23083702 CARD ISSUER Visa SALE _l U1 1.. 01 Guest 5 Name Room 1' AC. N0. Signature The Gateway Hotel R?ad Raipw +91 7:1 51 003 Chhattis?garh. 492 006 india +91 771 5%1. 11?. TIN No. I CST No. 22281104173 PAN No. Service Tax?No. THE ABOVE MENTIONED CWGES ARE INCLUSIVE OF THE AND SERVICE RENDERED ROAD RAIPUR TAXINVOICE 1-9379 -. ?it-qup.JIHI a a: a ?25. 1 a? Tr. ?1 Guest 5 Name Room AC. No. ti -. The Galeway Hote'. Road Hangar i ..- #31 H1 6601 000 Chhattiagari1.492 036Ir12 ia +91 7?1 5661 111 .. . . TIN No. 1 CST No. 23551104173 PAN No. AACCV5292N Service Tax No. THE MENTIONED CHARGES ARE HMZLUSWT: OF THE AND SERVICE RENDERED Dr. DeRionne P. Poliard Corporate Card Expenses?December 2014 (Sister City Trip to india) RECEIPTS 3276558 (g THE CLARIDGES NEW DELHI Gracia-151'; Im?du 12 A11me Road New Delhi 110 011 Tel.- 3955 5000 .- ?{ii} :l le1 NO. 07930024744 Service Tax No. SIGNATURE ROOM NO. NAME COMPANY . .. n. m1 nil-m? .g?lrorAL 2 moment [@ju?ml 1-mer rum am: Tut (Hmfii ALE mm Eill'i .JL -: Lamarrcmaa?? 21:: mat-s warm. m; {50.293 Imam um: 5A 5) . 1"th irfziri i 1 WM 53m; 1m: :15; If. -. -- {1533? m. 1 LEE PM 15% T??r?i L?h' ISSLH. versmn mmw? 53 01 Taj Palace Hotel New Delhi a Taj Palace Hotel, New Delhi, 19/11/14 1 Ms. Derionne Paulette Pollard Page Cashier 9 SPANDIT Room No. 548 LKVX ?Locker No. Rate GCMCOP Pax 1 United States Nationality US Resv No. 1453071 Arrival 17/11/2014 Time 11:07 Tin NO: Booked By Departure 20/11/2014 Time 05:53 Master Rm 0 MJR ML KF Innercircle Date . Description Remarks Amount 19/11 'HR/Service?Food #548 CHECK #131278 131270 1,937 19/11 ?The Fitness Center CHECK 1302 4,407 Balance Rs. 6,344 Total E.T on rooms Rs 0 Total L.T on rooms Rs 0 TAJ PALACE HOTEL PRESEHTS THE HIGH-SPEED INTERNET.YOU CAN SURF THE NET ANYWHERE IN THE HOTEL COMPLEX. DETAIL PLEASE CONTACT OUR INTERNET DESK AT EXTN.3678 I agree that my liability for this bill is not waived and agree to he held personally liable in the event that the indicated person, company or association fails to pay for any part or the full amount of these charges. Our Hotel Registration number is 2009000813 L.T. NO. Service Tax (Short Term Acco} Includes S?a? SVC Tax,2% Edu cess Tax and 1% HECess Tax Ff Guest?s Signature Cas Signature Email - (Please collect the receipt when paying by cash) lubalpa men? C(l?r 5 globalpayments I-ISBC :?33?sdam:- r? a 3: .. rut-~43 '35 1 cars: ?Thu-Xv . . heatLuau55:73.33.zarnHer?F - "i - 7; --.: a: .1 "23-w- ?a as: a: m? --.- vow?;- 5' a; 3" ?34.35ie?fg C: ?zu 11rve-v-E? i :331:3- ?f ?iu-U?r? Tl" JHSH I 5? 2* 3931-1] Emmi-Wm sole. 1. 1.1.1. - 'Britton, Ida I r?T-rom: Sent: Monday, November 24, 2014 10:42 AM To: Britton, Ida - Subject: Trip Receipt - 854252*1 RMA CHAUFFEURED R'mg TRANSPORTATION 12270 warns ,4 venue Roch/Ila, MD, 20852 Emaif .1 reservations@rmafimo.cam Web TRIP RECEIPT ACCOUNT . . . Reservatiom'i. 854252 1 Vehicle Type. Sedan I Customer. 2012 CUE Passenger Name: DERIONNE Chauffeur: KAMBAYA Contact Name: IDA POLLARD LUMBUKU Pickup Date/Time: 11/22/2014 Start Time: Contact Number: 301?231-6555 End Time: Raw Pickup Time: 07:1 8 A Base Charge: 100. . (3 't 20. Address: IAD (Washington DuIIes IntI),Emirates FIight# 231 Arrv: Recommen ra l? - 11/22/2014 08:10 AM Arriving from DXB Tolls Parking. 5_ Fuel Surcharge: 12. .Stop 1: Dropoff Add ress: Payment BiIIed To: CC Credit card: TotaI: I 137. Total Payments: 137, Baiance Due: 0. Page 1 of}. Page 1 of 4 8: Corporate Card DERIONNE POLLARD ACCOUNT NUMBER . CREDIT AVAILABLE AYS IN BILLING I STATEMENT LIMIT CREDIT CYCLE 1. DATE I $10,000.00 $10.000.00 31' Credits Totai Activity I Purchases Cas? Advances Total Fees $544.19 . $0.00 $0.00 $0.00 $544.19 Arcs ?Isms?02 I Reference Number - Transaction Description I Amount . - . I006 0-61"? CS 3130? 0 00000350040040 0100:7523 MERCHANT ZIP: 20010 MCG oor PARKING OPS 000 GROCKVILLE MD 000 1204 1200 220003000000000'3 1209 12:10 24343170430011003 0100:7523 MERCHANT ZIP: 20050 12m 12m 54044700001207701 FOUNDING FARMERS MD POTOMAC MD 40.02 M00: 5012 MERCHANT ZIP: 20054 12.00 COLONIAL PARKING #573 ROCKVILLE M0 M00: 7523 MERCHANT ZIP: 20050 i DATE 12111 12115 34346016959750000 CARDHOLDER SIGNATURE For customer service. 001! ank regarding: - F0 Iree (800) 44306?. Biiling errors: .0. BOX 4028. Buffalo. NY 14240-4028 referraiservices.ca? Oulside lhe US and Canada, 0011 Paymenls: P.. BOX 62120. Baliimore, MD 21264-2120 the Visa assistance (716) 635-4152. LosUStolen: 65 MAIN STREET. SUITE 500. Buffalo, NY 14203 Cenier 01(800) VISA-911. \frsii us on Ih web at I MEMO STATEMENT 4240 4028 Account Number I Statement Date 12/30 Total Activity $544.- Remit to: BANK P.O. X62120 BALTIMORE MD 21264-2120 STATEMENT DO NOT REMIT PAYMENT DERIONNE POLLARD ?"093535? MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850?1728 I Page 3of4 Co 0 ate Card Bank DERIONNE POLLARD . . ACCOUNTNUMBER AVAELABLE - DAYS IN BILLING I CREDIT . CYCLE DATE 5 I $10,000.00 $10,000.Tran Post . Date Date Reference Number _Transa0tlon Description Am0unt NAT. TAX INDICATOR: 0 3' 12/15 1217 04350900004050142 SLICE 0F ROCKVILLE ROCKVILLE MD 27.34 7 0100:5014 . 12:10 12:19 04352253500010114 ROCKVILLE MD 50-55 i I 0100:5012 2 1209 1202 54355905350455095 NANTUCKETS REEF . ROCKVILLE MD 394.30 0100:5012 I Montgomery College CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: December 31, 2014 .. .R .i . Cardholder Name: DeRIonne Pollard - - Ext. 15264 Of?ce of the President Dept: PURCHASE MERCHANT PURCHASE DESCRIPTION: OF BUSINESS DATE NAME AMOUNT ITEM DESCRIPTION Budget Account Number RELATED PURPOSE MCG DOT 32319 3?00 Parking Attended AOwsory Board OPS A Meeting, Silver Spring. MD MCG DOT . primg OPS . 6.00 Parkmg Attended County Council Worksossion, ROCkvillc, MD. Founding I2f'9f20 I 4 Farmers MD 40.92 Meal Lunch meeting w/Jacia Smith. Colonial . I2XIIX2014 Parking #573 l2.00 Meeting Marc Elrich. no SIICB 01" Lunch Meetin?g waave Sears. I 2} I 5/20 I 4 . 27.34 Meal College Campaign Lunch w/Sally I 8/20 I 4 Pizzico 60.55 Meal Rudney. l2fl9/2OI4 Nantucms 394.38 I Meal Reef Lunch meeting xiv/Administrators. I EXPENSE I a Signature: f?Mr? n. ML I .- . kt)? ;I_.wa Ol/ .n . ill a Lliu ?ti! .u'bi I - . i '35? . . I MEIR-.1111 .. - "eff-p gm u?=r . m. "we; . Lea-m5 .- - 3' I: - Name: Steghen D. Cain Signature: <15, .r A 5. .1 Date: I .23 - w'w- 1229:2014 Run Date: 17872015 Expense Report Report 3120 Run by: LYNETFE TELFORD Time: 9:00 AM Header Note: . Cardholder Name: DERIONNE POLLARD Current Status: Pending Approval (447710W4777) Date: 17072075 9:00:00 AM . Expense ReportlD: 0003190558 Current Rec?pient: Janet Womack . December 2014 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! Expense Report Name: Date Range: 1172572014 - 1270172014 Memo-Posted Transactions: $544.19 Description: Grand Total: $544.19 Destination: Memo?Posted Transactions: Date Posted Description Merchant Original Amount Settlement Amount Allocation Date Occurred Split Amount 127872014 127472014 MCG DOT 02819 OPS $3.00 $3.00 If. Parking: Attended CFMC Advisory Board Meeting. Silver Spring. MD 1271072014 127972014 MCG DOT OPS COB Parking: Attended County Council Worksession. Rockville. MD 1271172014 FOUNDING FARMERS MD $40.92 Meal: Lunch meeting leacia Smith 1271172014 1271572014 COLONIAL PARKING #573 $12.00 Purchase iD 95975000 Parking: Meeting W7Councilmember Marc Elric'n $27.34 OF ROCKVILLE $27.34 1271772014 1271572014 Meal: Lundl meeting wiDave Sears it. Meal: College Campaign Lundl w78ally Rudney 1271072014 1271972014 $304.33 1271972014 1272272014 NANTUCKETS REEF $394.33 Meal: Lunch Meeting Page 1 of 2 Report 3120 I Run by: LYNETTE TELFORD Expense Report Run Date: Time: 9:00 AM Memo-Posted Transactions Totals Count? Ex?ense Report History . - Status Datsrl'ime User Name Business Unit Notes Unsubmitled 032015 3:32:00 AM TELFORD MONTGOMERY Submitted 11352015 9:00:00 AM TELFORD MONTGOMERY COLLEGE PUR Pending Approval 1IBI201 5 9:00:00 AM Janet Wonnack MONTGOMERY COLLEGE PUR iEx?nense Report Summarv Reimbursable Totai $0.00 Signatures; . . . . ?vldz? {/st Pn?nt Cardhotder Name Cardholder Signaflre date I MW Print Approver Name - Approver Sig natu?r?e liate Page 2 of 2 Dr. DeRionne P. Poilard Corporate Card ExpensesuDecember 2014 5" PARKING II I LUVUV p3 POF 12/11/ ageipt 093735 men not PHRKIHG UP rki ng wumv ?m?g?m?mg?am ?gqetgfmoggui i SQUARE GARAGE 12/11?44 $322 - . 12/11 PLLEIPF K9 merchant 1.0: 89mm,? Period od3h23 512.00 Term In: (UstJ $12 00 . . "r -. sale - sub Tota1 50:00 12/04/11; 1? Ust- EXIT TIHL: mx 12/041,141 14 :10 - . Hethud: Swwed - 8% 0 02 52 Iotal: AMOUNT 1W4 12:94324 PAYMENT: Emma 1 Customer CDT-W Ea I 101 AUTH . CODE 011659 Dr. DeRionne P. Poliard Corporate Card Expenses?December 2014 MEALS 1 Hdh?sFoj?imaFamers . - . Park Pt!th smut lt-lnEl?igltijaV EELE Park Potmnac, HD 20854 . antihiLLE 3 ND 29858 Serve??ustin we: 12mm I ?1?49 PH Table mm mm phone Order SALE Visa - .. YMUU Entrv?e?wdt?amml .1 Mamie can! pm: mam Unline Batch?: WW9 Card Entry Method: 3 - lzfisgiq 12;1g;q1 App 1 [115?r rov no a mu: Ruhr .Code. $5197.14 anmt: 3? Q1 a Reount?. ?Mn? +11pi . lip: - 1 Total: #465}? II Iota}: ?u'at'rmvl 509?? 5% a) I agree to pa total amount according to :9 ma?a YBU Need the perfect Hol Buy a Founding Fa'mers Gift Card or Cookbook oday! You can also order them Unline by visiting HeAreFoundingFarmere.com Guest Copy Dr. DeRionne P. Pollard Corporate Card Expenses?December 2014 IL PIZZICO 15208 FREDERICK RD ROCKVILLE, ND. 20850 DATE: 12/18/14 TIME: 01:08 PM TABLE: 53 CHECK: SEATS: 1 SRVR: 15 DANIEL AUTHN: 075961 INVN: 80000802 ACCT: VISA EXDT: APPROVED: 075951 AUTH 49.55 TIP @059 I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEMENT roe oorrou MEALS Customer Copy Nantucket?s Reef 9755 TraviTIe Gateway D1 North Potomac, ND 20850 Date: 12/19/14 Time: 2:05 PM Server: 23. Terrea Order: 50832 UeIoription: TabTe 33 Card Type: Visa/NC Card No: Expires: Code: 080028 Purchases: 394.38 TotaI: I agree to pay the above totaT amount according to the card agreement. Thank you for visiting Nantucket?e Reef M&T.Bank - Corporate Card POLLARD CREDIT TENNLABLQE1 STATEMENT LIMIT CREDIT DATE $10,000.00 $10,000.00 31 - - 01131/15 Purchases Cash AdVanoes Total Fees Credits Total Activity 33,544.33 30.00 30.00 30.00 . $3,544.33 Tran Reference Number Transaction Description Amount Date Date 01107 01109 ?45003030050039115 Nicks Chophouse Ruckviile MD "6113 - 0100:5312 MERCHANT ZIP: 20350 0009 0012 2.5010540105925124 MONTGOMERY COLLEGE BKST MD 223.05 MCC: 3220 MERCHANT ZIP: 20350 01113 01/15 45014004028003007 CARWASH CENTER MD 52.00 - MCC: 7542 MERCHANT ZIP: 20350 LOCAL TAX NAT-.TAXINDIGATO . I . DATE MNG 2 . \g?x - In For ouslomer service. call - To mite 8. regarding: Visa bane HS and tnli free (800) 443-86?. Billing errors: P. BOX 4028, Buffalo, NY 14240-4028 j?ierratsawbes? can 5: 7 Outside the US and Canada. oali Payments: PD. 62120. Baliimore. MD 21264-2120 1115 Visa assistance (716) 635-4152. - Lost/Stolen: 465 NH STREET, SUITE 500, Buffalo. NY 14203 Center at (800) VISA-91 . {5 Visit us on lhe web MEMO STATEMENT Account Number BUFF- L0 2 -402 A 1440 8 Statement Date 01/31/15 TotaiACtWity 33,544.33 Remit to: METBANK PO. BOX 62120 - . . BALTIMORE MD 21254-2120 STATEMENT DONOTREMITPWENT I POLLARD unouosns . MONTGOMERY COLLEGE CRP (NEW) ATTN: JOHNSON 000 HUNGERFORD DR MD 20850?1728 0000000000000 Page 2 of 4 Mg??Bank Corporate Card . "1 77111%! 1 . POLLARD I CCOUNT NUMBER - CREDIT i AVAILABLE DAYS iN BILLING STATEMENT CREDIT CYCLE DATE . $10,000.00 $10,000.00 I 31 I 0031/15 l1111111111111111111 NOTICE OF RIGHTS This notice contains important information about your rights under federal iaw. in this Notice, ?you?'refers to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You 'may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liable for any unauthorized use that occurs after you notify Bank orally or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations,?or by telephoning 1-800-443?8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card will not exceed $50. Please be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in full by the due date may result in delinquency charges ?er yourAgreement with us. We wiil credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. 8. Corporate Card tuuvuwti JERIONNE POLLARD ACCOUNT NUMBER 1" - CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 01I31I15 Tran Post Date Date 3015 01:16" :ms 01x19 21115 01:19 me 0019 (16 0mg :20 01x21 2:20 01x22 Reference Number '0'5015253526010140 65016000898284365 Transaction Description IL P1222153 ROCKMILLE MD MCC: 5812 MERCHANT ZIP: 20650 UNITED 0162435035344600-632?2732 Tx M00: 3000 MERCHANT ZIP: T7002 NAME: POLLARDIDERIONNEPDR TICKET 0152435035344 LEG: 1 ITINERARY It: 1429 FARE CODE: EAAUCIA DATE: UIISOIIS CARRIER: UA-Unlted Airlines, Inc. .- DESTINATION: Washington, DC. I Virginia; United Stat - ORIGINATION: L03 AngeIes, CaIIfomia. United States 85015002535628192 05018930004858192 85020502600432868 650210001946646?00 UNITED 0182435043329800-932-2732TX MCC: 3000 MERCHANT ZIP: 22002 NAME: .POLLARDIDERIONNEPDR TICKET 0182435043329 LEG: 1 ITINERARY II: 1211 FARE CODE: EAA03A DATE: CARRIER: UA-United Airlines, Inc. DESTINATION: Los Angeles, United States ORIGINATION: Washington, DC. I Virginia. United Stat EXEUCUCAR LAX 600.256.3626 CA M00: 4789 MERCHANT ZIP: 90501 ORDER NJIVIBEH: 3920.793r3928'f9480 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 SLICE OF ROCKVILLE ROCKVILLE MD 5814 MERCHANT ZIP: 20850 EB 2015 WOMENS LEGISL 888-810-2063 CA MCC: 7399 MERCHANT ZIP: 9410? ORDER NUMBER: 71610371-39091388 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 UNITED 0162435566224800-932-2732 TX - MCC: 3000 MERCHANT ZIP: W002 NAME: POLLARDIDERIONNEPDR TICKET 0182435566224 LEE: 1 ITINERARY 1686 FARE CODE: KAAUTA DATE: 02IIBI15 CARRIER: UA-UnIted AirIInes, Inc. DESTINATION: Tampa, Florida. United StaIes ORIGINATION: Washington, DC. I Virginia, United Stat IV Amount 99.25 558.10 556.10 270.22 32.26 20.00 352.20 Bank 7' Corporate Card Page 4 0f 4 I. DERIONNE POLLARD ACCOUNT NUMBER mw? CREDIT I AVAILABLE DAYS IN BILLING I STATEMENT LIMIT i CYCLE DATE . . . 8? $10,000.00 I 31000000 31 01mm Ew- 2 8 3 1 . Tran Post Date Date Reference Number ?11?22 01.323 05022211163249399 '1f22 011123 85023191005350551 122 01.26 650230000309353?5 1?23 01326 95023002219491980 '23 01126 05023254158015078 (26 01:27 25025160263881425 K26 01328 0502?980004858118 1?29 01.130 55030000004278949 .L DATE: 021118145 Transaction DescTiption CARRIER: UA-Unlted Airtines. Inc. DESTINATION: Washington. Virginia, United Stat ORIGINATION: Tampa. Florida. United States PIER 1 MCC: 5999 000163?8 ROCKVILLE MD MERCHANT ZIP: 20852 ORDER NUMBER: 00000000000000000 LOCAL TAX: 5.52 LOCAL TAX INDICATOR: 1 NAT. TAX 0 TRADER #842 OPS ROCKVILLE MD 0100:5411 MERCHANT ZIP: 20852 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 TENTHOUSVILL-ROCKVILLE ROCKVILLE MD M00: 5947 MERCHANT ZIP: 20850 First Watch Restaurants 9ROCKVILLE MD M00: 5812 JIM COLEMAN INFINITI MERCHANT ZIP: 2081? M00: 5511 MERCHANT ZIP: 20850 301 ~469-21 00 MD ORDER NUMBER: 2151? LOCAL TAX: 56.98 LOCAL TAX INDICATOR: 1 NAT. TAX INDICATOR: 0 - MCG DOT PARKING OPS COB GROCKVILLE M00: 7523 SLICE OF ROCKVILLE MERCHANT ZIP: 20850 M00: 5814 SO TAXI MCC: 4121 MERCHANT ZIP: 20850 ROCKVILLE MD Newport MERCHANT ZIP: 92651 MD Amount 16.55 44.52 29.33 1,008.73 9.00 68.53 29.81 CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: January 31. 2015 PURCHASE DATE Cardholder Name: De?Rionn? Pollard MERCHANT NAME PURCHASE AMOUNT lTEI'lrl DESCRIPTION 3 Ext: 75264 Dept.: Officeof the President Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE 1(22/2015 Trenthous? Rockville 44.52 Supplies resident's Office. lf23f2015 Jim Colemen Infiniti /1,006.73 Car Servicing Vehicle maintenance charges on President's vehicle. l/23f2015 First Watch Rest 9 /29.33 Meal Breakfast meeting ia James, Community Bridges. 1126/2015 MCG Parking Ops COB Parking Fee s. Attended County Conncil Ed. Committee Worksession: Developmental Ed. at MC. 1516/2015 Siice of Rockvilie Meal Lunch meeting~ RE: Closing the Achievement Gap Check-in. /29a?20 i 5 SQ A Taxi Transportatiori Attended AACC Workforce Dev. Con?, Newport Beach, CA, .I an 28? f. ll..1 Name: EXPENSE . r' Jew-wt 31. allege; damp! - Cid, 5c- CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: Januarv 3?1. 2015 Cardholder Name: PURCHASE DATE DeRionne Pollard MERCHANT NAME PURCHASE AMOUNT ITEM DESCRIPTION Dept.: Office of the President Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE la?7f2015 Nicks Chophouse 67.13 I Meal Lunch meeting wz?Carol Leahy and Greg Enloe. MC Bookstore 223.05 Supphes President's Of?ce. 1f13r?2015 Flagship Carwash 62.00 Car Servicing Servicing of President's vehicle. 1/15/2015 Pizzico . 99.25 MeaI Lunch Meeting w/Nicole Lewis and AI Lynn. 11'151?2015 United 558.10 Airfare AACC Workforce Development Conference, .1 annary 2015. 1/15/2015 United 3 558.10 Airfare AACC Workforce Development Conference, January 2015. If16f2015 Exeugu car Lax 270.22 TranSportation Attended AACC Workforce Development Conference, Newport Beach, CA, Jan 28?31. 1/16f2015 Slice of Rockviile ,3226 MeaI Lunch meeting Wilda Britten. I 5 EB 2015 Womens Leg 20.00 Registration Montgomery Wen-ien Legislative Brie?ng, 2015. 1f20/20 15 United 352.20 Airfare Black, Brown and College Bound Summit, February 2015. 1/22/2015 Pier 1 97.55 Supplies President?s Office. 1/22/2015 Trad er oe?s a. 16.55 Supplies President's Of?ce. Report 3120 Expense Report Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report iD: Expense Report Na Run Dale: 3132015 1212? PM DERIONNE POLLARD Current Status: Unsubmitted (447715?*?*4777l Date: 242015 1:25:00 PM 0003256760 Current Recipient: LYN TELFORD me: January 2015 LocatiOn: I MONTGOMERY COLLEGE PUR (NEW) (00004! Summary information Date Range: 1f5i2015 ?3132015 Memo-Posted Transactions: $3,544.33 Description: Grand Total: $3,544.33 Destination: mania-Posted Transactions: I . Date Occurred Date Posted Merchant Original AmOunt SettlementAmount Description Allocation Split Amount 1072015 0912015 Nicks Chophouse $67.13 $6?.13 V/?f Meal: Lunch meeting wiCarol Leahy and Greg Enloe 119122015 1T1 2:2015 MONTGOMERY COLLEGE BKST $223.05 $223.05 Supplies: President?s Of?ce. 11'131'2015 11?151'2015 FLAGSHIP CARWASH CENTER $62.00 $62.00 Purchase ID 0000000048 Servicing of President's vehicle. 1/1512015 111612015 iL $99.25 $99.25 Meal: Lunch Meeting wiNicole Lewis and Ad Lynn. 121512015 019112015 UNITED 0162435035344 $558.10 $558.10 Airfare: AACC Wondorce Development Conference. January 2015. Passenger: Ticket: Travei Date: Travel Leg: 0162435035344 1130:2015 LAX UA 111512015 111912015 0162435043329 $558.10 $558.10 1/ Nrfare'AACC Workforce Development Conference. January 2015. Passenger: Ticket: Travel Date: Tra vei Leg: 0162435043329 112812015 UA LAX Page 1 013 Expense Report Report 3120 Run Date1271272015 by: TELFORD ?ma: ?2?27 PM 171672015 171972015 EXEUCUCAR LAX $270.22 $270.22 1/ Purchase Io 58562819 Transportation: Attended AACC Workforce Development Conference, Newport Beach. CA. January 26-31, 2015. 171672015 I 171972015 OF ROCKVELLE $32.26 $32.26 Meat: Lunch meeting wtida Bn?tton 112012015 172172015 EB 2015 WOMENS $20.00 $20.00 1/ Purchase ID 60048266 Registration: Montgomery Women Legislative Brie?ng. 2015. 172012015 172272015 UNITED 0162435566224 $352.20 $352.20 Airfare: Black, Brown and College Bound Summit, February 2015. Passenger: - Ticket: Travel Date: Travel Leg: POLLARDIDEREONNEPDR 0162435566224 2111372015 UA TPA TPA UA 0 172272015 112372015 PIER 1 00016376 $97.55 $97.55 Purchase ID 00000000000000000 Supplies: President's Of?ce 172212015 172312015 TRADER #642 OPS $16.55 $16.55 Purchase ID 00535066 Suppties: President?s Of?ce. 3 172272015 172672015 $44.52 $44.52 Purchase ID 3933000100344? Supplies: President's Of?ce. 112372015 172612015 JIM COLEMAN $1,006.73 $1 .00673 1/ Purchase ID 757621742 Vehicle Maintenance charges on President's Vehicle Description: Quantity: Um?! Cost: Unit of Measure: Amount: .GENERIC PRODUCT OR 1.0000 $1.00 EAC $949.75 SERVICE 172312015 112672015 First Watch Restaurants 9 $29.33 $29.33 Page 2013 Report 3120 Expense Report Run by:" LYNETTE TELFORD Mea[:Breakfast Meeting w! James, Community Bridges Run Date: 22122015 r' Time: 12:27 PM $9.00 02602015 02702015 MCG DOT PARKING OPS COB $9.00 Parking Fee: Attended County Council Education Committee Worksession: Developmental Education at Montgomery College. 1l26f2015 1i28l2015 OF ROCKVILLE $68.53 $68.53 Meal: Lunch Meeting. RE: Closing the Achievement Gap Check-in. 0292015 113002015 80 ATAXI $29.81 $29.81 Purchase ID 0002305843009882582725 Transportation: Attended AACC Workforce Development Conference, Newport Beach, CA. January 28-31. 2015. drug 91?? PH wefej ?r?ras I Memo?Posted Transactions Totais Count:18 [Eltpzense Report History Status Datel'Tirne User Name Business Unit Notes Unsubmitted 24220151104100 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Incomplete 2i4f2015 1:24:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 24:2015 1:25:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR ExpenseReoort Su?mmarv - i Reimbursable Total $0.00 SEE-atoms- -. . . - 1 I/f it?) 31/51 3/ '5 Pn?nt Cardholder Name m?der Signatur?r'?m' Da?te ?747 679 Newsweek 2/2: PrintApprover Name Mpprover Signature ate I Page 3 of 3 Continuation: I i I A sum ALLIANGE MEMBER MXZOHM Issue Date: January 15, 2015 Traveler . eTicket Number Frequent lyer Seats 01624 3 503 5 344 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Fri, 3OJAN15 UA1429 A LOS ANGELES, CA WASHINGTON, DC (LAX) 11:16 PM (IAD DULLES) 7:05 AM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 506.05USD ISA - US. Federal TranSportation 37.95 Last Four Digits Tax: I I U.S. Flight Segment Tax: 4.00 September 11th Security Fee: 5.60 US. Passenger Facility 4.50 Charge: Per Person Total: 558.10USD eTicket Total: 5 5 8 . 0USD The airfare you paid on this itinerary totals: 506.05 USD The taxes, fees, and surcharges paid total: 52.05 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional ?v Fri, Jan. 30, 2015/.Visa 4777 was charged 249.00 USD for the following: First Charges: Class Plus EDD 01629247984571 Baggage allowance and charges for this itinerary. Baggage fees are per traveler nd Origin and destination for checked baggage 131mg gag Max wt dim per piece 1/30/20isL0s Angeles; CA (LAX) to Washington, 0.00 0.00 70.01bs (32.019-62.013 PC .. USD. USD .1 Con?rmation: A STAR ALLIANCE MEMBER MZB4V Traveler eTicket Number Frequent Flyer Seats 0162435043329 - 9B FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Wed, 28JAN 1 5 UA1211E WASHINGTON, DC LOS ANGELES, CA 757?300 Purchase (IAD DULLES) 8:26 AM (LAX) 11:17 AM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 506.05USD VISA US. Federal Transportation 37.95 Last Four Digits Tax: U.S. Flight Segment Tax: 4.00 September 11th Security Fee: 5.60 U.S. Passenger Facility 4.50 Charge: Per Person Total: 558.10USD eTicket Total: 558.10USD The airfare you paid on this itinerary totals: 506.05 USD The taxes, fees, and surcharges paid total: 5205 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Baggage allowance and charges for this itinerary. Baggage fees are per traveler Origin and destination for checked baggage 13?? bag 2nd bag Max wt [dim per piece 1/28/2015 Washington, DC (IAD - Dulles) to Los 25.00 35.00 50.01bs (23.0kg) 62.0in Angeles, USD USD (15 7 .00m) Additional Baggage Information Home Thank You for Choosing United Airlines Thank You for Choosing United Airlines United Confirmation Number BPEMCE 1 Adult (18-64) $301.40 Additional TaxesZFees $50.80 Total $352.20 Payment Information Name of Cardholder: DERIONNE POLLARD Card Type: Visa MileagePlus Members: Upon completion of this itinerary, you will earn up to 1,620 MileagePlus award miles.* United Confirmation Number BPEMCE 53.1 an. . -Wed., Feb. 18, 2015 Washington, DC (IAD Dulles) to Tampa/St. 'Petersburg, FL (TPA) Depart: Anive: TraVei Distance: Flight: UA1636 12:36 p.m. 2:59 p.m. Tlme:2 hr 810 miles Aircraft: Boeing 737-4300 -Wed., Feb. 13, 2015 Wed., Feb. 13, 2015 23 mn Fare Class: United Economy Washington, DC (IAD Tampa/St. Petersburg, I (K Meal: Snacks for Purchase Dulles) FL (TPA) . No Special Meal Offered. Sat, Feb. 21, 2015 Tampa/St. Petersburg, FL (TPA) to Washington, DC (IAD Dulles) Depart: Arrive: Travel . Distance: . Flight: UA511 2:00 pm. 4:10 pm. Time:2 hr 810 miles Aircraft: _Airbus A320 Sat, Feb. 21, 2015 Sat, Feb. 21, 2015 10 mn Fare Class: United Economy Tampa/St. Petersburg, Washington, DC (IAD - (W) FL (TPA) Dulles) Meal: Snacks for Purchase 2 No Special Meal Offered. We L?mm? "-qu as; Traveler(s) I 2015 womenis Legislative Briefing Build the World You Want through Advocacy Legislation 3 5 .l Order #3909181 15. Ordered by DeRionne Pollard on January 20, 2015 5:05 PM I lg derail-3r: "fame DeFiionne - The Universities at Shady Grove Pollard 8 Sunday, January 25, 2015 from Campus, Building 8 a 11:30 AM to 6:00 PM (EST) 9630 Gudelsky Drive Eventbme 33 Bockville, MD 20850 Completed . 8 ES C) 'l General Admission $20.00 to Do you organize events? Start selling in minutes with Eventbrite! Departure Itinerary (To the Airport) Confirmation Number: 3928793 Pickup Date/Time: Friday, January 30, 2015 8:00 PM Pickup: MARRIOTT - NEWPORT BEACH 900 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 .1 (301) 801?1238 Airport: LAX LOS ANGELES AIRPORT - Airline: - UNITED AIRLINES Flight 1429 Domestic Adults: 1 Children: 0 Service Type: EXECUCAR SEDAN SERVICE (UP TO 4 PASSENGERS) Fare: $112.00 Tip: $20.61 Total: $132.61 Billing Payment Method: PREPAID CREDIT CARD Card type: VISA Card number: Roundtrip total fare: $270.22 Thank you for using ExecuCar! To view our cancellation policy, click [here]. To change or cancel this reservation, please call 1?800?410-4444 http://WivaxecuCarcom We value your safety. Piease wear your seat belt during your ioumey With US- This e?mail is intended only for use of the individual or entity to which it is addressed and may contain information that is privileged, con?dential and exempt from disclosure under applicable law. Any use, distribution or copying of this e-mail communication is strictly prohibited if you are not the addressee. If so, please notify us immediately by e? mail, and destroy the original. Thank you. I an part of the originai Repair Order. This Repair Jim COleman Infinitl Order Continuation Is subject to all of the terms 10400 Auto Park Avenue and conditions of the original Repair Order. Bethesda, MD 20817 Page 2 Phone: 301469-2100 Montgomery County Registration #0203 21 Si 7 JIM COLEMAN 10400 AUTO PARK AVEN BETHESDA, MD 20817 {301} 469-2100 COM . Emali: 3-: .. axes 1'3 45.000 1AE8755 MD 305623 DERIONNE 2406676264 MR JON A HEYBROEK $129.95/Fiet 06 PERFORM ALIGNMENT NITH REPLACEMENT OF FRONT TIRES COMPLETED - . Add-On? Tech Labor 4 NHEEL ALIGNMENT-4NA Yes SHEA21 129.95 Customer 07 PERFORM SERVICE TO REAR DIFFERENTIAL COMPLETED Add-On? Tech Labor 80 REAR DRIVE LINE SVC-BGRD Yes SHEA21 50.00 Customer COUPON 15X OFF PARTS a SERVICE 7.50- Discount Deaier - Parts th Each Parts uitra guard 29.65 59.30 Customer 8.90- Discount uitra guard 2 Deaier 08 PERFORM INDUCTION SERVICE COMPLETED I Add-On? Tech Labor 80 INDUCTION SVC-BGFIS Yes SHEAZI 100.00 Customer COUPON 15% OFF PARTS a SERVICE 15.00s Discount Deaier Parts Qty Each Parts pienum Service kit-8G290-2 49.95 49.95 Customer 7.49- Discount pienum service kit-BEZ90-2 Deaier TRULY EXCEPTIONAL SERVICE IS WHAT HE STRIVE FOR HERE AT JIM COLEMAN INFINITI Totais Amount abor . . . . . . . .: 359. Parts . . . . . . . .: 646.85 Less Discount: 38.8938.8 1 006.73 Customer* Page 2 To ensure .your service experience was satisfactory I certify that this vehicle has been tested or test driven when needed and that the co may receive a follow-up telephone call from mechanic's work was performed satisfactorily.. nfiniti on our behaif. We hope you will share your opinions of our service. SIGNATURE Originai Estimate Total Revised Estimate i acknowiedge notice and orai approval of an increase in the original estimated price. CUSTOMER SIGNATURE . k. 2001 Regan Consuiting i i .. . part of the ori inal Repair Order. This Repair COIeman Order Continuat on is subject to all of the terms 10400 Auto Park Avenue and conditions of the original Repair Order. Bethesda, MD 20817 Page 1 Continued on next page Phone:301-469-2100 Fax:301-469-2164 MontgomeryI County Registration #02203 21 51 7 PAULETTE POLLARD COLEMAN 10400 AUTO PARK AVEN I I BETHESDA. MD 2081? Email: {30114692100 JIMCOLEMANINFINITI COM 3x35 13 45,000 1AE8755 MD Blac 5N1AL0MM200 305623 6/01/12 130035 POLL38 POLLARD DERIONNE 240567-5264 MR JON A HEYBROEK $129.95/Fiat 7732 No Yes 1f22/15 1/22/15 01 REPROGRAM ABS COMPLETED Add-On? Tech Labor L50 ABS REPRO-R1307 No . SHEAZI Factory 02 COMPLETED Add?On? Tech Labor Fac E11 15K 'No SHEA21 Factory BRAKE INSPECT FLUIDS TOP OFF CKFLU INSPECT TIRES PRESSURE CKTIR INSPECT NIPERS FILL TNK-CKNIP ReBi zn-cabrn RE ENGINE OIL PERFORM TIRE ROTATION TR Parts Qty Each Parts NASHER DRAIN-11026-JAO0A ASR Factory OIL FILTER 15208 66FOE ASR 1 Factory GENUINE INF 5N30 6 Factory FILTER AIR-27277-33C1A ASR I Factory 03 COMPLETED Add-On? Tech Labor EXPRESS NULTI-PT N0 SHEA21 No Charge Customer Exgenses Ex ense HOP SUPPLIES SHOP SUPPL-SHO No arge Customer Add-0n? Tech Labor 04 GREEN TIRE N0 No Charge Customer Exgenses Ex ense HOP SUPPLIES SHOP SUPPL SHO No arge Customer 06 FOUND BOTH FRONT TIRES HAVE DAMAGES T0 REPLACED BOTH TIRES - COMPLETED Add-0n? Tech Labor MOUNT BALANCE 2 Yes SHEA21 80 00 Customer Parts Qty Each Parts NICHELIN 268.00 536.00 Customer HASTE TAX 2 .80 1.60 Customer Page 1 Continued on next page To ensure your service experience was satisfactory i certify that this vehicle has been tested or test driven when needed and that the 00 may receive a follow?up telephone call from mechanic's work was performed satisfactorily. n?niti on our behalf. We hope you will share your opinions of our service. SIGNATURE Original Estimate Total Revised Estimate 1 acknowledge notice and oral approval of an increase in the original estimated price. . CUSTOMER SIGNATURE (0 2001 Began Consulting -.-. ..1 I . (as-:51: ?vac- . . -: .h?t 1 a: Customer information Street: 7 um_c: . z. sun?r Cardholder Signature derionne pollard 10400 Auto Park Ave Bethesda Maryland 20817 3014692100 Liam-Ln: 21:74:, 2-1-1 .m-uL-zcm-J. gun-?? t?m??uim'rmm arr-ira- .- . . Jr. -c 4:72; . . . . I?m-r ?urn-m - Fla". urn-u Date: Amount: Card Number: Merchant ID: Auth Code: Processed as: Reference No.: Trace No.: Invoice No.: Client ID: Response Msg: Entry Method: Match AVS: f- . .m Transaction information MOTO 01/23/2015 10:08 AM $1,006.73 12721197 048900 VISA 1757621742 21517 Approved Manual Match - Match CV: Not Present i Match ZIP: Match 2. hi1w?g?mu??f'w?wm I Agree to Pay Above Total Amount According to Card Issuer Agreement (Merchant Agreement if Credit Voucher}. Thank you From Jim Coleman Infinitm Dr. DeRionne P. Poilard Corporate Card Expenses?January 2015 RockviTTe, MD. 20850 1-9 Nick?s Chophouse 30 85 700 King Farm Blvd. 25?8 "?ee&anua?fa eeZDI'a Emp]: TH AM 1 Inv?: 0024495 Station: 2 Guest: 3 Table: 0012 visa Auth:093265 Ref:24495 ?i .tnsa SEAS Tip TotaT Thank ?uu! Please Come Back Again- AUTHA: 0482461HVA: 5300 MEALS (receipts attached) IL PIZZICO 15209 FREDERICK RD ROCKVILLE, 20850 30143090510 DATE: 01/15/15 TIME: 02:38 PM TABLE 54 CHICK: SEATS: I SRVR: 15 DANIEL ACCT: VISA EXDT: APPROVED: 049246 TIP CHARGE I AGREE TO PAY ABOVE TOTAL AMOUNT ACCORDING TO CARD ISSUER AGREEH NT T7 TOP BOTTOM I Dr. DeRionne P. Pollard Corporate Card Expenses?January 2015 HULKUILLE . - 90H ST 26369 856165131 in [5315 3 Order .-.. Batchn: 94949; 1444: 99399912 ?ppr Cede un?t: 9 Editor - Cu? Yuu 13:93:53 994389 21.25 'Server: AngeTa (receipts attached) Watch The Daytime Cate 01/23f2015 Cashier: Host TabTe 266/1 9:36 AM Guests: 2 #20019 Peerint 1 Erder Type: GRUER Seat 1 The Works Ume1ette 9.29 Coffee~3egu1ar 2.49 Su total 11.78 Tax 0.71 Teta] 12.49 Seat 2 Cran/?ut Uatmea1 5.19 Side SauSage 3.49 Side Turkey Sausage Link Hot Tea 2.49 SubtotaT 11.17 Tax 0.67 TetaT 11.84 Cemp1ete Subteta? 22.96 Receive $2 off your next visit by eumpTeting our enltne guest survey. Go to wee.FirstHatehFeedhaek.eom and enter the feTTHNing cede 1 Ering back this receipt with the vaTtdatton code entered Dr. DeRionne P. Pollard Corporate Card Expenses?January?zols MEALS (receipts attached) -UH IHIKI UL one Order WW 06. ?all .IE . :5 an Coo ?"341 1 53% QQ aft-:53 '10m?l THFINK YDU Dr. DeRionne P. 0ollard Corporate Card EXpenseS?January 2015 SUPPUES (receipts attached} MK) 320003 M906 HASH HD 12187 ROCKVILLE ROCKVILLE, MD 208521605 Te}eph0ne: (301) 280?9028 Store: 1537 Reg; 02 Tran: 4939 HQ Booka More Date: 1x22x2015 51 Hannakee Si, Rockviife, MD 20850 240?507?5302 SALES 858:102 BOWL LIHEXTEAL CLEARANCE A 2789860 1 8 29.98 29.98 TEX ID: 30001235 DIFF OIL ASIA SALE THX EXEMPT RSN: Tax Exempf 10 2450101 4 0 12.00 48.00 PHNT LHDIES RELHX DIFFUSER REED 10 b455?3950394 2258881 1 0 2.00 2.00 11 8 28.951 0*9? Discouni 208 15.191 880 Fee 1 8 0.05 0.05 11 8 20.?6) 20 ?6 08 BL 763838332543 011 CITRU . (1 9 29,99} 2437838 1 8 12.00 12 00 Ifem [ll-SCOUan 25?; {7'50} {1 22.49) AA 49 Su?t0tal 0% ?3 1 Sa es Tax 6.000 . ?9 Sales Tax 0.00009 0.00 783838803293 Total $97-55 82.95) . Visa $97.55 9 50-35) 50.36 A010. No. 024411 TEE HUTECH 763838832198 {7 9 24995) Store: 1887 Reg: 02 {fem Discouni 20x (q_99} Date: 1/22/2015 2:54:52 PM 11 8 19.98) 19 as TEE 873 2 763838329643 Please Retain for Your Records Tran: 4939 Dr. DeRionne P. Pollard Corporate Card Expenses?January 2015 SUPPUES (receipts attached) R00kv1115 Pike RockviTIe MD 20852 Store #842 - (301) 458?5555 OPEN T0 DAILY 9V BIG BUNCH 3.99 9V HTDRANGEA 3 STEMS 5.99 BAG 2 LB (HANDARI 2.99 CEREAL BARS BLUEBERRY. 1.99 CHOCOLATE CHIP CLIF BAR 0.99 SUBTOTAL $15.85- STATE TAX 1 $0.80 TOTAL. $m55 VISA $15.55 00000000000 PURCHASE SHIPED . 072558 INVOICE 5503 ,542,,0, 01w22?2015 REFERENCE 535055 ITEMS 5 AH, Maude 01'23-2015 0542 05 1114 5503 TRADER REFERENCE 5: Ten Thousand Villages 10? 51, Unit Rockviile, MD 20850 301~340??122 NPKN 0/4 BRDR 2050 BRN 68460?0 cold wash line dry warm iron URSE BUD HEB FLRRED ULHHS 3H GRN '5605100 UHSE BUB FLHRED 3H URN 5605100 UHSE BUD 5/3 FLHRED 3H CRN 5605100 URSE BUD GLSS 3H GRN 5605090 . CLSS 3H GRN ~?5505090 0055 BUD 0/3 CLASSIC CLSS 3A 000 5605090 SUBTOTBL SRLES THE 16?. 1'tJ?rrat_ VISH 0000000000 PURCHASE SUIPED HUTHA 056412 1000105 0: 344? 01-22?2015 43:45:10 00000009 6.00 6.00 6.00 6.00 6.00 6.00 6.00 $42.00 _$2.52 0n.00'~ -- $44.52 $44.52 Please refain {he original recelpf for returns and exchanges wifhln 60 dags. No reFunds on_ Dr. DeRionne P. Poilard Corporate Card Expenses?January 2015 Receipts Attached PARKING nub UUI PARKING DPS 0F PRRKING HANAEEHEHT RECHVILLE. mi. 20858 2407115717 ?erchant ID: Term ID: Sale Entry Hethod: 58060 8% 16:02:11 Ann.? Code: 863338 CAR SERVICING FLAGSHIP CARWASH CENTE 785 DR. ROCKVILLE, MD 20850 ?713/2015 12:59:35 archant ID: 000000004 589859 rminaf ID: 02254603 ?05?90012 CREDIT CARD VISA SALE RD W0: 0048 ch . 00186? aroval Code: 080438 3! Method: Swiped raved: Online Amount:- $0.00 .E AMOUNT $62.00 CUSTOMER COPY Page 1 of6 I Corporate Card NT ?pM?E?-z . SERIONNE POLLARD CREDIT AVAILABLE DAYS IN LIMIT CREDIT DATE 92:23:15 $10,000.00 $10,000.00 Cash Advances Tote! Fees Credits Total Activity $0.00 $0.00 Purchases $0.00 $4,459.69 54.45909 Amount Reference Number Transaction Description Tif??fb?? M00: 5812 MERCHANT 219:92551 35030004095091431 MARRIOTT 33711 NEWPORT NEWPORT BCH CA T24 M00: 3509 MERCHANT ZIP: 92560 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 01129 02102 55030313007595958 CALIFORNIA YELLOW CAB SANTA ANA CA v. 23.63 M00: 4121 MERCHANT ZIP: 92707 13:1}: -.. . I CARDHOLDER SIGNATURE .. . For customer service. calt To write 8- BETH: Forv?isa bene?ts and toll free (800) 443-8671. BiIIlng errors: FLO. 4028. Bu?alo. NY 14240-4028 referraISemtces. calf Outside the US and Canada, caII Payments: PD. BOX 2120. Baltimore. MD 21254-2120 the Vtsa assistance LosUStoIen: 455 MAI BTREET. SUITE 500, Buffalo. NY 14203 Center at (800) VISA-91 (T16) 635-4152. Vlsit us on the web at MEMO STATEMENT 240 4028 Account Number A NY 14 - . - Statement Date I t' 't 4 459m Remit to: BANK PO. BOX 52120 BALTIMORE MD 21264-2120 STATEMENT DOon PAYMENT DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 Page 2 of Mag Bank 8? T. Corporate Card Z-ERIONNE POLLARD IACCOUNT NU Mesa u. .: m: CREDIT AVAILABLE DAYS iN BILLING STATEMENT Mm CREDIT CYCLE DATE mam? $10,000.00 $10,000.00 28 01680590 - 003352 - 0001 - 0003 - NOTICE OF BILLING RIGHTS notice contains important information about-your rights under federal iaw. In this Notice, "you" refers to Ciient as de?ned in the Agreement, and refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS too may be iiable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be iiable for any unauthorized use that occurs after you notify Bank :raily or in writing, of any loss, the? or possibie unauthorized use ofthe Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240?4028, Attention: Visa? Investigations, or by telephoning 1-800?443?8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use ofthe Card will not exceed $50. :?iease be advised that full payment of all outstanding balances remains due, even white we investigate unauthorized use claim, and failure to pay in fuii by the due date may result in delinquency charges your Agreement with us. We wiil credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent ofthe proper amount due back to you. Page 3 of 6 ER 3 Corporafe Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT I AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 I $10,000.00 28 02/28/15 31/31 31/30 02/11 02/1 92/1 2 32/18 02/17 02/02 02/02 02/02 n?r? Ir? a US 02/09 02/13 02/13 02/13 02/19 02/19 1 02/20 Reference Number 65031000710564243 35032004088109032 35032004058100448 25032250320153900 85038207399700105 45043900017673588 05043118000152773 35044556010400014 65049000358337837? 65049700219452520 65050000745383755 3509 .- Transaction Description NAT. TAX INDICATOR: 0 UNITED 0162924790457800-932?2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD TICKET 016292479845? LEG: 1 ITINERARY 1429 FARE CODE: EDD DATE: 01/30/15 CARRIER: UA-United Airlines. Inc. DESTINATION: Washington. DC. United Stat ORIGINATION: Los Angeles, CaIifornIa. United States MARRIOTT 33711 NEWPORT ELNEWPORT BCH CA MCC: 3509 MERCHANT ZIP: 92660 01/28/15 NUMBER OF NIGHTS: 3 NO SHOW: 0 PURCHASE IDENTIFIER: 5665 MARRIOTT 33711 NEWPORT NEWPORT BCH CA MERCHANT ZIP: 92060 LOCAL TAX INDICATOR: 0 NAT. INDICATOR: 0 IAD DULLES PAY AND GO 01 DULLES VA MERCHANT ZIP: 20103 T311330.- ?713 MCC: 50I2 MERCHANT ZIP: 20350 LA TAGLIATELLA SENECA VG GERMANTOVVN MD MCC: 5312 MERCHANT ZIP: 20876 EL TORO BRAVO. INC ANNAPOLIS MD MCC: 5312 MERCHANT ZIP: 21401 GOTTS CT GARAGE ANNAPOLIS MD M00: 2523 MERCHANT ZIP: 21401 ACCT MEETING 4 WASHINGTON DC M00: 3220 MERCHANT ZIP: 20030 LOCAL INDICATOR: 2 NAT. TAX INDICATOR: 0 80 STAR TAXI FL M00: 7299 MERCHANT ZIP: 33002 RMA WORLDWIDE CHAFFEUR 30123-5555 MD MCC: 4121 MERCHANT ZIP: 20352 ORDER NUMBER: V3HACBBE3DE4 LOCAL. TAX INDICATOR: 0 NAT. INDICATOR: 0 UNITED Amou nt 249.00 489.60 7.24 . 50.00 33.39 0/ 40.40 012.95 13.00 940.00 30.00 292.50 25.00 .1- Page 4 MAT Bank - 8? T?Corporate Card ERIONNE POLLARD ACCOUNT NUMBER I CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 20 mama Reference um ber Transaction Description Amount - 9 0220 050501 18000100475 9 02720 05050118000100483 1'19 02720 05050118000100491 9 02723 15051288099805149 70 02723 85052000728947121 :3 02m 05052000T271883TB I 02/23 75052531532358808 CIAO NS A - T10195451 TAMPA FL I . 18.58 MCC: 5814 MERCHANT ZIP: 33007 I I 0223 35053004042178014 MARRIOTT 337UA WATERSIDE TAMPA FL 558.09 NAT. TAX INDICATOR: 0 M00: 3000 MERCHANT ZTP: T7002 NAME: POLLARD CHE TICKET 0152602363478 1688 FARE CODE: EDD DATE: 02:18:15 - CARRIER: Aidines, Inc. DESTINATION: Tampa. Florida, United States ORIGINATION: Washington, DC. {\firgInia, United Stat HILLSBOROUGH TRANSIT FL 30.00 MCC: 4131 MERCHANT ZIP: 33605 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 HILLSBOROUGH TRANSIT AUTH813-6235835 FL 30.00 MCC: 4131 MERCHANT ZIP: 33805 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 HILLSBOROUGH TRANSIT AUTH813-8235835 FL 5.00 MCC: 4131 MERCHANT ZIP: 33605 LOCAL TAX INDICATOR: 2 COLUMBIA RESTAURANT 0101 TAMPA FL 709.02 MCC: 5012 MERCHANT ZIP: 33500 I UNITED 016292653641 9800-9132-2732 TX I, 53.00 MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD 4 TICKET 0162925536419 LEG: 1 ITINERARY 1028 FARE CODE: EDD DATE: 02720715 CARRIER: UA?United AITIines, Inc. DESTINATION: WashingtonI 0.0. I VIrgInIa, United Stat ORIGINATION: Tampa, Flon?daI United States - UNITED 0182802489823800?932-2732 TX - I 25.00 3000 MERCHANT ZIP: 77002 NAME: POLLARD CHE TICKET 0162602489623 LEG: 1 ITINERARY 1028 FARE CODE: EDD DATE: 02720715 CARRIER: UA-United Inc. DESTINATION: Washington, DC. I WgInIa. United Stat ORIGINATION: TampaI Florida, United States 01880590 008852 - 0002 - 0003 - Page 5 0f 6 I. .r . M33 Bank 8: Corporate Cam! DERIONNE POLLARD . ACCOUNT NUMBER 1 AVAILABLE DAYS IN STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 28 02/28i15 Tran PDSI ReferenceNumber Transaction Description Amount Date Date MCC: 3509 MERCHANT ZIP: 33002 CHECKJN: 0218205 NUMBER OF NIGHTS: 3 SHOW: 0 PURCHASE IDENTIFIER: BT30 0223 0:024 25054160546048011 MCG DOT PARKING OPS cos GROCKVILLE MD A 0.00 M00: ?523 MERCHANT ZIP: 20350 3223 02:25 05055900012200113 ASIA TASTE MD . 10.79 M00: 5312 MERCHANT ZIP: 20050 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 32?24 02125 250551 MCG DOT PARKING OPS COB GROCKVILLE MD 150 - M00: 7523 MERCHANT ZIP: 20850 321?24 021?25 45050080080550390 Nicks Chophouse Rockvilie MD L, 44.10 MCC: 5812 MERCHANT ZIP: 20050 Bank: 8: Corpbrate Card Page of 6 Z. ERIONNE POLLARD EACCOUNTNUMBER STATEMENT i CREDW CYCLE 1 0 DATE $10,000.00 I $10,000.00 20 02120115 01630590 - 005552 0003 - 0003 - Montgomery College CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: February 28, 2015 -B- Cardholder Name: DeRionne Pollard Ext: 75254 5 Dept; Office of the President PURCHASE MERCHANT PURCHASE DATE NAME AMOUNT DESCRIPTION OF BUSINESS ITEM TION Budget Account Number RELATED PURPOSE 1 Marriott If29l2015 337] 1 7.24 Meal Newport Attended AACC Workforce Development Conference, Newport Beach. CA. Attended AACC Workforce Development Conference, Newport Beach, CA. Attended AACC Workforce Development Conference, Newport Beach. CA. Attended AACC Workforce Development Conference, NeWport Beach, CA. Attended AACC Workforce Development Conference, Newport Beach, CA. IAD Dulles Attended AACC Workforce 1/3 0/2015 Pay and Go 3 5 9.00 f. Transportation Development Conference, NeWport 61 Beach, CA. Marriott Attended AACC Workforce U3 UZUIS 337] 1 489.60 Hotel Expenses Development Conference, Newport Newport - Beach, CA. Lunch meeting wa. Marie Taylor, La Tasca . . - 2/400 5 . 39.39 Meal Executive Director, RE: CFMC - . Board Check?in. Newport .- l/29/2015 Landing - 40.00 Meal Restaurant California 1 20] . f29t' 5 Yellow Cab 23 63 Transportation 1130:0015 United 3 249.00 Airfare Marriott 1r3or2015 33711 7.24 v" Meal NewportB La 1 - - - .. ever-reg 1.1le3 mums Tagliatella 49.10 Meal Seneca VG Working Lunch Meeting w/Deborah Preston. - - I - 2n 13,2015 Gotts CT 3 13'00 I Fee Attended Stuc en Adv0cacy Day, Garage I Annapolis, MD. I Cardholder Name: DeRionne Pollard PURCHASE DATE MERCHANT NAME PURCHASE AMOUNT . Ext: 75264 ITEM DESCRIPTION 4 Dept: Office of the President I Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE 2/11/2015 El Toro Bravo, inc. 3 612.95 Meal Lunch Meeting w/Student - Representatives. Attended Student Advocacy Day, Annapolis, MD. 2/12/2015 ACCT Meeting 4 940.00 Registration Attending ACCT Meeting 4. 2/17/2015 RMA Worldwide Chaffeur 292.50 Transportation Kojo Nnamdi Radio Show appearance on Februaiy 16, 2015, RE: Community Coileges. 2/18/2015 SQ Black Star Taxi Servi 30.00 Tran sportati on Attended Black, Brown and College Bound Summit, Tampa, FL. February 1 3?2 1, 2015. Manager/1 Liz/Mr? 2/18/2015 United 25.00 A gent Fee Attended Black, and College Bound Summit, Tampa, FL. 2/19/2015 Hills borough Transit Auth 3 5-00 Transportation Attended Black, Brown and College Bound Summit, Tampa, FL. 2/19/2015 1-11] Isborough Transit Auth 30.00 Transponation Attended Black, Brown and College Bound Summit, Tampa, FL. 2/19/2015 Hillsborough Transit Auth 30.00 TransportatiOn Attended Black, Brown and College Bound Summit, Tampa, FL. 2/19/2015 Col ia Restaurant 0101 789.92 Meal Dinner w/Summit Organizers and MC Attendees. Attended Black Brown and College Bound Summit, Tampa, FL. 2/201th 1 5 Ciao A T10195451 16.58 I. Dinner w/Summit Organizers and MC Attendees. Attended Black Brown and College Bound Summit, Tampa, FL- 2/20/2015 United 25.00 Baggage Fee Attended Black, Bl?OWl?l and College Bound Summit, Tampa, FL. Cardholder Name:- DeRionne Poilard. PURCHASE DATE MERCHANT NAME PU RC HAS AMOU NT . 3 Ext; 75254 ITEM DESCRIPTION . . . De?pL: Office of the President Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE 23200015 United 53.00 5911? Baggage Fee Attended Black, Brown and College Bound Summit, Tampa, FL. 2f2lf2015 Marriott 337UA Waterside 558.09 Hotel Expenses Attended Black? Brown and College Bound Summit, Tampa, FL. 2/23/2015 MCG DOT Parking OPS COB 6.00 Paritin Pee Attended County Council Education Committee Worksession. 2/23f2015 Asia Taste 3 16.79 eal Working Lunch Meeting, RE: Prep for County Executive FY 6 Budget. 2f24l20 5 MCG DOT Parking OPS COB 7.50 Parking Fee Attended PSP Budget FY16 County Exocutive Review (protocol meeting), EOB, Rookviile, MD. 2/24/201 5 Nicks Chophouse 44.16 Meal Lunch Meeting w/Clarice Somersall. . EXPENSE 4,459.69 .. Name: JanetWorrnack Signature: I .- Ste hen D. Cain Signatu 5 '3 wk"; n. Report 3120 -Run by: LYNETFE TELFORD Header Note: Card hoider Name: Expense Report 1D: Expense Report Nam e: Run Date: 3t12t?2015 Time: 2:05 PM Expense Report Current Status: Pending Approval Date: 3/121?2015 2:05:00 PM Current Recipient: Janet Wonnack MONTGOMERY COLLEGE PUR (NEW) (00004! POLLARD 0003318374 February 2015 Location: [gummary Information Date Range: 2!2!2015 - 3I4l2015 Mem o~Posted Transactions: $4,459.69 Description: Grand Total: 54:45969 Destination: [Memo-Posted Transactions: I Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Allocation Spiit Amount [3 1t29l2015 33711 NEWPORT $7.24 Purchase :0 2959113531250 Meal: Attended AACC Workforce Development Conference. Newport Beach. CA 029:2015 2032015 NEWPORT LANDING RESTAURA $40.00 $40.00 - Meat: Attended AACC Workforce Deveiopment Conference 12932015 32.2015 CALIFORNMYELLOW CAB $23.63 $23.63 Purchase ID 00769595 Transportation:Attended AACC Workforce Devetopment Conference ?69 0302015 23232015 UNITED 016292479845? $249.00 $249.00 Airfare: Attended AACC Workforce Development Conference Passenger: Ticket: Trave! Date: Travel Leg: POLLARD 0162924?98457 1l30t2015 LAX UA IAD @0302015 322015 33TH NEWPORT $7.24 I 3?.24 Purchase 3062162781350 Meat: Attended AACC Workforce Development Conference, Newport Beach CA 3212015 @1812015 $59.00 DULLES PAY AND so 51 559.00 Transportation: Attended AACC Workforce Devetopment Conference. Newport Beach, CA, January?ZB-BO. 2015 Page 1 0H Run Date: 3.0212015 Expense Report Report 3120 Run by: LYNETTE TELFORD ?me: 2:05 PM 03112015 21212015 MARRIOTT 33TH NEWPORT B. $489.60 $489.60 1 Purchase ID 5665 Hotel Expenses: Attendd AACC Workforce Devetopment Conference Check?In: Check-Out: Number of Days: Room Rate: 02192015 3 $0.00 21412015 2rar2015 La Tasca (Rockvilie) $39.39 $39.39 vMea :Lunch Meeting w! C. Marie Tayior, Executive Director, re: CFMC Board Check-in a. ,1 2/6f2015 22912015 LA SENECA VG $49.10 $49.10 Meat: Working Lunch Meeting Deborah Preston 62)) 2102015 221312015 CT GARAGE $13.00 $13.00 Parking: Attended Student Advocacy Day, Annapolis, MD 2/111'2015 21'1312015 EL TORO BRAVO, NC $612.95 $612.95 ,vl/ Meat: Lunch Meeting wlSiudent Representatives. Attended StudentAdvocacy Day, Annapolis, MD 2X13t2015 ACCT MEETING 4 $940.00 $940.00 Purchase 10 01040001 Vii Registration: Attending ACCT Meeting 4 23 2/171'2015 31912015 RMA CHAFFEUR $292.50 $292.50 Purchase :0 8318242532 - Transportation: Kojo Nnamdi Radio Show appearance on February 16, 2015. RE: Community Colleges 31812015 21922015 80 BLACK STAR TAXI SERVI $30.00 $30.00 Purchase iD 0002305843009912608?94 I TranSportationzAttended Black, Brown and Coilege Bound Summit. Tampa. Ft, February 18-21, 2015 22'201?2015 01826023634?8 $25.00 $25.00 Agent Fee: Attended Btack. Brown and Coliege Bound Summit. Tampa. Ft. February 18-21. 2015 Passenger: Ticket: Travet Date: Trave! Leg: Page 2 0H Report 3120 Expense Report Run Date: 10122015 319(2015 2.0912015 253; EJ202015 32132015 Run by: LYNETTE TELFORD ?me: 2:05 PM POLLARD IFIRST CHE 2.31812015 UA TPA 212012015 HILLSBOROUGH TRANSITAUTH $5.00 $5.00 Purchase ID ID2JFIZXLQ I Transportation: Attended Black. Brown and Coliege Bound Summit. Tampa, FL 2r2012015 HILLSBOROUGH TRANSIT AUTH $30.00 $30.00 raw" Purchase ID IDZJFIDBKQ Transportation: Attended Black, Brown and College Bound Summit. Tampa. FL 211912015 220112015 HILLSBOROUGH TRANSIT AUTH $30.00 $30.00 Purchase ID Transportation: Attended Black, Brown and College Bound Summit. Tampa, FL 31912015 22312015 COLUMBIA RESTAURANT 0101 $?89.92 $7189.92 Meal: DinnerwISumrnit Organizers and MC Attendees. Attended Black. Brown and College Bound Summit, Tampa FL 21202015 22312015 0er AS A - T10195451 $16.58 $16.58 Ll<" Purchase ID 8125051796721212 Meal: Attended Black, Brown and College Bound Summit, Tampa. Fl. February 18-21, 2015 212012015 212312015 UNITED 0162602489623 $25.00 $25.00 Baggage Fee: Attended Btack, Brown and Coilege Bound Summit, Tampa, Fl, February 18?21. 2015 Passenger: I I'rcIret: Travel Date: Travel Leg: POLLARD CHE 0162602489623 2120112015 TPA UA IAD 212312015 UNITED 0162926536419 $53.00 $53.00 - .. Attended Black, Brown and College Bound Summit, Tampa, Fl, February 18?21. ?1 2015 Passenger: Ticket: Trave! Date: Travel Leg: POLLARD 0162926536419 2f20i2015 .TPA UA EX IAD 212312015 MARRIOTT 337UA WATERSIDE $558.09 $558.09 Purchase ID 3730 Hotel Expenses: Attended Black Brown and College Bound Summit, Tampa, FL Check-In: Check-Out: Numb er of Days: Room Rate: 31012015 3 $0.00 Page 3 014 Report 3120 Run by: LYNETTE TELFORD Expense Report Run Date: 3!12!2015 Time: 2:05 PM I I - 32312015 222412015 MCG DOT PARKING OPS COB $6.00 $6.00 V7 Parking: Attended County Council Education Committee Worksession . 2221312015 22512015 ASIA TASTE $16.79 $16.?9 Meat;E Working Lunch Meeting RE: Prep for County Executive FY16 Budget Meeting. - 21'2412015 22512015 MCG DOT PARKING OPS COB $7.50 L/t Parking: Attended PSP Budget FY16 County Executive REVIEW (protocol meeting). EOB, Rookvilte, MD a7 2:24;;2015 22512015 Nicks Chophouse $44.15 $4436 . 211/ Meat: Lunch Meeting We'Ctarice Somerset! Memo-Posted Transactions Totats Count:27 LExpense Report-History Status DateITime User Name Business Unit Notes Unsubmitted 31422015 2:4 ?:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 312.2015 2:04:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Pending Approval 3112:2015 2:05:00 PM Janet Wormack MONTGOMERY COLLEGE PUR Exnense Report Summarv Reimbursabie Total $0.00 . Signatures a Qti?i?JH-Qx i Print Cardholder Name Signaturf Date in" 1:30 at? I teamed eff/?45?? Print Approver Name Approver Signature Date Page 4 of4 Dr. DeRionne P. Pollard Corporate Card Expenses February 2015 (receipts attached) I lI-rl UHUU3 I Rookvi11e, MD 20850 the?5 301-279?7011 Server: Kevin DOB: 02/04/2015 02:08 PM 02/04/2015 Tab1e 79/1 3/30003 SALE VISA 4194305 Card Magnetic card present: Yes Card Entry Method: 8 Approval: 008131 Amount: 33.39 14p: I Total: I agree to pay t'e aiove tota1 amount t: the card issuer aareemen . MEALS Cl {ii 5etue:- an 0 Rec: 11 i?za2;?Spipeo 1: 11 Term: 1 LA TAGLIAEELIA 20300 Seneoa Meadows PAM Suite to} 13401449?0085 MERCHANT A: TYPE ALHHUM1 MUHBEP VISA Mame: 0E010MME PDLLARD 00 TRAM5A0110M APPRUVEU AU1HOMIEA11DM A: 002800 Referenoe; 0200010000000 YRAMS 1/01: Eredit Card SAIL tlt?titlii :JF$$Dmeliuateatgopya. 10111 PAY CARD ISSUER {11:11th Elf-11111111 PUHSUAMI 1L1 9114111111 F017: 53101031? Dr. DeRionne P. Poliard Corporate Card Expenses February 2015 (receipts attached) E1 Taro Brav0(3) 50 Rest Street Annapoiis Phone: Date: 02/11/2015 Card Type: Visa 'Aoot Num: Exp Date: Card Entry: SNIPED Trans Type: PURCHASE Auth Code: 025849 Check: 4041 Tabie: 8?13-1 Server: 112 BAR PH Ref Number: 5042190078 Amount: CUSTOMER Tip MD 410 267-5949 75 TotaT Piease visit us again soon! *e CUSTOMER COPY xx ?aw/f My??gwx 2 '5 MEALS 0538 Server: JOHN 02/19/15 21:30, Swiped T5 . Reo:532 T: 385 Term: 5 COLUMBIA YOUR 2117 E. 7th AVENUE TAMPA, FL 33505 (813)248~4951 MERCHANT A: CARD TYPE ACCOUNT NUMBER VISA Name: DERIONNE POLIARD 00 TRANSACTION APPROVED AUTHORIZATION i: 082694 Reference: 0219010000538 TRANS TYPE: Credit Card SALE CHECK: 649.92 TOTAL: a PHONE: CARDHOLDER WILL PAY CARD ISSUER ABOVE AMUUNT PURSUANT 10 CAROHOLOER AGREEMENT Piease give signed copy to your server. Dr. DeRionne P. PoNard Corporate Ca rd Expenses February 2015 (receipts attached) MEALS HNSHOST .- NICK A 7:160 700111776 Farm B1vd. :17 TANPA INTERNATIONAL AIRPORT Rockvme; ND. 20650 ?6369 . 268559 GToryann 4 OHK 7892 EST I 15 E67131: IN A111 17117610026581 station; 2 Guest: 2' 0053 843571004456 Visa .. 1 PIJRN IND SLT 4.4- 5- 49 Auth:046966 Ref126681 Indiana Popcorn Sea SaTt - 4-4 U166 36.16 786162001511 1 1 NTR SMART 4.29 Tip BTL Smartwater TOONL PET 747599667646 1 Tota1 Q) 1 CHOOBR GHRO ORN 5.99 GriradeTTi Caramel Bar 3:6: Customers Copy 36* SUBTOTAL - 15.77 Thank 'r'uu! P153353 Came Bar-Jr AMOUNT PAID ?16 . 58 Wu: 1m VISA 16.58 ?268559 0103611 FEBZO THANK YOU FOR YOUR TELL US ABUUTIYUUR EXPERIENCE PERRY KRANIAS 813?396-3103 Dr. DeRionne P. PoHard Corporate Card Expenses February 2015 (receipts attached) MEALS NENPORT LANDING - 503 EAST Server: Jacquie DOB: 01/29/2015 08:29 PM TabTe 25/5 3/30096 SALE VISA 2097195 Card Magnetic Card present: Card Fotry Method: 3 Apr 993}: 030136 Amount: 31.32 +Tmrumm_wmmu*u Total: I agree to pay the above total amount according to the ard is. agreement. /Newporttanding Suggested Gratuity 15% 4.35 183' 5.22 20: 5:80 3 COPY 4(14 A eartt CREDIT CARD VOUCHER NEWPORT BEACH MARRIOTT HOTELKSPA Newport Beach, CA STARBUCKS CHECK: SERVER: 4010 LIZ DATE: CARD TYPE: ACCT EXP DATE: AUTH CODE: 05382? SUBTOTAL: 7' . 24 GRATUITY . TOTAL please TeaVe signed copy with your server Dr. DeRionne P. Po?ard Corporate Card Expenses February 2015 (receipts attached) MEALS nSIn 151512 Rn RDCKUILLE. r-n K. 9353 DE "3 '3 . n: 5911 [-Auhlwi Clerk 10: 1 JELDH . {rrn? Phone Order (?re I rytafntr ?Lflf?kf? r.I? Entry ?ethod: Hanual 1519: arr, ?rednti 14-79 rr? 2U??ik Iin' c2#,f? Fi?-Erma . rural? 11:4u:33 an .HAN - 11:45:55 Inv H: 303311 Code: BHTliq Transaction Ir: 'l lut? Fuealxz Unline Batchh: 966322 '1 Code: HHICH 1 Lil See Me 535 1 Customer Copy .. . 37 i: 54 Hal i Flt-5123*: ?53? . :iI-Jr?' Ihri qwesrl. 9f our inhd and Dr. DeRionne P. Poilard Corporate Card Expenses February 2015 {receipts attached) MEALS 1?TCREDIT CARD VOUCHER NEHPORT BEACH MARRIOTT Newport Beach, CA STARBUCKS CHECK: 1 SERVER: 4000 HIRNA DATE: CARD TYPE: ACCT EXP DATE: AUTH 000E: 080000 SUBTOTAL: 7 . 24 GRATUITY TOTAL I SIGNATURE pTeaee leave signed copy with your server GUEST FOLIO Newport Beach ManiEJtt Hotel&Spa- 900 Newport Center Drive. Newport USA- 949. 1/ 1\ kw! 6404000 - ManicttcomrLAXNB 253 Room NSKN Type 110 Room Clerk 0000000 0 m1 ?1 THANK 179.00 01/30/15 13:00 NONTGOMERY COLLEGE 29 31/28/15 L2123 Address ROON 263, 1 179.00 -RN TX 263, 1 -23.17 SHLOUNGE 8522 253 63.65 ROON 253, 1 179.00 RM TX 263, 1 23.17 VS CARD SETTLED T0: VISA ROOM SER 5656 263 21.60 $489.60 CURRENT BALANCE .00 YOU FOR CHOOSING TO EXPEDITE YOUR CHECK-OUT, PLEASE DIAL EXTENSION 6800, OR PRESS ON YOUR TV RENOTE CONTROL TO ACCESS VIDEO REQUESTED, A FINAL COPY OF YOUR BILL HILL BE EMAILED TO: PRIVACY ON NARRIOTT.COM This statement ts your ontsre ceiot You have agreed to pay in cash or htraporoved persona! that). IT to authorize us your credit card far at: amounts charged to you. The amou nt shun-m tha cdumn opposite any red:t cars 0 ntq- the reference cctumr. abs-ca wit charged to the cram; card number set farth 660 {The Credit card company-511+th 1n the 1.1503! manner] Iffor arr,- reason the credit can: caravan; 0035 no: make 05,1: rent on account you cat-e 5 Such amount ?rst: are Direct 0:930: in the Event payment is not maje within 2 5 days after checkout you mf? Cruz-'1': us Interest from Lne Chackout sate on any mp.an amount a: the rate 0. 1.5% per month (ANN AL RATE 0? thL= mas-1an e?-awed by 13.1: pm: the ress 9120!:- cr-st 0f con-scum. in :mn- atto: fees. Signature To seam; your next stay. 90 to mart-iothow. Britton, Ida Event Customer Service From: Sent: Thursday, February 12, 2015 10:03 AM To: . Pollard, DeRionne Cc: I Pollard! DeRionne Subject: ACCT Annual Leadership Congress Confirmation Please do not reply to this email. It was sent from an automated system. Con?rmation We are pleased to con?rm your registration for the 2015 ACCT Annual Leadership Congress. Please reference your con?rmation ID listed above when making inquiries regarding your registration. Click the link below to return to your online registration. - Click here to access your registration Prorl le Con?rmation ID: 1041 DeRionne P. Pollard College 900 Hungerford Dr Ste 300 Rockville, MD 20850-1728 Registration Detail DeRionne P. Pollard Registration Type: RP - Registration package (includes Meals); Early Description I Thursday General Session Luncheon - Self (Qty: 1) Friday General Session Luncheon Self (Qty: 1) Friday Awards Gala - Self (Qty: 1) Closing General Session Brunch - Self (Qty: 1) Registration (Qty: 1) Total Registration Fees: Total-Registration Paid: Current Balance: Date-Time item Total $0.00 $0.00 I $0.00 $0.00 $940.00 $940.00 ($940.00) $0.00 - - 2:97} . . . I {9 Button, Ida 3/ From: accounting@rmalimo.com Sent: Monday, March 23, 2015 12:11 PM To: Britton, Ida Subject: Trip Receipt 858932*1 RMA CHAUFFEURED TRANSPORTATION 5:22 70 mains A venue en one:{30 7) 251-5555 Rocfrviffe, MD, 20852 i) 23 1-96 77 En 75;? acoounffno@rma/im0. com Web {ma/Imocom TRIP RECEIPT Reservationlt: 858932*1 Vehicle Type: Sedan Customer: Passenger Name: Chauffeur: 0381 Contact Name: POLLARD GOWDY I BRTTON Pickup Date/Time: 02/16/2015 Start Time: 11:30 AM Contact Number: 301-231-6555 11:30 AM End Time: 2:45 PM getall__ 7 . I I - . Description - - Charges Pickup Address: 900 Hungerford DriVe, ROCKVELLE, MD 20350.05 Base Charge 225"? 03:45 Hour $60.00}hour Stoo 1: 4401 Connecticut Avenue NW, WASHINGTON, DC Recommended Gratuity: 45.00 Dropoff Address: 900 Hungerford Dr, Rockville, MD Payment Billed To: CC - Fuel Surcharge: 22.50 Credit card: v; Total: 292.50 Total Payments: 292.50 Balance Due: 0.00 Page 1 of1 Confirmation: BPEMCE ,ei STAR ALLIANSE MEMBER as" Itinerary For? 8mm Traveler eTicket Number Fre uent Flyer Seats 0162435566224 FLIGHT INFORMATION Day, Date Flight ClassDeparture City and Time Arrival City and Time AircraftMeal Wed, UA1686K WASHINGTON, DC . 18FEB15 (IAD - DULLES) 12:36 PETERSBURG, FL PM (TPA) 2:59 PM Fri, UA1026S ST. 737- Purchase 20FEB 15 PETERSBURG, FL WASHINGTON, DC 800 - (TPA) 6:30 PM (IAD - DULLES) 8:43 PM FARE INFORMATION Fare Breakdown - Form of Payment: Airfare: 263.26USD VISA US. Federal Transportation 1974 Last Four Digits Tax: U.S. Flight Segment Tax: 8.00 September 11th Security Fee: 11.20 US. Passenger Facility . 9.00 Charge: Per Person Total: 31 1.20USD eTicket Total: 31 1.20USD The airfare you paid on this itinerary totals: 263.26 USD The taxes, fees, and surcharges paid total: 47.94 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed - Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Feb. 20, 2015/Visa as charged 53.00 USD for the following: Economy Charges: Plus Seat EDD 01629265364193 was charged 25.00 USD for the following: First 26024896230 Fri, Feb. 20, 2015Nis Checked Bag EDD 01 3 charged 25.00 USD for the following: First Wed, Feb. 18, 2015Nisa Con?rmation: A ems ALLIANCE MEMBER Issue Date: February 20, 2015 Itinera rv For: bmit: Traveler eTicket Number Seats 0162435566224 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meai Wed, UA1686 WASHINGTON, DC PETERSBURG, FL (IAD - DULLES) 12:36 PM (TPA) 2:59 PM Fri, 20FEB 15 UA1026S PETERSBURG, FL WASHINGTON, DC 737800 Purchase (TPA) 6:30 PM (IAD - DULLES) 3:43 PM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 263.26USD VISA US Federal Transportation Tax: 19.74 Last Four Digits 4777 US. Flight Segment Tax: 8.00 September 11th Security Fee: 11.20 US. Passenger Facility Charge: 9.00 Per Person Total: 311.20USD eTicket Total: 311.20USD The airfare you paid on this itinerary totals: 263.26 USD The taxes, fees, and surcharges paid total: 47.94 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Fri., Feb. 20, 2015/Visa as charged 53.00 USD for the following: Economy Plus Seat/ Charges: EDD 01629265364193 Fri., Feb. 20, 2015/Visa EDD 01626024896230 Wed., Feb. 18, 2015/Visa EDD 01626023634782 5 charged 25.00 USD for the following: First Checked Bag as charged 25.00 USD for the following: First Checked aag/ Baggage allowance and charges for this itinerary. Baggage fees are per traveler Origin and destination for checked baggage 1St bag 2nd bag Max wt/ dim per piece 2/18/2015 WaShington, DC (IAD - Dulles) to Tampa/St. 25.00 35.00 50.0le (23.0kg) 62.0in Petersburg, FL (TPA) - USD USD (157.0cm) 2/20/2015 Tampa/St. Petersburg, FL (TPA) to Washington, DC 25.00 35.00 50.0le (23.0kg) 62.0in (IAD - Dulles) USD USD (157.0cm) IMPORTANT CONSUME NOTICES a Incorporated Terms - Your travel is subject to Unlted's Contract of Carriage terms. The Contract is available for inspection at any UA ticketing facility, united.com or by calling Passengers hav'e UTE rig ht to receive the full text of the terms incorporated by reference free of charge by mail or other delivery service. The Contract terms include rules about limits on liability for personal injury or death and for loss, damage, or delay of goods and baggage, check-in times, overbooking, security issues, reservations, denial of carriage, refunds, claims limits and restrictions, including time limitations for filing a claim or lawsuit, and schedule changes and irregularities. The Contract of Carriage contains further detail of these terms. :2 Additional Terms - Depending on the rules applicable to the fare paid, one or more restrictions including, but not limited to one or more of the following, may apply to your travel: (1) the ticket may not be refundable but may be exchangeable for a fee with another restricted fare ticket meeting all the Dr. DeRionne P. Pollard Corporate Card Expenses February 2015 (receipts attached) Hashington Duiles Int'1 Airpor ?10310 Saarinen CircIe 007193, VA 20155 Customer Service Number: (703) 572-5580 ghift/Seq. 073/032? entry lane 22: 01/28/15 05:37 am Payment lane 61: 01/31/15 07:32 am PURCHASE Amount: $59.00 Card: $59 00 Approved U13a.; Expiratton: Authorization: 077089 LPH: 61602 Sequence: 13 Exit Before_01/31g15 08:07 am 0r Additional Charge Hay AppTy Thank You And Have A Nice Day TRANSPORENHON Thank you for riding with us! ?1 c5 Receipt Amount: {jig 3 {we 571 ?22 \l Driver Name: A:de 0.. SIP GREGG GRECO Tenn/1,11. 3360 33 EQUIP ID 102 EOUIP ID 102 18:00:42 18:02:04 RECEIPT ID 0000314613 ID 0000314620 - - - - - - - (6) i DEW ADULT (6) 1 DAY ADULT sate eaLE - - - - 15HN3 ACCOUNT ACCOUNT SALE AMT SALE AMT -- TERMNAL -- SEO :narauu-yoio ?eeo AUTH CODE ooze-ac ourH cone 3-3214 THANK FOR THANK YOU FOR our: r. Dr. DeRionne P. Potlard Corporate Card Expenses February 2015 (receipts attached) GRECO 33602 EQUIP ID 102 i?t?T:4i 0000314=2v 19-FEH 2015 etutm 1r; - 1 mm dkbUlT SQLE 9H1 i h_nu bl? . CODE HZU1JJ PARKING hi? OPE WTSIUH 0r" Pal-Hm; maria-em 255 51 ROCHUILLE. m, H1: 11%1. Expressiparc Receipt w: {anisqmaarysrutmum mam}. Entr'r' ?ttiei. Taiped Total: 1 5.1111 113'23/15 11:86:11 Inar 11: M114 Code: 893939 Wei: Unline CuaLaeer Cop? DOT anm 0.05 DIVISION OF PRES-11116 newsman 255 28315 ROCKUILLE. . 2404774311? ID: 93193-5182? 1822747531831 Sale mum: . .. 111811 1 Entrr Hethod: Swined Total: 5 1.5% 2115 11:33:33 11131: [153925 Code: Wald: Galina STAPLE 1 INSERT Dr. DeRionne P. Pollard Corporate Card Expenses February 2015 (receipts attached} Baggage Dacumeni Description 03" 0152692353?73 First Bag Fee LU I Ticket Huaher 0162435555224 FEES Total Fees . Excess Baggage Terms and Conditions: Issue umrwm Baggage Dnrumenr Description 9162692?896}3 First Bag Fee Ticket Numhmr 0162439?i2706 Fees BAGGAGE FEES Exne5n ?anudgv Ivrwr and (onditinna: . . la, i err:p I {n ?l mr'i he presentel at hag (hark. For F'1hu' er I- at? a uniieu Date. path a?aii?hilily. BAGGAGE FEES . I to :n Ceca '5 A. .0 ft I Qty Fees 1 $25.00 USD $25.00 - ?ll excess baggage is subjeci to apaca availability. - Raceipt fer payment must be presented at has chant. Fur refund; or adjustments, sea a United rapresentative. 28 FER 2035 TPA ATD Qty Fees 1 $25.99 USD $125 . BB xvu?i'jL A STAR ALLIANGE ma: - athnd of Pagaeni 'aga ardholder Name EE IDHHE Confiralat ion: arrier Routing MEMBER Methll of Payment Name DERIWQNE (infirmation: Carr 1 1r Routing HA TPA - [no '1 Ticket Itinerary and Receipt of4 A STAR ALLIANCE MEMBER ?25" Confirmation: MXZOHM Issue Date: January 15, 2015 Traveler eTicket Number Frequent Fly er Seats 0162435035344 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal LOS ANGELES, CA (LAX) 11:15 PM Fri, UA1429 A WASHINGTON, DC (IAD - DULLES) 7:05 AM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 506.05USD VISA US. Federal Transportation 37.95 Last Four Digits Tax: U.S. Flight Segment Tax: 400 September 11th Security Fee: 5.60 US Passenger Facility 450 Charge: Per Person Total: 5 5 8. 1 0USD eTicket Total: 5 5 8. 1 0USD The airfare you paid on this itinerary totals: 506.05 USD The taxes, fees, and surcharges paid total: 52.05 USD Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO Fare Rules: VALUE. Additional Fri, Jan. 30, 2015Nis Charges: Class Plus EDD 01629247984571 as charged 249.00 USD for the following: First Baggage allowance and charges for this itineraly. Baggage fees are per traveler- Origin and destination for checked baggage in bag 211d bag Max wt dim per piece 1/30/2015 Los Angeles, CA (LAX) to Washington, 0.00 0.00 70.01bs (32.0kg) - 62.0in USD USD (157.00m) DC - Dulles) Baggage check?in must occur with United or United Express, and you must have valid MileagePlus Premiei? Gold membership at time of check-in to qualify for waiver of service charges for up to three checked bags (within speci?ed size and weight limits). 4/9/2015 2:03 PM Britten, Ida ?From: Sent: To: Subject: Thank you for choosing the Tampa Marriott Waterside Hotel 81 Marina for your recent stay. As requested, below is a summary or adjustment for your stay. If you have questions about your bill, piease contact us at (813) 221?4900 or Make another reservation on Marriottcom Hotel: Tampa Marriott Waterside Hotel 81 Marina 700 South Fiorida Avenue Tampa, Florida 33602 USA (813) 221?4900 Dates of stay: Feb 18, 2015 Feb 20, 2015 Guest number: 3730 Marriott Rewards number: Date Description 1., .- .- Thanks for staying! Tuesday, March 03, 2015 5:22 AM Poliard, DeRionne Your Feb 18, 2015 - Feb 20, 2015 stay at the Tampa Marriott Waterside Hotel 81 Marina Guest: DR 900 HUNGER FORD DRIV ROCKVILLE, MD 20850 USA Room number Group number: Charges Reference Credits 02/18/15 02/18/15 02/18/15 02/18/15 02/18/15 02/19/15 02/19/15 02/19/15 02/19/15 02/19/15 02/20/15 02/20/15 02/20/15 PREMHSIA ROOM SVC ROOM REV ROOM TAX OCC TAX CAFE WAT PREMHSIA ROOM IREV ROOM TAX OCC TAX CAFE WAT CAFE WAT Payment - Visa PREMHSIA 0.00 7423 42.37 1223,1 209.00 1223,1 14 63 1223,1 10 45 9956 24 28 PREMHSIA 0.00 1223,1 209.00 1223,1 14,63 1223,1 10.45 1119 20.28 1119 3.00 558.09 Page'iof4 3 Cor Grate Card DERIONNE POLLARD ACCOUNT NUMBER - . "ml AVAILABLE DAYS BILLING STATEMENT LIMIT. i CREDIT CYCLE DATE $10,000.00 $10,000.00 . 31 03/31/15 Purchases Cash Advances Totai Fees Credits Total Activity $3,591.01 $0.00 $0.00 $244.40 . $3340.61 Tran Post Reference Number Transaction Description 1 Amount Date Date 3227 0002 55059378007400315 47300309 Mo 0 52.37 0100:5542 MERCHANT ZIP: 20350 33:02 0303 5.5002200099300722 AOEGA WINE CELLARs SILVER SPRINGMD 30.21 3300:5312 MERCHANT ZIP: 20910 3303 0004 25002200023933711 MCG DOT PARKING OPS COB Mo 3.50 - 0100:7523 MERCHANT ZIP: 20050 3300 03:09 05002110000122050 GOTTS CT GARAGE ANNAPOLIS MD 1- 13.00 M00: 7523 MERCHANT ZIP: 21401 ForVise bene?ts and referrai services. an EAR DHOLDER SIGNATURE DATE To write 8: Ban regarding: Bililng errors: PD. OX 4028, Buffalo. NY 1424041028 Outside [he US and Canada, 0011 Payments?. PD. 52120, Baltimore. MD 21264-2120 the Visa assislance For Customer service, 10!! free (300) 443-85?1. (T16) 535-4152. LosUSioien: 465 STREET. SUITE 500, Buffaio, NY 14203 Canier at Visit us on the web {wamtbsom r: MEMO STATEMENT Statement Date 0301115 :3 Total Activity $3,340.01 . . "1 73': Remitto: M8133 NK POE 02120. MD 21254'2120 - STATEMENT ONLYM DONOT POLLARD MONTGOMERY COLLEGE CRP ATTN: JOHNSON 000 HUNGERFORD DR ROCKVILLE MD 208504728 0000000000000 Page 2 of4 M33 Ba?k a: Corporate Card POLLARD ACCOUNT NUMBER I CREDIT AVAILABLE DAYS lN BILLING STATEMENT Wm LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 03131/15 01530900 003720 - 0001 - 0002 - NOTICE OF BILLING RIGHTS "its notice oontains important information about your rights under federal law, to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS "?Ju may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liable for any unauthorized use that occurs after you notify Bank rally or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 142404028, Attention: Visa? Investigations. or by telephoning 1-800?443?8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card will not exceed $50. Ziease be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in full by the due date may result in delinquency charges your Agreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. E1 MST Bar-11;: 1% Corporate Card Page 3 of 4 DERIONNE POLLARD CREDIT- LIMIT $10,000.00 ACCOUNT NUMBER - AVAILABLE DAYS IN BILLING CREDIT CYCLE $10,000.00 31 STATEMENT DATE 03/31/15 Tran Date Post Date Reference Number 33.110 33:09 13?10 13112 3103 3?13 3513 3?16 3?19 31?19 1?23 034 033'11 0311 03.113 0316 03.116 03.11 6 03.0 7 03.23 03123 03123 03124 0312? 65059700219459652 55070202350500092 650T1014000136546 650T4700219453302 05%002'19453130 - -. '3 71 .1 -v I r-I 0115:2432 r3141 11' 450?9?41600144521 450?9041600144539 05081118000175207 25082160828269T94 35088104006696053 Transaction Description Amount "3505920000510446? VA MCC: 3503 MERCHANT ZIP: 23510 CHECK-IN: 03109/15 NUMBER OF NIGHTS: 1 NO SHOW: 0 PURCHASE IDENTIFIER: 0000519445 RMA WORLDWIDE CHAFFEUR 301-231-6555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: LOCAL TAX INDICATOR: 0 TAX INDICATOR: 0 CUBAN CORNER RESTAURANT ROCKVILLE MD MCC: 5812 MERCHANT ZIP: 20850 HOPE 888-284-7978 DC MCC: 8398 MERCHANT ZIP: 20038 ORDER NUMBER: LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 208510-1728 RMA WORLDWIDE OHAFFEUR 301-231?6555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: .. LOCAL TAX INDICATOR: 0 . NAT. TAX INDICATOR: 0 I RMA WORLDWIDE CHAFFEUR 301?231-6555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: .. LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 RMA WORLDWIDE CHAFFEUR 301?231-6555 MD MCC: 4121 Nice DOT PARKING OPS COB M0 MCC: 2523 MERCHANT ZIP: 20850 EMBASSY SUITES VALET WASHINGTON DC MCC: 2523 MERCHANT ZIP: 20001 EMBASSY SUITES VALET WASHINGTON DC MCC: 2523 MERCHANT ZIP: 20001 COTTS CT GARAGE ANNAPOLIS MD MCC: 2523 MERCHANT ZIP: 21401 MOG DOT PARKING OPSCOB GROCKVILLE MD - MCC: 7523 MERCHANT ZIP: 20850 GRELLMARX CLARKSBURG MD MCC: 5812 MERCHANT ZIP: 20871 192.11 -- 244.40 41.42 2.31?.50 117.00 .- 117.00 .~244.40_ - 3.50 21.24 . 3? "Ii I: Ens: Bank. . 6; T- Corporate Card Page 4 0f?4 POLLARD ACCOUNT NUMBER mm CREDIT AVAILABLE DAYS IN BILLING STATEMENT m? LIMIT CREDIT CYCLE DATE m5?? I $10,000.00 $10,000.00 31 03/31/15 Reference Number Tran Post Bate Date 33:28 03:31 Transaction Description - Amount THE MELTIAIC POT SARASOTA FL M00: 5312 MERCHANT ZIP: 20054 LOCAL TAX INDICATOR: NAT. TAX INDICATOR: 0 255.00 CORPORATE CARD EXPENSE REPORT i *4 FOR PERIOD ENDING: March 31.2015 . DATE PURCHASE MERCHANT NAME PURCHASE AMOUNT ITEM Budget Account Number Dept; Office of thelPresident DESCRIPTION OF BUSINESS RELATED PURPOSE 24232015 Exmn Mobile :5 52.87 Gasoline Expenses Credit Card Error. Check 1096 attached. 32?2r'20 I 5 i Adega Wine Cellars 30.21 Meal County Council Education Forum and Councilmember Craig Rice. 3139015 MCG DOT Parking'OPS COB - 3.50 Parking Fee Attended Workforce Strategies Steering Committee Meeting. A 3mm 1 5.7- Gotts Ctl' Garage 13.00 Parking Fee Attended Maryland General Assembly Hearing. RE: Aid to Community Colleges. 5 3r9r2015 RMA Worldwide Che f?feur 244.40 Transportation Inadvertent charge by vendor. [,3nor2i115 Sheraton Norfolk Watershed 192.11 Meal Attended Society for College and University Planning (CSU P) Mid- Atlantie Regional Conference: Plenary Session - Protecting the Comnmnity's Narrative: Community Colleges as Anchor institutions. g" 31?103'2015 Cuban Corner Restaurant 3 4142 Meal Lunch Meeting warustee Les Levine. FG oration Hope 3 2,317.50 Sponsorship Hope Stroll 20l5. 3fl3r?20l5 RMA Worldwide Chaffeur 11?.00 Transportation Attended National STEM Workforce Advisory Committee Meeting. to 3n3r20r5 RMA Worldwide Chaffeur 5E 117.00 Transportation Attended National STEM Workforce Advisory Committee Meetino. DATE PURCHASE MERCHANT NAME PURCHASE AMOUNT TTEM DESCRIPTION Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE 3/1342015 RMA Worldwide Cha??cur (244.40) A: Wrang?d?gxid? Credit from Inadvertent charge on' 32?9/ I5. 3f16f2015 MCG DOT Parking OPS COB I ?an?iris? 91?: 3. . Attended County Executive?s Budget Press Conference 3 341912015 Embassy Suites Valet 21.24 Parking Pee Attended GFOA WMA March Conference Recognizing Women in Govarnment and Public Service, 3f1932015 8111112155)? Suites Valet 21 -24 Parking Pee U1 H'h' Conference Recognizing Women in 1 [45 3x2042015 Gotts CT Garage 11.00 Parking Fee (?In hurl D. .L1 3n_Qm-ninn Attended meeting and MD GencraI Assemny Hearing: Capital Budget, Annapolis, MD. 3X2 310015 MCG DOT Parking OPS COB 350 Parking Fee Attended 2nd ED Committee Meeting. COB. Rockville, MD. q; 3l26f2015 GI'iIImarx 116.46 Meal College Campaign Meeting prospective donqn 3/23420 I 5 The Melting Pot 285.06 Meal Attended National STEM Workforce Advisory Committee Meeting. EXPENSE Report 3120 . Expense Report Run by: LYNETTE TELFORD Header Note: Cardholder Name: Current StatUS: Date: Pending Approval Expense Report 10: 00033?5209 March 2015 Current Recipient: Janet Wom'lack Location: Expense Report Name: bummer-y Information Date Range: 3i2f2015 4(1i2015 Memo-Posted Transactions: Description: Grand Total: Destination: lMemo?Posted Transactions: 4/2/2015 213?:00 PM MONTGOMERY COLLEGE PUR (00004! Run Date: 432/2015 '?rne: 2:3? PM 1 $3,346.61 $3,346.61 Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Allocation Spiit Amou nt 0 327(2015 31'21'2015 EXXONMOBIL 4?866389 $52.87 $52.87 dist-{j LL61 ADEGA WINE CELLARS $30.21 $30.21 Meat:County Council Education Forum WIMCPS and Councilmerri?r Craig Rice. l/ 3132015 3f4l?2015 MCG DOT PARKING OPS COB $3.50 $3.50 Parking Fee: Attended Workforce Strategies Steering Committee Meeting. $152015 3rer2015 CT GARAGE $13.00 $13.00 Parking Fee: Attend Maryland General Assembly Hearing, RE: Aid to Community Colleges. C53) 3IQI2015 313-1?2015 RMA WORLDWIDE CHAFF EUR $244.40 $244.40 :3 Traigportatlon: Inadvertent charge by vendor. @3l10f2015 311311lg0115 SHERATON NORFOLK $192.11 $192.11 . WATERSD Purchase 10 0000519445 tr) .3 .1 cud Meal: Attended Society for Cottage and University Planning (SC UP) Mid-Atlantic Regional Conference: Plenary Session Protecting the Community?s Narrative: Community Colleges as Anchor institutions. Check-tn: Check-Out: Number of Days: Room Rate: 3l9!2015 1 $0.00 Page 1 of 3 Report 3120 Expense Report Run Date: 4!?!2015 Run by: LYNETTE TELFORD ?me: 2:37 PM 3!10!2015 3:11:2015 CUBAN CORNER RESTAURANT $41.42 $41.42 a/ Meal: Lunch Meeting wl'l?rustee Les Levine. 3113;2015 NFG GENERATION HOPE $2,317.50 Purchase ID 260477021 Sponsorship: Generation HOpe; Hope Stroll 2015. 3032015 3f16r2015 RMA WORLDWIDE CHAFFEUR $117.00 $117.00 Transportation: Attended Nationai STEM Workforce SummitAdvisory Committee. 3113:2015 3(1612015 RMA WORLDWIDE CHAFFEUR $117.00 $117.00 I Transportation: National STEM Workforce Summit Advisory Committee 3x13r2015 3:16:2015 RMAWORLDWIDE CHAFFEUR ($244.40) ($244.40) Transportation: Credit from inadvertent charge on SIQMS. 3r17r2015 MCG oor PARKING ops coo $3.50 $3.50 Parking FeezAttended County Executive's Budget Press Conference. 523, 19:2015 3232015 EMBASSY SUITES VALET $21.24 $21.24 f- Purchase 1D 0000000000000000000000000 Parking Fee: GFOAWMA March Canterence Recognizing Women in Govemment and Public Service, Washington. DC LLI t: 3319:2015 EMBASSY SUITES VALET $21.24 r? $21.24 01 213?} eufg??ase ID {lo-"3 Old Fee: Attended GFOAWMA Mar Conference Re?n'ifn W0 en in Government rm and?'ublic Service. a. hawtng m1 m6). 22209015 Lr'o wastage GOTTS CT GARAGE $11.00 {x 511.00 Parking Fee: Attended Meeting and MD General Assembly Hean?ng: Capital Budget. Annapoiis, MD. 3?23!2015 3r24i'2015 33,50 $3.50 MCG DOT PARKING OPS COB Parking Fee: Attended 2nd ED Committee Meeting, COB. Root-(ville, MD Page 2 of 3 Expense Report Report 3120 Run Date: 41212015 Run by: LYNETTE TELFORD Tlme: 2:3? PM 3!26!2015 3r27r2015 GRILLMARX $116.46 $115.45 l/ Meat: Meeting wi'Comunity Foundation of Montgomery County Executive Director. 3t28t2015 3.6112015 THE MELTENG POT $235.05 I 523505 Purchase 10 0328000179968 Meat: College Campaign Meeting widonor. Memo-Posted Transactions Totals Count:1B. Expense Report History I Status Date?'ime User Name Business Unit Notes Unsubmitted 4:12015 1:19:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 422015 2:37:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Pending Approuat #22015 2:37:00 PM Janet Wormaok MONTGOMERY COLLEGE PUR lExnense Report Summarv Reimbursable Total $0.00 Signatures . . ref/1s Print Cardholder Name ?dholder Signature Date I . ?.751 9?7; MWMrie?.? 0 PrintApprover Name UApprover Signature Date e2 elf-i rr~J i I. - Page30f3 . Bfitton. Ida From: accountingr?lrmafirnomrn Sent Monday, March 09, 2015 4:43 PM TO: Britten, lda S'yhjed: Trip Receipt - 924224'2 RMA CHAUFFEURED Emai.? mm?m?a?m_m Heb TRIP RECEIPT Hesemtionk: 924224?2 Vehlcie Type: Sedan Custcm'ler: Passenger Name: DERIONNE Chau?eur. 707? Contact Name: IDA POLLARO MEDVEO Pickup Date Irma: 03,?06f2015 Stari??me: Contathumben 301-301-1238 03:30 PM End TimeDescription Charges. Base Charge: 188.00 Pickup Address: ended Graiu'l . 37.60 Dropo? Address: Recomm Payment Bilied To: CC Credit card: STC .3 Fuel Surcharge: 18.30 T0131: 244.40 Tatal Payments: 244.40 Bahnce Due: 0.00 Page I Sheraton Norfolk Waterside 777 Waterside Drive Norfolk, VA 23510 757?622?6564 Pollard, Derionne VA 03-08-2015 03-03?2015 03?03?2015 03?03-2015 03~08+2015 03~03~20l5 03~09-20l5 Page Number 1 Guest Number Folio ID No. Of Guest 1 Room Number Room Assoc. State Sales Tax - 6% City Occ. Tax - 8% City Bed Tax $2.00 Parking Overnight Room Service Visa Card Total Balance Depart Date 19:45 03?09?2015 09:45 CTHOMPSN Arrive_Date Agent $119.00 $7.14 $9.52 $2.00 $24.00 $30.45 $~192.ll 5-0.00 $-0.00 For your convenience, we have prepared this zeroubalanCe folio indicating a $0 balance on your account. Please be advised that any charges not reflected on this folio will be charged to the credit card on file with the hotel. While this folio reflects a $0 balance, your credit card may not be charged until after your departure. all of your folio charges in full. l- in c: L) plea unu- :r -- cu I-I-d?r ?a . _J$i Zita MLJ OJ .. I 11.1 Lll' 1 a. 1 '1 L. You are ultimately responsible for paying Continued on the next page "i123 13 . :31 Dr. DeRjoone P. Pollard Corporate Card Expenses March 2015 (receipts attached) MEALS CUBAN CORNER RESTAURAN 325 HUNGERFORD DR ?igg? MD 20550 03/1?0/2015 . i2:52:t~t @313 MID. 000000003972085 rm. mamas I CREDIT CARD ?it VISA SALE Adega Nine Bettars xxaaxagxrj 8519 Fenton Street INVOICE Sitver Spring, MD 20910 mom Date: HarOZ?j? Bath g; 000165 Card Tyne: Visa Approval Code: 054135 Acct . Entry t-?Iettpd: Sw?pad Bard Entry: SHIPED a; . Trans Type: PURCHASE "We Trans iey: 318003801171186 . '3 Auth Code: 043379 PRETIPAMT Check: 2191 HP 72? SerVer: 25 Gregory - Subtotal: ESE) .23?1 . TOTAL AMOUNT Tip: Tota]: CUSTOMER COPY Signature I agree to pay above tota] according to my card issuer agreement. L. . SERVEC ELG. i L. -: JIHV Dr. DeRjonne P. Pollard Corporate Card EXpenses March 2015 (receipts attached) Sf 5 The He1t1ng Pot Gatthersborg 8021 Gaither Road Gaithersburg, MD 30871 Phone 301.518.3838 GrittM'?x Steakhouse Datei Har28?15 8 Raw in Clarksburg Card 131e: Viea_ hoot 12011 .den Farm Parkwa CIeIKsburg, MD 20871 Corn .Lry: SRIPED 301 816 1528 trons Type: PURCHASE Teena Rey: 01000373303831? 03/25/2015 Code: 03587? Server: Morgan' 08:37 PM 03/26/2015 Check: 83 Table 36/1 8/80003 Tab1e; 52/1 Server: 105 Alexende SALE but: 23?; 1 VISA 1048584 Card memo Magnetic card present: POLLARD DERIONNE Card Entry Method: 8 Approval: 017595 I agree to pay above total according to my card leoue; agreement. 1 1 Guest Copy 4 1 1 Ker: 33 gjihppy Hour Now 53 Qk?ttUs for NFL Football? Fag Questions or Comments Guest Copy Receipt Name: DeRionne Pollard Address: 900 Hungerford Dr Ste 300 City: Rockville State/Province/Region: MD ZIP/Postal Code: 208504 728 Country: United States Email: Phone: 240?567?5264' Method of Payment: CreditCard Name on Credit Card: DeRionne Pollard Credit Card Last 4 Digits: Amount: $2,250.00 Total Billed 'to Your Credit Card: $231 7.50 Tax?Deductible Amount: $2,3i 7.50 (ifa thank you gift or ticket item was selected during the checkout process, its fair market value is not included in this taxedeductible total.) Date: O3/i 2/20i 5 Time: 06:41 PM EST Transaction i260477021 Authorization: Approved Authorization Code: 042147 Nonpro?t Organization: GENERATION HOPE Address: 415 Michigan Avenue, NE Suite 250 Washington DC 20017 Designation: Join Our Email List!: No {:13 SERVED min.?- [ES/bu made a recurring donation you can always edit or update your information by logging in through the donation page: To log in click the recurring donor log in button at the top of the donation page and use your email address and the password you created when you made your first recurring donation. 6) DOT CPS PA DIVISION OF RKIHG WQGEIENT 255 .EFFERSUN ST ROCKUILLE, 213956 248 hunt ID: 3822?4?531 - 111: Sale surmmw:smw Total: 3.59 . [19:55:15 Customer Cow nu] EIOT 0P5 0F 2'55 JEFFERSON ST RGCKUILLE. HD. 20858 248-?7?-3?l? wcl'cbani 'Ill: 882274631 Hr: (7151054 85088234581301 we - mg;- 3.5a LJ 14:93:33 Total: 33/1645 :2 marvel: [??wfne {if 6g LJ 12:3 in :3 CUzier, I I. - C: Dr. DeRionne P. Pollard Corporate Card Expenses March 2015 (receipts attached) PAIUKUNG- Ekpressparc Receipt INTIME OUITIME FEE cc# .- #03 HEM EMIL LOO EUle NI - WW ?-Fn :53 @bai gayesea medssegdxg tum! ?u 095 "i . 55 JEFFERSON ST NEVILLE. l?lfl. $23-$56 Flercl?ant Irma If}: -Sale ?rEhOdi Saved Tot 3: i 3.5? 53/2345 - 1m! H: Will] Code: "Di Unline r1 use. U;o nbassy Suites you for paiking Hospitality 1 303297 {3 Llegntuce: DC Gray kgmud' lnfinitW 130 Main Garage :u Ha1n Location ?v 3/19/2015 11:5 4:24 AM Heq uaLe: 03/19/2015 02: 32:44 PM Customer. Cashier: Park Chrg: nthdiWy D1$CLnuiLb. .=Jsu U.DU Bollard . .uU Transie Surat 'i 1 db: Yd?. 3.24 Tip. U.UU eharge: ?1.24 AML fund: ?i.24 Due: b.00 11113-1? JUJZ ?Us MONTGOMERY COLLEGE Office of Business Services Date: June 2, 2015 To: Rockvi?e Campus Cashier From: Joanna Kong Check From Derionne -P Pollard #1096 gegm Post/Deposit to Account Detail Code AMOUNT ptlonal CREDIT CARD ERROR 528? RIO-10000063010000 52.87 TOTAL Additional Instructibns: Return Receipt to Joanna Kong Thank you! a . L?o ?e om?f?r of? BRANCH AND TRUST FEED-BANK BET 1096 654301550 2 . Flat-Tu bunt. Luck. MONTGOMERY COLLEGE Office of Business Services Date: June 2, 2015 To: Rockv?le Campus Cashier From: Joanna Kong Check From National Academy of Sciences #7108854 3:53:21! Post/Deposit to Account I Detail Code AMOUNT REIMBURSE FOR RMA WORLDWIDE CHAUFFEUR ON CORP CARD $234 TOTAL $234 Additional Instructions: Return Receipt to Joanna Kong Thank you! m__hwm__ NATIONAL ACADEMY OF SCIENCES 7108854 AQDEMIES SAN FRANCISCO CA 94104 a 5-00 HFTH STREET N.W. DC 20001 11-2431210 DATE: 5/28/2015 $2 34.00?t PAY: *wn?zvo HUNDRED AND xxnoo DOLLARS PAY TO MONTGOMERY COLLEGE THE ORDER: 900 Hungerford Drive . Travel Re: Dr. Pollard Rookvitie MD 20850 1 -: I: 5? Montgomery College CORPORATE CARD EXPENSE REPORT twill? FOR PERIOD ENDING: March 31, 2015 Cardholder Name: DeRionne Pollard Ext: 75284 PURCHASE PURCHASE DATE NAME AMOUNT - DESCRIPTION OF BUSINESS RELATED PURPOSE Credit Card Error. Check 1.1 1096 attached. ITEM 5 2/27/2015 Exxon Mobile 52.87 Gasoline Expenses 312/201 5 51 County Council Education Forum and Councilmember Craig Rice. Adega Wine Cellars MCG DOT 3/3/9015 Parking OPS C013 53 3,50 Parking Fee (3 1: 30.21 Meal Attended Workforce Strategies Steering Committee Meeting. Attended Maryland General Assembly Hearing, Aid to Community Colleges. - 3/6/2015 Gotts CT Garage 3 13.00 ,2 Parking Fee 5 3/9/2015 RMA worldW?dc 244.40 Transom/111011 Cha?wr Inadvertent Charge by vendor. Attended Society for College and Unix/ersity Planning (CSUP) Mid? Atlantic Regional Conference: Plenaly Session Protecting the COmmunity'S Narrative: Community Colleges as Anchor Institutions. Sheraton Norfolk J. . 1 3/10/2015 Watershed 3 192 11 ea 3/10/2015 com? 41.42 a Meal Lunch Meeting wi'l?rusltee Les Levine. Restaurant NFC GeneratiOn 9/ 3/12/2015 2 317.50 Sponsorship l-lOpe Stroll 2015- Hepe 3/13/2015 RMAworldw?d" ?11700 Transportation Cha??eur Attended-National STEM Workforce Advisory Committee Meeting. Attended National STEM Workforce Advisory Committee Meeting. 3/13/2015 117.00 Trans ortatiOn Ch affeur rage I Corporate Card POLLARO ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE 510.000.00 $10,000.00 30 0400115 Purchases Cash Advances Tote! Fees Credits Totai Activity $5,308.38 $0.00 $0.00 $701.66 Tran Amount Date 0330 Reference Number Transaction Description . "351.070 RMA WORLDWIDE CHAFFEUR 301-231-5505 M00: 4121 . MERCHANT ZIP: 20552 ORDER NUMBER: .. LOCAL TA): INDICATOR: 0 NAT. INDICATOR: 0 RMA WORLDWIDE CHAFFEUR 301-231-6555 MD - MERCHANT ZIP: 20052 ORDER NUMBER: .. LOCAL TAX 0 E. 3.0.52; 91 For a behefils end I Biliing errors: P.O. 4023, BuffeIO. NY 14240-4028 Teferrai services. Cal Paymehls: PD. 80 62120, Baltimore, MD 21254-2120 {he Visa assistance 524.00 03/30 - 65090700219455901 CARDHOLDER SIGNATURE For customer service, call to? free (800) 443?85?. Outside the US and Canada. can (715) 535-4152. 465 MA STREET, SUITE 500, Buffalo. NY 14203 Center at Visit Us on the web a MEMO STATEMENT gig. Tg?ggza Account Number BUFFALO NY 14240-4028 Statement Date 0480/15 Activi $4,546.72 h? Remit to: BANK PD. BOX 62120 BALTTMORE MD 21254-2120 I - STATEMENT PAYMENT OERIONNE POLLARD a wmnvam MONTGOMERY COLLEGE CRP (NEW) L: . w, m, ATTNI PATRICK JOHNSON I: hit 900 HUNGERFORD DR . - . ROCKVILLE MD 20850-1728 0000000000000 - Page 2 of 6? Bank Corporate Card . POLLARDI ACCOUNT NUMBER Ti? CREDIT AVAILABLE DAYS iN BILLING STATEMENT m?m? LIMIT CREDIT CYCLE DATE ?m - $10,000.00 $10,000.00 30 04/30/15 01681200 - 003313 - 0001 0003 NOTICE OF BILLING this notice contains important information about your rights under federal iaw. in this Notice, "you" refers to Ctient as de?ned in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liabie for any unauthorized use that occurs after you notify Bank irally or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, P.O. Box 4028, Buffalo, New York 14240?4028, Attention: Visa? investigations, or by telephoning 1?800?443-8671. Except as provided in Section 26 ofthe Agreement, your liability for unauthorized use of the Card not exceed $50. iisease be advised that full payment of all outstanding balances remains due, even while we investigate :ur unauthorized use claim, and failure to pay in fuli by the due date may result in delinquency charges E'your Agreement with us, We witi credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. a Page 3 of 6 Corporate Card DERIONNE POLLARD CREDIT LIMIT 010,000.00 ACCOUNT NUMBER AVAILABLE DAYS IN BILLING STATEMENT CREDIT CYCLE DATE $10,000.00 30 04:30:15 Tran Post Date Date Reference Number Transaction Description Amount iND?ICA?r??deom 04101 25090250900380550 NICO DOT PARKING OPS COB GROCKVILLE MD 3.50 03130 .04f01 65090700219456219 RMAWORLDWIDE CHAFFEUR 301-231?6555 MD 624.00 - MCC: 7523 MERCHANT ZIP: 20850 MCC: 4121 33,61 65091000259146388 UNITED 0162444345079800-932-ZY32TX 655.20 M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERIONNEPDR TICKET 0162444345079 LEG: I ITINERARY 5119 FARE CODE: DATE: 04/1 7715 CARRIER: UA-United Airlines, DESTINATION: San Antonio. Texas, United States ORIGINATION: DC. I Virginia, United Stat LEG: 2 ITINERARY 3732 FARE CODE: LEKMA DATE: 04(17715 CARRIER: UA-Uniied AIrIines. Inc. DESTINATION: Washington, DC ngnia, United Stat San Antonio, Texas, United States 33:31 04:02 55091000259743205 UNITED TX 79.00 M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARD TICKET 0: 01020209012171 LEG: I ITINERARY II: 3732 FARE CODE: EDD DATE: 04f21I'15 CARRIER: UA-United Airlines, Inc. DESTINATION: Washington, DC. I Virginia, United Sta: ORIGINATION: San Antonio, Texas, United Staies 13:31 04:02 650910002597'43213 UNITED 0162929992IT2800-932-2T32 TX - . x" 79.00 4:04 04:00 05094200005235340 SHERATON VA 13?.56 M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARD TICKET 0102929002172 LEG: 1 ITINERARY 5119 FARE CODE: EDD DATE: 04:17:15 CARRIER: UA-United Airlines, DESTINATION: San Antonio, TameI United Siates ORIGINATION: Washington, D.C. {Mgginin United 0:01 030,? Jig? MCC: 3503 MERCHANT ZIP: 23510 4M2 04113 TEXTURESHAIRSALON GAITHERSBURGMD 90.00 MCC: T298 MERCHANT ZIP: 20870 LOCAL TAX INDICATOR: 2 NAT. TAX 0 DEBT. POSTCODE: 000000000 Bank Corporate Card Page 4 of DERIONNE ROLLARD ACCOUNT NUMBER 1 CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE - 3 $10,000.00 $10,000.00 30 04/30/15 WW 3 Tran Reference Number Transaction DescTiption I Amount Date Date 0420 55107000331190140 San Antonio TX 4431.27 MCC: 4121 MERCHANT ZIP: 73205 4:17 0420. 55105000553321701 UNITED 01525054440033003322732TX 25.00 MCC: 3000 MERCHANT ZIP: 77002 4417' _.0420 55109357170535327 YELLOW CA3 OF SAN ANTO SAN ANTONIO TX "25.00 MCC: 4121 MERCHANT ZIP: 75233 4:21 0422 55111000550709239 50 315 TAXILIMO San Antonio TX ?2355 Moe: 4121 MERCHANT ZIP: 75215 4-20 0422 75111115075011535 EL PUENTE SAN ANTONIO TX T1100 MCC: 5312 MERCHANT ZIP: 75209 4-20 0422 55111700219452557 RMA WORLDWIDE CHAFFEUR 3012315555 MD 130.00 M00: 4121 MERCHANT ZIP: 20352 ORDER NUMBER: AR0ABFE5AD55 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 4. 21 0423 55112000170325292 UNITED 01525055505205009322732 TX 25.00 . MCC: 3000 MERCHANT ZIP: 77002 5 4-21 0423 75112531714511340 ROSARIOSMEXI20305555 SAN ANTONIO TX 15.00 I MERCHANT ZIP: 75215 . 4.22 0424 55113700215455305 RMA WORLDWIDE CHAFFEUR 501-231?5555 MD "135.00 MCC: 4121 MERCHANT ORDER NUMBER: AL0AC17F0002 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 23 0424 25113251133512424 MCG DOT PARKING OPS COB GROCKVILLE MD ?7 3.50 MCC: 7523 MERCHANT ZIP: 20350 . r- 22 0424 35113004111020430 GRAND SA ANTONIO TX ?7 1,010.55 MCC: 3540 MERCHANT ZIP: 73205 CHECK-IN: 0407.115 NUMBER OF NIGHTS: 5 NO SHOW: 0 PURCHASE IDENTIFIER: 4777 .24 0427 45115530127250175 AMERICAN ASSOC OF COMM 2027250200 DC 1,750.00 MCC: 3220 MERCHANT ZIP: 20035 ORDER NUMBER: LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 . 2 '27 0423 25117151177359953 MCC DOT PARKING OPS COB GROCKVILLE MD 7.50 M00: 7523 MERCHANT ZIP: 20350 . :7 0425 35117502152033172 EXECUCAR AFFILIATES '7 223.20 MCC: 4759 MERCHANT LOCAL TAX INDICATOR: 0 MngB?anE? . Page 5 0f 6 Corporate Card POLLARD ACCOUNT NUMBER I CREDIT AVAILABLE DAYS am BILLING STATEMENT LIMIT CREDIT CYCLE DATE I $10,000.00 $10,000.00 30 04/30/15 Tran Reference Number Transaction Description Amount Date Date 1.5-4 . '1 r- . G: Corporate Card DERIONNE POLLARD ACCOUNT NUMBER Page 6 of 6. CREDIT AVAILABLE DAYS IN LIMIT CREDIT CYCLE $10,000.00 $10,000.00 30 STATEMENT DATE 04/30/15 01 881200 - 008818 - 0003 - 0003 CORPORATE CARD FOR PERIOD ENDING: Aprii 30, 2015 'r Cardholder Name: DeRionne Poiiard I I. Dept: O?iee of the President PURCHASE MERCHANT DATE NAME PURCHASE - DESCRIPTION OF BUSINESS AMOUNT ITEM DESCRIPTION Budget Account Number RELATED PURPOSE . I Attended WETATiAnnuailnternationair 3130x2015 WA wo?ldw?d" 351.00 - Ch Transportation Women?s Convention 2015. University aITeur of Maryland, College Park, MD. RMA Worldwide I I . . 31300.0 5 Chaffcur 624.00 Transportation Vendor error. Credit for vendor error. Attended ED Committee report to Fail I County CouneiI?Capital BudgeL COB Budding. MD. Attended AACC 95m Annual Convention. San Antonio. TX. April RMA Woridwide . Q.) 31?30i?20i5 Chaffeur (624.00) . I Transportation MCG DOT 38112015 Parking Ops 3.50 Transportation C013 (3 3/31/2015 United 655.20 Airfare 21. 2015. 02015 United 3; 79.00 Airfare 95th Annual Convention. San Antonio TX,Apl'ii 17-21205. 9 Economy Pius Seat; attended AACC Bra 02015 United a 79.00 Airfare AACC 95th AnnuaI Convention. San Antonio, TX. April 17?21. 2015. Credit to Corporate Card. Reimbursement for Society for CoIIege Bulkhead Premium Seat; attended Sheraton Norfolk 4 4! 0] I 2 5 Watershed (S (137.66) Hotel Expenses and University Planning Mid?AtIantie Regional Conference on March 9, 2015 411229015 gi?fes Ha? 90.00 Inadvertent Charge Reimbursement check attached Yellow Cab of .. . Attended AACC 95th Annual 4? W201 5 San Antonio 25'00 Tramponauon Convention. San Antonio, TX. PURCHASE DATE MERCHANT NAME PURCHASE AMOUNT lTEl't'l DESCRIPTION. . Budget Account Number DESCRIPTION OF RELATED PURPOSE ESS 1120 5 United 25.00 rim}:- LU. 5 Baggage Fee 1 Attended AACC 95th Annual Convention. San Antonio. TX. Sq Diplomat Cab 411112015 31.27 llUtlI unpuu LU IIULCI. the, 95th Annual Convention. San Antonio, 412012015 El Puente 11.00 Meal Breakfast; attended AACC 95111 Annual Convention. San Antonio. TX. RMA Worldwide 412012015 Chaffeur - 130.00 Transportation Transportation to Dulles International Airport. Attended AACC 95th Annual Convention. San Antonio. TX. SQ Legacy 315 4/2112015 Taxilirno 29.56 Transportation From hotel to airpoit. Attended AACC 95th Annual Convention, San Antonio. TX 4121:7101 5 8 a Mexi20303565 15.00 Meal 4121120 15 United 3 25.00 Baggage Fee Attended AACC 95th Annual ConventiOn. San Antonio. TX. Attended AACC 95th Annual Convention, San Antonio. TX- Q33 RMA Worldwide 4122/2015 Cha?cur 135.00 Transportation Returning from AACC 95th Annual Convention. San Antonio. TX. Hyatt Grand SA 7 5 Convent CT 1,010.65 Hotel Expenses Attended AACC 95th Annual Convention. San Antonio. TX. MCG DOT Parking OPS COB 412312015 3.50 Parking Fee Attended County Council Education Committee Worksession, COB. Rockville. MD. - 1 1 American Association of Comm 1112412015 1,750.00 Registration Attending President?s Academy Summer Institute. Austin. TX MCG DOT Parking OPS COB (3 {112712015 7.50 Parking Fee Meeting wXCouncilmember Berliner. COB. Rockville. MD. Execuear 412112015 Af?liates Transportation 1' IE I. laLUll K. Colloquium. Detriot, Ml. May 31?1une EXPENSE Signatu re: Run Date: 51'201'2015 Expense Report Report 3120 Run by: LYNETTE TELFORD ?me: 9?10? Header Note: Cardholder Name: DERIONNE POLLARD Current Status: Unsubmitted (447715??47m Date: 572072015 7:50:00 AM Expense Report ID: 0003475354 Current Recipient: LYNETTE TELFORD EXpenSe Report Name: Ap?i 2015 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! mation Date Range: 4HF2015 4730:2015 $34,546.72 $4,546.72 Memo-Posted Transactions: Grand Totat: Desc?p?on: Destination: Memo-Posted Transactions: Date Occurred Date Posted Description Aiiocation Merchant I Originai Amount Settlement Amount Split Am ount 33072015 4!1!2015 RMA WORLDWIDE CHAFFEUR $351.00 $351.00 Transportation: Attended Annual international Women?s Convention 2015. Univ. of Maryland, Cotiege Park, MD. $624.00 $624.00 (9 373012015 41172015 CHAFFEUR TranSportation: Vendor error. ($624.00) {$624.00) 3730720115 41172015 RMA CHAFFEUR Transportation: Credit for vendor error. 31?317?2015 41'17'2015 MCG DOT OPS COB $3.50 $3.50 Parking: Committee report to Fuil County Counctt - Capital Budget. COB Buiiding? MD. 33319015 41'212015 UNITED 0162444345079 $655.20 $655.20 Airfare: Attended M00 9510 Annuat Convention. San Antonio. Apn'i 17-21, 2015. Passenger: Ticket: Travef Date: Travel Leg: POLLARDIDERIONN EPDR 0162444345079 411702015 UAU SAT SAT . . UA 3731720155..? _47272015 $70.00 $79.00 UNITED 0162929992171 9 thr. 7 7 o- ,1 Sear. attended AACC Convention. eanAntonio,T}E{ April 17?21201 5. I Ticket: Travel Date: TraveiLeg: '1 ?It PassangeT: POLLARD 0162929992171 SATUAEXIAD Page 1 of 4 EXpense Report Run Date: Report 9129 Time: - 9:11 AM Run by: LYNETTE TELFORD 3392015 29212015 unneo 0162929992172 $29.00 $79.00 Airfare: Butkhead Premium Seat; attended AACC 95th Annual Convention, San Antonio. TX. April 17-21. 2015. Passenger: Ticket: Travel Date: . Trave! Leg: POLLARD IECONOMY 0162929992172 4r'17i'2015 UA SAT 4l4l2015 4!8!2015 SHERATON NORFOLK ($137.66) I (513166) WATERSD Purchase ID 47?? Hotel: Credit to Corporate Card. Relmbursementfor Soclety for College and University Planning Mid-Atlantic Regional Conference on March 9, 2015. $90.00 . $90.00 4131212015 4J?l3i'2015 TEXTURES HAIR SALON . Purchase lD 0000000909 [er-t ax Citi?f lnadvertant charge: Reimbursement check attached. 4H 7f2015 4f20l'2015 YELLOW CAB OF SAN ANTO $25.00 $25.00 Transportation: Attended AACC 9591 Annual Convention, San Antonio. TX. 4f17i?2015 413209015 UNITED 0162605444003 $25.00 $25.00 Purchase lD 1510801610442605444003 Baggage Fee: Attended AACC 95th Annual convention. San Antonio. TX. 4f17f2015 4f20f2015 SQ DIPLOMAT CAB $31.2? .. $31.2? . Purchase ID 000115292150659119671? Transportation: From Airport to Hotel; attended AACC 95th Annual Convention. San Antonio. TX. $11.00 $11.00 4:20:2015 4:2212015 EL PU ENTE Meal: Breakfast; attended AACC 95th Annual Convention. San Antonio, TX. 4I20i'2015 41232015 CHAFFEUR $130.00 2' $130.00 Purchase iD 8371346548 Transportation: To Dulles international Airport San Antonio. TX. 5? ?Egg. i. ff. 3.22:" .3751 41212015 9232015 SQ LEGACY . "1 2.799529% $29.56 Ui ?Lat hi Tats-i 3 . Purchase ID 0001152921506597745208 Page20f4 Report 3120 Run by: LYNETTE TELFORD Expense Report Transportation: From hotel to airport. Attended AACC 95th Annual Convention, San Antonio, TX. 4:21:2015 Run Date: 51202015 Time: @4112 1.2015 4323:2015 4.6249015 4f27l2015 4f23l?2015 ROSARIO MEXI20308565 $15.00 $15.00 Purchase ID 8125111548926101 Meat: Lunch; attended AACC 95th Annual Convention, San Antonio, TX. 4i23i?2015 UNITED 0162605680520 $25.00 $25.00 Purchase ID ?1511201784282605680520 Baggage Fee: AACC 9 ual Convention, San Antonio, TX. 412102015 CHAFFEUR $135.00 $135.00 Purchase ID 8409294011 Transportation: Returning from AACC 95th Annual Convention, San Antonio, TX. 0? 42212015 4l24i2015 HYATT GRAND SA CONVENT CT $1,010.65 $1,010.65 Purchase ID 477? Hotel: Attended AACC 95th Annual Convention, San Antonio, TX. Check-In: Check?Out: Number of Days: Room Rate: 431702015 5 $0.00 49432015 MCG DOT PARKING OPS COB $3.50 $3.50 Parking Fee: Attended County Council Education Committee Worksession, COB, Rockviile, MD. 4i2T1'2015 AMERICAN ASSOC OF COMM $1,750.00 Purchase 10 103566 Registration: Attending President?s Academy Summer Institute, Austin TX. 4!2?!2015 #2812015 MCG DOT PARKING OPS COB $150 $7.50 Parking Fee: Meeting Berttner, COB, Rockvitle, MD 4l?28!2015 EXECUCAR AFFILIATES $228.20 $228.20 PurchaselD 16209317 5 15:? Transportation: Attending Hon?zon Network Colloquium, Detn'ot Ml. . F1 ?will i i 1? Kim I I Memo-Posted Transactions Toteis Counh23 - Page 3 of 4 Report 3120 Run by: TELFORD Expense Report Run Date: Time: 9:11 AM [Expense Report History Status Datefl'ime User Name Busineas Unit Notes Unsubmitted 5f20f2015 7:50:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Expense Report Summarv Reimbursable Tota! $0.00 A Signatures . . (Eag?wmcx Name rdhoider Signature arr? de/ Pulafnqat?/wk MWM PrintApprover Name #pprover Signature I ?3 331' *1 . 1? Page 4 of 4 ?4 Confirmation: I A STAR ALLIANCE in. Issue Date: March 31, 2015 Traveler eTicket Number Frequent Flyer . Seats 0162444345079 . FLIGHT INFORMATION Day, Date Flight ClassDeparture City and Time Arrival City and Time Aircraft Meal Fri, 17APR15 UA5119U DC (IAD - DULLES) 8:20 SAN ANTONIO, TX AM (SAT) 11:03 AM Tue, UA3732L WASHINGTON, DC CRJ- Purchase 21APR15 SAN ANTONIO, TX (IAD - DULLES) 4:10 700 (SAT) 11:46 AM PM Flight operated by MESA AIRLINES doing business as UNITED EXPRESS. FARE INFORMATION Fare Breakdown Form of Payment: 57 Airfare: 5 83.26USD VISA US. Transportation Tax: 43.74 Last Four Digits Us. Flight Segment Tax: 800 September 11th Security Fee: 11.20 55?; U.S. Passenger Facility 9.00 Charge: Per Person Total: 655.20USD eTicket Total: 655.20USD . .1: The airfare you paid on this itinerary totals: 583.26 USD - The taxes, fees, and surcharges paid total: 71.94 are Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Tue., Apr. 21, 20 15W i as charged 25.00 USD for the following: First Charges: Checked Bag EDD 01626056805203 Fri, Apr. 17, 2015Nisa -- as charged 25.00 USD for the following: First Checked Bag EDD 01626054440032 Tue, Mar. 31, 2015Nis as charged 79.00 USD for the following: Economy Plus Seat EDD 01629299921723 Britten, Ida a? From: accounting@rmalimo.com Sent: Monday, April 20, 2015 7:10 PM To: Britten, Ida Subject: Trip Receipt - 929675*1 RMA CHAU FFEURED TRANSPORTATION 12270 Wilkins Avenue Phone:(301) 231?6555 Fax:(301} 231-9677 Rockvme, MD, 20852 Email accounting@rmafimo.com I?I?eb W.rma?mo.com TRIP RECEIPT Reservation?i 929675*1 Vehicle Type: Sedan Customer: DERIONNE Chauffeur: 7164 ZARHLOUL Passenger Name: Contact Name: IDA BRTTON POLLARD Contact Number: 301?801?1238 Start Time: 5:20 AM Pickup Date/Time: 04/17/2015 End Time: AM 05:20 AM Pickup Address: Base Charge: - Recommended Gratuity: 20.00 Dropotf Address: IAD (WashIngton DuIIes Intl}, United Airtines Flight# 5119 Departing to SAT Payment BiIIed To: STC Fuel Surcharge: 10.00 Credit card: TotaI: 130.00 Total Payments: 130.00 0.00 BaIance Due: Book it. Track it. Take it. The easiest way to get a ride. DOWNLOAD THE RMALIMO APP From: To: Subject: FW: Trip Receipt 9296?9*1 Date: Thursday, Apd 23, 2015 6:14:03 PH lda H. Britten 9551513111 to {he President Ir 900 Hungeriard Drive. Suire 300 Resume, MD 20850 (240} 5615264 of?ce {240} 429-3149 mob?e From: accounting?rma$lmdcam Sent: Wednesday, April 22, 2015 1:47 PM To: Britten, Ida Subject: Trip Receipt - 929679*1 ailmarzeea TRIP RECEIPT Reservation??: 9295?9"1 Passenger Name: DPRIONNE POLLARD Pickup DatefTIme: 04l21f2015 03:39 PM - Pickup Address: End Time: .. C. - 12270 M?cins Avenue Rockv?e. MD, 20352 Vehlde Type: Chauffeur: Start Tlrne: IAD {Washmg?ton Dul1es Ind}, United Ndlnes Flight!f 3732 Arriving from SAT at: 04:10 PM Dropoff Address: Hom Payment Bltled To: Credit card: Book it. Track it Take ft. The easiest way to get .3 ads. DOWNLOAD THE APP Page 1 all _v -a . .. RMA CHAUFFEURED TRANSPORTATION Sedan Customer: Contact Name: IDA BRTTON Contact Number: .'Descriptiun Base Charge: Recommended Gratulty: FueI Surcharge: Totai: Tote! Payments: Balance Due: f, Phone:(30 1) 231-6555 231-9577 Ema}! WW Web :Mme?alemm 301-801-1238 . j_ phage 5.00 10.00 135.00 135.00 0.00 RMA CHAUFFEURED TRANSPORTATION 122.70 M-R-?rr?ns Aver: ue MD. 2035.? 231-5555 FexJ??m) 23-9577 Email infeb TRIP RECEIPT Reservation?: 926948*3 Vehicle Sedan Customer: Passenger Name: DERIONNE Chauffeur: Contact Name. IDA POLLARD BRTTON Pickup Dateleme: Start Time: 7:00 AM Contact Number: 301-801-1238 07:00 AM End Time: 11:00 AM lEf?E?d?tidn Detail. . . Description. .. .. charges: Pickup Address: Paul Peck Building ,20271 Goldenrod Lane, Germantown, MD Base Charge: 2037-6} 04:30 Hour $60.00fhour Stop 1: Adele H. Stamp Student Union, 1021A Adele H. Stamp Gratum?: 54-00 Student Union, College ParkJ MD Dropoff Address: 20271 Goldenrod Ln,Paul Peck Building, Germantown, MD STCX Fuel Surcharge: - 2?.00 Payment Billed To: CC Credit card: VI CC Payments: 1. 351.00 Total: 351.00 Total Payments: 351.00 Balance Due: 0.00 Page 1 ofj Britten, Ida From: accounting?rmalimo.com Sent: Monday, March 30, 2015 1:26 PM To: Britten, Ida Subject: Trip Receipt 926948*1 RMA CHAUFFEURED TRANSPORTATION F2270 112011115 Avenue Rockwl'fe MD 20352 Phone:(30 I) 23 1-5555 I) 23 1-957? Ema}! WV. rma?mo. com Web TRIP RECEIPT Reservation?: 926948"?1 Vehlcle Type: Sedan Customer: Passanger Name: . Chauffeur: Contact Name: IDA POLLARD Pickup Date/Time: 03/27/2015 Start Time: 7:00 AM Contact Number: 301801-1238 07:00 AM - End Time: 2:30 PM Beg _e_rvation.Detail Description I I .I WCharg?es I Base Charge: 480.00 Pickup Address: Paul Peck Building ,20271 Goldenrod Lane, Germantown, MD 20876, 08:00 Hour $60.00/hour 96.00 Stop 1: 'Adele H. Stamp Student Union, 1021A Adele H. Stamp RecommendEd ratUIw Student Union, College Park, MD Dropol?f Address: 20271 Goldenrod Ln,Paul Peck Building, Germantown, MD STC Fuel Surcharge: 48.00 Payment Billed To: CC Credit card: Total: 624.00 Total Payments: 624.00 Balance Due: 0.00 Page .1 of] 1 .. na??Il? 33:15:13 ?3213.1 - r? Britten, Ida From: reservations?rmalim0.com Sent: Wednesday, May 20, 2015 11:43 AM To: Pollard, DeRionne Subject: Trip Receipt 926948*2 RMA CHAUFFEURED TRANSPORTATION 32270 A venue Phon 7) 231-6555 Rocrw?i?fe. MD, 203.52 I 232-9577 Email .resei'varions?c?rme?h20. com Web warm cam TRIP RECEIPT Reservationh?: 926948*2 Vehicle Type: Sedan Customer: Passenger Name: DERIONNE Chauffeur: Contact Name: IDA POLLARD Pickup Date/Time: 03/27/2015 Start Time: 7:00 AM Contact Number: 301801-1238 07:00 AM End Time: 2:30 PM fiEeservation Detail I Description I Charge-s- . - 0.00 Pickup Address: Paul Peck Building ,20271 Goldenrod Lane, Germantown, Base Charge 48 20876, 08:00 Hour $60.00/hour Stop 1: Adele H. Stamp Student Union, 1021A Adele H. Stamp RecommendEd Gratmtl?: "96'00 Student Union, College Park, MD Dropoff Address: 20271 Goldenrod Ln,Paul Peck Building, Germantown, MD Fuel Surcharge: 48.00 Payment Billed To: CC Credit card: VI CC Payments: 1. VI ?24.00 Total: 4624.00 Total Payments: 4524.00 Balance Due: 0.00 ?at: 833818113 (m 07 ?an? a I i ?wt Cr .?Idu GRAND INFORMATION INVOICE Payee Derlonne Pollard Membership Bonus Code Con?rmation No. Group Name Date 04/17 04/17 04/17 04/17 04/18 04/18 04/18 04/18 04/19 04/19 04/18 04/19 04/18 04/20 04/20 04/20 04/20 04/21 900 Hungerford Drive MD 20850 517503785F 598574984 AACC Desc?p?on Group Room Texas Hotel Occupancy Tax 6.0% Bexar County Hotel Occ. Tax 1.750% San Antonio Hotel Occ. Tax 9.000% Group Room Texas Hotel Occupancy Tax 6.0% Bexar County Hotel Occ. Tax 1.750% San Antonio Hotel Occ. Tax 9.000% - Room Service Late Night Food Group Room Texas Hotel Occupancy Tax 6.0% Bexar County Hotel Occ. Tax 1.750% San Antonio Hotel Occ. Tax 9.000% Group Room Texas Hotel Occupancy Tax 6.0% Bexar County Hotel Occ. Tax 1.750% San Antonio Hotel Occ. Tax 9.000% Visa - Grand Hyatt San Antonio 600 E. Market Street San Antonio, TX, USA 78205 Tel: 210-224-1234 Fax: 210-271 -801 9 grandsanantoniohyattcom Room No. Arrival. Departure Page No. Folio Window Folio 1 lnvolce 04717715 Fri 04/21/15 Tue 1 of2 Charges Credits 209.00 12.54 3.66 18.81 209.00 12.54 3.66 18.81 34.61 209.00 12.54 3.66 18.81 209200 12.54 3.66 18.81 ?1010.65 Britton, Ida 1 From: Sent: To: Cc: I Subject: Friday, April 24, 2015 6:39 PM Poliard, DeRionne Thank you for your payment PAYMENT RECEIPT Dear DeRionne Pollard: Thank you for your recent payment by Visa $175 0 .00. This email serves as a receipt of your payment. Your payment has been applied to the folloWing items you have recently ordered: Order 1000158568 1000158568 1000158568 Item Amount 2015PASI President/CEO Beg $1000.00 Package (Incl 1 Ticket to all Meal Functions) 2015 SpousefPartner Registration $500.00 (lncl 1 Ticket to all Meal Functions) 2015 PASI - MEAL PLAN ONLY $250.00 (meal plans are intended for guests who are not registered for the Institute) Copyright 2014 American Association of Community Colleges Dr. DeRjonne P. Pollard Corporate Card Expenses - April 2015 (receipts attached) HMSHUST SAN ANTONIO INTI. AIRPORT Hera B. 26162? CHECK: 6 9 E) 3 E. "unlmer'oe TABLE: 1 2 3 3" 4 San Aptonjg, 78205 . SERVER: 302535 MeTan?ie 3101337680 DATE: Server; Test 04 "30/20? CARD TYPE: VISA Fast Closex?l 12:27 pi} ACCT 30509 AUTH CODE: 035438 Sim-3 } Fruit Cum +00 UERIDNNE POLLARD ?SofT Drink arm, timne 3,00 TOTAL: 1 2 . 4A 3 Items 0 5 Suhwtal Total 11,1511] VISA 11.00 Auth :094198 Ba '1 aracr: A Due C) . Oi") ISSUER AGREEMENT. 1 - PgS'ijs?arl?t'i- i . Dr. DeRjonne P. Pollard Cmporate Card Expenses April 2015 (receipts attached) TRANSPORTATION gag AMOWG Maia ma24/7 Taxi I I I 's From: Date: - Cab Ge": . .- Driver: Amount: 7/ San Antonro etiow Cab 9600 North San Antonio. TX ?8233 2] Cab# 0061] Driver# 5580 Haii# 21928283 'From1 Downtown [antral 17-Apr?15 thd? To: Downtown Central 15 Zlidg Card Card Type: Visa Status: Approved Transaction #2 982??!900 Authorization I Captured 0n: 17-Apr~15 23=07=a1 Captured: $25.09 Fare $25.00 1' iti?li?hk Customer Can? xlyalign? rat cw f? \b?a 9-111 garb . 2 n3 ail-ffDr. DeRionne P. Pollard Corporate Card Expenses April 2015 (receipts attached) rm DDT DPS I mum: 255 Sl'_ HD. 233515 249-73671? Pierde 11'. ?53227575211 [cw Ht: Sale . hm mm: Stained Total: i 3.39 84(23315 15:33:28 Inv Cadet 338276 Paprvd?. Unline (an: nae-r COW than" PARIGNG N66 PARKING DPS CF PRRKIHG 255: JEFFERSUN ST ROLWILLE. 28359 Hemhant lit: lam: ill: Sale Entm' Hatred: Saved Mal: 1.31;? BMW 13:21:38 [nu 31: Pap; E?dff 31%? Wild: Unlire Custw?r i ["11 Il?-?ilh?? DPS PERKINS 255 JEFERSUN ST RUCKUILLE. I?ll. 211m) 249? am Fl?rchant Ii}: rm Hr: Grumman-22747331331 Sale Entrk? HEM: Sai?ed Iotai: 3.58 Ef3v31/15 12:62:43 Inv i=2: 84531-92 Code: W334 Paprvd: Unline Hi rams;- Ca Page 1 of2 Confirmation Dear POLLARD, Below is a summary ofyour con?rmed service with ExecuCar. This information is for your records. No additional action is necessary: Arrivai itinerary (From the airport) Confirmation Number: 5476262 Pickup Date/Time: Sunday, May 31, 2015 11:14 AM Airport: DTW DETROIT METRO Airline: DELTA AIR Fiight'tt: 1218 Drop Off: CAMPUS 615 HURON ST DETROIT (WEST), Ml 48204 1(301) 801-1238 Adults: 1 Children: 0 Service Type: EXECUCAR SEDAN MEET AND GREET (UP TO 3 PASSENGERS) Fare: $105.00 Tip: $18.90 Booking Fees: $2.00 Total: I $125.90 Special instructions After collecting your luggage, you will find your greeter waiting at the entrance to the baggage claim area with a sign displaying your last name. The greeter will then escort you to your waiting car and driver. . "1'19 5: . . Departure itinerary (To the Airport) y? -1 Confirmation Number: 5476261 I g?ilht Pickup Date/Time: Tuesday, June 02, 2015 11:45 Internet 5/7/2015 Date: Office of Business Services June2,2015 To: Rockville Campus Cashier From: Joanna Kong Check From Derionne .P Pollard #1095 TOTAL ?5er Post/Deposit to Account Detail Code AMOUNT ptlonai CREDIT CARD ERROR 390 11101000006005?7000 $90 Additibnal Instructions: Return Receipt to Joanna Kong Thank youmatey 53%: Ema/Liter? BRANCH AND TRUST 1?300?844th EBT BBLcam Epoe??m ?7 :31??er 553301550 .15 wafer Al 9 0.00 . Sum-Hf Fumtu Duals to ?ll; 1' total Act?. ?by 396:3?96 04:30301 25120261202 . M0017623 05?05 '05?06 25'12526?s255235958 MCG DOT OARDHOLDE sxeNmuae DATE I MNGR For 5115101113 same 02? owl-hem Bank ar-d?ng: For? toliireet )443- 2. Swing errors: .0. . 4U reieum seena?lg and Out-aldet US an Canada. ca? Pavmenlsz .0, BOX 120. Banknote. MD 21254-2220 [he aMcaS? Ca? 0'16) 53 M52. L05 Men 1165 MNN STREET, SUITE 500. Bu?a?no. NY 14203 Gamer at Eggnog V13 . V1511 8.. BANK 28222223222228 Statement Date Tom? Adm,? Remitto?. NK .0. BOX 62120 SALT 21264 2120 TE I DO NOT REM?ihg Page 3 0f 4 311311133111; 8 Corporate Card POLLARD ACCOUNT NU MBER f_ CREDIT AVAILABLE I DAYS IN BILLING STATEMENT LIMIT CREDIT I CYCLE DATE $10,000.00 I 31 05131715 $10,000.00 Reference Number :1?ch First Watch Restaurants 9ROCKVILLE MD 29.88 95128000839130825 MCC: 5812 MERCHANT ZIP: 20850 55129155017442585 IL PIZZICO 301-3090510 MD 51.89 M00: 5812 MERCHANT ZIP: 20350 25133205540500259 LAZ PARKING 070518 8505227541 DC 15.00 MCC: 7523 MERCHANT ZIP: 20005 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 0000M PEETS 25705 WASHINGTON 0.00 M00: 5814 MERCHANT ZIP: 20005 MCG DOT PARKING OPS COB GROCKVILLE MD M00: 7523 MERCHANT ZIP: 20850 SPICE XING ROCKVILLE MD MCC: 5812 MERCHANT ZIP: 20850 55134000441487512 21.52 25134251341840553 3.50 9514300239545590?3 50.00 I CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: May 31, 2015 Cardholder Name: DeRionne Pollard . i i Ext: 75264 . :1 Dept; Office of the President- PURCHASE MERCHANT PURCHASE I DESCRIPTION OF BUSINESS - DATE NAME AMOUNT ITEM DESCRI I Budget Account Number RELATED PURPOSE . Meeting w/Councilmember I-ians MCG DOT . - Ell-(mg 3.50 Parking Fee Riemer. Council Of?ce Building, Rockville, 4 x30x2015 Ops COB 4/30x2015 edema? 3 mes: Car Servicing In?ni? Semee rendered to Premdent 5 vehicle. 55/2015 MCG DOT Parkmg Attended Full Council Operating Budget Ops COB 3 . 1' 600 amng cc Worksession. COB, Rockville, MD. First Watch $83015 Restaurants 9 29.86 . Meal Breakfast meeting James. 5/8z?2015 ll Pizzico 3 61.89 - Meal Meeting wl'Gwen Dungy. Attended Washington Post Editorial 16.00 k' ar mg 66 Board Interview. LAZ. Parking 5/13/20l5 070518 Attended Washington Post editorial Cx. 5/13/2015 Peets #26?06 21.52 Meal Board Interwew. MCG DOT Parking Ops COB Attended County Council Reconciliation 5x14x2015 . . Vote. COB, MD. 3 3.50 Parking Fee Lunch Commencement Honorary Degree Recipients. (of semen Spice Xing 3 50.00 Meal EXPENSE DeRionne Pollar ?l 3r5r Report 3120 Expense Report Run by: TELFORD Header Note: Cardholder Name: Expense Report iD: Expense Report Name: DERIONNE POLLARD Current Status: Date: 0003520079 Current Recipient: May 2015 Location: Unsubmitted Run Date: 6572015 TIrne: 2:07 PM 659015121100 PM LYNETTE TE MONTGOMERY COLLEGE PUR (NEW) (00004! Summary Information Date Range: 5f1i?2015 - 5f3?if2015 ?Memo-Posted Transactions: $963.93 Description: Grand Total: $953.93 Destination: IMemo~Posted Transactions: Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Allocation Split Amount 51172015 $3.50 $3.50 4(30f2015 . MCG DOT PARKING OPS COB Parking Fee: Meeting at Council Of?ce Building. RE: Meeting wiCounty Councilmember Hans Riemer. 473072015 57172015 JIM COLEMAN iNFiNlTi $771.69 $771.69 3/ Purchase ID 25378 Car Servicing: Service rendered to President?s vehicle. Description: Quantity: Unit Cost: Unit of Measure: Amount: GENERIC PRODUCT OR 1.0000 $1.00 EAC $771.69 SERVICE 5f6i?2015 MCG DOT PARKING OPS COB $6.00 $6.00 @675i2015 Parking Fee: Attended Full Council Operating Budget Worksesslon, COB. Rockviile. MD 5r8r2015 51872015 57102015 First Watch Restaurants 9 $29.86 $29.86 Meal: Breakfast Meeting wiCynihia James. I 5102015 I IL $61.89 $61.69 Meat: Meeting lewen Dungy. 571372015 520472015 LAZ PARKING 070518 $16.00 $16.00\/ PurchaseiD 0000011412 Parking Fee: Attended Washington Post Editorai Board interview. Page 1 of 2 Expense Report Run Date: 6!5!2015 Report 3120 Run by: LYNETTE TELFORD ?me: 2107 PM 5f13f2015 5114102015 26706 $21.52 $21.52 I Purchase ID 013583 Meal: Attended Washington Post Editoral Board Interview. 51412015 '5f15f2015 MCG DOT PARKING OPS COB $3.50 $3.50 1/ Parking Fee: Attend County Councft List Vote, COB, Rockvilie. MD 63) 52212015 5!25!2015 SPICEXING $50.00 $50.00 Meat: Lunch wr?2015 Commencement Honorary Degree Recipients. Memo?Posted Transactions Totais Count:9 [Expense Report History Status DatelTime User Name Business Unit Notes Unsubmitted 6151(2015 1:17:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE [Expense Report Summary I Reimbursable Totat $0.00 Signatures 952??0f2 we xgda - Print Cardholder Name EEFohoider Signature datJ Jim" F'n'nt Approver Name [#04 {21461; @p'rofrer Signature Date/ Page2 of2 Customer information ?w-?frww. ?strum Cardholder Signature . Jim Coleman In?niti 10400 Auto Park Ave Bethesda Maryland 20817 - -: -- urn-?- 3014692100 . Transaction information - ?7 .- - Street: 23310 i MOTO 04/30/2015 10:41 AM Zip code: 20850 Date. ?7 - Amount: $771.69 - Card Number: Merchant ID: 12721197 Auth Code: 032775 . Processed as: VISA 1609656076 use Reference No.: Trace No.: i a .i InvoiceNo.: 25378 61:74:; mrnat 11-31:: . . - . r. derionnepollard Ciientm. 12345 7131.- CH IResponse Msg: ApprOVecEi? I: Entry Method: Manual?? Match AVS: Match.2-" - 13'; Match CV: Not Present Match ZIP: Match 2 ?awn-1r?: FWIRWJW - - run-mt. 2 ura. 3 74, at? .1. I Agree to Pay Above Total Amount According to Card Issuer AgreementIMerchant Agreement if Credit Voucher). Thank you From Jim CoIeman tag11?4?1- 1 1' n- _v ?m-Imq-n-ruu?v-WJW wm-m-a?eu. n15.- -.-.. Jim Coleman lnfiniti 10400 Auto Park Avenue Bethesda, MD 20817 Phone:301?469?2100 Fax: 301?469?2164 Montgomery County Registration #02203 i?ai E. BEE I 'as 01 PERFORM ABS REPROGRAH COMPLETED L50 ABS REPRO-R1307 02 ADJUST SECONDARY HOOD LATCH COMPLETED JX35 0X00 HD LATCH 03 OIL CHANGE TIRE ROTATION COMPLETED EXPRESS OIL TIRE ROTATE-E75 Parts PAD KIT-DISC ASR Page 1 Continued on next page ence was satis telephone cali from mechanics will share your To ensure your service expert on may receive a follow-up lnfiniti on our behalf. We hope you opinions of our service. Originai Estimate Total Revised Estimate Add-0n? Tech N0 ZAPA Add-On? No factory certify that this vehici work was per CUSTOMER SIG art oi Order Continua and conditions 0 Page 1 Add-0n? Tech N0 ZAPAOS 05 ech ZAPAOS Parts Each QUAKER STATE 3.99 01L FILTER-15208-65FOE ASR 8.27 Expenses - HOP SUPPLIES SHOP SUPPL-SHO 04 COMPLETED Add-On? Tech RESET MAINTENANCE LIGHT-MAINT No ZAPAOS Exgenses - HOP SUPPLIES SHOP SUPPL-SHO 05 COMPLETED Add-On? Tech DETAIL-DTAIL No ZAPAOS Exgenses I HOP SUPPLIES SHOP SUPPL-SHO .06 DURING INSPECTION REAR PADS 3/32" ROTORS NITHIN SPECS REPLACED REAR PADS MACHINED ROTORS COMPLETED Add-On? Tech ZAPADS Each 99.99 SIGNATURE i acknowledge notice and are NATURE Labor Labor drinks-k Labor 61.68 Parts 23.94 8.27 Ex ense p6.17 Labor No Charge Ex ense No arge Labor No Charge Ex ense No arge Labor 290.00 Parts 99.99 has been tested or test formed satisfactorily. i approval of an increase i 5 form is a the original Repair JIM COLEMAN 10400 AUTO PARK AVEN BETHESDA, MD 20817 {301) 469-2100 Factory Factory Customer Customer Customer Customer Customer Customer Customer Customer;?a[ tion is subjec the origina Customer Customer drive Cf.- ?rw C. fr itemized ?st of re Order. to ail of the terms Repair Order. 31!. a when needed and that the the original estimated price. pans This Repair \4 I form is an itemize i i i rs part of the originai Repair Order. This Repair COleman Order Continuatton is sub{ect to all of the terms 10400 Auto Park Avenue and conditions of the orig nal Repair Order. Bethesda, MD 20817 Page 2 Last Page Phone: 301?469-2100 25378 Montgomery County Registration #02203 JIM COLEMAN INFINITI 10400 AUTO PARK AVEN BETHESOA, MD 20817 {301} 469-2100 1AE8755 IND POLLARD MR JON A HEYBR 07 COMPLETED - Add?On? Tech Labor 30 BRAKE FLUID . -Yes ZAPA05 140 00 Customer Parts Qty Each Parts Brake Fiush Kit-3884032 29.95 29.95 Customer Eernses Expense HOP SUPPLIES SHOP SUPPL-SHO 4.00 Customer 08 BALANCE TIRES COMPLETED Add-0n? Tech Labor Baiance TiressIP003 Yes ZAPA05 79.95 Customer Expenses Expense HOP SUPPLIES SHOP 8.00 Customer 09 FOUND POSITIVE BATTERY TERMINAL HEAVY REPLACED POSITIVE BATTERY TERMINAL COMPLETED Add-0n? Tech Labor Yes ZAPAOS Factory. 5: Parts Qty Each Parts 5: TERMINAL ASSY-CONNEC-24340-7F000 ASR Factory feat TRULY EXCEPTIONAL SERVICE IS WHAT HE STRIVE FOR HERE AT JIM COLEMAN INFINITI 7:71 55? Totais Amount ?Q?r Labor . . . . . . ..: 571.63 Ff?? Parts . . . . . . . .: 162.15 we Expenses . . . . .: 28.Totai . . . . . .: 7?1.69 Customer* :Js . 9:1. 211? Page 2 Last Page Cg: i certify that this vehicie has been tested or test driven when needed and that the To ensure your service experience was satisfactory mechanic's work was performed satisfactorily. you may receive a foiiOw-up teiephone caii from Infiniti on our behalf. We hOpe you wiil share your SIGNATURE opinions of our service. Originai Estimate Totat Revised Estimate I acknowledge notice and Oral approval of an increasa in the original estimated price. A A CUSTOMER SIGNATURE - r? Dr. DeRjonne P. Pollard Corporate Card Expenses May 2015 (receipts attachec? I FFJ-?Eivll @9136?! ?63 Pm um 255 Ilt?ai' El 240477-5-?1 I hul chant ID: lerw 1U: {1811.331 %5r8f?2?4 mutual Sale ?139 Entry Swined may-:15 30?? lw?zww? haprud: Unline DOT PARKIIEE DPS DIVISION H?lm?i-?L?H 255 JEFFERSUH ST RECWILLE, 20858 2% Merchant Il?: icrw m: 934:1} T581581. 5.. Jle V139 -Enir? ?PLhud. uwiped 1&3: i . 3% mwtda?%?l Unline ?mfnner Cow HCG DUI PRRKING OPS DIVISION OF PARKING HPHAGEFEHT 255 IIFERSW ST ROCKVILLE. n9: zaasa Harchant ID: Tern IU: Sale Human VISA EntrY Hethod: Swipe-d Total: 6.89 ESIUSJIS - 11:29:25 Inv H: @8931? ??pr Cada: 87754? Unline L92 PHRKING 0?0518 1090-UERHONT HUENUE HQSHINGTON a, \850) 522~7e41 g1; 5 ?z . Q?x? a rib. Cm I (15/13/2015 12215 20 Li 1 6? II Transan'ion Card Type: 9012:: Exp. Date: ?3 En+ Suipad IDUHL. 16- DD Reference No,: 000015824651 Gut .Codei 0737309 Response: Success Gal 8 Ange]a la??if: Host 05/08/2015 kan 331 8103 I 10:11 AM #20032 R?pint 1 8rd? Tyne: ORDER gear 1 - ?rm-.312: Eran/Nut CUP FrUit?atmea1 3.1; Subtotal 1?'gf Tax 9'76 :nta] 12'3# Seat 2 0 0 - Eggfwarks 0me1ette ee~Regu1ar 9'29 Subtotal x??gg Tax 0'71 Total 12'49 I Com?ltate Subtotal 23 45 AI. 23.45 Total 1?41 24.55 '?77 Ut11:03? 24:86 19' f" 2 TOtea]: I I E3 afiance Due 00 Day, May 10th a; ram I0 Breakfast,'Brunch Jr Lunch at First Watch .v fD?kaneP.Pde? Card Expenses r? May 2015 EKEJEL Oeceq?sa?ached)' 1L P111100 ibi?? FREUEPELF RUCRVILIY 4n. 3U\*3i tn R0 20850 DATE: 05/03/15 TIME: 0\:33 PM 53 CHECK: 1: SEATS: 1 5 061185 luv?: 3000\401 ACCT: VISA E101: 3-: 5 APPROVED: oaxxas auxu 51.39 TIP 1' mam ABWE ?1'01 At. many momma CARD i :7 Li"; .3 5?55) . -- HERCHAM ug?gmim Peet'e Coffee A Tea 1156 St. 202*568?6644 - Heet: abgld/ZUTR DEERE T0117 Ti' $10.0 SCORE CRANBERRY RALRUT 2.50 LRG BERRY PUREGRANATE TEA 3.60 LRG CAFE f' LATT 3.TU BREAD .APRTN STREUSEL 2,50 5 COFFEE T313 MUFFIN .GLURY '2 fat) ODRALLA SUPERFUDD ASURL 3.75 SubteT?aT T930 Tax T52 Ordered TotaT ?1.52 A 21.52 Auth 3583 SIGNATURE up unTTne or in store . fer Peet?e News for dryer: PUUL DUB: '1 5 02:35 PM USIZZKZO 1 5 TabTe 53 M40023 SALE RTSA eard 2?3 Ragnetic card pr Card Entry Method: 8 ApprovaT: 083376 waA: 43?78 TAD: _H?md TetaT: CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: June 1-1 5I 2015 PURCHASE DATE NAME MERCHANT Cardholder Name: DeRionne Pollard PURCHASE AMOUNT 75264 . Dept: Office of thePresident . i .vl Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE snow McDonald's F32266 3.79 Meal Attended HN Spring Colloquium, Ann Arbor, M1. 61?232015 DCA Reagan 7500 Parking Fee DCA Parking exPenSes incurred while attending HN Spring Colloquium, Ann Arbor, MI. 612120 1 5 Agent Fee 19.25 Agent Fee Travel to CCID institute, Honolulu, Hawaii, July 10-13, 2015. 62?21?201 5 Agent Fee 1925 Agent Fee Robyn Jones's travel to CCID institute, Honolulu, Hawaii, July 10?13, 2015. (#212015 Agent Fee 19.25 Agent Fee Myles Pollard Jones travel to CCID institute, Honolulu, Hawaii, July 10?13, 2015. 6(21?2015 Delta Air 50.00 Baggage Fee Returning from Spring Colloquium, Ann Arbor, Ml. 6121901 5 United 1,336.50 Airfare Attending Institute, Honolulu, Hawaii, June 1043, 2015. 62?2/2015 United 1,336.50 Airfare Robyn ones?s travel to CCID Institute, Honolulu, Hawaii, July 10?13, 2015.- 61222015 United 1,336.50 Airfare Myles Pollard Jones?s travel to CCID Institute, Honolulu, Hawaii, July 10?13, 2015. 6l2f20 5 United 89.00 Airfare Economy Plus Premium Seats (?l'raveler 1) from SFO to AUS. 6f2f2015 United 85.00 Airfare Economy Plus Premium Seats (Traveler 1) I from DCA to IAl-i. 6f2f2015 United 104.00 Airfare Economy Plus Premium Seats (Traveler 1) from to 63222015 United 69.00 Airfare EconOmy Plus Premium Seats (Traveler 3) from to SFO. 6/2f2015 United 104.00 Airfare Economy Plus Premium Seats (Traveler 2) from IAl-l to HNL. 612120 I 5 United 83.00 Airfare Economy Plus Premium Seats {?l'raveler 1) from iAl-l to DCA: 6122?2015 United 104.00 Airfare Economy Plus Premium Seats (Traveler 3) from lAl-l to PURCHASE MERCHANT PURCHASE - .., I I I DESCRIPTION OF BusINEss DATE NAME AMOUNT 1 Budget Account Number RELATED PURPOSE - Economy Plus Premium Seats (Traveler 2) from HNL to SFO. Economy Plus Premium Seats (Traveler 2) from IAH to DCA. conorny Plus Premium Seats (Traveler 2) From DCA to 'IEconorny Plus Premium Seats (Traveler 1) Twin HNL to SFO. Economy Plus Premium Seats (Travel er 2) from SFO to AUS. Economy Plus Premium Seats (Traveler 3) from DCA to IAH. Economy Plus Premium Seats (Traveler 3) From SFO to AUS. Economy Plus Premium Seats (Traveler 3) from IAH to DCA. Expenses incurred while attending HN Spring Colloquium, Ann Arbor, MI, May 30? June 2, 2015. Keynote Speaker at the John F. Kennedy High School Graduation Ceremony- Traveled to DAR Constitution Hall, Washington, DC. Keynote Speaker at the John F. Kennedy High School Graduation Ceremony. Return trip from DAR Constitution Hall, Washington, DC. 6/2/20i5 United 0 66.00 Airfare . 6rzr2015 United 3 79.00 'Aiifare 6f2f2015 United 79.00 Airfare (#219035 United 3 69.00 Airfare United 89.00 Airfare 6!2sz15 United 83.00 Airfare 6r'2f20 5 United 3 89.00 Airfare 62?2/2015 United 85.00 Airfare Campus Inn 6.2/2015 Hqu _382.42 Hotel Expenses RMA Worldwide 6/990 1 5 Chaffeur 80.60 Transportatlon 6X9f2015 WA WMdW?de 80.60 TranSportation Cliaffeur Bob Evans Rest #0316 29.42 eal Breakfast meeting warustee Mike Kn app. EXPENSE TOTAL: 6,046.08 it"? F'df-J. Signature: .. a. Steghen D. Cain Signature: g: 1 sea/0 err-W EXpense Report Report 3120 Run by: LYNETTE TELFORD Header Note: Run Date: 6l1572015 Time: 2:20 PM Cardholder Name: DERIONNE POLLARD Current Status: Approved! Closed Date: 00572015 2:04:00 PM 0008533365 Current Recipient: VERONICA Expense Report 1D: Expense Report Name: June 1-15. 2015 Location: MONTGOMERY COLLEGE PUR (NEW) (00004: '1 Date Range: 6l172015 6ft 512015 Memo~Posted ?l?ransactions: $6,046.08 Description: Grand Total: $6,046.08 Destination: Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Allocation Split Amount 5731:2015 67172015 F32266 $3.79 $3.79 Purchase lD 05261792266VCTY7020997870 I Meat: Attended HN Spring Colloquium. Ann Arbor, Ml 0722015 07372015 DOA REAGAN $75.00 $75.00 1/ Parking: DOA Parking expenses incurred while attending HN Spring Colloquium. Ann Arbor. Ml. 6722015 6l4l2015 AGENT FEE 8900648174883 $19.25 $19.25 - 260000 100000 6302 4000 F6730 3/ Fee: Travel to CCID Institute, Honolulu, Hawaii, July 10-13. 2015 . Passenger: Ticket: Travel Date: Travel Leg: 8900648174883 67212015 XAAXD XAO (.3 . 61212015 6l4l2015 AGENT FEE 8900648174884 $19.25 $19.25 3 - 200000 100000 0302 4000 F6730 4' r; Agenii Fee: Robyn Jones's travel to CCID Institute. Honolulu, Hawaii. July10~13, 2015 Passenger: Ticket: Travel Date: Travel Leg: JONESIROBYN ANG 8900648174884 6132015 XAA XD XAO 6721'2015 634(2015 AGENT FEE 8900648174885 $19.25 $19.25 260000 100000 6302 4000 F6730 . Agent Fee: Myles Pollard Jones travel to CCID institute. Honolulu. Hawaii. July 10?13. 2015 Passenger: Ticket: Travel Date: Travel Leg: POLLARD JONESIM 8900648174885 6132015 XAAXD XAO . x" 6l2l2015 6l4l2015 0062141866411 $50.00 350.00 Page 1 015 Report 3120 . EXpense Report Run Dale: 611512015 Run by: LYNETTE TELFORD ?m3: 212? PM Baggage Fee: Returning from HN Spring Colloquium, Ann Arbor, MI. . . Passenger: Ticket: Travel' Date: Traveal Leg: POLLARDTDERIONN 0062141866411 61212015 DTW DL 0 BOA 61212015 61412015 0167601543044 $1,336.50 $1,336.50 260000 100000 6302 4000 F6730 Airfare:Attending (3010 Institute. Honolulu. Hawaii, JUN 1013. 2015. Passenger: Ticket: Travel Date: - Travel Leg: POLLARDIDERIONNE PAU 016T601543044 711012015 DCA OAUS 61212015 61412015 UNITED 0167601543046 $1,336.50 $1,336.50 260000 100000 6302 4000 F6730 Airfare: Robyn Jones traveling to com Institute? Honolulu, Hawaii. July 10-13, 2015. Passenger: Ticket: Trave! Date: Travel Leg: JONESIRO BYN ANGELIQU 0167601543046 7110122015 DCA UA - UAWO HNL HNL UA VX SFO SFO AU V0 OAUS 61212015 61412015 UNITED 0167601543048 $1,336.50 $1,336.50 260000 100000 6302 4000 F6T30 Lg?? Airfare: Myles Pollard Jones traveling to institute, Honolulu, Hawaii, July 10-13, 2015. Passenger: Ticket: TraveLl Date: Travel Leg: :7 POLLARD 0167601543046 711012015 DCA UAW 0 1461 :32. . 6.. 1 SFOAUVO 1. sf! AUS 1'1 1 rv 61212015 33;; 61412015 UNITED 0162925566154 $09.00 $89.00 3- 3.31 E'utelmase ID 1515401396692925566154 - 260000 100000 6302 4000 F6730 3) Economy Plus Premium Seats (Traveler 1) from SFO to AUS. 61212015 61412015 UN1TED 0162925666155 $85.00 $85.00 Purchase :0 1515401396902925666155 I 260000 100000 6302 4000 F6T30 Economy Plus Premium Seats (Traveler 1) from DCA to 61212015 61412015 UNITED 0162925566156 $104.00 $104.00 Purchase lD 1515401396912925566156 0 260000 100000 6302 4000 F6T30 Economy Pius Premium Seats (Traveler 1) from to HNL. 61212015 61412015 UNITED 016292556815? $69.00 $69.00 V- 1 Purchase lD 1515401398922925568157 260000 100000 6302 4000 F6730 Eonomy Pius Premium Seais (Traveler 3} from HNL lo SFO Page 2 015 Expense Report Run Date: 611512015 Report 3120 Run by: LYNETTE TELFORD 232? PM 61'2i2015 61412015 UNITED 0162925568158 $104.00 $104.00 Purchase :0 1515401396932925563156 260000 100000 6302 4000 F6730 Economy Plus Premium Seats (Frayeier 2) from IAH t0 HNL. 6.3212015 61412015 UNITED 0162925568159 $83.00 $83.00 Purchase 10 1515401396042925563159 ,7 260000 100000 6302 4000 Economy Plus Premium Seats (Traveler 1) from IAH lo DCA 61?2f2015 6/41?201 5 0162925568160 $104.00 $104.00 Purchase ED 1515401398952925568160 I 1 260000 100000 6302 4000 F6730 Economy Plus Premium 3) irom to HNL 6f2f2015 67?41?2015 UNITED 0162925568161 $66.00 $56.00 Purchase lD 1515401398962925568181 260000 100000 6302 4000 1/ Economy Plus Premium Seals (Traveler 2) from HNL to SFO. 6f2l'2015 614(2015 UNITED 0162925568162 $79.00 $79.00 Purchase ID 1515401398972925588162 . 260000 100000 6302 4000 F6730 1/ .7 EEconomy Plus Premium Seais?ravemr 2) from t0 DOA. 61212015 ?674129.15; UNITED 0162925568163 $70.00 $79.00 [21301161156610 1515401396962025566163 1/ g? 280000 100000 6302 4000 F6730 511;? Economy Plus Premium Seats (Traveler 2) from USA to 1N1. .1. A 63212015 a; 61412015 UNITED 0162925568164 $69.00 $69.00 Purchase 10 1515401398992925568164 260000 100000 6302 4000 F6730 Economy Plus Premium Seats (Traveler 1) from HNL to SFO. 6f2f2015 61412015 UNITED 0162925568165 $89.00 $89.00 Purchase iD 1515401399002925568165 280000 100000 8302 4000 F6730 Economy Plus Premium Seais (Frayeler 2) from SFO to AUS. 6221?201 5 611432015 NITED 0162925568186 $83.00 $83.00 Purchase lD 1515401399012925568166 260000 100000 6302 4000 F6730 Page 3 of 5 Report 3120 Expense Report- Run by: LYNETTE TELFORD Economy Plus Premium Seats (T raveier 3) from DCA to IAH. Run Date: 61152015 2:20 PM 6122015 61472015 UNITED 016292556816? $89.00 $89.00 Purchase 1D 1515401399022925568167 260000 100000 6302 4000 F6730 Economy Plus Premium Seats (T raveier 3) from SFO to AUS. 61212015 6r?4f2015 UNETED 0162925568168 $85.00 $85.00 Purchase lD 1515401399032925568168 2/ 260000 100000 6302 4000 F6730 Economy Plus Premium Seats (Traveler 3) from to DCA 61212015 6J4I2015 CAMPUS HOTEL $382.42 $382.42 '1 Purchase ID 511301 1 Hotel: Expenses incurred while attending HN Spring Colloquium. Ann Arbor. Mi. May 30-June 2, 2015. Check-in: Check-Out: Number of Days: Room Rate: 513112015 2 $0.00 can .I 61912015 E1 .1 671172015 CHAFFEUR $80.60 $80.60 mousse ID 8544299665 1/ . .- . Transportation: Keynote Speaker at the John F. Kennedy High School Graduation Ceremony. {at Trayete'd to DAR Constitution Hail, Washington. DC. 67912015 6711721015 CHAFFEUR $80.60 $80.60 33?; Pu?ihajse ID 3319547412 Transportation: Keynote Speaker at the John F. Kennedy High School Graduation Ceremony. Return trip from DAR Constitution Hall. Washington. DC. . 671072015 671112015 BOB EVANS REST #0316 $29.42 $29.42 Meal: Breakfast meeting Mike Knapp Memo-Posted Transactions Totals Count:28 Ei??nise Repert Historfr" - Status Date?ime User Name Business Unit Notes Unsubmitted 671572015 7:47:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 6715i2015 8:59:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Rejected 671512015 1:11:00 PM VERONICA MONTGOMERY COLLEGE PUR incomplete 671512015 1:16:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 571512015 1:51:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 2:02:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Approved! Closed 671512015 2:04:00 PM VE RONICA WHITE MONTGOMERY COLLEGE PUR [Ekpense Report Summary[ Page 4 of 5 Report3120 . Expense Report Run by: TELFORD Run Date: 511522015 Reimbursable Total Time: 2:20 PM 50.00 Signatures . K?s? max Pn?nt Cardholder Name Cafdl?a?dfalc?ignatu?fr ate Jamar? (A/Wn?l?i?k Md 1 Pn?ntApprover Name proverSignature 153m Aw- 1:Page 5 055 Tue, Jun. 2, 2015 A u_nited.comlDeals OfferslReservationleam MileaaePlus? MileslMy Account I Your purchase is confirmed. Thank you for choosing United Airlines. Purchase SummaryCon?rmation Date of Transaction: Tue, Jun. 2, 2015 Economy Plus DCA - IAH Economy Plus Seat - 3 Travelers $247.00 Receipt 016292556815501/ Receipt 01629255681631/ Receipt 01629255681664 IAH HNL Economy Plus Seat - 3 Trayers $312.00 Receipt 01629255681561 Receipt 01629255681583 1/ Receipt 01629255681605/ . HNL - SFO Economy Plus Seat - 3 Travelers $204.00 Receipt 01629255681642/ The) 40cc! Receipt 01629255681616/ re. Receipt 0162925 568 157212 SFO - AUS ewewee 6.16. Economy Plus Seat 3 Travelers $267.00 EL a? CM Receipt 01629255681546/ Receipt01629255681653/ Receipt 01629255681675 IAH - DCA Economy Plus Seat 3 Travelers $247.00 Receipt 01629255681594/ Receipt01629255681686 1 Total Price: $1,277.00 Reason for waiving seat fees:(Required) Billing Information Name of Cardholder: Derionne Pollard .1 :j a mega Card Type: - Visa Card Number: Honolulu Car Rentals Relax in our exclusive airport clubs by purchasing a dav pass or an annual membership. Receive your United Airlines discount and up to 1.500 la/Iileaqulus award miles when vou rent with Hertz. Search Now> Find United on: View our Privacv Policy. E-mail Information Please do not reply to this message using the "reply" address. Manage Your email subscriptions from the My Account page. The information contained in this e-mail is intended for the original recipient only. If you are experiencing technical issues, please contact unitedcom Support Via e-mail or telephone. Copyright 2015 United Airlines, Inc. - All rights reserved. United Airlines, Inc. - MileagePlus Service Center PO. Box 6120 Rapid City, SD . 57709~6120 USA Teiford, Lynette From: Britten, Ida . Sent: Tuesday, June 02, 2015 2:25 PM To: Teiford, Lynette Subject: FW: Premium Seats Confirmation ?Follow Up Flag: Follow up Fiag Status: Flagged This, ida H. Britten Assistant to the President Montoomegg College 900 Hungerford Drive, Suite 300 MD 20850 (240) 567-5254 of?ce (240) 429-3149 mobile From: Kathleen Betancourt Sent: Tuesday, June 02, 2015 1:53 PM To: Britten, Ida Subject: FW: Premium Seats Con?rmation Hi Ida, Here's a cepy of the actual receipt from United for the purchased seats. Thanks, Kathleen Betancourt Original Message Date: 6/2/2015 11:05 AM?From: United Airlines, Inc. i: a Teenage at, Subject: Premium Seats Confirmation fijifuff; f. United Airlines e: in 12;; his area Add unitedairlines@united.com to your address book. See instructions. 5774?}: PUS INN 615 E. Huron Street Ann Arbor, MI 48104 Tel: (734) 769?2200 - Fax: (734) 769-6222 Derionne Pollard 900 HungerforelDr R0 ckville, MD 20850 USA ArrivaT: 05/31/15 I Room Number: Departure: 06/02/ 15 Cashier: Invoice No,: RC136657 - 1 Card On File: VISA 12798 Date Description Reference Comment Debit Credit 05/31/15 ROOM CHARGE $161.00 05/31/15 Sales Tax SALES TAX $9 .66 05/31/15 OCCUPANCY TAX OCCUPANCY TAX $8.05 06/01/15 VICTORS ROOM CHARGE 1I4190 Rest?..Victors Restaurant/Campush $25.00 "06/01/15 ROOM CHARGE $161.00 06/01/15 Sales Tax I SALES TAX $9.66 06/01/ 15 OCCUPANCY TAX OCCUPANCY TAX $8.05 Balance: - $382.Regardiess of charge instructions, the guest acknowledges the baiance due?as a personal indebtedness. r- ?j 6 on"? a .1 km?, Guest Signature: Pagel ofl Ik.DekaneP.Pon? Cmporate Card Expenses June 1-15, 2015' itLa TUJ 41: 1530 starer 3225a K311 '3 33' QTY 1.09:1e 3"335 1 BottTej Mate 1 SaLsasa Subtotal Tax Take?Utt Tania Cashless Change MEHH 02532302 CARD Visa SEER 117502 ?312252taurarr r03 f?us? 30:? 1?15 03:34 ?1 0.50 I.EE 1.CG 3?45 0 34 3.?5 MIDIRTT bdli?iL ??eceipz?s attached) BUB EVANS 21044 Frederick Rd -Germantown, MD (301)515~6310 Restaurant 0316 Order 1 164735_ Date 5/1012015 Time 9:26:01 AH Server NiooTe SALE 24-42 TIP 5-00 TOTAL 29.42 Card Type Visa?? Aoct.Number: or ,aa Issued To 1 PULL AuthCode 060557 Try our NEWE Baked Fresh Brioche French Toast with Strawberry Sopreme Topping for only $5.091 f3l1ti6 . 12301951196 Dr. DeRioune P. Pollard Corporate Card Expenses June 1 5, 2015 BAGGAGE (receipr attached) DE LTA mmu EXCHANGE Lid I LAN-wDtmormtmuu: 2 I. 4 *Na: VALID 1 is YUUR RECLL PSGR TICKET 09621415?m411 s.mL NOT VALID FOR TRAV 11mm!- MDTW DDCA 50 wasuuwwx N0. Unll? FOR 1RAV to ?a l' 0052141861111 2 1062141860411 2 V. ?if if? "rat; 1 Ejelle EW?Tns?w w-i) ZEUL Dr. DeRionne P. Pollard Comorate Card Expenses June 1?15, 2015 ARKN (receipr attacked) NATIONAL AIRPDET RECEIPT K5 ENTRY 35/31515 EXIT TEHE: 96/32/15 52:33 PM 2:36:?5 ?5.99 KIND OF PAYMENT: r?ikl??J5?g.?t?i? i . r_ a 5531.; ?Iu .4 w: -: I?g-r pulp ?\r1"? :3 2:33 v?h? Ezitton, Ida 'Fror?n: Sent: To: Subject: Tuesday, June 09, 2015 3:07 PM Bn'tton, Ida Tn'p Receipt - 9369199 Attached is your receipt for a recent ride. Thank you for giving RMA Chauffeuer Transportation the opportunity to service your ground tranSportetion need. Your credit card has been charged. TRIP RECEIPT Reservation?: Passenger Name: Pickup Date/Time: . Reserualtion Detail Pickup Address: Dropotf Address: Payment To: Credit card: 93591502 DERIONNE POLLARD 05/03/2015 12:00 PM RMA CHAU FFEU RED TRANSPORTATION 722.70 [Mlkr'usr?lvanue Roskvf?e. MD. 20852 Vehicle Type: Chauffeur: End Tlme: 12:38 PM Phone?fSOI) 231-5555 1) 23 1-967? Email acmunlmg?Brnra-lrmo. com Sedan Customer: 0080 Contact Name: BRTTON Contact Number: 301-801?1233 . 'IDesFtieriO." . Base Charge: DAR~Constitution Half, 1776 Street Northwest, Washington, DC 20006, Recommended Gratuity: Of?ce, 900 Hungerford' DrivegRockville, MD 20850, CC STC Fuel Surcharge: Total: Totai Payments: Balance Due: Web com . Charges 62.00 1240 80.50 80.60 0.00 ,Britton, Ida From: Sent: To: Subject: accounting?rmalimo.com Tuesday, June 09. 2015 3:07 PM Britton, Ida Trip Receipt A 936919*1 Attached is your receipt for a recent ride. Thank you for giving RMA Chau?eured Transportation the opportunity to service your ground transportation need. Your credit card 1?4277 has been charged. Reservationit: Pa53enger Name: Pickup Date?'rme: 320' Pickup Address: Dropoff Address: Payment Billed To: Credit card: fie?fee??eneetau 935919*1 DERIONNE POLLARD 05/03/2015 07:45 AM RMA CHAUFFEURED TRANSPORTATION $22.70 [450m A venue Rockw'a?re. MD, 20352 100002.730 f) 23 {0555 r) 231~?6?? Sinai? Web Vehicle Type: Sedan Customer: Chauffeur: 7595 Contact Name: SAFI BRTTON Start Time: Contact Number: 301201-1238 End Time: 8:29 AM I Description Charges Base Charge: 62.00 Of?ce, 900 Hungerford Drive, Rockville, MD 20350, Recommended Gratuity: 12.40 DAR-Constitution Hall, 1776 Street Northwest, Washington, DC 20005, STC Fuel Surcharge: 6.20 Total: 80.60 Total Payments: 80.60 Balance Due: 0.00 TripCase eTiCket Receipt GLCI BETH eTiCket Receipt Prepared For POLLARD JULIAN ISSUE DATE TICKET NUMBER NUMBER ISSUINC AIRLINE - ISSUINO AGENT AGENT LOCATION NUMBER CUSTOMER NUMBER - Itinerary Details DATE AIRLINE I 10Jui15 UNITED AIRLINES - 16Jul15 UA1176 UNITED AIRLINES 10Jul15 UNITED AIRLINES l/Rervi ees I tri nCELse. com/new/e?ckeLPrint. GLOBETROTTER TRAVEL MGMT. SERVICES Phone: 301-570?0800 02Jun2015 0167601543048/49 1384085 UNITED AIRLINES AKB OLNEY MD 21520796 DEPARTURE ARRIVAL WASHINGTON HOUSTON GEO BUSH, REAGAN, DC - TX Time - Time 7:10am 9:18am Terminal Terminal TERMINAL TERMINAL HOUSTON GEO BUSH, HONOLULU, HI TX Time ?me 6 1:18pm Imooam Terminal Terminai MAIN-TERMINAL TERMINAL HONOLULU. Hi SAN FRANCISCO, CA Time - Time 2:35pm 10:42pm Terminal Terminal MAIN TERMINAL TERMINAL 3 Page .WIJ Airline Code Ciass UNITED ECONOMY (Seat Number 08F Baggage Allowance NIL Booking Status CONFIRMED .. Fare Basis WHPESOZN Not Valid Before 10 JUL Not Valid After 10 JUL Airline Reservation - Code Class UNITED ECONOMY I Seat Number 25A Baggage Allowance NIL -. Booking Status CONFIRMED Fare Basis WHPEBOZN Not Valid Before 10 JUL Not VaildAfter 10 JUL Airline Reservation Code Class UNITED ECONOMY Seat Number 090 Baggage AliowanCe - NIL 3 Booking Status CONFIRMED 6/3/2015 TripCase eTioket Receipt TRAVEL 21Jul15 21Jul15 .. - Allowances AIRLINE UNITED AIRLINES UA 6293 . Operated by: DBA UNITED EXPRESS UNITED AIRLINES UA 5101 Operated by: AIRLINES DBA UNITED EXPRESS UNITED AIRLINES UA 1529 ,2 Baggage Allowance . DCA I0 HNL - 0 Pieces UNITED AIRLINES Prices of additional baggage pieces: I 25.00 USD up to 50 pounds/23 kilograms and up to 62 linear inches/158 linear centimeters? 3 2. 3500 USD up to 50 pounds/23 kilograms and up to 82 iinearinches/ISS linear centimeters? '3 DEPARTURE SAN FRANCISCO, CA Time 1 1:45pm Terminal TERMINAL 3 AUSTIN, TX Time 3:45pm HOUSTON GEO BUSH, TX Time 5:46pm Terminal TERMINAL HNL to DCA - 0 Pieces UNITED AIRLINES Q. Prices of additional baggage pieces: . . 25.00 USD up to 50 pounds/23 kilograms and up to 62 linear inches/158 linear centimeters? ARRIVAL AUSTIN, TX Time 5:20am HOUSTON GEO BUSH, TX Time 4:49pm i Terminal - TERMINAL WASHINGTON I REAGAN, 00 Time . 9:59pm Terminal TERMINAL Page 2 of 4 OTHER NOTES Fare Basis VHOESOZN Not Valid Before 16 JUL - Not Vaiid After 16 JUL Airline Reservation Code Class UNITED ECONOMY Seat Number 09C Baggage Allowance NIL Booking Status CONFIRMED Fare Basis VHOESOZN Not Valid Before 16 JUL Not ValidlA?eI? 16 JUL Airline Reservation Code ESBH5L Class UNITED ECONOMY Seat Number ISO Baggage Allowance NIL Booking Status CONFIRMED Fare Basis LAAOTAZN Not Vaiid Before 21 JUL Not Valid After 21 JUL Airline Reservation Code ESBH5L Class UNITED ECONOMY Seat Number 08C Baggage AIIoWance NIL Booking Status CONFIRMED Fare Basis LAAOYAZN Not Valid Before 21 JUL Not Valid After 21 JUL 7., A. 2. 35.00 USD up to 50 pounds/23 kilograms and up to 82 linear inches/158 linear fees apply at each check in location trinr?nqe r-nm TripCase eTioket Receipt Page 3 of 4 ADDITIONAL ALLOWANCES ANDIOR DISCOUNTS MAY APPLY DEPENDING ON FACTORS IE.G. FREOUENT FLYER CREDIT CARDFORM OF PURCHASE OVER Carry On AlIowanCes DCA Carry-on allowance unknown - contact carrier (UA- UNITED AIRLINES) Carry- On Charges AUS .AUS to IAH I IAH to DCA (UA UNITED AIRLINES) Payment/Fare Details I Form of Payment CREDIT CARD - VISA 4777 Endorsemeth Restrictions I Fare CaICUIation Line I WAS UA XII-IOU UA HNL WASHNL40.00 473.94UA I XISFO UA AU8539.80UA WA8165.58USD1219.32END XFDCA4.5IAH4.5AUS4.5IAH4Fare USD 1,219.33 USD 46.17 US (US DOMESTIC TRANSPORTATION TAX) TaxeleeSSICarrier~Imposed Charges USD 24.00 ZP (SEGMENT TAX) a. USD 47.00 XT (COMBINED TAXESIFEESICARRJER. i .IMPOSED CHARGES) E35 Total Fare I USD 1,336.50 Positive identification required for airport Check in Notice: W. PASSENGERS ON A JOURNEY INVOLVING AN ULTIMATE DESTINATION OR A IN A COUNTRY OTHER THAN THE COUNTRY OF DEPARTURE ARE ADVISED THAT I INTERNATIONAL TREATIES KNOWN AS THE MONTREAL CONVENTION, OR ITS PREDECESSOR, THE WARSAW CONVENTION, INCLUDING ITS AMENDMENTS (THE WARSAW CONVENTION SYSTEM), MAY APPLY TO THE ENTIRE JOURNEY, INCLUDING ANY PORTION THEREOF WITHIN A COUNTRY. PASSENGERSI THE APPLICABLE TREATY, INCLUDING SPECIAL CONTRACTS OF CARRIAGE EMBODIED IN ANY APPLICABLE TARIFFS, GOVERNS AND MAY LIMIT THE LIABILITY OF THE CARRIER. I lmgortant LeoaI Notices 6/3/20 1 Trijase - eTicket Receipt h-hxnnap Page 4 of 4 6/2/901?1' TripCase - eTicket Receipt GLOBETROTTER TRAVEL MGMT. SERVICES Phone: 301670?0800 GLCI eTicket Receipt Prepared For ANGELIQU ISSUE DATE 02Jun2015 I TICKET NUMBER 0167501543046147 NUMBER 1384085 ISSUING AIRLINE UNITED AIRLINES ISSUING AGENT AKB ISSUING AGENT LOCATION OLNEY MD IATA NUMBER 21520796 CUSTOMER NUMBER Itinerary Details f?AIRLINE DEPARTURE -: ARRIVAL 10Jul15. 1 UNITED AIRLINES WASHINGTON HOUSTON GEO I UA 689 REAGAN, Dc TX Time I Time 7:10am . 9:18am I Terminal Terminal TERMINAL TERMINAL 0 I 10Jui15 UNITED AIRLINES HOUSTON GEO BUSH, HONOLULU16Jui15 UNITEDAIRLINES TX Time 10:00am Terminai TERMINALC . i HONOLULU, HI Time 2:35pm Terminai MAIN TERMINAL OP Time 1:18pm Terminal MAIN TERMINAL SAN FRANCISCO, CA Time 10:42pm Terminal TERMINAL 3 Page 1 Of4 OTHER NOTES Airline Reservation Code UNITED ECONOMY Seat Number 08E Baggage Allowance Booking Status CONFIRMED Fare Basis WHPESOZN Not Valid Before JUL Noi Valid After . Airiine Reservation Code E88H5L UNITED ECONOMY Seat Number 258 Baggage Allowance NIL Booking Status CONHRMED Fare Basia?. Not Valid ?33 10 JUL if Valid-After 10A Airiine Reservation; Code a} Class ECONOMY SeatNIimber 0:98 Baggage Aiiowance NIL Booking Staius? 6/3/2015 TripCase - eTicket Receipt TRAVEL AIRLINE 7: 16Jui15 I 21Ju115 I i 1? Allowances -17Jul15 21JUI15 - UA E3293 Operated by: .ISKYWEST DBA UNITED EXPRESS UNITED AIRLINES UA 5101 Operated by: IMESA DBA UNITED EXPRESS UNITED AIRLINES I UA i529 Baggage Allowance DCA to HNL 0 Pieces UNITED Prices of additional baggage pieces: 25.00 USD up to 50 pounds/23 kilograms and Up to 62 linea 2. 35.00 USD up to 50 pounds/23 kilograms and up to 62 linear DEPARTURE SAN FRANCISCO, CA Time I 1 1 :45pm - Terminal TERMINAL 3 AUSTIN, TX Time 3:45pm HOUSTON GEO BUSH, . Time 5:46pm Terminal TERMINAL I HNL to DCA - 0 Pieces UNITED AIRLINES Prices of additional baggage pieces: 3 1.. 25.00 USD up to 50 pounds/23 kilograms and up to 62 linear inches/158 linear centimeters?? 2. 35.00 USD up to 50 pounds/23 kilograms and up to 62 linear inches/158 linear fees apply at each check in location 1.1 hfh'? ARRIVAL TX Time 5:20am HOUSTON GEO BUSH, TX i Time 4:49pm Terminal TERMINAL WASHINGTON I REAGAN, DC Time 9:59pm Terminai TERMINAL inches/158 linear centimeters?r inches/158 linear centimeters? Page 2 of 4 OTHER NOTES Fare Basis VHOESOZN Not Valid Before 16 JUL Not Valid After 16 JUL Airline Reservation Code E88H5L Class UNITED ECONOMY Seat Number 098 Baggage Aiiowance Booking Status Fare Basis VHOESOZN Not Valid Before 16 JUL Not Valid After 16_ JUL Airline Reservation Code ESBH5L Class UNITED ECONOMY Seat Number 160 Baggage Allowance NIL Booking Status CONFIRMED Fare Basis LAAOYAZN Not Valid Before 21 JUL NotValid After 21 JUL Airiine Reservation Code ES8H5L Class UNITED ECONOMY Seat Number 088 Baggage Allowance Booking Siatus CONFIRMED Fare Basis LAAOTAZN Not Valid Before 21 JUL Not Valid After JUL nu? {a 6/3/2015 Alcoa - koow? W892 Ema om >rrO<<>ZOmm b.2053 Oz . \mb. 3.4mm Om O=o?msomm 12:0 95 ,mmo 8 >cm092-0: mzo?mzom 55055 - 82mg 832 - cznmo 022 0: 036mm . mmnO #Um<3m3wxz?p8 ?939; . 596 c? Execs?, . xmonib?igcm??zi $3 A c8 $3.8 ch 3.3. Cm Em 03m:de . .95 . i. Wrai.28 v3. 802$sz I I. :smOmmU ?42m. 36 50 53.8 W: .01. momma/5 Emzmmommos 332.8; 360% ozmox m: Eff}: a a . I. CO 20:09 mid .. 02 >2 OW mAO__u OAimm Ai>z Om brim >UA_mm >m Aim 02 Am U?mUmOmmem. Aim iAm >_stU?mZAm nAim mA<_ miumOi/r Om .Z ?O20 r253. Aim Om Aim O>mm_mm. . roam: 20:03 @3303 . J): $333 733* 'TripCase eTieket Receipt Page 4 of 4 In?ne'?epruihpe ?r?nr?acrn hfrni - Duration TripCase - eInvoice Save as PDF Electronic Invoice Prepared For: PAULETTE ANGELIQUE Ref: POLLARD JULIAN Ref: 1384085 INVOICE NUMBER INVOICE DATE 02 Jun 2015 RECORD LOCATOR CUSTOMER NUMBER I I Client Address MONTGOMERY COLLEGE . 900 HUNGERFORD DRIVE ROCKVILLE MD zosso Notes THE FARE IS 1335.50 PLUS 19.25 SERVICE FEE i NOREFUNDINOTRANSFERCHANGES SUBJECT TO INCREASE AND PENALTY FEDERAL FORBIDS THE CARRIAGE OF CERTAIN HAZARDOUS MATERIALS SUCH AEROSOLS FIREWORKS AND FLAMMABLE LIQUIDS ABOARD THE IF YOU DO NOT UNDERSTAND THESE RESTRICTTONS PLEASE CONTACT YOUR AIRLINE OR GO TO NITIATIVESIHAZMAT VALID GOVT ISSUED PHOTO ID REQUIRED AT CHECK IN RECONFIRN FLIGHTS WITH AIRLINE 24HRS PRIOR To TRVL - FOR HOTEL BOOKINGS ONLY- AFTER MAKING RESERVATIONS PASSENGER MUST HAVE ACCOUNTS PAYABLE ISSUE A CHECK TO HOTEL PRIOR To YOUR DEPARTURE OR HAVE ACCOUNTS PAYABLE PAY HOTEL WITH COLLEGE CREDIT CARD DIRECTLY HOTEL BOOKINGS REQUIRE CREDIT CARD TO BOOK GLOBETROTTER DOES NOT PREPAY ROOMS . we SECURE YOUR - HOTEL RESERVATION. - DATE: Fri, Jul 10 Flight: UNITED AIRLINES I389 . REAGAN. DC To HOUSTON GEO Arrives BUSH. TX 'Departure Terminal 3hr(s) IType AIRBUS INDUSTRIE Meal A320 JET . Non Stop Seat(s) Details POLLARDIDERIONNE PAULETTE 9:18am Arrivai Terminal Seatis) 380 Economy Pius Seat Confirmed JONESIROBYN Seai(s) 38E Economy ANGELIQUE Pius Seat Confirmed Seatis) 38F Economy POLLARD Plus Seat Confirmed ECON Page 1 of 4 Engiish 12 diSplay Print einVOice Ref: I WAEHINGTON Departs Class United Economy Food for Purchase 6/3/2015 TripCase einvoice Flight: UNITED AIRLINES 253 HOUSTON GEO Departs 'F'r'o?i BUSH. TX To HONOLULU. HI Arrives Departure Terminal Arrival Terminai Duration Bhr(3)18min(s) Class L'Type BOEING JET Idea! 'Stop(s) Non Stop Seatls) Details POLLARDJDERIONNE Seal(s) - 44C Economy - PAULETTE Plus Seai Confirmed JONESJROBYN Seatis) 440 Economy ANGELJQUE Pius Seat 1 Confirmed POLLARD Seat(s) 44E Economy JONESIMYLES Plus Seal JULIAN - Confirmed meg" . '2'ss'rssr'" DATE: Thu, Jul 16 :Fiight: UNITED AIRLINES HTS - Departs -To SAN FRANCISCO, CA Arrives jDeparture Terminal Arrival Terminal ';_Duraiion 5hr(5) Tmin(s) Class :Type BOEING 300 Meal SERIES JET Stools) Non Stop {Seat(s) Details POLLARDIDERIONNE Seat(s) - 18D Economy PAULETTE Plus Seal Confirmed 1 JONESIROBYN Seaiis) - 18E Economy ANGELIQUE Plus Seal Confirmed POLLARD Seat(s) - IBF Economy JONESIMYLES Plus Seal I JULIAN Confirmed DATE: Thu, Jul 16 Flight: UNITED AIRLINES 6293 Operated by: ISKYWEST DBA UNITED EXPRESS Fro?67? Departs i-To Tx Arrives :Departure TerminaI 3 lDuration 3hr(s) 35min(s) Class SType CRJ-TDD CANADAIR Meal :i REGIONAL JET Q8top{s) Non Stop ?SeaI(s} Details POLLARDIDERIONNE Seatls)?1TB Economy - PAULETTE Plus Seat Confirmed JONESIROBYN Seatis) - ITC Economy ANGELIQUE Plus Seat Confirmed POLLARD Seat(s) - 17D Economy JONESIMYLES Plus Seat JULIAN Confirmed Notes http, ervices . tripcasecom/new/einvoice .html 2:35pm I T0:00am 1:18pm United Economy Food for Purchase 10:42pm 3 UnIted Economy Food for Purchase 'I1:45pm_? 5:20am United Economy Food - Beverage for Purchase Page 2 Of 4 6/3/2015 TripCase - elnvoice DATE: Tue, Jul 24! Duration Type Stoplsl ISeai(s) Details DATE: Tue, Jul 21 Flight: UNITED AIRLINES 1529 'From I _;To DATE: Sun, May 29 Departure Terminal Duration Type Staple) SeatIs) Details Others Flight: UNITED AIRLINES 5101 Operated by: IMESA AIRLINES DBA UNITED EXPRESS HOUSTON GEO BUSH.TX 1hr{s) 4min(s} ETW Non Stop POLLARDIDERIONNE PAULETTE JONESIROBYN ANGELIOUE POLLARD JONESIMYLES JULIAN HOUSTON GEO. TX WASHINGTON REAGAN, DC 3hr(s) 13min(s) BOEING YSY-BOU JET Non Stop POLLARDIDERIONNE PAULETTE JONESIROBYN ANGELIQUE POLLARD JONESIMYLES JULIAN ECON SEATE THANK YOU AND HAVE A SAFE Ticket Information Ticket Number Ticket Number Ticket Number Service Fee Service Fee Service Fee UA Y601543044 Passenger - Billed to: UA 1?801543048 Passenger Billed to: UA 7601543048 Passenger - Billed to: 0548174883 Passenger Billed to: xo 05431?4334 Passenger Billed to: XD 0548174885 Passenger Billed to: Deoarls 3:45pm I. Arrives 4:49pm Arrival Terminal Class Uniled Economy Meal Seai(s) 168 Seatls) - 160 Seeds) - 180 ?Departs? 5346me- Arrives 9:59pm Arrival Terminal 8 Class United Economy Meal Food for Purchase Beads) - 230 Economy Plus Seat Confirmed Seat(s) 235 Economy Plus Seat Confirmed Seal(s) 23F Economy Plus Seal Confirmed - I i J. POLLARD DERIONNE PAULETTE VI USD *1,335.50 JONES ROBYN ANGELIQU I . USD 1,335.50 POLLARD JONES MYLES JULIAN VI '7 USD 1,336.50 POLLARD DERIONNE PAULETTE I VI USD *1925 1? JONES ROBYN ANG ELIQUE VI WW USD 19.25 If POLLARD JONES MYLES JULIAN . . USD *1925 SubTotal USD Net Credit Card Billing USD 4,057.25 6/3 /201 5 Page 3 of 4 JD TripCase elmvoiee Page 4 of 4 TotalAmaunt Due USD 0.00 ITINERARY NOTES: Your Lrave.? arranger prov1cies the lnforma?on contained in this document. lfyou have any ques?ons about [he content. please contact your travel arranger. For Credit Card Service fees, piease see eTIcket receipt for iota! charges. Save as PDF Print elnvoice 6/3/2015 I I I TripCase - eTicket Receipt GLCI EIETREWTEE: GLOBETROTTER TRAVEL MGMT. SERVICES Phone: 301?570-0800 Page 1 of 4 eTioket Receipt Prepared For PAULETTE 5. RESERVATION CODE ISSUE DATE TICKET NUMBER I INVOICE NUMBER I ISSUING AIRLINE ISSUING AGENT IATA-NUMBER Itinerary Details -- . I TRAVE AIRLINE I UA 689 i UA 253 16Jul15 IUNITEDAIRLINES 1.. . ISSUING AGENT LOCATION CUSTOMER NUMBER - 10Jul15 UNITED AIRLINES 10Jul?i5 UNITED AIRLINES 0167601 543044145 1384085 UNITED AIRLINES AKB OLNEY MD 21520796 DEPARTURE WASHINGTON DC Time I 7:10am Terminal TERMINAL HOUSTON GEO BUSH, TX Time 10:00am Terminal . TERMINAL HONOLULU, HI Time 2:35pm TerminaI MAIN TERMINAL 1.44.- h-Innoon r-nm ARRIVAL HOUSTON GEO BUSH, TX Time 9:18am Terminal TERMINAL HONOLULU..HI Time i:18pm Terminal MAIN TERMINAL SAN FRANCISCO, CA Time I 10:42pm Terminal TERMINAL 3 OTHER NOTES Airline Reservation '1 Code Class UNITED ECONOMY Seat Number 080 i Baggage Allowance NIL Booking Status CONFIRMED Fare Basis WHPESOZN Not Valid Before 10 JUL NotValid After, 10 Airline Reservation Code E88H5L UNITED ECONOMY Seat Number 28B - Baggage Allowance NIL Booking Status CONFIRMED Fare Basis WHPEBOZN Noi Valid Before 10 JUL NotValid After AirIine Reservation Code Class UNITED ECONOMY SeatNumber 09A Baggage Allowance NIL Booking Status CONHRMED 6/3/2015 TripCase - eTioket Receipt TTRAVEL DATE AIRLINE 16Jui15 UNITED AIRLINES -17Ju 15 UA 6293 Operated by: ISKYWEST DBA UNITED EXPRESS 21Jul15 UNITED AIRLINES . UA5101 - Operated by: AIRLINES DBA . UNITED EXPRESS 21Jul15 - UNITED AIRLINES UA1529 i Allowances Baggage Allowance . DEPARTURE SAN FRANCISCO, CA Time 11:45pm Terminal TERMINAL 3 AUSTIN, TX Time 3:45pm - HOUSTON GEO BUSH, TX Time 5:48pm .. Terminal TERMINAL .- DCA to HNL 0 Pieces UNITED AIRLINES Prices of additional baggage pieces: 1. 25.00 USD up to 50 pounds/23 kilograms and up to ARRIVAL AUSTIN. TX Time 5:20am HOUSTON GEO BUSH, Time 4:49pm Terminal TERMINAL WASHINGTON REAGAN, DC Time 9:59pm Terminal TERMINAL 62 linear inches/158 linear centimeters? Page 2 of 4 OTHER NOTES Fare Basis VHOE302N Not Valid Before 16 JUL Not Valid After 16 JUL Airline Reservation Code Class UNITED ECONOMY Seat Number 09A Baggage Allowance NIL Booking Status CONFIRMED Fare 'Basis VHOESOZN Not Valid Before t6 JUL Not Valid After 15 JUL Airline Reservation Code ES8H5L Class UNITED ECONOMY Seat Number 16B Baggage Allowance NIL Booking Status CONFIRMED Fare Basis LAADTAZN Not Valid Before 21 JUL Not valid After 21 JUL Airline Reservation Code Class UNITED ECONOMY Seat Number 08A Baggage Allowance NIL Booking Status CONFIRMED Fare Basis LAAOYAZN Not Valid Before 21 JUL p; NolValiidzAfterfj?ili JUL n: ,u a i 2. 35.00 USD up to 50 pounds/23 kilograms and up to 82 linear Inches/158 Iinear centimetersPieces UNITED AIRLINES Prices of additional baggage pieces: 1 I. 25.00 USD up to 50 pounds/23 kilograms and up to 62 linear inches/158 linear ceniimeters? 2. 35.00 USD up to 50 pounds/23 kilograms andup to 82 linear inches/158 linear fees apply .- at each check in location frinr?nqp an lnew/al'inic'efprini iifihi 6/3/2015 TripCase eTicket Receipt Page 3 of 4 ADDITIONAL ALLOWANCES DISCOUNTS MAY APPLY DEPENDING ON FLYER-SPECIFIC FACTORS IEG. FREQUENT FLYER CREDIT CARDFORM OF PURCHASE OVER Carry On AlIowanoes DCA DCA Carry?on allowance unknown contact carrier (UA UNITED AIRLINES) Carry On Charges DCA UNITED AIRLINES) Payment/FareDetails Form of Payment CREDIT CARD - VISA 4777 Endorsement! Restrictions Fare Calculation Line WAS UA XJHOU UA HNL WASHNL40.00 473.94UA UA AUSESQBOUA WA8165.58USD1219.32END I XFDCA4.5IAH4.5AUS4.5IAH4.5 WI. i Fare . I Charges USD 46.17 US (US DOMESTIC TRANSPORTATION TAX) - USD 24.00 ZP I USD 47.00 XT (COMBINED I I I I 1 5 IMPOSED CHARGES) .- . Total Fare. USD 1,336.50 . I Positive identification required for airport check in Notice: I 3'7 in PASSENGERS ON A JOURNEY INVOLVING AN ULTIMATE DESTINATION OR A STOP . 3:15:32, COUNTRY OTHER THAN THE COUNTRY OF DEPARTURE ARE ADVISED THAT :35. o3 r. ., INTERNATIONAL TREATIES KNOWN AS THE MONTREAL CONVENTION, OR ITS I THE WARSAW CONVENTION, INCLUDING ITS AMENDMENTS (THE WARSAW CONVENTION SYSTEM), MAY APPLY TO THE ENTIRE JOURNEYI INCLUDING ANYIPORTION .THEREOF WITHIN A COUNTRY. FOR SUCH PASSENGERS, THE APPLICABLE TREATY, INCLUDING SPECIAL CONTRACTS OF CARRIAGE EMBODIED IN ANY APPLICABLE TARIFFS, GOVERNS AND MAY LIMIT THE LIABILITY OF THE CARRIER. imDortant Leoal Notices 6/3 /20 1 5 . TripCase - eTicket Receipt Page 4 0104 6/3/2015 TripCase elnvoice Page 1 of 4 GLOBETROTTER TRAVEL MGMT. SERVICES Phone: 301-570?0800 Electronic Invoice repared For: PAULETTE Ref. ANGELIOUE Aer. VPOLLARD JULIAN Ref. UI-PERMC I INVOICENUNIBER 1384140 INVOICEISSUEDATE 02 Jun 2015 RECORD LOCATOR '5 HOUSTOMER NUMBER A PF MONTGOMERY COLLEGE BUD HUNGERFORD DRIVE ROCKVILLE MD 20350 Notes I THE FARE 18 1338.50 PLUS 19.25 SERVICE FEE NOREFUNDINOTRANSFERCHANGES SUBJECT TO INCREASE AND PENALTY FEDERAL LAW FORBIDS THE CARRIAGE OF CERTAIN HAZARDOUS MATERIALS SUCH AEROSOLS FIREWORKS AND FLAMMABLE LIQUIDS ABOARD THE AIRCRAFT. IF YOU DO NOT UNDERSTAND THESE RESTRICTIONS i PLEASE CONTACT YOUR AIRLINE OR GO TO VALID GOVT ISSUED PHOTO ID REQUIRED AT CHECK IN RECONFIRM FLIGHTS WITH AIRLINE 24HRS PRIOR TO TRVL HOTEL BOOKINGS ONLY- AFTER MAKING RESERVATIONS I PASSENGER MUST HAVE ACCOUNTS PAYABLE ISSUE A CHECK To HOTEL PRIOR TO YOUR DEPARTURE OR HAVE ACCOUNTS 9:352. I PAYABLE PAY HOTEL WITH COLLEGE CREDIT CARD DIRECTLY HOTEL BOOKINGS REQUIRE CREDIT CARD TO BOOK telly; (M - DOES NOT PREPAY ROOMS - WE SECURE YOUR if; I HOTEL RESERVATION. . .F- . I. .. .133? DATE: Fri, Jul 10 if: (.1 iFIIght: UNITED AIRLINES see if - WASHINGTON Depi'aris mold'ni' Egg; an; REAGAN, DC - :To HOUSTON GEO ArriVeS 9:13am 1? BUSH, TX :Departure Terminal Arrivai Terminal 0? :Duration 3hr(s) 8min(s) United Economy - Type AIRBUS INDUSTRIE MeaI Food for Purchase I A320 JET fS'Ioprs) Non Stop 1 Seat(s) Details Seat(s) 08D Economy Pius Seat Con?rmed JON ESIROBYN 08E ANGELIOUE Economy Plus Seat Con?rmed POLLARD Seeds) - 08F Economy PIUS Seat JULIAN 6/3 /201 5 11+th - Hem-vi ces .triocase. com/new/einvo TripCase elnvoice nae?s DATE: Fri, Jul 10 PLUS SEATS Flight: UNETED AIRLINES 253 new? i To Departure Terminal Duration Type Stems) Seat(s) Details fNOtesm DATE: Thu, Jul 16 HOUSTON GEO BUSH, TX HONOLULU, 8hr(s) 18min(s) BOEING JET Non Stop PAULETTE JON ANGELIQUE POLLARD JULIAN SEATS zeazs?A? :Flight: UNITED 117s Departure Terminal Duration -Type Stop(s) iSeat(s) Details DATE: Thu, Jul 16 Flight: UNITED AIRLINES 6293 Operated by: ISKYWEST DBA UNITED EXPRESS rem" To Departure Terminal Duration :Type iStems) :Seat(s) Details HONOLULU, Hi SAN CA 5hr(s) 7min(s) BOEING 7'57 300 SERIES JET Non Stop ANGELIQUE POLLARD JONESIMYLES JULIAN SAN FRANCISCO, CA AUSTIN, TX 3 3hr(s) 35min(s) REGIONAL JET Non Stop PAULETTE Con?rmed Page 2 of 4 Con?rmed r? ?if; 3; PDepartsFU Arrives?: :42: ArrivaI?Ter'anlhal Class United Economy Meal Food for Purchase Seat(s) 26B Economy Plus Seat Con?rmed Seat(s) - 25B Economy Pius Seat Con?rmed Seat(s) 25A Economy Pius Seat Con?rmed Departs 2:35me Arrives 10:42pm Arn'vai Terminal 3 Class United Economy Meal Food for Purchase Seat(s) 09A Economy Pius Seat Con?rmed Seat(s) - 09B Economy Plus Seat Con?rmed Seat(s) 090 Economy Pius Seat Departs 1'1545pm' Arrives 5:20am day) Class United Economy Meal Food - Beverage for Purchase Seat(s) 09A Economy Pius Seat Con?rmed 6/3f2015 TripCase - eInvoice Page 3 of 4 ANGELIQUE Economy Plus Seat Con?rmed POLLARD Seat(3) - 090 Economy Plus Seat JULIAN .M of? ?Ti: - Con?rmed mil. 5-3 fu?e're?s'T?? ECCN ewe SEATS . 5' ?i DATE: Tue, Jul 21 ?Flight: UNITED 5101 Operated by: IMESA AIRLINES DBA UNITED EXPRESS Departs '3?4'5pm iTo HOUSTON GEO Arrives 4:49pm BUSH. TX 3. Arrival Terminai 'Duration 1hr(s) 4min(s) Class United Economy I Type Meal :Stop(s) Non Stop fseat(a) Details Seat(s) - 168 JONESIROBYN Seat(s) - 16C ANGELIQUE POLLARD Seat(s) - 16D DATE: Tue, Jul 21 EFiight: UNITED AIRLINES 1529 beparts 5:46pm BUSH, TX iTo -WASHINGTON Arn?ves 9:59pm . iDeparture Terminai Arrivai Terminal - iDuration 3hr(s) 13min(s) - Class United Economy {Type BOEING 737-800 JET Meal Food for Purchase ?8t0p(s) Non Stop geeaus) Details Seat(s) - 08A 2 PAULETTE Economy Plus Seat Con?rmed Seat(s) 08B ANGELFQUE Economy Pius Seat Confirmed POLLARD Seat(s) osc Economy Plus Seat JULIAN . Con?rmed mate?s?? I 1 - Hm DATE: Sun, May 29 Others WASHINGTON THANK YOU AND HAVE A SAFE Sew Billed to: USD 425.6? h?ps?/ services.tripcase.oo1n/new/ cmvoicePrint.htn? 6/ 3 /20 1 5 Tr?ipCase - eInvoice Page 4 of 4 Subtotal Billed to USD Credit Card 425.67 Serv Billed to: USD 425.67 Subtotal Billed to a. . uso* Credit Card 1-21 425.67 Serv -- Bitied to: USD -- 425.66 I Subtotai Bitled to 9" USD Credit Card 425.86 SubTotaf USD 1,277.00 Net Credit Card Biliing USD 1,277.00 Total Amount Due USD 0.00 w. A. .. . . NOTES: .. adult-Him Your travef arranger provides the information contained in this document. lfyou have any questions about the content, please contact your traVet arranger. For Credit Card Service fees, please see eTicket receipt for total charges. 6/3/2015 M&TBank Corporate Card OERIONNE POLLARD ACCOUNT NUMBER AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 30 002?30i?15 Purchases Cash Advances Total Fees Credits . Totai Activity $6,801.03 $0.00 $0.00 $0.00 $6,801.03 Tran Reference Number Transaction Description I Amount Date Date 0501 051mm 3.515172003332300 F32200 4120035wa 3.70 0100:5814 MERCHANT ZIP: 22202 0002 00x03 25153201539030212 DCA REAGAN WASHINGTON 00 2500 M00: 7523 MERCHANT ZIP: 20001 00:02 00:04 551548?15410??943 DELTAAIR 0052141886411DETROIT MI 5000 M00: 3050 30354 ?i QARDHOLDER . .1 iI . . For cusiomer service, call wr .-- 5 4 1 For Visa Mne?ts and 1011 free (800) 443-3671. 1 errors: PD. BOX 8, Buffalo. NY 1424041026 referrai services, 00% Outside the US and Canada, ca}! Payments: FLO. BOX 6212 . Baltimore. MD 21264-2120 ihe Visa assisIaHCB (716) 63544152. LosUStoien: 465 MAIN STR T, SUITE 500, Buffalo. NY 14203 Visit us on the web at m-mmibcom MEMO STATEMENT statement Date 00,000 5 TotaiACtWiW $650103 Remit to: BANK PD. BOX 82120 I BALTIMORE MD 21284-212 STATEMENT DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 0000000000000 Page 2 of8 Mg?? Bank Corporate Card - DERIONNE POLLARD - ACCOUNT NUMBER CREDIT AVAILABLE DAYS tN STATEMENT CREDIT CYCLE $10,000.00 $10,000.00 30 06/3011 5 NOTICE OF BILLING RIGHTS This notice contains important information about your rights under federal iaw. in this Notice, "you refers to Clientas defined in the Agreement, and ?us? refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS \If open for you. You wiiI not be iiabie for any unauthorized use that occurs after you notify mar Bank orally or in writing, of any loss, theft or possibie unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by teiephoning Except as provided in Section 26 ofthe Agreement, your for unauthorized use ofthe Card will not exceed $50. Piease be advised that full payment of at! outstanding balances remains due, even while we investigate your unauthorized use ciaim, and failure to pay in full by the due date may result in deiinquency charges er yourAgreement with us. We credit any payments made upon conoiusion of our investigation ofthe unauthorized use ciaim, to the extent ofthe proper amount due back to you. MATT 055R DERIONNE PCLLARD (S. Corporate Card ACCOU NT NU MBER Page .5 CI 0 CREDIT AVAILABLE DAYS IN BILLING LIMIT CREDIT CYCLE $10,000.00 01000000 30 STATEMENT DATE 05130115 Tran Date 115102 38.10 2 2 30102 21370 2 - 5.102 2 1.5!02 .13I02 5702 5f02 . 51?02 2'02 Post Date Reference Number Transaction Description Amount 05!04 05104 00104 0504 0070 4 05f04 00104 00304 06l04 00104 00104 06104 05l04 00704 05.04 05154254?10010121 55154000172801229 65154000172601237 65154000172601245 65154000172601252 65154000172501260 651540001?2601278 65154000172601286 05154000172601294 651540001?2601302 651540001T2601310 65154000172601328 65154000172501336 65154000172601344 651540001?2501351 NAME: POLLARDIDERIONN TICKET 0052141888411 TRAVEL AGENCY CODE: 125201 TRAVEL AGENCY: DETROIT LEG: 1 DATE: OSIOZITS CARRIER: Air Lines Inc. DESTINATION: Arlington County, Virginia (near Washing ORIGINATION: Romqus (near Detroit), Michigan, United CAMPUS INN HOTEL ANN ARBOR MI MERCHANT ZIP: 48104 CHECK-IN: 051'31!15 NUMBER OF NIGHTS: 2 NO SHOW: 0 PURCHASE 531301 UNITED 0102925500154000-9322732 TX 11100: 3000 MERCHANT ZIP: 77002 UNITED 0102925500155000-9322732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 01029255001500009322732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 01029255001570009322732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 0102925500150000-9322732 TX 11100: 3000 MERCHANT ZIP: 77002 UNITED 0102925500159500?9322732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 0102925500100500-932?2732 TX CC: 3000 MERCHANT ZIP: 77002 UNITED 0102925500101000-9322732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 0102925500102000-932-2732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 01029255001030009322732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 01029255001040009322732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 0102925500105000-932?2732 TX M00: 3000- MERCHANT ZIP: 77002 UNITED 0102925500100000.932?2732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 0102925500107000-9322732 TX 382.42 89.00 85.00 104.00 69.00 104.00 83.00 104.00 86.00 79.00 79.00 69.00 89.00 83.00 89.00 Meii? Bank 3 Corporate Card Page 4 of EERIONNE POLLARD AC COUNT NU MBER CREDIT LIMIT $10,000,00 CREDIT $10,000.00 DAYS IN BILLING CYCLE 30 STATEMENT DATE 06/30/15 7 Post Date Tran Date Reference Number Transaction Description Amount 36.?02 06.04 36302 06IO4 '3f02 062'04 65154000172601369 65154000245293830 65154000245293848 MCC: 3000 MERCHANT ZIP: 77032 UNITED MCC: 3000 MERCHANT ZIP: 7?032 UNITED MCC: 3000 MERCHANT ZIP: 7?002 NAME: TICKET 0167?601543044 TRAVEL AGENCY CODE: 21520?96 POLLARDIDERIONNE PAU 0162925568168800-932-2732 TX 01 67601 TX TRAVEL AGENCY: GLOBETROTTER TVL MGMT LEG: 1 FARE CODE: DATE: OTMOHS CARRIER: UA?United Airiines, inc. DESTINATION: Houston, Texas, United States ORIGINATION: Ariingion County, Virginia (near Washing LEG: 2 FARE CODE: WHPE30 DATE: 07M Of15 . CARRIER: UA-United Airlines, inc. DESTINATION: Honoluiu, Hawaii, United States Houston, TexasI United States LEG: 3 FARE CODE: VHOE30 DATE: OTHOHS CARRIER: UA-United Airiines, inc. DESTINATION: San Francisco. Caiifornia, Un ited States ORIGINATION: Honolulu, Hawaii, United States LEG: 4 FARE CODE: VHOE30 DATE: 0771 OMS CARRIER: AU-Cielos del Sur S.A. DESTINATION: Austin, Texas, United States ORIGINATION: San Francisco, Catiiornia, United States NAME: TICKET 016?601543046 TRAVEL AGENCY CODE: 21520796 M00: 3000 MERCHANT ZIP: TTOOZ JONESIROBYN ANGELIQU 0167601?543045300-932-2taz TX TRAVEL AGENCY: GLOBETROTTER TVL MGMT LEG: 1 FARE CODE: DATE: om 0115 CARRIER: UA?United Airlines, inc. DESTINATION: Houston, Texas, United States ORIGINATION: Ariington County, Virginia (near Washing LEG: 2 FARE CODE: DATE: OTHOHS R: UA-United Airlines, inc. DESTINATION: Hawaii, United States ORIGINATION: Houston, Texas, United States 85.00 1,336.50 1,336.50 MEEBMTIE Page 5 of 8 d: Corporate Card - DERIONNE POLLARD IACCOUNT NUMBER CREDIT LIMIT $10,000.00 AVAILABLE DAYS IN BILLING I STATEMENT I CREDIT i- CYCLE DATE I $10,000.00 5; 30 03/30t15 Post Date Tran Date Reference Number Transaction Description Amount 35:02 W04 3202 03:04 05:04 55154030245293555 5515487'1542418603 551548?1542524299 LEG: 3 FARE CODE: VHOESO DATE: ONIONS CARRIER: UA?U'ntted Atritnes, Inc. DESTINATION: San Francisco. California. United States ORIGINATION: Honolulu. Hawaii, United States LEG: 4 FARE CODE: VHOESO DATE: 07710.05 CARRIER: AU-Ctetos det Sur SA. DESTINATION: Austin. Texas. United States ORIGINATION: San Francisco, California, United States UNITED 0167'601543048800-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARD JONESIMYLES . TICKET 016?:301543045 TRAVEL AGENCY CODE: 21520790 TRAVEL AGENCY: GLOB-ETROTTER TVL MGMT LEG: I FARE CODE: WHPESO DATE: 07710315 CARRIER: UA?United Airlines. Inc. DESTINATION: Houston. Texas. United States ORIGINATION: Ariington County. Virginia (near Washing LEG: 2 FARE CODE: WHPESO DATE: CARRIER: UA~United AIrIinee. Inc. DESTINATION: Honolutu,,HaWaII. United States ORIGINATION: Houston. Texas. United States LEG: 3 FARE CODE: VHOE30 - DATE: 07:10:15 CARRIER: UA?Untted Aidines, Inc. DESTINATION: San Francisco. CalIIornIa1 United States ORIGINATION: Honoluiu. Hawaii. United States 4 FARE CODE: VHOE3CI DATE: 0115 CARRIER: AU?Cletoa del Sur SA. DESTINATION: Austin. Texas. United States ORIGINATION: San Francisco. Caiifomia. United States AGENT FEE 8900348174384GLOBETROTTER MD 4511 MERCHANT ZIP: 22201 NAME: JONESIROBYN ANG TICKET It: 890064Bt 7?4884 TRAVEL AGENCY CODE: 21520796 TRAVEL AGENCY: GLOBETROTTER TV LEG: 1 DATE: AGENT FEE 89.00348174883GLOBETROTTER MD NICC: 4511 MERCHANT ZIP: 22201 1,333.50 19.25 i925 Bank 6. Corporate Card Page 8 of 8 POLLARD ACCOUNT NUMBER CREDIT LIMIT $10,000.00 STATEMENT AVAILABLE DAYS IN CREDIT CYCLE DATE $10,000.00 30 081301?15 01581810 - 009853 - 0003 - 0004 - Reference Number Transaction Description Amount TICKET 8900848174383 TRAVEL AGENCY CODE: 21520?95 TRAVEL AGENCY: GLOBETROTTER TV LEG: 1 DATE: 08:02:15 33:02 08104 AGENT FEE 8900848174885GLOBETROTTERMD MCC: 4511 MERCHANT ZIP: 22201 NAME: POLLARD TICKET 8900848174885 TRAVEL AGENCY CODE: 21520798 TRAVEL AGENCY: GLOBETROTTER TV LEG: 1 DATE: 08102315 7.3.109 08(11 85181700219453751 RMA WORLDWIDE CHAFFE UR 301-231-8555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: AUOAD388814O LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 .6109 08!? 85181700219454049 RMA WORLDWIDE CHAFFE UR 301-231?8555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: AXCAD307123E LOCAL TAX INDICATOR: - NAT. INDICATOR: 0 8:11 0 08:111. 051 820004031 221?48 BOD EVAN-S- REST #0318 GERMAN-TOWN MD 8.31? 08f19 85189429200037194 THE BUKHARA MCC: 5812 MERCHANT ZIP: 20878 ORDER NUMBER: 1%10 092801 LOCAL TAX INDICATOR: NAT. TAX INDICATOR: ROCKVILLE MD MCC: 5812 MERCHANT ZIP: 20850 .5718 08.119 351TO288288900125 GB-ROCKVILLE 4513 ROCKVILLE MD MCC: 5812 MERCHANT ZIP: 20850 3?18 @122 25170208841401470 LAZ PARKING 5?0228 WASHINGTON DC 08:24 55174142311898110 IL PIZZICO MCC: 7523 MERCHANT ZIP: 20008 LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 0000000000 3101-3090810 MD MCC: 5812 MERCHANT ZIP: 20850 "-23 08f24 35175208543745471 SUITES AT SILVER TREE 3401-3810850 MD MCC: 8513 MERCHANT ZIP: 21550 LOCAL TAX INDICATOR: NAT. TAX INDICATOR: 0 BEST. POSTCODE: 20850 1 9.25 80.80 25.00 33.?1 18.00 58.55 81889 Corporate Card Page 7 of 8 I DERIONNE POLLARD I ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT I CYCLE DATE I $10,000.00 $10,000.00 30 I 08l30!15 Tran Post Date Date Transaction Description IReference Number Amount uh hm- 1324 051?26 351?6235699901392 GOTTS GARAGE MD M00: 9399 MERCHANT ZIP: 21401 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 5.00 II Page 8 of 8 Mg?? Bank Corporate Card POLLARD ACCOUNT NUMBER . CREDIT AVAILABLE DAYS IN BILLING STATEMENT CYCLE DATE $10,000.00 $10,000.00 30 06/30l15 01531810 - 009653 - 0004 - 0004 - EA Montgomery College CORPORATE CARD EXPENSE tj?l?i?sltitti FOR PERIOD ENDING: June 1e30, 2015 . Cardholder Name: DeRionne Pollard Ext: 7.5264 Dept: Of?ce of the President PURCHASE MERCHANT PURCHASE DESCRIPTION OF BUSINESS ITEM DESCRIPTION - Budget Account Number DATE NAME AMOUNT RELATED PURPOSE Attended Jewish Conununity Relations . Council Cit?Greater Washington 20 I 5 Meal Annual Gala (co?presenter of Community Leadership Award to Bobbi and Lary Shuiman). 6! W20 1 5 The Bukhara 25.00 (insects Gordon 3; 33.71 Meal 3. 1 Lunch meeting \vvarustee Smith. terse 1 Laz Parking 57'0228 602/2015 ll Pizzico 58.55 Attended Hone Foundation Board Meeting. Washington. DC. 63183206 16.00 Parking Fee Meal Lunch meeting warustee Levine. Attending Annual Retreat. Augu513?5. 2015. NOTE: Susan Madden attended the retreat on my behalf. Attended MACC Board ol? Directors Meeting, State Chamber Ol'lice. Annapolis. MD. feed {1 . I (#232015 53?? at 616.69 Hotel Expensos Silver Tree - 6224,0015 Gotts Garage SOO - ParkingFee EXPENSE TOTAL: 1.. 61m Naniei I "tree ll). Cain .4-.. Signature: u. Expense Report Run Date: 71112015 Report 3120 Run by: LYNETTE TELFORD ?me: 12:03 PM Header Note: Cardholder Name: POLLARD Current Status: Pending Approval (447719 ?4777) Date: moms 12:08:00 PM Expense Report 1D: 000357331? Current Recipient: Janet Wormack Expense Report Name: June 16-30. 2015 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! Summary information Date Range: 6l15f2015 6130102015 Memo-Posted Transactions: $75435 Description: Grand Total: $754.95 Destination: Memo-Posted Transactions: Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Allocation Split Amount 611712015 61192015 THE BUKHARA $25.00 $25.00 Meal: Attended Jewish Community Relah?ons Council of Greater Washington 2015 Annual Gala (Co-presenter of Community Leadership Award to Bobbi Lany Shulman) 6081'2015 611 912015 4513 $33.?1 $33.71 Meal: Lunch meeting w?'rustee Smith 611802015 (3) 61222015 LAZ PARKING 570228 $16.00 $16.00 Purchase lD 0000443081 Parking: Hope Foundation Board Meeting. Washington. DC. 612212015 6t24i2015 IL $56.55 $58.55 Meal: Lunch meeting wfi'rusiee Levine. 652312015 612412015 . SUITES AT TREE $616.69 $616.69 Purchase ID 015437454? Hotel: Attending Annual Retreat. August 3?5. 2015. 612412015 61'2612015 GARAGE $5.00 $5.00 Purchase iD 69990139 Parking: Attended MACC Board of Directors Meeting. State Chamber Of?ce. Annapolis. MD. Page'1 of 2 Run Date: 7111?20 1 5 Expense Report Report 3120 Run by: LYNETTE TELFORD ?[081 12103 PM Memo-Posted Transactions Totals counts Expense Report History Status Date?'ime Business Unit User Name Unsubmitted 6f30r2015 3:09:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 7:1;2015 12:08:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Pending Approval 7102015 12:03:00 PM JanetWonnack MONTGOMERY COLLEGE PUR Reimbursable Total Signatures Sign ature La! wpprover Signature :gb?Qfo 11!:3/ Mite/[C Print Cardhoider Name Pn?nt Approver Name Page 2 of2 Britten, Ida - silvertreesuites?deepcreek.com From: Friday, May 29, 2015 2:06 PM Sen t: To: Pollard, DeRlonne Confirmation 00015002391 Subject@1499In: Thank You For Your Reservation! Here is your con?rmation number: 00015002391 Dear Derionne Pollard, Just wanted to let you know we?ve received. your reservation and are so excited you are staying with us at Deep Creek Lake! Your reservation details are below. If you have, any questions, just give us a call at 800-711?1719. Sincerely, Suites at Silver Tree Team (press Ctrl+p) Click below to access ?MyDeepCreek? where you can Sign your contract, make payments online 8: view your etailsl We can?t wait to see you at Deep Creek Lakel :y?eu??esrm? -. ?BR: BA: Sleeps: 4 One Bedroom Suite?Lakeview at Silver Tree Type of Access: Lake View Top Amenities: Wi-Fi, Fitness Room, Reading Lobby, On Site Marina, Game Room, and more! Location: Type: Number of Night: Number of persons: Arrival date: Departure date: Adults (41?63) Price overvie Rent Price 15% Discount Administration Fee Total excluded tax County tax State Tax Total Paid Amount due Silver Tree One Bedroom Suite~Lakevie at Siiver Tree 3 nights 2 Sunday, 08-02-2015 Wednesday, 08~05-2015 2 3x 1x 1x 1x 1x 66664936649369 202.22 ?78.75 24.00 0.00 0.00 0.00 Beware-ar- L?Janna? Cali} i-SOC?Yii-i Plot A Fan of The Phone Send Us An Email mead Answers Contact Us Dr. DeRi-etme P. Pollard Comm-ate Card Expenses June 16-30 20115 RIEALS (receipts attached) The Bukhara 9736 TravtTTe Gateway Dr Reckvt11e., MD 20850 - ph (301) 738~2000 Gurdmt?tersdi?rauery TABLE: Tab1e 9 Quests 2011 E. Riddle Lane, Unit Server: Cooper Rucku111e, HD 20350 Sequence 0000014 ID 0079852 ITEM my PRICE Seruar: 1303: 061989015 03:03 PH 06/13f2015 Buffet (213139.95) $19.90 TabTe 1.!1 Subtotal $19.90 Teta1 Taxes $1.19 SHEF Grand TbtaT $21.09 I . . Lredtt Purchase UJBHESI Name :POLLnRa/btamut 9391 CC '{ype ?aquatic eats rlEi?hLI FUELHRH 00 Num Card Entry Hethbd: ApprevaT :031483 - $9933? appmuatz 015540 Tteket Name :Tab?e 9 Payment Amount: $21.09 {Hmunl . 1 My: ?13' . - Tatat: . I I I agree 120 H13 1/ 1; BOW t_qt?_1 amount according to the I agree to pay the sheen above. E?e?issuef?gfmment- Thank you for visiting! Parr: Ml. Fey-?Mg?, If I 1 dues: East Dr. DeRionne P. Pollard Coqnorate Card Expenses June 16-30 2015 MEALS (receipts attached) IL PIZZIBO 15208 FREDERICK RD 80. 20850 308300-0810 DATE: 08/22/15 TIME: 12:57 PM TABLE: 3 CHECK: 4 SEATS: 1 SRVR: 5 BRIAN AUTHR: 044830 ABET: VISA EXDT: E0: 044830 AUTH 48 . 55 TIP CHARGE I AGREE TO PAY ABOVE TOTAL AHUUHT ACCORDING TO CARD ISSUER AGREEHEI TOP COPY MERCHANT 30mm COPY-GUEST .fj;c53 Dr. DeRionne P. Pollard Corporate Card ExPenses June 16?30 .20 15 PARKEN (receipts a?ached) C83 wnE laala 455 - I Street .sJangtun, DC n?33 :cwi {16/133153 ii ?nu pirl- tu-5J? 1L.HH IL 3. . . . ?mm mm: ULUU 15.Err? XXKK IBUL 1 - -i "?lth-i - 1 ND. minim-.31. - . - Emma-1' .: .- 7 3 Ta . - . . rg? M?gATBai-?g Corporate Card ROLLARO ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 07.01/15 Purchases 50,052.10 Gash Advances $0.00 $0.00 Total Fees $0.00 Credits Total Activity $8,652.18 Post Tran Date Data Reference Number B'?os?ioms Unca?ym 0 6518400018190744? 55190892018524450 COEUS MCC: ease MERCHANT Transaction Description Amount 5370-2706914 CA ZIP: 9602 ORDER NUMBER: 96444 generationh LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 STRATHMORE TICKET 0F MCC: 7922 MERCHANT ORDER NUMB 549798 LOCAL TAX ATDR: 2 FICE 301-530-0540 MD ZIP: 20852 21.95 178.20 CARDHOLDER SIGNATURE For cusiomer service. celt Ioll free {800) 443-8671. Outside the US and Canada. cell (715) 635?4152. a. THANK ED. BOX errors: P. .8014 4023. Butfalo. NY 14240-4028 Payments: PD. LosUStOIen: 465 Visit us on the Web at 4028 UFFALO NY 14240-4028 Remit to: a BANK P.O. BOX 62120 BALTIMORE MD 21284-2120 62120. Balilmore. MD 21264?2120 IN STREET. SUITE 500. Buffalo. NY 14203 I as bene?ts and referrai services. ca? the Visa assistance Center at (300) VISA-91 1. 0% Oi @011; I DATE ?t gm MN :1 F0 MEMO STATEMENT Account Number Statement Date Total Activity DERIONNE POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 000 HUNGERFORD DR MD 208504720 0000000000000 ttN000355E? 07/31/15 $8,652.16 STATEMENT DO NOT REMIT PAYMENT Page 2 014 Mg?? Bank (E. Corporate Card DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS 1N BILLING STATEMENT I LIMIT - CREDIT 1 CYCLE DATE $10,000.00 $10,000.00 5 31 07/31/15 01632120 003552 - 0001 0002 - NOTICE OF BILLING RIGHTS r-This notice contains important information about your rights under federal iaw. to Client as de?ned in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASSNG CARDS You may be liabie for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liable for any unauthorized use that occurs after you notify Bank oraiiy or in writing, of any toss, theft or possibie unauthorized use of the Card. You can do so by writing Bank, P.O. Box 4028, Buffaio, New York 14240-4028, Attention: Visa? investigations, or by telephoning 1-800?443-8671. Except as provided in Section 26 ofthe Agreement, your iiability for unauthorized use 0fthe Card not exceed $50. - Please be advised that fuil payment of ali outstanding balances remains due, even while we investigate ybUr Unauthorized use claim, and faiiure-to pay in fuil by the due date may result in delinquency charges per your Agreement with us. We will credit any payments made upon conciusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. .. CIT . ?b/?TBank <0 7' Corporate Card Page 3 0f 4 DERIONNE POLLARD $10,000.00 I CREDIT LIMIT ACCOUNT NUMBER AVAILABLE DAYS IN BILLING CREDIT CYCLE $10,000.00 31 4477 1655 0815 STATEM ENT DATE Transaction Description Amount Tran Post Date Date Reference Number 07x0 07/13 05191000000024537 II 02/10 07113 05102000109349273 0? 02/12 07/14 351940?2011210010 0721?; 07:15 05195700219452233 3? .3700 07120 05100000005102104 (ED 37/17 07020 05190042500555152 37m .0720 95190200035200100 (00 . WIS 0?;20 95200001?00005000 37:21 0022 25202701290003204 17:21 07122 35203103007935013 - 53 -7121 02122 ?520200029740970? 0323 45203040100100.0023 0 PALLADIUM WASHINGTON DC MCC: 7523 MERCHANT ZIP: 20036 ORDER NUMBER: LOCAL TAX: 0.36 LOCAL TAX INDICATOR: 1 NAT. TAX INDICATOR: 0 UNITED 0162600159256800-932?2732 TX MCC: 3000 MERCHANT ZIP: T7002 CHEESECAKE HONOLULU HONOLULU HI MCC: 5312 MERCHANT ZIP: 95815 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 RMA WORLDWIDE CHAFFEUR 301-231?6555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 UNITED 0162W552007800-932-2732 TX MCC: 3000 MERCHANT 77'002 THRIFTY CAR RENTAL HONOLULU HI MCC: 3395 MERCHANT ZIP: 96819 RENTAL AGREEMENT: RV4434850 RENT DAT E50731 6M 5 NO SHOW: 0" MOANA SURFRIDER HONOLULU HI MCC: 3513 MERCHANT ZIP: 96815 074'16115 NUMBER OF N0 SHOW: 0 PURCHASE IDENTIFIER: 0004925259 LAMBERTS DOWNTOWN BARBEQUAUSTIN TX MCC: 5812 MERCHANT ZIP: 78?01 LEADERSHIP MONTGOMERY 301-801-3333 MD MCC: 839B MERCHANT ZIP: 20852 DNC TRAVEL - AUSTI AUSTIN TX MCC: 5014 MERCHANT ZIP: 78719 ALAMO RENT-A-CAR AUSTIN TX MCC: 338? MERCHANT ZIP: RENTAL AGREEMENT: 5297?48978 RENT DATE: NO SHOW: 0 FOUR SEASONS AUSTIN AUSTIN TX MCC: 3543 MERCHANT ZIP: T8701 CHECK-IN: 02121115 NC SHOW: 0 PURCHASE IDENTIFIER: 0030003900 12.00 275.00 94.49 169.00 110.00 480.52 2.??6.85 12?.30 100.00 51.20 216.07 2353.50 Page 4 0:4 M&ng?k .T Corporate Card POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 I 31 07/31/15 01302120 - 003552 0002 - 0002 - 1 ACTIVITY: Post Reference Number Transaction Description Date - 55203000435559027. UNITED 015250005402530033527-32 TX 11;? M00: 3000 MERCHANTZIP: T7002 07124 55204207744000015 KIRKWOOD CONF CENTER 319-3957601 IA 540.00 M00: 3220 MERCHANT ZIP: 52404 ORDER NUMBER: LOCAL TAX INDICATOR: 0 - NAT. TAX INDICATOR: 0 BEST. POSTCODE: 0000000000 07124 55204700219450277 RMA WORLDWIDE CHAFFEUR 30123143555 MD 175.00 0100:4121 MERCHANT ZIP: 20052 ORDER NUMBER: A50AD432C229 I LOCAL TAX INDICATOR: 0 xii/D . NAT. TAX INDICATOR: 0 29 07131 75211531150452455 WASH METRORAIL GAITHERBBURG MD 45.00 M00: 4111 07131 5521 1100219455301 RMA WORLDWIDE CHAFEEUR 301-23143555 MD 203.00 MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: AX0A05595500 f. 1 .- LOCAL TAX INDICATOR: 0 . NAT. TAX INDICATOR: 0 ?1 07131 55.211700219455319 RMA WORLDWIDE CHAFFEUR 3101-2310555 MB: 209.00 M00: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 rags I Ui '1 W'Mg??a?k Corporate Card POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 07/31/15 Totai Activity Purchases Cash Advances Total Fees Credits I $8,652.16 $0.00 $0.00 $0.00 $8,652.16 Tran Post Date Date 07x03?07103 Referenca Number Transaction Description Amount COEUS GLOBAL CA MCC: 0009 MERCHANT 9002 ORDER NUMBER: 95444 generationh LOCAL TAX 1NDICATOR: 2 NAT. TAX INDICATOR: 0 STRATHMORE TICKET OFFICE 301-530-0540 M0 M60: 7922 MERCHANT ZIP: 20852 ORDER NUMB 549798 LOCAL TAX if} ATOR: 2 DATE MN nk regarding: . BOX 4023, Bu?aio, NY 14240-4023 62120. Baltimore. MD 21264-2120 STREET, SUITE 500, Buffalo, NY.14203 65184000161907447 0 55190892018524450 176.20 SARDHOLDER SIGNATURE GR ?21 903+ ii For sa bene?ls and referral services. 03% the Visa assisience To Write Billing errors: P. Payments: PD. LCSUSioien: 465 For customer service, cali 1012 free (800) 443-88?1. Outside the US and Canada. caii (F16) 635-4152. Visit STATEMENT THANK PO. BOX 4026 BUFFALO NY 14240?4028 Account Number 07/31/15 $8,652.16 Statement Date ?Emotive Remit to: 8: BANK PO. BOX 62120 BALTIMORE MD 21264-2120 STATEMENT DONDT PAYMENT DERIONNE POLLARD ?Hum-13553 MONTGOMERY COLLEGE CRP (NEW) ATTN: JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850?1728 0000000000000 I . Page 2 of 4 333}; :3 Corporate Card . - a ERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE i i DAYS lN STATEMENT LIMIT I CREDIT . CYCLE DATE $10,000.00 $10,000.00 31 07/31/15 01682120 - 003552 0001 - 0002 - NOTICE or BILLING 1? notice contains important information about your rights under federal law. in this Notice, "you refers to Client as de?ned in the Agreement: and ?us? refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS r'ou may be liable for any unauthon?zed use of any Card issued open for you. You will not be liable for any unauthorized use that occurs after you notify Bank - cilaliy or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, PO. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by . telephoning 1600-4436671. Except as provided in Section 26 of the Agreement, your liability for I unauthorized use ofthe Card will not exceed $50. Slease be advised that full payment of all outstanding balances remains due, even while we investigate year Unauthon'zed use claim, and failure-to pay in full by the due date may result in delinquency charges . your Agreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent ofthe proper amount due back to you. CORPORATE CARD EXPENSE REPORT FOR ENDING: July 31, 2015 3 Dept: Office of the President .qmmw. s. w; MERCHANT PURCHASE PURCHASE DATE NAME AMOUNT DESCRIPTION OF BUSINESS 0 ITEM DESCRIPTION Budget Account Number RELATED PURPOSE COEUS . . l( 78/2015 Global ?5 21.95 Bac ground Cheek Background check for Generation Hope. Strathmore WSQO 1 5 Ticket Office 7/9r'2015 Palladium 12.00 Parking 7/1 02?20 15 United 33 275.00 Air Fare Cheesecake Honolulu 3 173.20 Tickets Board Event. Attended Brookings Institute Panel. Luggage. ttended CCID Institute in Honolulu, Hawaii; July 10?13, 2015. To Washington National Airport. Attending the CCID Institute. July 10? 20l5 and AACC's President's Academy Summer Institute. Austin, TX, July 17~2l, 2015. Luggage. Attended CCID Institute in Honolulu, Hawaii; July 10-13, 2015. ttended CCID institute in Honolulu, Hawaii; July 10?13, 2015. Attended AACC's President's Academy Summer Institute, Autstin, TX, July 17- 21, 2015. Attended President's Academy Summer Institute. Austin, TX, July 17- 21, 2015. 'Ft?12f2015 94.49 Meal WA W13x?20 5 Worldwide 169.00 Transportation Chaffeur 71?16f201 5 United 3 I 10.00 Air Fare Moana 7H7X2015 Surfrider 2,776.85 Hotel Thrifty Car Rental Lamberts 0 7119/2015 Downtown 33 127.30 Meal Barbequ 7! 1732015 430.52 TranSportation a. <9 7&11'2015' - Alamo Rent~a- 216.03?f Transportation car Leadership .) 7/..1/2015 Montgomery 5 100.00 - Membership Renewal Basic Membership FY 2016. DNC Travel- Austin Attended President's Academy Summer institute, Austin, TX, July 17? 21, 2015. "Hill/2015 51 .20 Meal Office of the President j' . ?JW-?ill; -: -A. r? I gru- . - . . nu- r?r rt." ERA-t?wa not? -. 4A. Cardholder Name: DeRionne Pollard Eltt: 75264 Dept r. 4301 . art - r. k??n?TJ'tflr to?" 7r" trek- PURCHASE DATE MERCHANT PURCHASE ITEM DESCRIPTION Budget Account Number NAME AMOUNT RELATED PURPOSE muzols Unttoo . 11000 Air Fare Luggage. Attended President's Academy Summer lnstitutc. Austin, July 17- 21, 20 I 5. /\7f21/2015 Four.seasons 2,753.53- Lodging Ausun RMA 7220.015 Worldwide 175.00 Transportation Cha??eur Attended CCID Institute in Honolulu, Hawaii; .luly 10-13, 20 I 5. Kirlcwood . . 2 . . 7/ 2f2015_ Con? $L?x 540 00 CCID Wash . Metrorail 45.00 Tran5p0rtatlon RMA Attended Lockheed Martin r? 2290015 Worldwide 203.00 Transportation Technology Allianco Kickole July 29, Chaffeur 2015. RMA $20 7f29/2015 Worldwide 208.00 TransDOTtation Chaffeur Light Rail Travel. Attended Lockheed Martin I-leallhcare Technology Alliance Kiokol?l?, July 29, 2015. EXPENSE TOTAL: 8,652.16 ,7 - Liup?bv'? ignaiu re: Name: Janet Wormack Signature: 5" ?town-v.it-J Name: Ste hen D.?Cai Ill Report 31 20 EXpense Report Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report ED: Expense Report Na DERIONNE POLLARD (447716?*?*4777) 0003645400 me: July 2015 Current Status: Date: Current Recipient: Location: nun Date: 1024:2015 Time: 9:33 AM Pending Approval 11/249015 9:39:00 AM Janet Wom?iack MONTGOMERY COLLEGE PUR (NEW) (00004! Summary Information I Date Range: 701.9015 - 7802015 Memo-Posted Transactions: $3,552.16 Description: Grand Total: 33,552215 Destination: lMemoPosted Transactions: Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Allocation SplitAmount 7i3f2015 7r3r2015 COEUS GLOBAL $21.95 $21.95 Purchase ID 7313407893 Background check for Generation Hope. 718r2015 7310:2015 STRATHMORE TICKET $178.20 $173.20 Purchase ID 01852445 Tlckets: Board Event 739:2015 7r13r2015 PALLADIUM . $12.00 $12.00 Parking: Attend Brookings Institute Panel. July 9, 2015. Gr) rr10r2015 rr13r2015 UNITED 0162600159256 $275.00 $275.00 Purchase ID 1519201621192600159256 Air Fare: Luggage 21'2015 7H4l2015 CHEESECAKE HONOLULU $94.49 $94.49 Purchase 058?95400?120 MeaI:Attended CCID Institute in Honolulu, Hawaii. July 10?13, 2015. @71132'2015 7(15l2015 RMA WORLDWIDE CHAFFEUR $169.00 $169.00 Purchase 10 8062627195 Page 1 of 4 Report 3120 ExpenseReport Run by: TELFORD Transportation: To Washington Nationat Airport. Attending the 0010 Institute. July 1013. 2015 and AACC's President?s Academy Summer institute, July 17.3321. 2015. Run Date: 1172472015 Time: 9:38 AM 771672015 772072015 UNITED 0162600562807 $110.00 $110.00 Purchase ID 1519801709372600562807 Air Fare: Luggage (29 771772015 772072015 MOANA SURFRIDER $2,776.85 $2,776.85 Purchase ID 0004925259 (26.72272, em Hotel: Attended cc: - . . 95.6. Check-in: Number of Days: Room Rate: I a, JP 99w: 771672015 1 $0.00 GD 771772015 772012015 THRIFTY CAR RENTAL $480.52 $400.52 Purchase ID RV4434850 Transportation: Attended 0020 institute in Honoiulu. Hawaii. July 1013. 2015. Check-In: Return Location: Number of Days: 772172015 Renter: Agreement Number: Check-Out: RV4434850 771672015 0 772072015 LAMBERTS Dowwrovm $127.30 $127.30 anneeou Meat: Attended President?s Academy Summer Institute. Juty 17?21, 2015. 772272015 ALAMO RENT-A-CAR $216.07 $216.07 Purchase ID 529748978 Transportation: Attended President?s Academy Summer Institute. Juiy 17-21. 2015. 72172015 772172015 772172015 Renter: Agreement Number: Check-Out: Check-7n: Return Location: Number of Days: POLLARD DERION 529748978 771772015 0 772272015 LEADERSHIP MONTGOMERY $100.00 $100.00 Purchase ID 0000004616 Membership Renewal: Basic Membership - FY2016. 772272015 DNC TRAVEL- AU $51.20 $51.20 Meat. Attended AACC's President's Academy Summer Institute, July 17-21. 2015. 772372015 UNITED 0162600554825 $110.00 $110.00 Purchase ID 1520301843612600854825 Page 2 of 4 Report 3120 Run Date: 1024:2015 Tame: Expense Report Run by: LYNETTE TELFORD Air Fare: Luggage {Ct-13 772172015 772372015 FOUR SEASONS $2,753.55 52.75358 Purchase ID 003860393 Lodging: Attended President's Academy Summer institute, July 17-21, 2015. Check-In: Ch ask-Out: Number of Days: Room Rate: 13202015 0 $0.00 772272015 772472015 CHAFFEUR $175.00 $175.00 Purchase ID 8350096297 TranSportation: Atten and AACC's President's Academy Summer institute, July 17021, 2015. 77222015 Tr'24f2015 KERKWOOD CONF CENTER $540.00 $540.00 Purchase iD 1691414838 Registration for 77202015 #302015 WASH $45.00 $45.00 Purchase ID 521015534112 Transportation: Funds for Light Rail Travel. W29f2015 70302015 RMA WORLDWIDE CHAFFEUR $208.00 $200.00 Purchase ID 8897372928 I Transportation: Attended Lockheed Martin Healthcare Technology Alliance Kickoff. July 23, I 2015. Tf3112015 RMA WORLDWIDE CHAFFEUR $200.00 $208.00 Purchase ID 8209579526 Transportation: Attended Lock Heed Martin Heallhcare Technology Allianee Kickoff, July 23, 2015. Memo-Posted Transactions Totals Count:20 Expense Report Historyr 1 Status DatelTlme User Name Business Unit Notes 03372015 2:42:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE Incomplete 8f3f2015 2:50:00 PM LYNETTE TELFORD . MONTGOMERY COLLEGE PUR Unsubmitted 87'31'2015 2:54:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 102402015 0:39:00 AM LYNETTE MONTGOMERY COLLEGE PUR Pending Approval 111'247'2015 0:39:00 AM Janet Wormack MONTGOMERY COLLEGE Page 3 of 4 Report 3120 Run by: LYNETTE TELFORD [Eibense Renort Summarv Reimbursable Total $8,652.16 Expense Report Run Date: 112249015 Time: 9:38 AM Signatures ?79m an?? Pn'nt Cardhoider Name Dgate in 271? 14504ka Print Appmver Name Date Page 4 of4 5d n? .. . 801 Fairfax St 211E3Alexandria, VA 22314-1776C (202) 656-8704 DISCLOSURE AND AUTHORIZATION FOR RELEASE OF INFORMATION FOR BACKGROUND CHECK iilackground Screening Disclosure hereby authorize Generation Hope through Coeus Global and its designated agents and representatives to conduct a :23m prehensive review of my background through a consumer report and/or an investigative consumer report to be generated for .oiunteertng, employment. promotion, reassignment and retention as an employee or volunteer. i understand that the scope of the tonsumer report?nvestigative consumer report may include, but is not limited to, the following areas: names and dates of previous/ terrent employment, work experience, workers compensation claims, criminal history records (from local, state, federal, international other law enforcement agencies? records), sexual offender?s lists, wants and warrants records, motor vehicle records, military ecords, educational veri?cation, license veri?cation, credit history, civil cases, OFAC/patrtots act, any sanction lists, 1nd drug testing. Upon request, Generation Hope or Coeus Global, located at PO Box 885, Cottonwood, CA 96022 will supply a :opy of the completed consumer report or investigative consumer report along with a copy of an individual?s rights under the air Credit Reporting Act. uthorization and Release authorize to Generation Hope and Coeus Global the complete release of these records or data pertaining to me which an ":dividuai, company, ?rm, corporation, nonpro?t, or public agency may have. i authorize the full release of the information described :oove, without any reservation, throughout any duration of my employment or volunteer placement at Generation Hope. hereby release Coeus Global and its agents, of?cials, representatives, or assigned agencies, including of?cers, employees, or elated personnel both individually and collectively, from any and all liability for damages of whatever kind, which may at any time, asuit to me, my heirs, family or associates because of compliance with this authorization and request to relapse. certify that all information provided below and on my application is correct to the best of my knowledge. Any false statements ."ovided in this form and my application will be considered just cause for the termination as an employee or volunteer at any time. "its authorization and consent shall be valid in original, fax, or copy form. he information provided as part ofthis request for background check is required by criminal courts, law enforcement .gencies and other entities for identi?cation purposes when checking records. it is con?dential and will not be used for 'ty other purpose. -.5l information provided by Coeus Global shall be in compliance with the Fair Credit Reporting? Act (FCRA) and all gapiicabie Federal, Stateand local regulations. NAME: POLLARD DOB: 11/08/1970 SSN: ADDRESS: at} 07/01/201516025376114 15:51:07 Cou?rmed Thank you for your order. Please write down your order number in case you need to contact us about this order Your order number is 96444 location/adjustment adjust? 3rd party graced inc search type reason price ments fees fees taxes total Nationwide Volunteer 16 95 0 00 0.00 0.00 0.00 16 95 SSN Address Trace 0.00 0.00 0.00 0.00 0.00 0.00 Multijurisdictional 0.00 0.00 0.00 0.00 0.00 0.00 Statewidez?MD +7yrs @0.00/yr 0.00 000 5.00 0.00 0.00 5.00 Dr. DeRiorme P. Pollard Corporate Card Expenses July 2015 1 Oqgt?ggrs 12:13 PH Pollard DP: DeRionne P- 7 ratamickets: 2_ Charges: man ?rderil??llilasraars PH DeRionne Pollard 3%6862 Holder: Recount Number: Card: Exp??li?lilQEB Hnounti Ruth: 883311 1 I 1" ruW4?Baggage Document Description 8152688159256 First Bag Fee .J. .Overweight Fees (31 - Ticket Number Confirmation: IhxDekaneP.POHm? Corporate Card Expenses July 2015 BAGGAGERECEHWE Baggage Rece issue Date: 18 JUL 2815 nlu Qty Fees 3 $75.88 ?8 lbs.) 2 $288.88 Total Baggage Fees: USD $275.88 Ex: Jaggage Terms and Conditions: 5 excess baggage is subject to space availability. Baggage Document 815268856238? - First Bag Fee Description Second Bag Fee Ticket Number 8167601553846 Confirmation. k. tative. .Baggage Receip Issue Date: 16 JUL 2815 HNL . Qty Fees 3 $?5.88 1 $35.88 TotaL Baggage Fees: USD $116.99 Excess Baggage Terms and Conditions: - All excess baggage is subject to space auailaLJlity 11:. ltativp. Methoc_of Payment Visa Cardht der Name DERIDLHE PDLLARD Carrie. Routing Metho? of Payment Visa Name DERIDFHE POLLARD Carri?r Routing AUS Dr. DeRionne P. Pollard Corporate Card Expenses July 2015 (5) 0859 Server: KATRINA Ree:504 ??gem - T- we - - 17.52, I. 86 Term. 2T The Cheesecake Factory HN e=?n 2301 Kalakaua Ave HenoTuTu, HI 96815 (808)924-5001 . 401 N. MERCHANT A: 0670970707687 Bate. CARR TYPE ACCOUNT NUHBE Cc!? VISA VISA Acct Name: DERIDNNE PULLARD Card Fr 00 TRANSACTION APPROVED Trans AUTHORIZATION 031635 Auth _;310 Reference: 0712010000059 Check I TRANS TYPE: Credit Card SALE Tab1e I - Serw- Ju?? MATTHEW TPEB . PM mm a. 102:30 TimeQ 1U E: . 20% 15.75 . RE RAT we]: A37r . Egg; ..1 TUITG I i agree tu pay above total according to my card issuer agreement. TOTAL: 4. ?HAL?.mnn Dru-n: 1' ?t WILL PAY CARD 18 ER ABDVE AHDUNT PURSUANT TU AGREEMENT LEAVE SIGNED FOR Britten, Ida I .I I From: I acco un?ng @nna?mncom Sent: Monday, July 13. 2015 214 PM 13: B?non. Ida Subjerc Trip Receipt 9401811 Attached is your receipt for a recent ride. Than]: ycu forgiving RMA Chau?mred Transportation the opportunity to service you: ground transportation need. Your credit card has been charged. RMA CHAUFFEURED TRANSPORTATION TRIP RECEIPT Re Sen-2mm: 94mm '1 Val-6:12 Trpe? SW 60:10:71.5: Passenae: Name' DERIONNE ctauffmn. 0562 form: Name- . THOMAS PlellP Date?ime. Mar: Tm; ?nnxau Hmnber: 301-501-1238 04:00? End??rre: 450m [Re-(tail: Bagel-if:an Ease Charge: 130.00 Pkkup Address: .. ?amnmended Gravity 26.00 Dman many 00. Na? Airport}, lh'ted anhw 659 Departing to IAH at: 0?:10 AM Paymen: Ned To; FuefSurcl-nrge: 13?00 Credr; card (I Payments: 1. 47nd MGHIIEDOIS Tmal 159.010 1m! PayTrLEnls: 159.00 hat-Incl" Due: 0.00 Moana Sun?n'der, A Westin Resort 2365 Katakaua Avenue Honotutu, Hi 96815 United States Tet: 8089226111 Fax: 808924-4799 Dr. Derionne Pollard 900 HUNGERFORD DR . STE 300 MD 20850-1728 Tax ID Moana Surfrider 11:41 MSTORM Date 10-JUL-15 10-JUL-15 10-JUL-15 10-JUL-15 5 12-JUL-15 Reference 438448930 402457150 RT526 RT526 RT526 416475800 416484010 RTS25 RTS25 RT526 402513850 RT526 RT526 RT526 Description Beach Bar Room Service Room CONV Room Tax Occupancy Tax Valet Parking Charge $40.00 Pe BeachhouseNeranda BeachhouseNeranda Room CONV Room Tax Occupancy Tax Valet Parking Charge $40.00 Pe Room Service Room cow Room Tax Occupancy Tax Valet Parking Charge $40.00 Pe Continued on the next page Page Number Guest Number ?Fotio ID Arrive Date Depart Date No. Of GUest Room Number (3100 Account information Invoice .. . HOTELS 1 Invoice 11374750 A 15:77 16-JUL-15 12:00 3 ChargesiCredits (USD) 39.53 39.77 239.00 12.33 24.33 40.00 103.03 49.33 259.00 12.63 24.33 40.00 73.74 259.00 12.33 24.33 40.00 158241 Moana Surfrider. AWestin Resort 2365 Kalakaua Avenue Honoluiu, HI 95815 United States Tel: 808822-3111 Fax: 808~924-4799 HOTELS RESORTS Dr. Den?onne Poilard Page Number 3 Invoice 158241 900 HUNGERFORD DR Guest Number 11374750 STE 300 1D I A MD 20850-1723 ANNE Date I 10-JUL-15 15:17 Depart Date I 12200 No. Of Guest 3 Room Number Club Account BETTER BALANCE - The soothing scent of White Tea revitalizes and uplifts from the moment you step through our doors. Enhance any environment by taking our signature scent home with you. Learn more at Westincomz?store As a Starwood Preferred Guest you hate earned at least 4212 Starpoints for this visit Signature Dr. DeRjonne P. Pollard Corporate Card BxPenses July 2015 TRANSPORTATION CAR RENTAL HONOLULU WTL APO RENTAL RECORD: W4434550 PULLARUBERIDNTE BY: RENTED: WLULU INTL 0P0 -RENTAL: 0??10?15 1022 RETLRN: [045-15 1229 UEH TIMBER: 0.017035 MILES TH: 1030 HILES 1T5 LEVEL: 4 UUTHS I T: 0L3: 00 5207459?6 0? 0 I WEEK 0 $105.50 $143.50 Rental 05:31 SUSTDT $148.50 AUSTTN WT . TAXABLE TDT: $140.50 Return 12:22 PH WE $143.50 AUSTIN mam mm UPGRADE 5 DAYS 0 $35.00 $210.00 PULURD PPHJEL $5142 UehlcTe 3 F0250402 5 DAYS 0 3. 00 0.0 ass riven ass arQS CFC $1 0 'Llcensa? 0003534 StateTProvlnce TX 6 DAYS 0 $4.50 $27.00 WKM Driven 39 GET $19.60 HMS Out 12469 TDTAL 00%5 $400.52 Flme In 12528 ET $0.00 PAYMENTS $000.52 Tm PAID BY: 0 Billing Ref 01210315 CREDIT Charges No Unit Price Anount 0 1 week 150.6? 150.6?? UNUH 0 1-!me 0.00: 0300 T80 10.00)? 45.09 EVENTS VERE 5 PCT 9.39]: us about your experierte and HECWP FEE 15.51 save 10% on a future rental EFC ULF REC 565* 1) Visit mm. thriftyrentalsuneyrom VET RENTAL TAX 13-10 000 15.?9 - 2) Enter Accesa 3} Comiete a brief suruey about your rental Total Gauges U30 2153? exparlenze Deposft :Ea Mount 0:1: 030 215.0? Taxabie Items c-Ebiecl To Audit [winner Service Timber 1?000?445'5554 Britten, Ida _Se From: carol.ippolito@leadermont.org nt: Tuesday, July 21, 2015 4:23 PM To: Pollard, DeRionne Subject: Your Order at Leadership Montgomery Leadership Montgomery 5910 Executive Boulevard Suite 200 Rockville, MD 20852 Lea Montgomery Thanks for your order,r DeRionne! Want to manage your order oniine? If you need to check the status of your order, please visit our home page at Leadership Montgomery and click on "My account? in the menu or login with the w. vs. rder $16 Order Date: 07/21/2015 4:20pm Products Subtotal: $100.00 following link: .orCi/user Billing Address: MONTGOMERY COLLEGE DERIONNE POLLARD 900 DR STE 300 ROCKVILLE, MD 20850?1728 Billing Phone: 2405675264 Order Grand Total: $100.00 Payment Methed: Credit card is?) . Totaler this Order: $100.00 Products on order: 1 Basic Membership $100.00 SKU: BasicMembership Dr. DeRjonne P. Pollard Corporate Card Expenses - July 2015 NEEALS iok bow Salt DNC Travel Hospitalit??8ervioes Ausfln - Bergstom Interna Iona] Airport To};o Reft477319 Chk:417319 Madora 7/21/2015 12:56 pm Combo 43.35 uyoiZB Resource Water 3.49 SubTota] 47.34 State Tax 3.86 31.20 51.2w Amount Paid H1.20 bloating special exoerienoe- roe r1: moi- '3 'I'rnn Dr. DeRjonne P. Pollard Corporate Card Expenses July 2015 BAGGAGE RECEIPTS Baggage Receipt #1 ?xi mm Issue Date: 21 JUL 2:315 nus ATO Baggage Document Description Qty Fees Methoc of Payment I -m 3162690854825 First Bag Fee 3 95.99 Visa Socond Bag Fee 1 $35.33 Ticket Number Cardhi?der Name - 919681543847 DERIOHIE PULLARD I Confirmation: Carri!a Routing DCA Total Baggage Fees: USD $119.99 1 Excess Baggage Terms and Conditions: i ?11 excess baggage is subject to space availability. I 1 check. I ?resentatlve. FOUR SEASONS HOTEL Dr. De Rjonne Pollard Arrival 07/ 16/15 900 Hungerford Dr Departure 07/21/15 Roekville MD 20850 Room No. USA IATORAMTION INVOICE 431012 Four Seasons Hate/Austin 11/05/15 . Cashier: 9993 Page: 1' Date Description Charges Credits Payments 07/16/15 Room Taxes . 52.50 07/16/15 Room Charge 350.00 07/17/15 In Room Dining Breakfast 8000 07/17/15 In Room Dining Dinner 149.12 07/17/15 Room Taxes 52.50 07/17/15 Roo'm Charge 350.00 07/17/15 Parking Hotel Ovemight 40.00 07/ 17/15 In Room Dining Owl Food 21.00 07/17/15 In Room Dining Owl Service I 4.20 07/17/15 I In Room Dining Owl Delivery Ch 4.00 07/ 1 7/ 15 in Room Dining Owl Gratuity I 5.00 07/17/15 In Room Dining Owl Tax 2.06 07/18/15 In ROOrnIDining Dinner 49.09 07/13/15 In Room Dining Lunch 49.22 07/18/15 Room Taxes . 52.50 07/18/15 Room Charge 350.00 07/18/15 Parking - Hotel Overnight 40.00 07/19/15 in Room Dining Dinner 76.15 07/19/ 15 Room Taxes 5250 07/19/15 Room Charge - 350.00 07/19/15 Parking - Hotel Overnight 40.00 07/20/ 15 In Room Dining Dinner 49.22 07/20/15 In Room Dining Lunch 45.37 07/20/15 Room Taxes 52.50 07/20/15 R?oorn Charge 350.00 07/20/ 15 Parking Hotel Overnight 40.00 98 SAN JACINTO BOULEVARD, AUSTIN, TEXAS 7870144039 U.S.A: TEL: (512) 478-4500 FAX: (512) 47801 1? WORLD WIDE WEB: mmvfourseasonseom ElTecn?ve July 13. 2015, Four Seasons will collect a new fee Called Ill: Sm: Cosl Recovery Fee to recover a por?oo of I11: additional coils imposed on Four S?zm?i by [he Srarc ofTexas. Th: State Cost Recovery Fee is NOT a tax required by law. Four Seasons is not required by law Io recoveriiese cosu from 1:5 guess; however. Four Seasons is allowed to recover them as a cost ofdoing business Eitto'n, Id a_ I . i from: Sent: - Wednesday, Juiy 22, 2015 12:09 PM To: Britten1 Ida Subject: Tn'p Receipt 940783*1 Attached is your receipt for a recent ride. Thank you for giving RMA Chauffeured TranSportation the opportunity to service your ground transportation need. Your credit card has been charged. RMA CHAUFFEURED . -. - - if. I'il?f'fiihhow? 4" v- H: - .A 5.17.33 5 (:Hr t-xnr. .?iil'ri'r'h?f? TRIP RECEIPT Resen'ation?; 940783*1 Vehide Type: SUV Customer: Passenger Home: Chauffeur. 0558 Contact Name: 10A POLLARD roues em?rON Pickup DatefTIme: 07,321,12015 Start ?me: Contact Nomber: 301-801-1238 10:18 PM End 'I'Ime: 11:45 PM I Description Charges Base Charge: 130.00 Pickup Address: DEA {Washington Nat! Airport}. United Airlines Flight?'1529 Armng from IAH at. 09:59 PM Recommended Gratuity: 26.00 Dropofi Address: Toiis I Parking: 6.00 Payment To: CC Credit card: VI STC g? Fuei Surcharge: 13.00 CC Payments: $175.00 (Ii-targed on 0?]2212015 Total: 175.00 Totai Payments: 175.00 Baiance Due: 0.00 Corporate Card Expenses I 111)? 2015 U7f29f15 Shady Grove Rockuille HD FUR BUSTUHER SERUICE BRLL 202#952?5719 15903 Sommeruille DP- 18 HHBHINE 34 lg.? . . UENDDR: 018734?31 REF NU: 31824702? HUTH NU: 084043 CREDIT HDD UALUF i S??kii 0820 0031 9?99 TUTHL HHUUNT: VDU iDl FUR NB HETH - THE FUTURE is HG UH HETRD Britten, Id'a - From: Sent: To: .Subject: accounting@rmalimo.com Wednesday, July 29, 2015 1:06 PM Britton, Ida Trip Receipt - 942921*1 Thank you for giving RMA Cheu??eured Transportation the opportunity to service your ground transportation need. We have attached your ?nal trip receipt If you have any questions, please contact us at the number on the receipt TRIP RECEIPT RMA CHAUFFEURED TRANSPORTATION r22 .12 terms A we 5V1 one-{35 1?553? Emma a: 331-957.? Enter! acmwm?eggrme?memm Mr", 3 new l: aw. meter-710.com Reservation?: 942921?1 Vehicle Type: Sedan Customer: Passenger Name: DERIDNNE Chauffeur: 7596 Contact Name: POLLARD SAFI BRTTON Pickup Datef?me: 07f28f2015 Start Time: - Contact Number: 240-552-5254 08:00 AM End Time: 9:Re?ne?non Deta_il_ -. . - Description Charges Base Charge: 160.00 Pickup Address: Recommended Gratuity: 32.00 Dropoff Address: Lockheed Martin, 2121 Drive. Arlington, VA Payment Billed To: CC Credit card: Surcharge: 16.00 CC Payments: ""471? $203.00 charged on orfzafzms Total: 203.00 Total Payments: 205.00 Balance Due: 0.00 Britt-on. Ida - From: accounting@rmaiimo.com Sent: Wednesday, July 29, 2015 1:06 PM To: Britten, Ida .Subject: Trip Receipt - 942921? Thank you for giving RMAChauffeured Transportation the Opportunity to your ground transportation need We have attached your ?nal trip receipt you have any questions, please contact us at the number on the receipt. RMA CHAUFFEURED TRANSPORTATION 'Jl 323.70 A 999-33? Phone. {35? .-3 1-6 \r Rayon-Te MD. 2035.9 1?95 .7 [Smart co- kw: awake-rs mm TRIP RECEIPT Resarvationa': 942921?2 Vehicle Type: Sedan Customer: Passenger Name: DERIONNE Chauffeur: 7595 Contacl Name: IDA PDLLARD SAFI Pickup Datef'?rne: 07f28f2015 Start Time: Contact Number: 24406575264 01:00 PM End Time: - 1:37 PM Re?natjonoetail Description Charges- Base Charge: 160.00 Pickup Address: Recommended Gratuity: 32.00 Dropoff Address: Payment Billed To: CC Credit card: Surcharge: 16.00 CC Payments: 1. $208.00 Charged on 07(29f2015 lotal; 203.00 Total annients: 208.00 Balance Due: 0.00 Dr. DeRjonne P. Pollard Corporate Card EXpenses July 20 i 5 REGISTRATION FOR CCU) Community Colleges for International Development, Inc. Authorization for Credit Card Payment v. El CCID Annual Conference 20__ 20% El Membership Dues 20? El Prof. Devel. 20W El StudyAbroadProgram 20_: Other: 7 cl? ?1 1.. UVisa Deposit El Master Card Reg/Workshop Fee: El Discover Program/Visit Fee: Membership Dues; Additional Fees: For: Total: Cardholder name: 3 -: 1- I Paid on the Behalf Of [name/ college]: Billing Address: Card Number: Expiration Date: Security Code [3 digits]: Accepted by: I Date: .5 7 White Phone: I Yellow Copy?Customer Email: :55 MONTGOMERY COLLEGE Office of Business Services Date: September 4, 2015 To: Rockville Campus Cashier From: Joanna Kong Check From Fr Derionne Pollard #1120 ragga} Post/Deposit to Account Deta? Code AMOUNT REIMBURSE COLLEGE FOR. DR SON $7 +971? TRAVEL THO-10000060057000 TOTAL $2,497.12 Additional Instructions: Return Receipt to Joanna Kong Thank 1you'41" '1 29:1 ft! Mamie: omen;- Cdt??a?i 53235590 ink?ng 3% mang ma 3mg daiiague?i?y?a BRANCH BANKING AND TRUST COMPANY LBW-BANK BET BBT.c0rn Bank Crate Card Page 1 Of4 POLLARD CREDIT AVAILABLE LIMIT I $10,000.00 $10,000.00 ACCOUNT NUMBER DAYS IN BILLING CYCLE STATEMENT DATE 08/31/15 Cash Advances Purchases 53,3818? $0.00 Total Fees I 5000 Credits $211.85 Total Activity $3,178.22 quiet?3.5 MERCHANT ZIP: 21550 Transaction Description Amount 0152450231521803-932-2732 TX gig/n Reference Number ierostl/ oaros 3521az??o4ssa4es EUETES AT 30151570550 MD M00: 6513 LOCAL TAX INDICATOR: 0 - NAT. TAX 0 1311 03,114 55225000101295930 M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERIONNEPDR TICKET 01824502?5f62t 211.85 1,7?220 JAR DHOLDER SIGNATURE For sustorner service, call 0 write 8: Bank re ardin toll free (600) 443-8571. Outside the US and Canada, call (713) 535-4152. Payments: PD. BOX 62 LosUStolen: 465 MAIN STRE 41/ DATE 9 0 Billing errors: PD. 80 028. Buffalo. NY 14240-4028 . Baltimore, MD 21264-2120 SUITE 500? Buffalo, NY 14203 Visit us on the Web at 8. TBANK PO. BOX 4028 BUFFALO NY 14240-4028 Remit to: 8. BANK PO. BOX 62120 BALTIMORE MD 21254-2120 POLLARD MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR MD 20850?1728 For Visa ne? and referral services, cat the Visa assistance MEMO STATEMENT Account Number Statement Date Total Activity u'li' . 05/3015 t"?twiEflr?lO STATEMENT DO NOT REMET PAYMENT MELT Bah}: Corporate Card Page a 0T4 DERIQNNE POLLARD CREDIT LIMIT $10.000.00 AVAILABLE ACCOUNT NUMBER DAYS IN BILLING CREDIT CYCLE $10,000.00 31 I STATEM ENT DATE Post Date Tran Date Reference Number Transaction Description 03:1 @008? 4 om 3@oex17 03!: ?303? 7 03!: $003!: 7 can 4g)an 03.91 @Dosn 3 [ism ?ben 08:28 {31 55225207499500472 35226207588600218 55225700318536921 2522T2622T8754206 55223700018336754 5523020T860300086 95230200199400021 25230172307130836 5523314331263T852 6523?20?654800028 55241000876913248 LEG: 1 ZTINERARY- 1657 FARE CODE: MAAOTA DATE: 10fi4115 CARRIER: UA-Un?ed Airlines. Inc. DESTINATION: Washington. DC. United Stat ORIGINATION: San Diego, Caiifornia, United States LEG: 2 ITINERARY #:1144 FARE CODE: MAAOTA DATE: CARRIER: UA-Uniied AIrIInes, Inc. DESTINATION: San Diego, CaIifornia, United States ORIGINATION: WashingtonI 0.0, Virginia. United Stat BUSBOYS 8: POETS-BROOKLND WASHINGTON DC M00: 5312 MERCHANT ZIP: 20017 SILVER DINER ROCKVILLE NID MCC: 5812 MERCHANT ZIP: 20352 La Tasca (Rockville) RockviIIe MD MCC: 5812 MERCHANT ZIP: 20850 COPPER CANYON GRILL GAITHERSBURG MD MCC: 5812 MERCHANT ZIP: 208?8 La Tesca (Rookville) RookaIIe MD M00: 5812 MERCHANT ZIP: 20550 CUBAN CORNER RESTAURANT ROCKVILLE MCC: 5812 MERCHANT ZIP: 20550 BULLETIN CROW GAITHERSBURG MD MCC: 5312 MERCHANT ZIP: 20538 COPPER CANYON GRILL SILVER SPRINGMD MD M00: 5812 MERCHANT ZIP: 20910 IL PIZZICO MD MCC: 5812 MERCHANT ZIP: 20550 DEL GRILLE ROCKVILLE MD MCC: 5812 MERCHANT ZIP: 20352? BONEFISH 8104 GAITHERSBURG MD M00: 5812. MERCHANT ZIP: 20578 Amount 37.45 38.23 100.45 299.24 123.35 2?.24 35.32 230.04 71.?3 5?.59 595.00 ?1 l. mm? 1.If." a ?r Jam-col . . CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: August 31. 2015 Cardholder Name: DeRionne Pollard Eltt' 15264 I Dept- Office?ofthe President PURCHASE MERCHANT PURCHASE DESCRIPTION OF BUSINESS DATE NAME AMOUNT DESCRIPTION Budget Account Number RELATED PU RPOSE 5 Sum 5 (2t 1.65) Hotel Reimbursement on room charges for Tree retreat (no receipt available]. Attend Washington Area Women's Foundation Gala, October IS. SKIZIZU I 5 United 3 1.7?220 Air Fare Busboys 8/ I 2220 15 Poets- 3 7.45 eal Brook] nd La Tasca l3 4? I 8? {2015 {Roelwille} 3 1004" M53 Lunch meeting \w'Nicole Lewis. re: Board Check?in. Dinner meeting Leadership, 8ft 3mm 5 Silver Diner 3326 Meal Breakfast meeting wiMr. Kevin Sexton. Copper I 4320] 5 Canyon Grill Montgomery Scholars Alumni Luncheon. 299.24 Meal Dinner meeting wt?Executive Director of Communityr Foundation in Montgomer County. La Tasca H4 I 8 5 (Roaming) 123.35 Mea 3117,2025 cum? com? 27,24 Meal Restaurant Lunch meeting wl'Truslee Levine. lanmols Cm? 230.04 Meal Canyon Grill slimms TadSBun?m 35.32 Meal Crow 8320:2015 Ii Pizzico 7] .73 Dinner meeting wl?PotentiaI Donors. Breakfast meeting wl'Trustee Blackwell. Lunch meeting wlTrustee I?Iydorn. $240,015 De] an 57.59 Meal sort/2015 Bone?sh 3104 0 595.00 Meal EXPENSE Lunch meeting wJTrustee Levey. New Faculty Luncheon. 5 3,176.22 I W113. ?Tunnel. 0' . . . . ll. JanetWormack Signature: Stir-kg, M-r. - . '11 $197 Steghen D. Cain Signature: . Report 3120 Run by: LYNETTE TELFORD Header Note: Cardholder Name: EXpense Report ID: Expense Report Name: Expense I Report DERIONNE POLLARD Current Status: Date; 000371467? August 2015 Locatiom Run Dale: 10231121015 Time: 1:32 PM Pending Approval 113239015 1:32:00 PM Current Recipient: Janet Wormack MONTGOMERY COLLEGE PUR (NEW) (00004! Summary! Information 1 Date Range: 8f1f2015 - 8131112015 Memo?Posted Transactions: $3,176.22 Description: Grand Total: $3,176.22 Destination: [Memo-Posted Transactions: Settlement Amount Date Occurred Date Posted Merchant . Original Amount Description Allocation Spitt Amount CD 3512015 81?612015 SUITES AT SILVER TREE ($211.65) ($211.65) Purchase ID 60499646 Hotei: Reimbursement on room charges for Retreat (no receipt availabie). 3112:2015 Bf14.?2015 0162460231621 $1,772.20 $1,772.20 Airfare: Attend Washington Area Women?s Foundation Gala. October 15. Passenger: Ticket: Tra we! Dare: Travel Leg: POLLARDIDERIONNEPDR 0162460231621 1071472015 SAN UA UA 0 SAN j; 3112:2015 8111412015 BUSBOYS $37.45 $37.45 Meal: Lunch meeting wlNicole LerS, re: Board Check-in. 611372015 6117.201 5 La Tasca (Rockvilie) $100.45 $100.45 Meal: Dinner meeting MAFSCME Leadership. 311372015 331712015 SILVER DINER $38.26 $38.26 Meal: Breakfast Meeting war. Kevin Sexton. 31142015 811712015 COPPER CANYON GRILL $299.24 $299.24 11/ Meal: Montgomery Scholars Alumni Luncheon. 811712015 La Tasca (Rockviite) $123.35 $123.35 311412015 Page 1 of 2 Report 3120 Run by: LYNETTE TELFORD Expense Report Meal: Dinner meeting wiExecutive Director of Community Foundation in Montgomery County. Run Date: 11i231'2015 Time: 1:32 PM 3?17f2015 811812015 CUBAN CORNER RESTAURANT $27224 $27.24 Meat: Lunch meeting warustee Levine. 3?17f2015 Bl19i20?15 COPPER CANYON GRILL $230.04 $230.04 f. Meal: Dinner meeting wiPotentiai Donors. 3:17:2015 8!19!2015 CROW $35.32 $35.32 Meal: Breakfast meeting w?'rustee Blackwell. 8(20i'2015 8f24l2015 iL $71.73 $71.?3 Meal: Lunch meeting warustee Hydom. 8.?24f2015 8(262'2015 DEL GRILLE $57.59 $57259 Meal: Lunch meeting wFTrustee Levey. 832832015 33112015 BONEFISH 8104 $595.00 $595.00 Purchase ID 024929 Meat: New Facuity Luncheon. Memo-Posted Transactions Totals Count:13 [Eip'ense Report History Status DateiTime User Name Business Unit Notes Unsubmitied 9i2!2015 10:12:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR incomplete 9i2!2015 10:21:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmttied 9!2{2015 10:25:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 102332015 1:32:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE Pending Approval 11f232?2015 1:32:00 PM Janet Wormack MONTGOMERY COLLEGE PUR Exoense Report Summarv Reimbursable Tote} $3,776.22 Signatures - 7% Print Cardholder Name Print Approver Name T) 0 tier Si atur mg- Approver Signature Wig/3?? Date [Sate Page 2 of2 Con?rmation: A STAR ALLIANCE 819485064" Chew Issue Date: August 12, 2015 'Travei er eTicket Number Seats 0162460231621 FLIGHT INFORMATION Day, Date Flight CiassDeparture City and Time Arrival City and Time Aircraft Meal Wed, 14OCT15 UA1657M SAN DIEGO, CA WASHINGTON, DC 737-900 Purchase (SAN) 9:50 PM (IAD - DULLES) 5:40 AM (150CT) Thu, 15OCT15 UA1144M WASHINGTON, DC SAN DIEGO, CA 737?900 Purchase (IAD - DULLES) 5:44 PM (SAN) 3:13 PM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: VISA U.S. Transportation Tax: 121.68 Last Four Digits U.S. Flight SegmentTax: 8.00 September 11th Security Fee: 11.20 U.S. Passenger Facility Charge: 9.00 Per Person Total: eTicket Total: The airfare you paid on this itinerary totals: 1,622.32 USD The taxes, fees, and surcharges paid-total: 149.88 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Baggage allowance and charges for this itinerary. Baggage fees are. per traveler Origin and destination for checked baggage 1St bag 2nd bag Max wt/ dim per piece 10/14/2015 San Diego, CA (SAN) to Washington, DC (IAD 25.00 35.00 50.01bs (23.0kg) 62.0in Dulles) USD USD (157.0cm) 10/15/2015 Washington, DC (IAD Dulles) to San Diego, CA 25.00 35.00 50.0le (23.0kg) 62.0in (SAN) USD USD (157.0cm) MileagePlus Accrual Details Date Flight From/To - Award Miles PQM PQS 10/14/2015 1657 San Diego, CA (SAM-Washington, DC (IAD Dulles) 4060 2253 1 812 10/15/2015 1144 Washington, DC - Dulles)-San Diego, CA (SAN) 4060 2253 1 812 Award Miles PQM PQS PQD Derionnepdr?s MileagePlus Accrual totals: 8120 4506 2 1624 Important Information about MileagePlus Earning Accruals vary based on the terms and conditions of the traveler?s frequent flyer program, the traveler's frequent flyer status and the itinerary selected, United MileagePius? mileage accrual is subject to the rules of the MileagePius program 1} Once travel has started, accruals will no longer display. You can View your MiieagePlus account for posted accrual I a You can earn up to 75,000 award miles per ticket. The 75,000 award miles cap may be applied to your posted flight activity in an order different than shown a PQD are a Premier status requirement for members in the U.S. only. Busboys Poets Dr. DeRj onne P. Pollard Corporate Card Expenses August 2015 625 Monroe St NE Washington DC 200T0 202.636.7230 'nww.6usboysandpoets.oom Date: Card Type: Visa Acct _Card Enrry: SWIPED Trans Type: PURCHASE Trans Key: FIF004894187451 Auth Code: 069975 Check: 75 26/2 Server: 67 JeweTT .=SubtotaT: 32 . 45 7" TotaT _M;ig s?thI/ I agree to pay aboye tot according to my card Ts?Ter agreement. a a Jet Copy ileer Diner RookyilTe 12276 RockyiTTe Pike DaTe: ?aid Type: noel Card Entry: Trans Type: Trans Key- ?Auth Code: Check: Table. Server: Subtota]: nugl3?16 SWIPED PURCHASE EIF0048993 009460 4608 ZSET Jessica TotaTL u.s. grannies PTease seTeot beTon* to my card issueq agreement. a a a a Customer Copy Dr. DeRjonne P. Pollard Corporate Card Expenses August 2015 DJIEAJLS I cx\ t2? i4? Gibbs St - MD 20850 [:CJ?JflEaf? [learigxc3r1 301-279h7011 Boardwalk Piaoe Gaithereburg, Harmiand Server: Martina DOB: 08/13/2015 Phe 240.631.3033 07:22 PM 08/13/2015 new Tame 73/1 2/20ng .. 4ug14'is 02:4. Ca.u [yo Visa SALE Acct #1 - Bard Entry: SNIPER VISA 4194325 - Trans Type: PURCHASE Cw Auth Code: 094616 Magnetic card presen Yes Check; 117 Card Entry Method: 8 Tabie; 11/3 . Server: 1014 Enrique approvai: 000876 - ea]: -249 . 24 Amount: 87,45 Tip: lb?? according to my oar' issuer agreement. Customer Copy Please ep Dr. DoRiorme P. Pollard Corporate Card Expenses August 2015 MEALS LUEIFW I HUN-W 825 HUNGERFORD DR ROCKVILLE, MD 20850 035102015 12:52:31 CREDIT CARD I VISA SALE Guest Check CARD m" 141 Gibbs St INVOICE Rockvi?e, MD 20350 SEQ H: 0004 30027947011 Batch 0: (wove! Code: .215 Servrr: Martina DOB: 08/14/2015 3w?md 9:17 08/14/2: '5 [01043: Dame Taole 43/1 3/30031 PRE-TIPAMT $22.24 1 SALE VISA a? ,764 HP Lard Wagnetin card present: Yes Lp?z Carj? Ertry Method: 8 Approva1: 053220 Amount: 103.35 CUSTOMERCOPY Hp ?30 2 Tom; +ota1 amount 2? Dr. DeRionne P. Pollard Corporate Card Expenses - August 2015 MEALS 1 . - {59 Copper Canyon Ted 5 BuHettn I 928 E115werth Avenue ?20 StTyer Spring, Maryland 20910 MD 20878 Phone 301.589.1330 301-990-0600 Date: AUQTTITS Date: Card Type: V1861 Card Type: Visa ACCT #1 Card Entry: SWIPED Acct #1 Card Entry: SNIPED Trans Tyne: PURCHASE Trans Type: PURCHASE Trans Key: nuth Code: 072546 . nuth Code: 042393 Check: 490 Check: 7 TabTe: 12/1 TabTe: 45/1_ Server: 1067 Jordan Server: 1114 Chris 0 Subtt .ul! 19C) . O4 SubtotaT: ?29 . '32 Tip: (are Tote]: Li I agree to pay above to 1 according to my card issuer agreement. agreement. a Gu?gt Copy Guest Copy a a Dr. DeRjonne P. Pollard Corporate Card Expenses August 2015 MEALS I ll. - EUBDU 30 1 ?300--06? 10 DEL GRILLE #8714 Avenue 0ff20/15 1 1800 Graer 13ar North Bethesda, MD 20852 1IHE: hisg PH - ?15 01 Tamj; 53 emew:e . Acct mee?i?r . A Card Entry: SWIPED min} Immigr?g?i Trans Type: PURCHASE *??h%hmmn? Trans Key: GIG000094115227 . Auth Code: 092241 . Check: 1203 '1 TabTe: 30/1 . lgn1$ a ;n Server: 1003 Bomarle TIP SubtotaT: 47 . 59 PULLARETBERIJNRF TOP GET . SIGNA I AGREE TO HE ABOVE TOTAL ACCORDING T0 MY CARD ISSUER TIP TOTAL Dr. DeRjonne P. Pollard Corporate Card Expenses August 2015 paneAjgs 21f? {Ii?i NCW Face; #7 us- ?8 ipe i: be] farm. 4 32 Grill Ga 5mm, MD 208?} I, ?:1531-2401 LN 11: OBOBUUNJM Lewd ACCOUNT HUHBER $an ?i e1+mr? I *?4a29 REEL- -: - "153% . .a ERIE i 4?}?ij '1 i 1 C: i mgr-1? vicar. endi- mgr-mgr .til . t??t Mg??jj?amk I corporate cam out at c: E: \?tt i If; I. i 1 EngLW-?i?i DERIONNE POLLARD gAccounnN?u?CREDIT LIMIT 3 CREDIT i i i $10,000.00 $10,000.00 SUMMARY- Purchases Cash Advances Totat Fees I Credits Total Activity $5,484.42 $0.00 $0.00 $178.00 $5,286.42 I i Tran Post Reference Number Transaction Description Amount Date Date 3 - 1.00 I Mcc:7523 MERCHANT I 1 1; LOCAL TAx:0.oa LOCAL TAXINDICATORH . 1i .. 1- NAT. 0 09m shores 3952450001476510090 First Watch Restaurants MD 29.97 ME 09x02 09x03 I55245014000114345 HOPE 303?204?7970 00 1,235.00 I mcc:8396 CHANT ZIP: 20035 CARDHOLDER SIGNATURE For customer service. call write 8. Ban regar - For Visa bene?ts and to]! free (800) 443?86?1. Billing errors: P10. BOX 4028? Buffalo. NY 14240-4028 reterrat servicesl caE Outside the US and Canada. calf Payments: PO. BOX 62120, Baltimore. MD 21264-2120 the Visa assistance (718) 635-4152. Losb?Stolen: 465 MAIN SUITE 500. Buffalo, NY 14203 Center at {800) VISA-911. Visit us on the web at mowmtocom MEM STATEM ENT 4 Account Number FF LO 240?4028 Statement Date 09130/15 Total Activity $5,286.42 Remit to: 8? BANK P.O. BOX 52120 BALTIMORE MD 21254-2120 STATEMENT DERIONNE POLLARD . ??599033?53 MONTGOMERY COLLEGE CRP (NEW 3 AWN: PATRICK JOHNSON . 900 HUNGERFORD DR i ROCKVILLE MD 208504728 0000000000000 Page 2 of5 3'5 Mg?? Bank 7? Corporate Card . POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN STATEMENT mum?m LIMIT CREDIT CYCLE - DATE $10,000.00 $10,000.00 30 00/30/15 I m?m 01682730 - 003302 - 000?1 - 0003 - NOTICE OF BILLING RIGHTS "his notice contains important information about your rights under federal ian In this Notice, "you" refers to Client as de?ned in the Agreement, and ?us? refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS ?'open for you. You will not be liabie for any unauthorized use that occurs after you notify Bank orally or in writing, of any loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, P.O. Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by telephoning 1?800-443-8671. Except as provided in Section 26 of the Agreement, your iiability for unauthorized use of the Card will not exceed $50. Qiease be advised that full payment of ail outstanding balances remains due, even while we investigate your unauthorized use Ciaim, and failure to pay in full by the due date may result in delinquency charges :r your Agreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. 8, Corporate Card DERIONNE ROLLARD .E ACCOUNT NUMBER CREDIT LIMIT $10,000.00 AVAILABLE $10,000.00 DAYS IN BILLING CREDIT CYCLE 30 I . .. 5' I STATEMENT DATE 09730715 900T Date 09703 09704 05247000415198360 I 09703 g309:0?" 052473970004171 83 09104 90907 05240100419300030 55253000789632922 est-$5911 1 z- I 09109@ )390 1 05250000709032930 ?0910994110901 05253000709032948 Reference um her Transaction Description - . LOCAL TAX INDICATOR: 2 NAT. TAX INDICATOR: 0 DEST. POSTCODE: 20050 BOB EVANS REST #0310 CERMANTOWN MD M00: 5012 MERCHANT ZIP: 20070 ORDER NUMBER: 150903 093?29 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: LONGHORN STEAK00051072 OERMANTOWN MD Moe: 5012 MERCHANT ZIP: 20074 CITY PERCH-BETHESDA NORTH BETHESDMD MCC: 7832 MERCHANT ZIP: 20852 ORDER NUMBER: 843308 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 UNITED 0162453299498800~932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERIONNERDR TICKET 0102403299490 LEG: 1 ITINERARY 1772 FARE CODE: TDA21A DATE: 10:1 1/15 MIDAS. DESTINATION: San Diego. California. 00:00 00:05 ORIGINATION: Washington. United Stat LEG: 2 ITINERARY 17'45 FARE CODE: VDA21A DATE: 10711715 CARRIER: UA?United Airlines. inc. DESTINATION: Washington. D.C. 7 Virginia, United Stat ORIGINATION: San Diego. California. United States UNITED 0162463299497800-932~2732 TX 0100:3000 MERCHANT ZIP: 77002 NAME: JONESIROBYNAMS TICKET 0t 62463299497 LEG: 1 ITINERARY IT: 1772 FARE CODE: TDA2IA DATE: 10711715 CARRIER: UA?United Airiines. Inc. DESTINATION: San Diego. California, United States ORIGINATION: Washington. DC. I Virginia, United Stat LEG: 2 ITINERARY It: 1745 FARE CODE: DATE: 10711.05 CARRIER: UA?United Airlines, Inc. DESTINATION: Washington. D.C. 1' Virginia. United Stat ORIGINATION: San Diego. California. United States UNITED 0162463299498800-9332732 TX ACTIVITY :55. ?55Amount 25.90 47.17 55.84 547.20 547.20 547.20 Bank :34 Corporate Card Page 4 of6 POLLARD ACCOUNT NUMBER 7 m: CREDIT AVAILABLE DAYS IN BILLING STATEMENT 'm LIMIT CREDIT CYCLE DATE WW $10,000.00 $10,000.00 30 09/30/15 we 3 Tran PDSI Reference Number If Transaction Description .Iate Date - 370 @0071: 17703690371 1 370%. 09711 3709@30971 1 970991" 09M 1 .209 It? 09?? [x .40 . 9,71 1 "14 {15' 130 09:05 M00: 3000 MERCHANT ZIP: 77002 NAME: TICKET 0162463299498 LEG: 1 ITINERARY II: 1772 FARE CODE: TDA21A DATE: 1001MB CARRIER: UA?UnIted Aidines, Inc. DESTINATION: San Diego, California. United States ORIGINATION: Washington, DC. I'Virginia, United Stat LEG: 2 ITINERARY 1745 FARE CODE: DATE: CARRIER: UA~UnIted Aidines, Inc. DESTINATION: Washington, DC. I WgInIa, United Stat ORIGINATION: San Diego, Catifornta, United States 65253000700483331 UNITED . 0102924129707300?9322732 TX MCC: 3000 MERCHANT ZIP: 77002 55253000790483349 UNITED .01329241207033007932?2732 TX . M00: 3000 MERCHANT ZIP: 77002 65253000790433353 UNITED 01329241297003000322732 TX M00: 3000 MERCHANT ZIP: 77002 05253000790433334 UNITED 0102924129710300-0322732 TX M00: 3000. MERCHANT ZIP: 77002 35253000790403372 UNITED 0102924120713300-932?2732 TX ?100.00 7000:3000 MERCHANT ZIP: 77002 55253000790433330 UNITED 0162924129872800-932-2732 TX C. {037.61 M00: 3000 MERCHANT ZIP: 77002 55253000790403393 UNITED . '0102024120373300-932-2732 TX AMI 65253000?90483406 M00: 3000 MERCHANT ZIP: 77002 I a, (N: UNITED 0132024129374300-932-2732 TX 379 6/ M00: 3000 MERCHANT ZIP: 77002 7 65253000790483414 UNITED 0182924129890800-932-2TS2 TX WIFVAQM M00: 3000 MERCHANT ZIP: 77002 AH 65253000790483422 UNITED TX 65253000790483430 MCC: 3000 MERCHANT ZIP: 77002 UNITED 0152924135574300032?2732 TX M00: 3000 77002 $96 @3949"! 95257001389532075 First Watch Restaurants QROCKVILLE MD [7100:5812 MERCHANT ZIP: 20850 HYATT HOTELS CHESAPEAWRMCAMBRIDGE MD 0100:3640 MERCHANT ZIP: 21613 CHECK-IN: NUMBER OF NIGHTS: 2 NO SHOW: 0 89.00 89.00 89.00 94.00 94.00 104.00 99.00 99.00 99.00 99.00 99.00 35.95. 10.60 8: Corporate Card' 7 DERIONNE POLLARD CREDIT LIMIT 010,000.00 I ACCOUNT NUMBER AVAILABLE DAYS IN BILLING STATEMENT CREDIT CYCLE DATE $10,000.00 I 30 09130I15 Post Date Tran Date I Reference Number $9716 09115 0911530911? 09717 09714 09116 09716 @209717 09l18?2192?21 09122 J00124 09!22@29!24 (?30 21923 09:25 30:23 ?09725 . "19723?/09725 AI 7.9.323 09725 9728 0930 3128 00130 05258200488200290 6525900071 1 862989 6525900071 1862997 65259000712351110 65259000712351128 85262206599100643 65266700219451 437 65266700219451353 65267000608008928 65267000608008936 65267700219459447 65267700219458480 25272152726480144 65272700219458772 Transaction Description Amount 501269715312 PANEDA THAI SUSHI BAR ROCKVILLE MD 1000:5812 MERCHANT ZIP: 20350 UNITED 0102924503251300-932-2T32 TX $.rgklatfpu'] 9519:7391 MCC: 3000 MERCHANT ZIP: 7?002 3450514 rd?d? 4140059 62.68 95.00 UNITED 0162924608252800-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 NITED 0162924129707800-932~2732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 01629241297098EK3-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 NOAH HILLMAN GARAGE ANNAPOLIS MD MCC: 9399 MERCHANT ZIP: 21401 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 RMA WORLDWIDE CHAFFEUR 301-231-6555 M0 M00: 4121 MERCHANT ZIP: 20352 ORDER NUMBER: AL0AC90A21CE LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 RMA WORLDWIDE CHAFFEUR 301-231-6555 MD M00: 4121 MERC HANT ZIP: 20352 ORDER NUMBER: 11001103242753 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 UNITED 0152025250023300332-2732 TX 39-4,: M00: 3000 MERCHANT ZIP: 77002 i I UNITED 01 02325 23002911100032.2732 TX 3* MCC: 3000 MERCHANT ZIP: 77002 RMA WORLDWIDE CHAFFEUR 301,231-6555 MD 4121 MERCHANT ZIP: 20852 ORDER NUMBER: ALOAC9EAE363 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 RMA WORLDWIDE CHAFFEUR 301-231-6555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: ATOAD9BA7802 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 MCG DOT 82819 OPS GSILVER SPRINGMD MCC: 7523 MERCHANT ZIP: 20910 RMA WORLDWIDE CHAFFEUR 301231-6555 MD 95.00 89.00 89.00 11.00 80.60 WK MM. 93.00 011.4% 117.00 117.00 1.00 80.60 79.00 80.60 . Bank Corporate Card Page 6 of 6 ERICNNE PCLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING LIMIT CREDIT CYCLE $?10l000.00 $10,000.00 30 STATEMENT DATE Lt - 01682730 - 005392 - 0003 - 0003 Post Date [ran Rate Reference Number Transaction Description Amount 3r23?909I30 I?am 65272700219459788 352720041 6278584 MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: APOA06F42018 LOCAL TAX INDICATOR: NAT. TAX INDICATOR: MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: ALDACA3682OB LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: GRAND HYATT SAN DIEGO SAN DIEGO CA MCC: 3640 MERCHANT ZIP: 92101 CHECK-IN: 09127l15 NUMBER OF NIGHTS: 1 NO SHOW: 0 RMA WORLDWIDE CHAFFEUR 301-231-6555 MD 80.60 332.51 PURCHASE IDENTIFIER: 9] in, 5?1 . 2013 Montgomery College CORPORATE CARD EXPENSE REPORT Le}. t-s" 1-41? Ti. 1 FOR PERIOD September 30, 2015 - 1M ?him-M Cardholder Name: DeRionne Pollard . i Ext: T5264 . 1 . iDeth Office of the President PURCHASE MERCHANT PURCHASE DATE NAME AMOUNT Colonial Parking #795 9.2j91?21?2015 ngeoenem?on 1,236.00 Membership Fee 9r2x2015 Fm watch 5 29.97 Meal Restaurants 9 Bob Evans Rest 91?31?2015 #0316 26.90 eal Longhorn 2 l5 9 3! 0 Steal<00051672 City Perch Bethesda United . 91?912015 0162463299496 547.20 Airfare 4i i i SIESCRIPTION OF BUSINESS DESCRIPTION Budget Account Number RELATED PU RPOSE 8! I 3&0 5 Lunch meeting warnStee Mike Priddy; 1.00 Parking (no receipt issued). Generation Hope Scholar Sponsorship. Breakfast meeting wr'Trustee Ken Hoffman. Breakfast meeting warustee Mike Knapp. U1 .lkuib ILA VW 115111111011 u: Monica Trent, RE: Achieving the Dream A nniinni?inn Lunch Meeting Marsha Smith. Attending ACCT Leadership Congress. San Diego, CA, October 14-16, 2015. Ms. Robyn Jones travel to ACCT Leadership Congress, San Diego, CA, October 14-16, 2015. Mr. Myles Jones travel to ACCT Leadership Congress, San Diego, CA, October 14-16, 2015. Economy Plus fare for travel to ACCT Leadership Congress, San Diego, CA, October 14~l6, 2015. Economy?Plus fare for travel to ACCT Leadership Congress, San Diego, CA, October 14-16, 2015. Economy Plus fare for travel to ACCT Leadership Congress, San Diego, CA, October 14-16, 2015. .390 35 47.1? Meal 55.64 Meal ?55 914.0015 es United gig/2015 0162463299497 547.20 Airfare g} United - . 9f91?2015 0162463299498 35 54?.20 Alrfale United (Mg/2015 016292412970? 3 89.00 Airfare United 0162924129708 39-00 Airfare GD 9190015 United . 9/912015 0162924129709 3 39.00 Alrfare 9f9i?2015 0162924129710 3 94.00 Alrt?are United Disputing Charges. PURCHASE DATE MERCHANT NAME PURCHASE .iExt 75254 AMOUNT ITEM DESCRIPTION Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE 9K9X2015 United 0162924129713 5 94.00 Airfare Disputing Charges. 91912015 United 0162924129872 104.00 Airfare Disputing Charges. 9K9f2015 United 0162924129873 99.00 Airfare Disnuting Charges. 91?9f2015 United 0162924129374 99.00 Airfare Disputing Charges. 9f9f2015 United 0162924129390 99.00 Airfare Disputing Charges. United 0162924135573 99.00 Airfare Disputing Charges. 979220 15 .913 United 0162924135574 99.00 Airfare Disputing Charges. 9X1312015 Hyatt Hotels I?tesapeakir RM 10.60 Hotel Board of Trustees Fail Retreat. 971470015 :1 First Watch Restaurants 9 35.95 Meal Breakfast meeting wa?i?mstee l3en Wu. 92'14i2015 Panida Thai 8.: Sushi Bar 62.68 Meal Lunch meeting wz?Tmstee Luis Rosales. 9/1572015 en. r1 United 0162924603251 95.00 Airfare Disputing Charges. 971572015 United 0162924603252 95.00 Airfare Disputing Charges. 0?9. 05 91'167'2015 United 0162924129707 (89.00) Airfare CREDIT. Attended ACCT Leadership Congress, October 2015. 9.0612015 ?79. {a United 0162924129709 (39.00) Airfare CREDIT. Attended ACCT Leadership Congress, October 2015. 9718/2015 Noah I?lillman Garage 11.00 Parking Attended meeting, Ann Amndel Community College, Cade Building, Room 219, 101 College Parkway, Arnold, MD 21012. 972272015 (it? GED RMA Worldwide Chaf'fenr 80.60 Transportation 1V i 'l CLUE -- 5:25!" 2 ta-L Attended National Academies STEM Workforce Summit, 5'00 501 St, NW. Washington, DC. Cardholder Name: DeRionne Pollard DATE PURCHASE MERCHANT NAME PURCHASE AMOUNT Ext: 75254 ITEM DESCRIPTION Budget Account Number Dept: Office of the President DESCRIPTION OF BUSINESS RELATED PURPOSE 9229015 RMA Worldwide Chai?I?eur 80.60 Transportation Return From the National Academics STEM Workforce Summit, 500 5th St., NW, Washington, DC. 9r23r20 1 5 United 0162925260026 9300 Airfare Disputing Charges. 940312015 United I 0162925260029 53 79.00 Airfare Disputing Charges. 53 9103:9015 RMA Worldwide: Cha ffeur 117.00 Transportation Travel to the National Academies Workforce Summit, 500 5th St., NW, Washington, DC. 64,? 9123(2015 RMA Worldwide Chaffeur 117.00 Transportation Return from the National Academies STEM Workforce Summit, 500 5th NW, Washington. DC. 3g 9123mm MCG DOT 82819 Piling OPS Ci 1.00 Parking Attended Leadership Montgomery Homecoming, Silver Spring Civic Building, 1 Veterans Plaza, Silver Spring, MD.. f? msrzois I St, RMA Worldwide Chaffeur 3 80.60 Transportation Travel to the Washington Area Women's Foundation Filming/Interview. 1331 Street. NW, Suite 1000, Washington, 9112832015 RMA Worldwide Chai?i'eur 80.60 Transportation Retum trip from the Washington Area Women's Foundation Filming/Interview, 1311 Street, NW, Suite 1000. 9128100 5 Grand Hyatt San Diego 332.51 Hotel Attended ACCT Leadership Congress, October 2015. EXPENSE TOTAL: i? u. . 231-3.? .l re: Si bnature: .4 -.. Report 3120 Expense Report- Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report ID: Expense Report Name: Current Status: Date: Current Recipient: DERIONNE POLLARD 0053799944 September 2015 Location: Pending Approval 1213f2015 3:36:00 PM Janet Wormack MONTGOMERY COLLEGE PUR (NEW) (00004! Run Date: ?lZ/Sl2015 Tlme: 3:36 PM 30mma'rv Information Date Range: Description: Destination: 9!1f2015 - 9i30l2015 Memo-Posted Transactions: Grand Total: $5,286.42 $5,286.42 .3 -.: Settlement Amount - Date Occurred Date Posted Merchant Originai Amount . Description Allocation SptitAmount 31312015 9r2r2o15 PARKING r95 $1.00 $1.00 Purchase ID 89389000 Parking Fee: Lunch meeting wfl?rustee Mike Priddy; (no receipt issued). 9i3f2015 NFG GENERATION HOPE $1,236.00 $1,236.00 Purchas l/ Membership Fee: Generation Hope Schoiar Sponsorship. 9f2f2015 9f3i2015 First Watch Restaurants 9 $29.97 $29.97 Meal: Breakfast meeting wfl?antee Ken Hoffman. 9f3l2015 9f4f2015 BOB EVANS REST #0316 $26.90 $26.90 Meal: Breakfast meeting wfl'mstee Mike Knapp. @ererzols 9m2015 LONGHORN sreamoosrerz $47.17 $411? Meal: Working Dinner waohn Hamman and Monica Trent. RE: Achieving the Dream - Application. (D 9r4r2015 9m2015 CITY $55.54 $55.64 Meal: Lunch meeting w??rustee Marsha Smith. 9r'1?ii2015 UNITED 0162463299496 554120 $547.20 Page 1 of6 Expense Report Report3120' Run Date: 121312015 Run by: LYNETTE TELFORD 3:35 PM Airfare: Attending ACCT Leadership Congress, San Diego, CA, October 14~1 8, 2015. Passenger: Ticket: Travel Date: Travel Leg: 0162463299496 1071112015 UAT SAN SAN UA IAD 97912015 911112015 UNITED 0162463299497 $547.20 $547.20 Airfare: Ms. Robyn Jones travel to the ACCT Leadership Congress. San Diego, CA. October 14-18, 2015. Passenger: Ticket: Tra vei Date: Travel Leg: 0162463299497 1011112015 UATX SAN SAN UA ?9r912015 9111:2015 UNITED $547.20 $547.20 Airfare: Mr. Myies Jones travel to the ACCT Leadership Congress. San Diego. CA, October 14-18, 2015 (the College will be reimbursed). Passenger: Ticket: Travel Date: Travel Leg: POLLARDJONESIMYLES 0162463299498 1011172015 UATX SAN SAN UA 97912015 971172015 UNITED 0162924129707 $89.00 $89.00 Purchase [0 1525301279322924129707 Airfare: Economy Plus fare for travel to ACCT Leadership Congress. San Diego, CA October 1448, 2015. 91912015 911112015 UNITED 0162924129708 $89.00 $39.00 Purchase tD 1525301279332924129708 Airiare: Economy Pius fare for travel to ACCT Leadership Congress. San Diego, CA October 14-18, 2015. @2912015 911112015 UNITED 0162924129709 $89.00 $89.00 Purchase iD 1525301279342924129709 Airfare: Economy Pius fare for travel to ACCT Leadership Congress, San Diego, CA October 1448. 2015. p2, 912015 91112015 UNITED 0162924129710 $94.00 $94.00 Purchase lD 1525301279352924129710 Airfare: Disputing Charges. 971112015 0162924129713 $94.00 $94.00 -PurchaselD 152530127936292412971'3 Page 2 of 6 Expense Report Run Date: 127372015 97972015 97972015 ?521} 971372015 971472015 Fieporiva'iZU? Run by: LYNETTE TELFORD 3:36 PM Airfare: Disputing Charges. 971172015 UNITED 0182924129872 $104.00 $104.00 Purchase lD 1525301279372924129872 Airfare: Disputing Charges. 971172015 0162924129873 $99.00 $99.00 Purchase iD 1525301279382924129873 Airfare: Disputing Charges. 97972015 971172015 UNITED 0182924129874 $99.00 $99.00 PurchaSe iD 1525301279392924129874 Airfare: Disputing Charges. 971172015 UNITED 0182924129890 $99.00 $99.00 Purchase ID 1525301279402924129890 Airfare: Disputing Charges. 97972015 971172015 UNITED 0162924135573 $99.00 $99.00 Purchase ID 1525301279412924?135573 Airfare: Disputing Charges. 971172015 UNITED 0162924135574 $99.00 $99.00 Purchase ID 1525301279422924135574 Airfare: Disputing Charges. - 971572015 HYATT HOTELS CHESAPEAWRM $10.60 $10.60 Purchase ID 4777 Hotel Expenses: Board ofTrustees Falt Retreat. Check-7n: Check-Out: Number of Days: . Room Rate: 971172015 2 $0.00 971572015 First Watch Restaurants 9 $35.95 $35.95 1. 1. Meal: Breakfast meeting wffnistee Ben Wu. 971672015 THAI 8 SUSHI BAR $62.68 $62.88 l/ 971472015 Page 3 076 R'eport 3120 - Run by: LYNETTE TELFORD Expense Report Meat: Lunch meeting wfl'rustee Luis Rosales. RunDaie:121312015 - Time: 3:36 PM 7@911512015 @11612015 911612015 11312015 912212015 912312015 911712015 UNITED 0162924608251 $95.00 $95.00 Purchase ID 1525901307682924608251 Airfare: Disputing Charges. 911512015 911712015 UNITED 0162924608252 $95.00 $95.00 Purchase ID 1525901307692924608252 Airfare: Disputlng Charges. 911712015 UNITED 0162924129707 ($89.00) ($89.00) Purchase ID 1525900026252924129707 Alrtare: CREDIT. Attended ACCT Leadership Congress. October 2015. 911112015 UNITED 0162924129709 ($89.00) ($89.00) Purchase 1D 1525900026262924129709 Airfare: Attended ACCT Leadership Congress. Octobezr 2015. 912112015 NOAH HILLMAN GARAGE $11.00 $11.00 Purchase ID 59910064 Parking Fee: Attended meeting. Anne Arundei Community Cottege, Cade Building Room 219.101 College Parkway, Arnold, MD 21012. 912212015 912412015 RMA WORLDWIDE CHAFFEUR $80.60 $80.60 I Purchase 1D 3346577793 Transportation: Attended the NattonatAcademics STEM Workforce Summit. 500 5th St.. NW. Washington. DC. . 912412015 RMA WORLDWIDE CHAFFEUR $80.60 $80.60 Purchase iD 3155241485 Transportation: Return from the National Academies STEM Workforce Summit, 500 5th St., NW, Washington. DC. 912512015 1 UNITED 0162925260026 $93.00 $93.00 Purchase tD 1526701211382925260026 Airfare: DISputing Charges. Page 4 of 6 Expense Report I Run Date: 12r3r2015 'r'taport 3120 Time: 3:36 PM Run by: LYNETTE TELFORD 9125l20?l5 UNITED 0162925260029 $79.00 $79.00 Purchase ID 1526701211392925260029 Airfare: Disputing Charges. @srzarzots 9r25r2015 RMA WORLDWIDE CHAFFEUR $117.00 $117.00 Purchase JD 8449778520 Transportation: Travet to the National Academies STEM Workforce Summtt. 500 51h St.. NW, Washington, DC. 9.3252015 I RMA WORLDWIDE CHAFFEUR $117.00 $117.00 Purchase ID 8847603258 Transportation: Return trip from the NationatAcademtcs STEM Workforce Summit, 500 51h 81.. NW. Washington, DC. i28i20?l 5 9130(20?15 MCG DOT 82819 OPS $1.00 $1.00 Parking Fee: Attended Leadership Montgomery Homecoming. Silver Spring Civic Building. 1 Veterans Plaza. Silver Spring, MD. f2 8f2015 9i30r?2015 RMA WORLDWIDE CHAFFEUR $80.60 $80.60 Purchase ID 8263690731 Transportation: Travel to the Washington Area Women?s Foundation 1331 Street. NW. Suite 1000. Washington. DC. 9f2 8(2015 9i30i2015 RMA WORLDWIDE CHAFFEUR $80.60 $80.60 Purchase ID 8263690161 Transportation: Return trip from the Washington Area Women's Foundation Filmingitntervtew. 1331 Street, NW. Suite 1000. Washington. DC. 3g 9i28f2015 9f30i2015 GRAND SAN DIEGO $332.51 $332.51 Purchase ID 4777 Hotel Expenses: Attended ACCT Leadership Congress, October 2015. Check-in: Check?Out: Number of Days: Room Rate: 9l27i2015 - 1 $0.00 Memo-Posted Transactions Totals Count:38 Expense Report History Status Datefi'ime User Name Business Unit Notes Page 5 of6 Report3120 Run by: LYNETTE TELFORD Unsubmitted Incomplete Unsubmltied Submitted Pending Approval Reb'?'rf Sui-ham: Reimbursable Total 4:08:00 PM 1018i2015 5:03:00 PM ?10!8l201?5 5:17:00 PM 12312015 3:36:00 PM 13312015 3:36:00 PM $5,286.42 Expense Report LYNETTE TELFORD LYNETTE TELFORD LYNETTE TELFORD LYNETTE TELFORD Janet Wormack MONTGOMERY COLLEGE PUR MONTGOMERY COLLEGE PUR MONTGOMERY COLLEGE PUR MONTGOMERY COLLEGE PUR MONTGOMERY COLLEGE Run Date: 1213f2015 ?rne: 3:35 PM siig?ii'atur'e's zip/1:th ?Print Cardholder Name Mei/magg- Print Approver Name VApETrover Signature ?ay/TM: Page 6 of 5 TransactionDetaiis Report Transaction Detail Donor Name Donor Address Donor Email Address Donor Mailing List Opt?in Donor Phone Donation ID Donation Status Donation Date Donation Amount Fee You Pay Fee Donor Pays Amount You Receive DonatiOn Source Campaign Page Nickname Tracking Code Payment Date Payment Via Payment Method Donation Frequency Started on Designation Dedication DonateNow: Generation Hope Donation Date 09/02/2015 DeRionne Poiiard 900 Hungen?ord Drive, Suite 300, RockviHe, MD, 20850, US Yes 1210933225 Successfui 00l02l2015 $3,200.00 $000 $36.00 $1,200.00 Network for Good DonateNow Main GH Donation Page 10l15f2015 Credit Card One Time Dedication Recipient Notification Dedication Recipient Name of Q, 11,!7115, 3:10 PM .- ., H- Welcome back, Ericka! Logout Donation Amount $1,200.00 Page 1 of 2 Dr. DeRionne P. Pollard Corporate Card Expenses September 2015 mt: Uta-1'53 3r: AngeTa 09/02/2015 Host TabTe 444/1 9:17 AM Guests: 2 #2000? Reprint 1 Srder Type: ORDER Seat 1 'Cherry Chicken Guinea 8.99' Hot Tea 2.49' Subtotal 11.46 Tax F.69 TotaT 12:17 Seat 2 Eggs Benedict F10rent1ne 9.49 Coffee?Regu1ar 2.59 SubtotaT 12,08-_ Tax- 0.72 RdaT I 1260 CompTete SubtotaT . 23.56 SubtotaT 23.56 Ta: 1.41 Tota1 24.97 WISH 24,97 Auth:024099 Tie: 3ta1: DJILAJLS BUB EVANS 21044 Frederick Rd Germantown, MD (361)515?6310 Restaurant 0316 Order 36T546 Date 9/3/2015 T1me 3:37:29 AM Server Sherri SALE 21.90 TIP 5.00 TOTAL Card Type Visa Acot.Number: 1 048d To ButhCode 015343 Try our 10 SpeeieTty Breakfasts Under $6 Made with Fresh, Never Frozen Sausage, Fresh?Cracked Eggs, Fresh Potatoes and Baked Fresh Daily Buttermilk Biscuits! Dr. DeRionne P. Pollard Corporate Card Expenses September 2015 Germantown, MD 20874 Check :f 'Tabie 23 Christopher 12:46 PM 09/03/2015 3 - ID 9517 74028 1438 We value your opinion. Piease a tail us about your dining experience by compieting an oniine survey within 7 days of your visit. You could win a $1.000 Grand Prize or 1 of 100 $50 prizes. Win?ers are drawn monthiyii To ccmpiete the survey and enter the contest, go to and enter the ID on this receipt. - N0 PURCHASE NECESSARY. Void where prohibited. See Official Rules at .Vaioramos su opinion. Complete ia encuesta sobre su experiencia gastrondmioa en EXPIRES Sep 10, 2015) Card Number Auth Code 4777 _091202 Visa (359. if? Check Amount Tip Not Inciuded. Suggested tip amounts are provided for your convenience. Suggested tip amounts 20% $7.83 are based on totai- 18% $7.05 15% - $5.88 ?epoordance with agreement govern 9 use of such Card. Guest Copy Check ID: 65 - City Perch North Bethesda MD TERMINAL: 004 0pr: 8130 Noian P08 310982 Sep 04, 2015 i3:i4:44 VPH 843294 CREDIT VISA . 110279225 Exp. Date:_ AHTH: 033327 BURCHASE $46.64 TIP Ed CUSTOMER COPY Con?rmation: A STAR ALLIANOE MEMBER Issue Date: September 09, 2015 TraVeler eTicket Number Seats 0162463299496 FLIGHT INFORMATION -Day, Date Flight Class Departure City and-Time Arrival City and Time Aircraft Meal Sun, 110CT15 UA1772 WASHINGTON, DC SAN DIEGO, CA (IAD - DULLES) 12:30 PM (SAN) 2:53 PM, Sat, UA1745 SAN DIEGO, CA WASHINGTON, DC (SAN) 1:22 PM (IAD - DULLES) 9:19 PM 737?800 Purchase FARE INFORMATION Fare Breakdown Form of Payment: Airfare: .482.79USD VISA U.S. Transportation Tax: .- 36.21 Last Four Digit U.S. Flight Segment Tax: 8.00 September 11th Security Fee: 11.20 U.S. Passenger Facility Charge: 9.00 Per Person Totai: 547.20USD eTicket Total: 547.20USD The airfare you paid on this itinerary totals: 482.79 USD The taxes, fees, and surcharges paid total: 64.41 USD Fare Rules: Additionai charges may apply for changes in addition to any fare ruies listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Baggage allowance and charges for this itinerary. Baggage fees are per traVeler Origin and destination for checked baggage 1st bag 2nd bag Max wt/ dim per piece 10/11/2015 Washington, DC (IAD - Dulles) to San Diego, CA 0.00 35.00 50.01bs (23.0kg) - 62.0in (SAN) USD USD (157.0crn) 10/17/2015 San Diego, CA (SAN) to Washington, DC (IAD - 0.00 35.00 50.0le (23.0kg) 62.0in Dulles) USD USD (157.0cm) Baggage check-in must occur with United or United Express, and you must have valid MileagePlus Premier? Silver membership at time of check-in to qualify for waiver of the service charge for the first checked bag (within specified size and weight limits). MileagePIUS Accrual Details 'Date Flight From/To Award Miles PQM PQS PQD 10/11/2015 1772 Washington, DC (IAD Duiies)-San Diego, CA (SAN) 1365 2253 1 195 10/17/2015 1745 San Diego, CA (SAM-Washington, DC (IAD Dulles) .2023 2253 1 289 Award Miles PQM PQS PQD Derionnepdr's MileagePius Accrual totals: 3388 4506 2 484 Important InfOrmation about MileagePlus Earning a Accruals vary based on the terms and conditions of the traveler?s frequent fiyer program, the traveler?s frequent fiyer status and the itinerary selected. United MileagePlus? mileage accrual is subject to the rules of the MileagePius program a- Once travel has started, accruals will no longer display. You can view your MileagePlus account for posted accrual a You can earn up to 75,000 award miles per ticket. The 75,000 aWard miles cap may be applied to your FLIGHT INFORMATION Day, Date Sun, UA1772 'Sat, 17OCT15 - - 4 Con?rmation: . A STAFI ALLIANCE MEMBER ?if 545 ET Issue Date: September 09, 2015 Traveler eTicl-(et Number Frequent Flye Seats 0162463299497 "4158 Arrival City and Time SAN DIEGO, CA (SAN) 2:53 PM WASHINGTON, DC (IAD - DULLES) 9:19 PM Class Departure City and Time Aircraft Meal WASHINGTON, DC (IAD - DULLES) 12:30 PM SAN DIEGO, CA (SAN) 1:22 PM Flight UA1745 737?800 Purchase FARE INFORMATION Fare Breakdown Airfa re: Form of Payment: 482.79USD VISA - U.S. Transportation Tax: 36.21 Last Four Digits U.S. Flight SegmentTax: 8.00 September 11th Security Fee: 11.20 U.S. Passenger Facility Charge: 9.00 Per Person Total: 547.20USD 547.20USD eTicket' Total: The airfare you paid on this itinerary totals: 482.79 USD The taxes, fees, and surcharges paid_total: 64.41 USD Fare Rules: Additional Charges: Tue, Sep. 15, 2015/Visa .. EDD 01629246082520 1, Tue., Sep. 15, 2015/1856 - EDD 01629246082516 Additional charges may apply for changes in addition to any fare rules iisted. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. as charged 95.00 USD for the following: Economy Plus Seat/ as charged 95.00 USD for the following: Economy Pius Seat/ as charged 99.00 USD for the following: Economy Plus Seat/ . Wed., Sep. 9, 2015/Visa EDD 01629241355744 Wed., Sep. 9, 2015/Visa EDD 01629241355733 Economy Pius Seat/ as charged 99.00 USD for the following: was charged 99.00 USD for the following: Economy Plus Seat/ ., Wed., Sep. 9, 2015/Vi5a EDD 01629241298904 as charged 99.00 USD for the foilowing: Economy Plus Seat/ Wed., Sep. 9, 2015/Visa EDD 01629241298742 Wed., Sep. 9, 2015/Vi5a EDD 01629241298731 Wed., Sep. 9, 2015/Visa? ?3 EDD 01629241298720 . . . ?1 EDD 01626052719185 was charged 99.00 USD for the following: Economy Plus Seat/ was charged 104.00 USD for the foilowing: Economy Pius Seat/ 3L was charged 25.00 USD for the foiiowing: First Checked Bag El Sun., Oct. 11, 2015/Visa. :0 EDD 01626052719185 Sun., Oct. 11, 2015/Visa . 11 was charged 25.00 USD for the following: First Checked Bag '1 EDD 01626052719185 - as charged 89.00 USD for the foliowing: Economy Plus Seat/ Wed., Sep. 9, 2015/Visa DD 01629241297034 (6 Wed., Sep. 9, 2015/Visa was charngor the following: Economy Plus Seat/ Dr. DeRionne P. Pollard Corporate Card Expenses September 2015 Panida-Thai 5.. Sushi 6 15106 Frederick Rd Rockviile MD 20850 (301) 251-6689 09/14i2015 03:06:50 PM Dine-In Order #35973 Placed By Server?l Table 8 Number of Guests 2 Server: Server1 Type: VISA Card Number: AUTH 094804 Entry Method: Swiped Amount: $53.58 I AGREE TO PAY ABOVE TOTAL AMOUNT To CARD TASUER AGREEMENT (ME. LANT AGREEMENT IF CREDIT VOUCHER) MERCHANT COPY Suggested Tips 150% $7.55 0% $910 NEEALS i? 14/2015 -rver: CTaire .shier: Host abTe 125/1 9:59 AM Guests;-2 E3 1 1e: URDER ?we: 5.3 HOT Tea wi2.49 Cherry ChreKen ?uinoa Cup Fruit 4.3.99 15.47 Tax 0.93 16A0 Beef 2 Lg Fresh OJ 3.49 LTO Brunch 9.29 SubtotaT 12.78 Tax 0.77 Teta1 13.55 Leapieie SubtotaT I 28.25 Subtotal? 28.25 Tax 1.70 TotaT 29.95 VISA 29.35 Auth:001154 TTDI TotaT: F3 Dr. DeRionne P. Pollard Corporate Card Expenses September 2015 PARKING a? - I RECEIPT TRAN OUT TIME FEE CC - Britten, Ida From: accounting@rmaiimo.com Sent: Tuesday, September 22, 2015 12:23 PM To: Britton, Ida Subject: Trip Receipt- 950762*1 Attached is your receipt for a recent ride. Thank you for giving RMA Chauffeured Transportation the opportunity to service your ground transportation need. YOur credit card has been charged. RMA CHAUFFEURED TRANSPORTATION 112270 Wilkins A venue Rock Me, MD, 2085.? TRIP RECEIPT Reservationii: 950?62*1 Vehicle Type: Sedan Customer: Passenger Name: DERIONNE I Chauffeur: 2596 Contact Name: IDA POLLARD SAFI I Pickup Date/Time: 09/21/2015 Start Time: Contact Number: 240-567-52 Time: 8:10 AM Mannakee Building, 900 Hungerford Drive, Rockvilie, MD Pickup Address: Dropoff Address: National Academy of Sciences, 500 5th St NW, Washington, DC Payment Billed To: CC Credit card: Vi CC Payments: 62.00 Base Charge: Recommended Gratuity: 12.40 STC: 6.20 I . Total: 80.60 Total Payments: (80.60) 0.00 Balance Due: - Britten, ida From: accounting@rmalimo.com Sent: Tuesday, September 22, 2015 12:23 PM To: . Britten, Ida Subject: Trip Receipt - 950762*2 Attached is your receipt for a recent ride. Thank you for giving Chauffeured Transportation the opportunity to service your ground transportation need. Your credit cardVI-4777 has been charged. RIVIA CHAUFFEURED TRANSPORTATION 12270 WYKIhsAvanue Hockw'lle, MD, 20852 TRIP RECEIPT Reservationa?: 950762*2 Vehicle Type: Sedan Customer: .Passenger Name: DERIONNE Chauffeur: 7616 Contact Name: IDA I POLLARD EL BRTFON Pickup Date/Time: 09/21/2015 Start Time: Contact Number: 240-56762 03:30 PM End Time: 4:54 PM National Academy of Sciences, 500 5th St NW, Washington, DC Pickup Address: Dropoff Address: Mannakee Building, 900 Hungerford Drive, Rockvilie, MD Payment Billed To: CC Credit card: VI CC Payments: 80.60 Charged on 09/22/2015 Base Charge: 62.00 Recommended Gratuity: 12.40 STC: 6.20 I Total: 80.60 Total Payments: {80.60) 0.00 Balance Due: . B'ritramcia From: accounting@rmalimo.com Sent: Wednesday, September 23, 2015 2:30 PM To: Britton, Ida Subject: Trip Receipt 9507691 Attached is your receipt for a recent ride. Thank you for giving RMA Chauffeured Transportation the opportunity to service your ground transportation need. Your credit card VI-4777 has been charged. RMA CHAUFFEURED TRANSPORTATION F2270 Roch/Tie, MD, 20852 El TRIP RECEIPT Reservationit: 950766*1 Vehicle Type: Sedan Customer: Passenger Name: Chauffeur: 0560 Contact Name: IDA POLLARD TARAWALLY BRTTON Pickup Date/Time: 09/22/2015 Start Time: Contact Number: 240-567-52 End Time: 8:00 AM 06:45 AM Pickup Address: Dropoff Address: National Academy of Sciences, 500 5th St NW, DC Payment Bitted To: CC Credit card: 117.00 Charged on 09/23/2015 CC Payments: Base Charge: 90.00 Recommended Gratuity: 18.00 STC: 9.00 . Total: 117.00 Total Payments: (117.00) 0.00 Baiance Due: Britten, Ida 043.. From: accounting@rmalimo.com Sent: Wednesday, September 23, 2015 2:30 PM To: Britten, Ida Subject: Trip Receipt 950766*2 Attached is your receipt for a recent ride. Thank you for giving RNLA Chauffeured Transportation the opportunity to service your ground transportation need. Your credit card has been charged. RMA CHAUFFEU RED TRANSPORTATION 72270 ,4 venue RockVi/fe, MD, 20852 Reservationii: 9507661? Vehicle Type: Sedan - Customer: I Passenger Name: DERIONNE Chauffeur: 0617 Contact Name: IDA POLLARD Moss Pickup Date/Time: 09/22/2015 Start Time: Contact Number: 240-567-52 01:30 PM End Time: 2:29 PM .442." - - - be Pickup Address: Dropoff Address: Payment Bilied To: CC Credit card: CC Payments: Base Charge: 90.00 Recommended Gratuity: 18.00 STC: 9.00 II Total: 117.00 Totat Payments: (117.00) 0.00' Baiance Due: Britten, tda From: Sent: To: Subject: accounting@rmalimo.com Monday, September 28, 2015 4:06 PM Britten, Ida Trip Receipt - 951954*l Attached is your receipt for a recent ride. Thank you for giving RMA Chauffeured Transportation the opportunity to service your ground transportation need. Your credit card has been charged. RECEIPT IRMA CHAUFFEU RED TRANSPORTATION 72270 14011103 A venue Rock Me, MD, 20852 Reservationit: 951954*1 Vehicle Type: Sedan Passenger Name: DEREONNE Chauffeur: 0250 POLLARD MAHRENHOLZ Pickup Date/Time: 09/25/2015 Start Time: Pickup Address: Dropoff Address: Payment Billed To: Credit card: CC Payments: f1? - 52?" Base Charge: Recommended Gratuity: STC: Total: Totai Payments: Baiance Due: Office, 900 Hungerford Driye, MD 20850, CC VI 30.50 (80.60) 0.00 Customer: Contact Name: Contact Number: IDA BRTTON 240-5 67-52 - The Women?s Foundation, 1331 Street, NW,Suite 100, Washington, DC 20005, . Britten, Ida From: accounting@rmalimo.com Sent:__ Monday. September 28, 2015 4:07 PM To: Britten,.Ida Subject: Trip Receipt 951954*2 Attached is your receipt for a recent ride. Thank you for giving RMA Chauffeured Transportation the opportunity to service your ground transportation need. Your credit card VI-4777 has been charged. RMA CHAUFFEURED TRANSPORTATION 12270 Mfkins A venue MD, 2085.? TRIP RECEIPT Reservation?: 951954*2 Vehicle Type: Sedan Customer: Passenger Name: DERIONNE Chauffeur: 7570 Contact Name: IDA POLLARD KHADRAOUI Pickup Date/Time: 09/25/2015 Start Time: Contact Number: 240-567?52 10:30 AM 10:54 AM End Time: Era-4.9 angry? 214.7 z; .5. q: . (?Aqua?he The Women?s Foundation, 1331 Street, NW,Suite 100, Washington, DC 20005, Pickup Address: Dropoff Address: Office, 900 Hungerford Drive, Rockvifle, MD 20850, Payment Bilied To: CC. Credit card: VI CC Payments: srsaeaeta?; Base Charge: Recommended Gratuity: 12.40 STC: 6.20 Total: 80.60 Total Payments: (80.60) 0.00 Balance Due: MONTGOMERY COLLEGE Office of Business Services Date: December 15, 2015 3 To: Rockville Campus Cashier From: Joanna Kong CheckFrom National Academy of Sciences 7115028 Post/Deposit to Account Detail COde DR SEPT WORLDWIDE CHALIFFEUR $395.20 15, TOTAL $395.20 Additional Instructions: Return Receipt t0 Joanna Kong . Thank youWELLS FARGO SAN FRANCISCO CA 94104 NATIONAL ACADEMY OF SCIENCES 500 FIFTH STREET N.W. WASHINGTON DC 20001 DATE: ?10/29/201 5 DAY: HUNDRED NINETY-FIVE AND 20/100 DOLLARS DERIONNE POELARD 900 Hungerford Drive Suite 300 MD 20850 AY TO HE ORDER: 7115028 11-2411210 Bank Corporate Gard Page 4 CM DERIONNE POLLARD ACCOUNT NUMBER . .-- . - . CREDIT AVAILABLE DAYS 1N BILLING STATEMENT LIMIT CREDIT CYCLE DATE _m $10,000.00 $10,000.00 31 01/31/15 . TTan Date Post Date Reference Number M22 1f22 *1123 1123 1f26 1 ('29 01323 01123 01126 0126 01f26 01127 01:28 014130 05022211 168249399 85023191005350681 65023000030935875 95023002219491980 05023254158015078 25026160263881425 05027980004858118 6503000000 42? 894 9 Transaction Description 1 DATE: 0211015 CARRIER: AIrIInee. Inc. DESTINATTDN: Washington. DC 1? Virginia. United Stat ORIGINATIDN: Tampa. FIorIdaI United States PIER 1 00016378 ROCKVILLE MD MCC: 5999 MERCHANT ZIP: 20852 ORDER NUMBER: 00000000000000000 LOCAL TAX: 5.52 LOCAL TAX INDICATOR: 1 NAT. TAX INDICATOR: 0 TRADER #642 QPS ROCKVILLE MD MCC: 5411 MERCHANT ZIP: 20852 LOCAL TAX INDICATOR: 0 NAT. TAX TENTHOUSVILL-ROCKVILLE ROCKVILLE MD MCC: 5947 MERCHANT ZIP: 20850 First Watch Restaurants QROCKVILLE MD M00: 5812 MERCHANT ZIP: 20850 JIM COLEMAN INFINITI 301-469-2100 MD MCC: 5511 MERCHANT ZIP: 2081? ORDER NUMBER: 2151? LOCAL TAX: 5898 LOCAL TAX INDICATOR: 1 NAT. TAX INDICATOR: 0 - I 97.55 16.55 44.52 29.33 1,005.73 MCG DOT PARKING OPS COB GROCKVILLE MD 9.00 MCC: 7523 MERCHANT ZIP120850 SLICE OF ROCKVILLE ROCKVILLE MD MCC: 5814 MERCHANT ZIP: 20850 SQ TAXI Newport BeaohCA MCC: 4121 MERCHANT ZIP: 92661 68.53 29.81 . - a ?i Page 2 of4 a? Mg?? Bank Corporate Card - L, C: DERIONNE POLLARD ?ccoum NUMBER - STATEMENT CREDIT DAYS lN LIMIT CREDIT CYCLE DATE Ef i . 8 $10,000.00 i $10,000.00 31 I 01/31/15 m8. OF BILLING This notice contains important information about your rights under federal law. in this Notice, ?you? refers to Client as defined in the Agreement, and-"us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS You 'may be liable for any unauthorized use of any Card issued by us for use with any Visa? Account we open for you. You will not be liable for any unauthorized use that occurs after you notify M&T_Bank orally or in writing, ofany loss, theft or possible unauthorized use of the Card. You can do so by writing Bank, P.O. Box 4028, Buffalo, New York 14240?4028, Attention: Visa? investigations,'or_ by telephoning 1?800?443?8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card will not exceed $50; Please be advised that fuil payment of all outstanding balances remains due, even while we investigate your unauthorized use claim, and failure to pay in fuii by the due date may result in delinquency charges )er your Agreement with us. We will credit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. Bank 8. Corporate Card Page 23 Of 28 MONTGOMERY COLLEGE CRP ACCOUNT NUMBER AVAILABLE I DAYS IN BILLING- LIMIT CREDIT CYCLE $73,000.00 $34,842.64 II 31 STATEMENT DATE 10/31l15 . I 1 DERIONNE POLLARD NUMBER 44771599 0450 5010 PURCHASES CASH ADVANCES FEES CREDITS TOTAL ACTIVITY $5,277.80 $0.00 $0.00 $0.00 $5,277.50 32:: Reference Number? Transaction'DescriptiOn Amount MD 05.10 M00: 5512 10105 10109 25252005000551375 OTG DCA VENTURELLC JAMAICA NY 22.09 1400:5514 10105 1.0112 55252700219455505 RMAWORLDWIDE CHAFFEUR 301?231?5555 MD 105.30 0100:4121 MERCHANT ZIP: 20552 ORDER NUMBER: A50ADS9EE453 LOCAL TAX INDICATOR: 0 in NAT. INDICATOR: 0 10109 '10112 '65283000793615503 UNITED 0152925745450500-932?2732 Tx 7.99 l_ 1400:3000 10109 10112 55203000793515511 UNITED 0152925745451500-9322732 Tx 3.99 . i - 1400:3000 MERCHANT ZIP: 77002 .3 10109 10112 25254152047527497 ASPEN MEADOWS RESORT ASPEN CO 75.24 i M00: 7011 MERCHANT ZIP: 51511 - CHECK-IN: 10107115 '1 N0 SHOWIO - - PURCHASE IDENTIFIER: 11075450 I 10111 10113 55255000732351275 UNITED 0152505271915500-932-2732Tx 75.00 0100:3000 MERCHANT ZIP: 77002 :0111 10113 45255900015402555 CHEF GEOFF STERLING VA 73.27 M00: 5014 MERCHANT ZIP: 20155 10111 10113 55255252000251501 1175 SAN FRAN LONG IS CITY NY 21.59 M00: 4121 MERCHANT ZIP: 11101 10112 10114 I55255700219452547 RMAWORLDWEDE CHAFFEUR 30125145555 MD 117.00 i 1400: 4121 5 ORDER NUMBER: AP0A075F7E 59 I LOCALTAX INDICATOR: 0 I NAT. TAX INDICATOR: 0 '0112 10114 [55205700219452505 RMAWORLDWIDE CHAFFEUR 130.00 M00: 4121 MERCHANTZIP: 20552 I . ORDER NUMBER: 1 LOCAL INDICATOR: 0 NAT. TAX INDICATOR: 0 3114 10115 :55255000055405555 SQ CA5 San Diego CA 20.00 I M00: 4121 MERCHANT ZIP: 92101 Bank 8. Corporate Card Page 24 Of 28 ITONTGOMERY COLLEGE CRP ACCOUNT NUMBER CREDIT AVAILABLE DAYS STATEMENT LIMIT CREDIT CYCLE DATE $75,000.00 $34,842.64 31 10731715 11 11111l1lI11111111111111 01893040 - 000141? 0012? 0014 - 4414.5. 3173:: w??e POLLARD ACCOUNT NUMBER PURCHASES $5,277.80 $0.00 CASH ADVANCES FEES $0.00 $0.00 CREDITS TOTAL ACTWITY $5,277.50 "Iran Post gate Date Reference Number Transaction Description Amount 315 10719 65289000624457418 13716 10719 65289000821182140 '27 1 7 10719 65290000344424745 10719 65291206468100176 7 1 071 9 85291 262905542012 3716 10719 65291700219450719 6 10719 65291700219450651 1- 8 10720 35292004140184798 ?9 10721 65293700219459957 . 10726 45298630160289529 SO CAB SAN DIEGO CA MCC: 4121 MERCHANT ZIP: 92101 RENAISSANCE9571DC WASHINGTON DC MERCHANT ZIP: 20001 10715715 NUMBER OF NIGHTS: 1 NO SHOW: 0 - PURCHASE 020166 RENAISSANCE 9671 DC WASHINGTON DC MCC: 3530 . MERCHANT 21P: 20001 -CHECK-IN: 10717715 NUMBER OF NIGHTS: 1 NO SHOW: 0 PURCHASE IDENTIFIER: 020165 SAFFRON THAI SAN DIEGO CA MCC: 5012 MERCHANT ZIP: 92101 YELLOW RADIO SERVICE SAN DIEGO CA MCC: 4121 MERCHANT ZIP: 92110 RMA WORLDWIDE CHAFFEUR 2101?2315555 MD MCC: 4121 MERCHANT ZIP: 20052 ORDER NUMBER: AQUA09832CC4 LOCAL TAX INDICATOR: 0 - NAT. TAX INDICATOR: 0_ RMA WORLDWIDE CHAFFEUR 3012315555 MD MCC: 4121 MERCHANT ZIP: 20052 ORDER NUMBER: ATOADBOFQCS1 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 GRAND SAN DIEGO SAN DIEGO - CA MCC: 3540 MERCHANT ZIP: 92101 CHECK-IN: 10711715 NUMBER OF NIGHTS: 7 NO SHOW: 0 PURCHASE IDENTIFIER: 4777 RMA WORLDWIDE CHAFFEUR 30123145555 MD MCC: 4121 MERCHANT ZIP: 20852 ORDER NUMBER: AOUACSAA53FE LOCAL TAX INDICATOR: 0 - NAT. TAX INDICATOR: 0 . PABC ST PAUL TRANS BALTIMORE MD 21.00 ?7 41 1.06 434.16 5. 14.53 17.75. 115.70 121.70? 2,340.13 130.00 5.00 E33 Mg?j?ank Corporate Card I . \u DERIONNE POLLARD FER i . .3 I ii. om?? a 5' CREDIT I AVAELABLE I 8 z. JSTA EMF. LIMIT 5' CREDIT TE i $10,000.00 $10,000.00 I 30 I - AM-..- fig}: ?gs: IACCOUNT SUMMARY . -- :Lj Purchases Cash Advances Total Fees I Credits Totai Activity $5.464.42 $0.00 $0.00 $170.00 $5,286.42 I CARDHOLDER I. . . .4 . . Tran Reference Number Transaction Description Amount Date Date I 0351 de?ant 1?00 1 mcc:?523 MERCHANT 2:9:20852 LOCAL TAX NAT. TAX 0 09,402 9m =95245000142510000 First Watch Restaurants MD 20.07 ME HANT 09402 09103 HOPE 888-284-79?8 DC . 1,235.00 i mcc: B398 CHANT 2:9:20035 DATE CAR DHOLDER SIGNATURE 11" "'11 For customer servicek call - wriie Ban regar For Visa bene?ls and ioi! free (800) 443436?. Biliing errors: PLO. BOX 4028. Buffalo, NY 14240-4028 referraiservioes,ca? Ouiside the US and Canadal call Payments: P.O. BOX 52120, Bailitnore, MD 2126441120 lhe Visa assistance (HE) 535-4152. Losusmlen: 455 MAIN STREET, SUITE 500. Buffaio, NY 14203 Center at (300} 1. Visit us on he web at \Wm.mih.corn MEMO STATEMENT I '36; Eg??gga Account Number BUFFALO NY14240-40 8 2 Statement Date 09/30/15 00W . $528642 Remit to: BANK PO. BOX 62120 BALTIMORE MD 21264-2120 - STATEMENT DONOTREMITPAYMENT DERTONNE POLLARD ?410003322 MONTGOMERY COLLEGE CRP AWN: PATRECK JOHNSON i 900 HUNGERFORD DR MD Page 2 of6 7? Corporate Card POLLARD ACCOUNT NUMBER CREDIT - AVAILABLE DAYS IN STATEMENT LIMIT CYCLE - DATE $10,000.00 $10?000.00 30 - cape/15 i NOTICE OF BILLING RIGHTS Client as de?ned in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS. may be iiable for any unauthorized use of any Card issued by us for use with any Visa? Account we Open for you. You will-not be liable for any unauthorized use that occurs after you notify Bank :raliy or in writing1 of any loss, theft or possible unauthorized use ofthe Card. You can do so by writing MST Bank. PO Box 4028, Buffalo, New York 14240-4028, Attention: Visa? investigations, or by telephoning 1?800?443?8671. Except as provided in Section 26 ofthe Agreement, your iiability for unauthorized use of the Card will not exceed $50. Riease be advised that full payment of at! outstanding baiances remains duel even while we investigate .. unauthorized use Claim, and failure to pay in fuil by the due date may resuit in delinquency charges your Agreement with us. We wiil cre?dit any payments made upon conclusion of our investigation of the unauthorized use claim, to the extent of the proper amount due back to you. Montgomery College ,ln. .h did no yummy: e-Iu CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: October 20-31, 2015 Cardholder Name: DeRionne Poilard Ext: 75264 PURCHASE MERCHANT PURCHASE DATE NAME AMOUNT ITEM DESCRIPTION Budget Account Number Dept: Office of the President DESCRIPTION OF BUSINESS RELATED PURPOSE 10/230014 PARC St Paul 500 Parking Trans VUUIUDJJ Deyelopment's Student Worn en's nn Agra?! Tn Tnn+:+u d'n 10262015 Chesapeake 485.00 RegistratiOn Attending MWCC Women?s Conference. 5 ?If? College Wye MI 4 ?x Agent Fee 19.25 Airfare Attended Cornrnunity College Leadership Institute, Kansas City, M0 (to be reimbursed to the College) . 103260.015 American AI 3 364.20 Airfare Attended Community College Leadership Institute, Kansas City, M0 (to be reimbursed to the College). Gotts Garage 33 5.00 Parking 100332015 52.72 1029,9015 Gordon Biersch 55.30 Meal Attended MACC Board of Directors meeting, State Chamber Office, Annapolis, MD. Lunch wr'Maryland Senator Nancy King. EXPENSE TOTAL: 5 933-75 Signature: Signature. IName: Stegh?en D. Cain Signature: Report 3120 Expense Report Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report ID: Expense Report Name: Run Date: 1173072015 Time: 4:03 PM DERIONNE POLLARD Current Status: Incomptete (447715m5010) I Date: 117302'2015 3:42:00 PM 0003921535 Current Recipient: LYNETFE TE LFORD October-2015 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! - $933.75 Date Range: 10792015 - 1073172015 Memo-Posted Transactions: Description: For period 0731;15 Grand Totai: $933.75 Destinatiou: leases-Stan Transactions: - - - - -- Date Occurred Date Posted Merchant Original Amount Settlement Amount Description Allocation I SplitAmount 1012672015 PABC ST PAUL TRANS $5.00 $5.00 107239015 Pa Attended National Counci on Student Deveiopment's Student Women?s Leadership institute. 1072612015 @1072872015 1072672015 1012772015 CHESAPEAKE COLLEGE WYE MI $485.00 $485.00 Purchase ID 1 egistration: Attending AAWCC Women?s Conference. 10262015 107282015 AGENT FEE 8900868375013 $19.25 $19.25 Airfare: Agent Fee. Attended Community College Leadership Institute. Kansas City. M0. (to be 1' reimbursed to the Coltege). Passenger: Ticket: Travel Date: Trave.l Leg: POLLARDIDERIONN 8900668375013 1012672015 XAAXDX XAO 1012872015 AMERICAN 0017690630632 $364.20 $364.20 Airfare: Attended Community College Leadership Institute, Kansas City, M0. (to be reimbursed to the Cotlege). . Passenger: Ticket: Trave.l Date: {rave} Leg: POLLARDIDERIONN 0017690630632 1171972015 MCI MCI AA 0 DCA 1073072015 GARAGE $5.00 $5.00 - Purchase ID 69990169 -, Parking: Attended MACC Board of Directors meeting, State Chamber Of?ce, Annapolis, MD. Page 1 of2 Report 3120 Expe nse Report Run Date: 1140052015 Time: 4:03 PM Run by: LYNETFE TELFORD 101?2932015 GORDON BIERSCH ROCKVILLE i/ $55.30 $55.30 Meai: Lunch wi'Maryiand Senator Nancy King. Memo-Posted Transactions Totals Counts Eib?e'n'se Report History - . - . Status Daterl'ime User Name Business Unit Notes Unsubmiited 103012015 3:36:00 PM TELFORD MONTGOMERY COLLEGE PUR incomplete 11i30I2015 3:42:00 PM TELFORD MONTGOMERY COLLEGE Reimbursable Total $0.00 ?ght/MP ?gf?tx?fl Print Cardholder Name rSignature Date I i I k/Qnevib mg. 151.1 Print Approver Name . ogpprover Signature Date Page 2 of2 Thank you for registering for the conference. Please print, then ?ll in and fax or mail this email with your payment information. Fax to Jane Thomas at 410-827-5800 or email to ithomas@chesapeake.edu. Please call 410-821-5802 with any questions. Dear DeRionne Pollard You submitted the following information: Personal Information Name (last, first): Pollard, DeRionne Name'(for name tag) (last, first): Pollard DeRionne College/Company: Montgomery College Title: President Address: 900 Hungerford Drive Rockville, MD 20850 Contact information Email: 667-5264 Dietary restrictions: None Changes to reservations cannot be made afterAugust 26, 2015. Hotel arrangements may be made by contacting Amanda Kline at the Inn at Perry Cabin Hotel's, at 443-258-2235, with your credit card number after securing your conference registration and prior to October 27, 2015. Please make sure to mention the Women Conference hosted by Chesapeake College to receive the special conference rate. Information about the hotel services, cancellation policy and check-in/out times can be found on the . Conference fee: $485 Cardholder's Name: Om?nex PO lat/d VISA card number. Authorized igna are Date TRAVEL MGMT. SERVICES Phone: 301-570-0800 GLOBETFI DTTEFI Electronic Invoice Prepared For: RIONNE INVOICE NUMBER INVOICE ISSUE DATE RECORD LOCATOR CUSTOMER NUMBER 1393671 26 Oct 2015 UODHPW MOW I CiientAddreSS 3 MONTGOMERY COLLEGE I 900 HUNGERFORD DRIVE . ROCKVELLE MD 20850 Notes FEDERAL LAW FORBIDS THE CARRIAGE OF CERTAIN 3 HAZARDOUS MATERIALS SUCH AEROSOLS FIREWORKS AND FLAMMABLE LIQUIDS ABOARD THE AIRCRAFT. IF YOU DO NOT UNDERSTAND THESE RESTRICTIONS j. PLEASE CONTACT YOUR AIRLINE OR GO TO I VALID GOVT ISSUED PHOTO ID REQUIREDAT CHECK IN RECONFIRM FLIGHTS WITHAIRLINE 24HRS PRIOR TO TRVL 5 FOR HOTEL BOOKINGS ONLY-AFTER MAKING RESERVATIONS 2: PASSENGER MUST HAVE ACCOUNTS PAYABLE CHECK I TO HOTEL PRIOR TO YOUR DEPARTURE OR HAVE ACCOUNTS PAYABLE PAY HOTEL WITH COLLEGE CREDIT CARD DIRECTLY I HOTEL BOOKINGS REQUIRE CREDIT CARD TO BOOK - GLOBETROTTER DOES NOT PREPAY ROOMS WE SECURE YOUR HOTEL RESERVATION. I THEFARE IS 364.20 PLUS 19.25 DATE: Thu, Nov 19 Flight: AMERICAN AIRLINES 1754 .- From REAGAN, DC To KANSAS CITY INTL, MO Departs. I Arrives 'Departure Terminal Duration M33 :St0p(3) ESeat(S) Detaiis Class Meai 3hr(s)1min(s) AIRBUS INDUSTRIE A319 JET Non Stop POLLARDIDERIONNE PAULETTE NO AISLE SEATS PRE-ASSIGN NO AISLE SEATS AVIALABLE TO PRE-ASSIGN Seat(s) - 13F DATE: Fri, NOV. 20 Flight: AMERICAN AIRLINES 4473 KANSAS CITYINTL, MO WASHINGTON REAGANI DC "Efdih To Arrives Departure Terminal Duration Ciass 2hr(s) 23min(s) ?imam Arrival Te rm ina! Economy Food for Purchase Arrivaf Term inai Economy 12:21pm 5:13?me 9:00pm Type EMBRAER JET Meat Food for Purchase Stop(s) Non Stop Seat(s) Details PDLLARDIDERIDNNE Seat(s) - 130 AA - 18 PAULEITE DATE: Thu, Sep 01 Others BALTIMORE Ticket Information Ticket Number Passenger POLLARD DERIONNE PALEITE Billed to: . USD 364.20 Service Fee XD 0668375013 Passenger POLLARD DERIONNE PAULEITE Billed to: uso 19.25 SubTotal USD 383.45 Net Credit Card Billing USD 383.45 Total Amount Due USD 0.00 ITINERARY NOTES: Your travel arranger provides the information contained in this document. If you have any about the content. please contact yourtraVel arranger. For Credit Card Service fees, please see eTicket receipt for total charges Dr. DeRionne P. Pollard Corporate Card Expenses November 2015 PARKING page . 1 Citg of Halilaaro 200 0991 Lumbard Strawt Baltianre, ?0 21201 443~573~23au I I RaceipL 4234/0041 [110100 Pau Palkwg Hui-er}. {Huh TRAN -1N TIME. OUT TIME FEE Entered: 10/23/15 1?.31 Paid: 10/23/10 20:13 Langth of stay: 0 By 2 Hr 42 Hi): ,1 020012071110114152000311?0?? {utal?kmunt . 5.00 Credit Uisa 0.Cubtoaer 00. :4:0 )3?4 3803 5010 ?mount 5.00 Dr. DeRjomJe P. Pollard Corporate Card Expenses ?November 2015 Gurdun Biersch 200 E. Hidma Lane. Unit HuckviHB. H0 20050 301?340-7159 Server: 000: 10/29/2015 12:18 PH 10/29/2015 table 0/0000} SHLE UISH 0300600 Bard Magnetic curd present: . Bard Entry Method: 8 prrnuah 053208 amount: 5 45.30 Tip: i Tntal: i0- I agree to pay the above Merchant Cap? Y8 TN CYCLE ~'?3hrohases Cash Advances Total Fees $0.00 $0.00 Transaction Desc ?p?on CC: 7011 MERCHANT ZIP: 21663 N0 SHOW: 0 . PURCHASE 521674 BOT-3090610 MD Total Activity 422 .0 4 116.04 For Visa bene?'ts and {rat services. ea? CAEDHOLD ER SIGNATURE ?aw? For cueTerner service; call To w?te Bank reg to? iree (300) 443-8671. Bll?ng errors: P.0. 14240-4023 reie Ouiside The Us and Canada. can Paymen e: . . Baltimore? 1264-2120 {he Visa assistance (716) 635-4152. LosUSleTen1465 MAIN STREET. 505. Buliale. NY 14203 Center at 1. Visit us on the web atvmw m?beem MEMO STATEMENT Account Number Statement ate . Tm Amt" Remitte: . PO. BOX 52120 BALTIMORE MD 21234-2120 DERTONNE POLLAR RY COLLEGE CRP (NEW) 5321 STATEMENT ONLY DO NOT REMIT Pmrm?m I Page 3 of 4 Corporate Card POLLARD i ACCOUNT NUMBER CREDIT LIMIT $10,000.00 STATEMENT AVAILABLE I DAYS IN BILLING CREDIT CYCLE DATE $10,000.00 30 i 1030/15 Tran Post Date Date Reference Number . ?4'12 11MB 5531?8731724007?8 {1?1 2 11118 45317830182588778 4 11M 8 05319000519318188 ?1 7 1 II I 9 553 22?00002884308 ?12 11:20 55323573234901 179 '20 11:23 25324263243504517 "11123 553250004849487033 Transaction Description .gi?nount MERCHANT ZIP: 21663 CHECK-IN: 1005/15 NO PURCHASE IDENTIFIER: 5216M AGENTFEE 8900569044Q4SGLOBETROTTER MD 19.25 MCC: 4511 MERCHANT ZIP: 22201 NAME: TICKET 8900889044043 TRAVEL AGENCY CODE: 21520798 TRAVEL AGENCY: TV DATE: 11l12fi5 AMERICAN ASSOC OF COMM 2027280200 DC 805.00 a - MCC: 8220 MERCHANT ZIP: 20038 ORDER NUMBER: 3 TAX INDICATOR: 2 I NAT. TAX INDICATOR: 0 I FAMOUS DAVES #2005 MD 44.23 . MERCHANT ZIP: 20575 Sushi Damo "Rookviile MD 80.58 MCC: 5512 MERCHANT ZIP: 20550 AMERICAN AI 00178951155280LNEY MD 355.00 0100:3001, MERCHIANTUZIP: 55034 . NAME: POLLAR TICKET 0017895115828 TRAVEL AGENCY CODE: 21520?98 TRAVEL AGENCY: GLOBETROTTER TV LEG: I DATE: 11M EMS CARRIER: AA-American AIrIInes Inc. DESTINATION: Kansas CityI Missouri, United States ORIGINATION: Ariingion County. Virginia (near Washing LEG: 2 DATE: - CARRIER: AA?American AIriines Inc. . I DESTINATION: Ariington County. Virginia (near Washing ORIGINATION: Kansas CityI Missouri, United States LEG: 3 I ORIGINATION: Arlington County, Virginia (near Washing WASHINGTON DC 50.00 I DCA REAGAN MCC: 7523 MERCHANT ZIP: 20001 OVERLAN OVERLAND PARKKS 225.98 NCC: 3509 MERCHANT ZIP: 55210 I NUMBEROF -- NC . a. CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: November 30 I 2015 $ardholder Name: DeRionne Pollard MERCHANT NAME PURCHASE DATE PURCHASE AMOUNT ITEM DESCRIPTION . 5 Ext 75254. . Dept: Off-ice of the,PreSider'1t Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE The inn at Perry Cabin 357.50 Hetel Expenses Attended 2015 AAWCC Women's CEO Cenference- 11/5/2015 11 Pizzico 116.04 Meal College Campaign Lunch meeting WISally Rudney. The Inn at Perry Cabin 55 357.50 Hotel Expenses Attended 2015 AAWCC Women?s CEO Conference. American AssocComm 805.00 Registration Attending 96th AACC Annual Convention, Chicago, IL. Event dates April 9?12, 2016. 11/12/2015 ?Agcnt Fee 19.25 Airfare Agent Fee. 1/12f2015 American Air 5 336.00 Airfare Attended Community College Leadership Institute Kansas City, MO, Nevember 19-20, 2015. Famous Daves #2095 44.23 Meal Lunch meeting: Generation Hope Scholar Mentoring. 1017/2015 Sushi Dame 3 60.56 Meal College Campaign Lunch meeting w/Orlando Bullock, SDSE, LLC. I 11200015 DCA Reagan 50.00 Parking Attended Community College Leadership Institute (CCLI), Kansas City, MO, November 19?20, 2015. Marriott 1? 2112015 337E10verla 225.96 Hotel ExpenSCs Attended Community College Leadership institute (CCLI), Kansas City, MO, November 19-20, 2015. EXPENSE 3 2.42104 . Montgomery Coiieg? lain? [arm-u! LCardhOIder Name: DeRionne Pollard CORPORATE CARO EXPENSE REPORT FOR PERIOD ENDING: November 30, 2015 .1- Ext: 7526.4- iDeth'Offi?ce Of .the President PURCHASE AMOUNT DATE DESCRIPTION OF BUSINESS RELATED PURPOSE ITEM ESCRIPTION Budget Account Number Signatilre: Signature: Run Date: 121112015 Expense Report Report 3120 Run by: TELFORD ?me: Header Note: Cardhoider Name: DERIONNE POLLARD Current Status: Pending Approvai Date: 12f1/2015 11:52:00 AM Expense Report ID: 0003924970 Current Recipient: Janet Wonnack Expense Report Name: November 2015 Location: MONTGOMERY COLLEGE PUR (NEW) (00004! information - Date Range: 111112015 - 116012015 memo-Posted Transactions: $2,422.04 Description: Grand Totai: 4 $2422.04 Destination: . I??i?io?ostelri TransactionsDate Occurred Date Posted Merchant OriginaE Amount Sememenmmount . Description Allocation SpiitAmount (9 11102015 111312015 THE AT PERRY CABIN $3571.50 $357.50 1/ Purchase ID 5216?4 Hoiei EXpenses: Attended 2015 AAWCC Women's CEO Conference. Check-In: Check-Out: Number of Days: Room Rate: 111112015 0 $0.00 $116.04 $116.04 1115:2015 111192015 IL PIZZICO Meal: College Campaign Lunch meeting waaiiy Rodney. r} baa n5 1111112015 1111312015 THE INN AT PERRY CABIN $3571.50 $357.50 Purchase 10 521674 Hotel Expenses: Attended 2015 MWCC Women?s CEO Conference. Check-1n: Check-Dot: Number of Days: Room Rate: 111312015 0 I 50.00 1111212015 1111612015 AMERICAN ASSOC 0F COMM $805.00 $505.00 Purchase iD Registration: Attending 9501 AACC Annuai Convention, Chicago, ll. Event dates: April 9-12, .2016. ?55 1111212015 1111612015! AGENT FEE 8000569044043 $19.25 $19.25 Airfare: Agent Fee. . Passenger: Ticket: Travel Date: TraVei Leg: Page 1 of2 Expense Report Run Date: 12111201 5 101212015 1111412015 Report 3120 Run by: LYNETTE TELFORD ?"15 ??52 POLLARDIDERIONN 3900669044043 1111212015 XAAXD XAO 1112012015 AMERICAN Al 0017695115828 I $386.00 $386.00 1110 100000 6005 7000 Airfare: Attended Community College Leadership institute Kansas City, MO. . I Nommber 19-20I 2015 Passenger: Ticket: Travel Date: Travel Leg: 0017695115826 1111912015 MCI MCI 0 BOA DCA 0 1111612015 FAMOUS DAVES #2095 $44.23 $44.23 Meal: Lunch meeting: Generation Hope Scholar Mentoring. 1111912015 Sushi Dame $60.56 $60.56 1111772015 Meal: College Campaign Lunch meeting wl?Odando Bullock, LLC. 102012015 1 ?232015 DCA REAGAN $50.00 1. ParkingzlAttended Community College Leadership institute (CCU), Kansas City, MO, November 19-20I 2015. $50.00 @?mrzow 1112312015 33?'E?l OVERLAN $225.95 003508 Purchase iD Hotel Expenses: Attended Community College Leadership Institute (CCU), Kansas City, MO, November 19-20. 2015. $225.95 Checkuln: Check-Out: Number of Days: Room Rate: 1111912015 2 $0.00 Memo?Posted Transactions Totals Count:10 R??or'r History. . - Status DatelTlme User Name Business Unit Notes Unsubmitted 121112015 10:46:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 121112015 11:52:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Pending Approval 121132015 11:52:00 AM Janet Wormack MONTGOMERY COLLEGE PUR -lE?35?S?'Reoolrt Summarv I I Reimbursable Total $0.00 p; as .-. . Eire-rt Efgbm?l?) -g[/Qwi Print Cardholder Name Print Approver Name ?ardholder Sigma re QM pprover Signature Nov/14M} Dale 1' date [#:41er gee/r Page 2 of 2 IETN- PE 1' :1 *Jpae BY 5 EL MONO Dr DeRionne Pollard 900 Hungerford Drive Rockville MD 20850 United States Room No. Arrival . 8/15 Departure 11/10/15 Page No. 1 011 F0110 No. . INFOEMATION NO- I 527423 invoice No. NR Number Date 11/10/15 Group Code 1511CHESAP Company Name Chesapeake Cotiege user ID Date Text Charges Credits USD . USD 1 1/08/15 Deposit Transfer at Check in I 357.50 11/08/15 Group Room Rate 325.00 11/08/15 Resort Fee? Groups 32.50 1 1/08/15 Group Room Rate 325.00 1 1/00/15 Reson Fee? Groups 32.50 Total 715.00 357.50 Baiance 357.50 USD TERMS: DUE AND PAYABLE UPON PRESENTATION. I AGREE THAT MY LIABILITY FOR THS BELL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY IN THE EVENT THAT THE INDICATED PERSON1 COMPANY. OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FULL AMOUNT OF THESE CHARGES. The ion at Perry Cabin 308 Watkins Lane - SL Michaeis, Maryland 21853. USA Phone: +1 410 745 2200 - Pen'vCabIn.com - Britton, Ha I From: Angel Royal .Sent: Thursday, November 12, 2015 10:57 AM To: Pollard, DeRionne Subject: Payment Confirmation/Receipt for 96th Annual Convention Your payment for the 96th Annual Convention event has been successfully processed. Please save this email for your records. Event Title: 96th Annual Convention Registration Con?rmation Number: . Transaction Information: succeerenoeass.254? 58805.00. . $39590 lf you have any questions about this transaction or email, please contact Angel Royal directly at aroyal@aacc.nche.edu. To View the details of your registration, go to: Click here - powered by caveat-?it Flight: AMERICAN AIRLINES 137a TRAVEL MGMT. SERVICES Phone: 301-5?0-0800 GLUBETFI Electronic Invoice Pre pared FO r: SALES PERSON i INVOICE NUMBER 139472? INVOICE ISSUE DATE 12 Nov 2015 . RECORD LOCATOR UODHPW CUSTOMER NUMBER MOW i ,l CIIentAddreSs I i MONTGOMERY COLLEGE 900 HUNGERFORD I ROCKVILLE MD 20350 Notes FEDERAL LAW FORBIDS THE CARRIAGE OF CERTAIN HAZARDOUS MATERIALS SUCH AEROSOLS FIREWORKS AND FLAMMABLE LIQUIOS ABOARD THE AIRCRAFT. IF YOU DO NOT UNDERSTAND THESE RESTRICTIONS PLEASE CONTACT YOUR AIRLINE OR GO TO - VALID GOVT ISSUED PHOTO ID REQUIRED AT CHECK IN RECONFIRM FLIGHTS WITHAIRLINE TO TRVL FOR HOTEL BOOKINGS ONLY-AFTER MAKING RESERVATIONS PASSENGER MUST HAVE ACCOUNTS PAYABLE ISSUEA CHECK TO HOTEL PRIOR TO YOUR DEPARTURE ACCOUNTS PAYABLE PAY HOTEL WITH COLLEGE CREDIT CARD DIRECTLY HOTEL BOOKINGS REQUIRE CREDIT CARD TO BOOK GLOBET ROTTER DOES NOT PREPAY ROOMS -WE SECURE YOUR HOTELRESERVATION. THEFARE IS 364.20 PLUS 19.25 . . DATE: Thu, Nov 19 e. Flight: AMERJCAN AIRLINES 1764 {From WASHIN GTON Wm? I - To KANSAS CITY 12:21pm MO . I Departure Terminal ArrivaI Terminal I A. - Duration 3hr(s)1min(5) Ciass Economy Type AIRBUS INDUSTRIE Meal Food for Purchase A319 JET Non Stop POLLAR DIDERIONNE PAULETTE - I Notes NO . 1 NO AISLE SEATS AMMABLE TO PRE-ASSIGN - . papaya? Arrives I Stems) Seat(s) Details AA - )0000( 18 Seat(s) - 13F DATE: Fri; NOV 20 1:05pm MO ITO WASHINGTON I REAGAN, DC 2 Departure TerminaI Arrival Terminal j'D?U'ranO'n 2hr(s)16min(s) Class Economy I 5 From Arrin 4:21pm Type AIRBUS INDUSTRIE Meal A319 JET Staple) Non Stop ;5eat{s) Details POLLARDIDERIONNE A4 - >000 'Bfr'fttoii, Ida I From: Thanks for staying! Sunday, April 24, 2016 12:06 PM Payment confirmation: Invoice 1191 (Savory Gourmet Catering 8.: Events) Your, payment has been sent Savory Gourmet Catering Events ip? no ftrackingJD: P10037560657 u? Intuit, ?nc. All rights reserved. Privacy Terms of use rugs I UI . T?a unnunln_r?n era-J Of?ce of the President The attached is For Dy. Worn-nick?s signature. 3 I "x DERIONNE POLLARD 13K If) f} I Egg/ml a 414 grim? CREDIT 3w . - "a f? LING STATEMENT LIMIT ?av DATE Please return to Lynette Teiford. Thanks. $10,000.00 . I 05/31/16 ACCOUNT SUMMARY .. Purchases Cash Advances Total Fees Credits - Total Activity $4,869.71 $0.00 $0.00 $0.00 $4,069.71 - CARDHOLDER ACTIVITY Tran Refer?nce Num berT Transaction Description Amount Date Date 05/03 05/05 661250002244TF009 UNITED 70020 MCC: 3000 MERCHANT ZIP: 77002 NAME: TICKET 018249103556? LEG: 1 ITINERARY 07?6 FA DATE: 07/0811 6 CARRIER: UA?United Airli . Inc. DESTINATION: Orlando, ,mda, United States ORIGINATION: Washipgion, D.C. Virginia, United Stat CODE: SAADTA DATE For Visa bane?is and referraiaervices. ca? the Visa assisiance Center at (300) Visa-91 1. GARDHOLDER SIGNATUR To Write 8. Ban regarding: Billing errors: PD. 0X 4023. Bu?aio. NY 14240-4028 Outside the US and?anadaI calf Paymenis: PD. 8 62120. Bailimore. MD 21264-2120 (715) 635-4152. Lost/Slolen: 455 IN STREET. SUITE 500. Buffalo, NY 14203 For customer service. cal! toil free (800) 443-8671. Visit us on the web a W'rmibcom MEMO STATEMENT g3. Eg?ggze Account Number BU LO FFA NY 142w4028 Statement Date 05/31/16 Totamc?wty $4?869'71 Remitta: BANK PO. BOX 52120 BALTIMORE MD 21254-2120 STATEMENT DOW POLLARD ?Hanna's? MONTGOMERY COLLEGE CRP (NEW) PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 0000000000000 q, I Page 3 0f 6 Mg??Bank .8. Corporate Card I DERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE DAYS IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE . $10,000.00 $10,000.00 31 05731710 CARDHOLDER ACTIVITY I Post Transaction Description Amount Reference Number Date 05703 05705 66125000224417067 05705 66125000224417675 LEG: 2 ITINERARY II: 0739 FARE CODE: QAAI 4A DATE: 07706716 CARRIER: UA?United Airlines, Inc. DESTINATION: Denver, Colorado, United States ORIGINATION: Oriando, Florida, United States LEG: 3 ITINERARY it: 0675 FARE CODE: QAAI 4A DATE: 07706716 CARRIER: UA?United Airlines, Inc. DESTINATION: Spokane, Washington, United States ORIGINATION: Denver, Colorado, United States LEG: 4 ITINERARY 1702 FARE CODE: WEA2IA DATE: 0770666 CARRIER: UA-Uniled Airlines, Inc. DESTINATION: Denver, Colorado, United States ORIGINATION: Spokane, Washington, United States UNITED 0162491036669800-932-2732TX MCC: 3000 MERCHANT ZIP: 77002 NAME: JONESIROBYNANGELIQUE TICKET 0162491036669 LEG: 1 ITINERARY It: 0776 FARE CODE: SAA07A DATE: 077067 I 6 CARRIER: UA~United Airiines, inc. DESTINATION: Orlando, Florida, United States ORIGINATION: Washington, DC. i'VIrg'lnIa, United Stat LEG: 2 ITINERARY 0739 FARE CODE: 4A - DATE: 07708716 CARRIER: UA?United Airlines, Inc. DESTINATION: Denver, Cotorado, United States ORIGINATION: Orlando, Florida, United States LEG: 3 ITINERARY #t 0675 FARE CODE: QAAMA DATE: 071066 6 CARRIER: UA?Uniied Airlines, Inc. DESTINATION: Spokane, Washington, United States ORIGINATION: Denver, Colorado, United States LEG: 4 ITINERARY #i 1702 FARE CODE: WEAZIA DATE: 07706716 CARRIER: nited Airlines, Inc. DESTINATION: DenVer, Colorado, United States ORIGINATION: Spokane, Washington, United States UNITED 0162491036671600-932?2732 TX NICO: 3000 MERCHANT ZIP: 77002 NAME: POLLARDJONESMYLES TICKET 0162491036671 630.20 630.20 .. Page 4 of6_ 1 TC 5- un-Jn. I'M-nun! I I I OI GI It: Cc: MELT 3311K IRIONNE POLLARD NUMBER I . .. H. - .. I.-- .- . CREDIT I AVAILABLE i DAYS IN BILLING I STATEMENT LIMIT CREDIT CYCLE I DATE 1 8 $10,000.00 $10,000.00 I 31 I 05731110 . a; g: a 2 ACTIVITY an Post Reference Number Transaction Description Amount Ite Date LJJ 05.05 05.05 05035 05105 05:05 05:05 9399 05:05 0 SIDS 05I05 05I05 66125000224819278 66125000224819286 6612500022481 9294 66125000224819002 66125000224819310 65125000224819328 00120000224019330 00125000224019344 66125000224819351 00120000224319309 6612500022481937? 0:0; I DATE: 0008116 CARRIER: UA~Uniied Airlines, inC. DESTINATION: Orlando, Florida. United States ORIGINATION: Washington. DC. I'ngnia. United Stat LEG: 2 ITINERARY 0?39 FARE CODE: OMAHA DATE: . CARRIER: UAuUnited AiriinesI Inc. DESTINATION: DenVer, Colorado, United States ORIGINATION: O?ando, United States I LEG: 3 ITINERARY GETS FARE CODE: OM14A DATE: DTIOEIM 6 CARRIER: UA-Unlted Airlines, Inc. DESTINATION: Spokane, Washington, United States ORIGINATION: Denver, Coiorado, United States LEG: 4 ITINERARY 17'02 FARE CODE: DATE: OYIOBH 6 CARRIER: LIA?United AirIInesI Inc. DESTINATION: Denver, Colorado, United States ORIGINATION: Spokane, Washington, United SIaies UNITED TX 0100:3000 MERCHANT ZIP: 77002 UNITED 0162923523301800-932-2732 TX 0100:3000 MERCHANT ZIP: 77002 UNITED 0132923523304000-9322732 TX 0100:3000 MERCHANT ZIP: 77002 UNITED 0132923523305000932-2732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 0102923523303000932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 0132923523300000?932-2732 TX 1300': 3000 MERCHANT ZIP: 77002 UNITED .0102923523309000932-2732 TX M00: 3000 MERCHANT ZIP: 77002 01029235233103009332732 TX M00: 3000 MERCHANT ZIP: 77002 UNITED 0100:3000 MERCHANT ZIP: 77002 UNITED 0132923523313300-9332732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 01529235233140009322732 TX MCC: 3000 MERCHANT ZIP: 77002 76.00 83.00 86.00 - 76.00 ?6.00 43.00 . T900 72.00 Bank Page 5 018 8. Corporate Card DERIONNE POLLARD CREDIT LIMIT $10,000.00 I -- - STATEMENT AVAILAELE I DAYS IN BILLING DATE CREDIT I CYCLE I $10,000.00 31? I 05/31716 CARDHOLDER ACTIVITY Tran Date Post Date Reference Number Transaction Description Amount 05103 05703 05703 05703 0511 0 05712 3571 8 35718 5716 05705 05705 05705 05705 05712 0571 3 05718 05/18 05718 88125000224819385 88125000224819393 88125000224819401 88125000224819419 581 32700028840078 88134200878900011 58138871382791544 88138344900331049 88138344900331072 "0102?023550370000022321003?m 7? 70:00 MCC: 3000 MERCHANT ZIP: 77002 UNITED 0182923523323800-932?2732 TX 73.00 M00: 3000 MERCHANT ZIP: 77002 I UNITED - 0182923523324800-932-2732 TX 83.00 MCC: 3000 MERCHANT ZIP: 77032 UNITED 0182923523329800-932~2732 TX 39.00 MCC: 3000 MERCHANT ZIP: 77002 Dog?sh House - GaIIhGaiihersburg MD 74.01 MCC: 5012 MERCHANT lefzosm ACHIEVING THE DREAM 240450-0075 MD . 550.00 MCC: 8398 MERCHANT ZIP: 20910 ORDER NUMBER: AQOAD48F2A88 LOCAL TAX INDICATOR: 0 NAT. TAX INDICATOR: 0 BEST. POSTCODE: 0000000000 AGENT FEE 8900878190420GLOBETROTTER MD 19.25 MCC: 4511 MERCHANT ZIP: 22201 NAME: POLLARDIDERIONN TICKET 8900878190420 TRAVEL AGENCY CODE: 21520798 TRAVEL AGENCY: TV LEG: 1 DATE: 05718718 AMERICAN AIR0014571785859FORT WORTH TX 63.85 MCC: 3001 MERCHANT ZIP: 78155 NAME: POLLARDIDERIONNE PAU TICKET 0014571785859 TRAVEL AGENCY CODE: 21520798 TRAVEL AGENCY: TVL MGMT LEG: 1 CARRIER: AA-Ame?can Airlines inc: DESTINATION: Phoenix. Arizona. UnIIed States ORIGINATION: Arlingion CountyI (near Washing LEG: 2 CARRIER: AA-Amerioan Airlines Inc- DESTINATION: Arlington County, Virginia {near Washing ORIGINATION: Phoenix, Ari20na. United States AMERICAN AIR0017777438892FORTWORTH TX 504.20 NAME: PAU TICKET 0017777488892 TRAVEL AGENCY CODE: 21520795 TRAVEL AGENCY: GLOBETROTTER TVL MGMT 33 Bank Corporate Card Page 6 of6_ ERIONNE POLLARD ACCOUNT NUMBER CREDIT AVAILABLE "03179; IN BILLING STATEMENT LIMIT CREDIT CYCLE DATE $10,000.00 $10,000.00 31 05/31/10 CARDHOLDER ACTIVITY . ran P09: Reference Number Transaction Description Amount rate Date LEG: 1 DATE: 06.91146 CARRIER: AA-Amerioan Airlines Inc. DESTINATION: Phoenix, Arizona, United States ORIGINATION: Arlington County, Virginia (near Washing LEG: 2 DATE: 06f21l16 CARRIER: AA-American Airlines DESTINATION: Arlington County, ngnia (near Washing ORIGINATION: Phoenix, Arizona, United States .. CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: May 31, 2016 Dept: Off: 09 of the President ?31 Gs? PURCHAS MERCHANT PURCH I I I - I T- DESCRIPTJON OF DESCRIPTION Bud et Accoun Number DATE NAME AMOUNT RELATED PURPOSE United Attending AACC Presidents Academy 51?31?2016 016249103666 8 830.20 Airfare Summer Institute, Coeur dgAlene, ID, 7 July 16-13, 2016. United Ms. Robyn Jones attending AACC 5J3J2016 016249103666 3 830.20 Airfare Presidents Academy Sun??gr Institute, 9 Coeur d'Alene, ID, July 16-18, 2016. United Myles Pollard-J ones attending AACC 5/3/2016 016249103667 83 0.20 Airfare Presidents Academy Summer Institute. 1 Coeur d'Alene, ID, July [6?18, 2016. . Economy Plus Seat for Myles Pollard? united Jones attendin AACC Presidents 5/3/2016 016292352330 3 76.00 Airfare 3 . 0 Academy Summer lnsutute, Coeur d'Alene, 113. July 16-18. 2016. United Economy Plus Seat for Ms. Robyn Jones - . attending AACC Presidents Academy 0 533/2016 33'00 Airfare Summer Institute, Coeur d'Alene, ID. July 16-18, 2016. United Economy Plus Seat. Atten ding AACC 5/3/2016 016292352330 86.00 Airfare Presidents Academy Summer Institute, 4 Coeur d'Alene, JD, July 16-18, 2016. . Economy Plus Seat for Myles Pollard- Umwd Jones attendin AACC Presidents 513/2016 016292352330 76.00 Airfare ?3 5 Academy Summer Institute, Coeur d?Alene, ID, July 16-18, 2016. Economy Plus Seat for Ms. Robyn Jones umtcd attendin AACC Pre idenl? Academ 5812016 016292352330 3 44.00 Airfare . 5 3? 6 Summer Institute, Coeur d?Alene, ID, July 16-18, 2016. Cardholder Name: DeRionne Pollard Ext: 75264 - 1? no I. .- xvi.- . PURCHASE MERCHANT PURCHASE I ITEM DESCRIPTION DATE NAME AMOUNT - RELATED PURPOSE United Economy Plus Seat. Attending AACC 52'3/2016 016292352330 76.00 Airfare Presidents Academy Summer Institute, 3 Coeur d'Alene, 10, July l6~1 8, 2016. . Economy Plus Seat for Myles Pollard? Umwd Jones attendin AACC Pre?idenl? 016292352330 6 33.00 Airfare 9 Academy Summer Institute, Coeur d'Alene, 11), July 16?13, 2016. United Econdmy Plus Seat for' Ms. Robyn Jones 51322016 0162923 52331 :5 76.00 Airfare ?mm Mice Academy 0 Summer Institute, Coeur Alene, ID, July 16-13, 2016. United Ecortomy Plus Seat. Attending AACC 5/31?2016 016292523331 43.00 Airfare Presidents Academy Summer Institute, 1 (Joan d'Alene, 10, July 1613,2016. . Economy Plus Seat for Myles Pollard- Umted Jones attendin AACC Presidents ,2 5/3/2016 016292352331 :5 79.00 Airfare a 3 Academy Summer lnsutute, d'Alene, ID, July 16-18, 2016. . Economy Plus Seat for Ms. Robyn Jones umm attendin AACC Presidents Academ 5/31?2016 016292352331 72.00 ?Airfare . 5 4 Summer institute. Coeur Alene, ID, July 16?18, 2016.. United Economy Plus SeaL Attending AACC I 5J3J2016I 016292352331 3 79.00 Airfare Presidents Academy Summer Institute, 7 Coeur d'Alene, ID, July 16-18, 2016. . Economy Plus Seat for Myles Pollard? Umtcd Jones attendin AACC Presidents 5/3/2016 016292352332 3 73.00 Airfare 3 Academy Summer institute, Coeur delene, ID. July 16-18, 2016. Un?t! Economy Plus Seat for Ms. Robyn Jones 1 - . attending AACC Presidents Academy '2 5/3f2016 21629235332 3 83?00 fill-Ears Summer Institute, Coeur d?Alene, ID, July16-18. 2016.? United Economy Plus Seat. Attending AACC a 5/3/2016 016292352332 39.00 Airfare Presidents Academy Summer Institute, 9 Coeur d'Alene, ID, July 16?18, 2016. me: Stag enD. ain .h r' ?5'77" mif?mw. an?? i. Signature: Cardholder Name: DeRionne Pollar?i Ext: 75254 . A $74377MERCHANT PURCHASE 7 . - DESCRIPTION OF BUSINESS . IT RIPTI - DATE NAME AMOUNT SC - get? 0??tNumber RELATEO PURPOSE snoaom Dog?sh A10 3 7401 Meal I LurTch WKBIUO Rlbbon Tasktorcc 00- I-Iousc-Galth chatrs. A h. . t] Attending the Achicving the Drcam 5/12/2016 ?3 550.00 Registration Junc 21-23, 2016, crib Dream Scottsdale, A71. Agent Fee Attending the Achieving the. Drcam 57?167?2016 390067619042 3 19.25 Agent Fee Kickoff Institute, June 21-23, 2016, f@ 0 Scottsdale, AZ. 4 . American Air I: 3:311: :31? 11260-01? 5?16?20?6 001457173565 3 Airfare Institute, June 21-23,2016, ScottsdaicAmerican Air 3:21on ET 5/16/2016 001777743639 3; 604.20 Airfare . ti? June 21-23, 2OI6, Scottsdalc. iC/ 2 EXPENSE TOTAL: 5 4,369.71 .7 Name: De?ionue??oi rd Signature: 7. 7'0 u" Janet Wormack Ignatur' -. . a? Report 3120 Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report iD: Expense Report Name: EXpense Report DERIONNE POLLARD Current Status: Pending Approval (447715mm5010) Date: 6l10f2016 11 :37:00 AM 0004399296 Current Recipient: Janet Wormack May 2016 Location: Run Date: Time: 11:3? AM MONTGOMERY COLLEGE PUR (NEW) (00004: ?u'mmary'lnformation i $4.869.? Date Range: smears 5i31i'2016 Memo-Posted Transactions: Description: Grand Totat: $4.869}! Destination: Ins?a?azcasea?na?aaserene: OriginatAmount SettlementAmount Date Occurred Date Posted Merchant Description Allocation Split Amount 5.012016 515(2016 UNITED 0162491036667 $830.20 $830.20 Airfare: Attending AACC Presidents Academy Summer Institute, Coeur d'Alene, ID, Jury 16-1 8. 2016. Passenger: Ticket: Travei Date: Travel Leg: POLLARDIDERIONNEPDR 016249103666? 713i2016 IAD UAS M00 M00 UAQ DEN DEN UA QO 0 GEG GEG UA DEN 533r2016 UNITED 0162491036669 $830.20 $830.20 Airfare: Ms. Robyn Jones attending AACC Presidents Academy Summer institute, Coeur Passenger: Ticket: Travel Date: Travel Leg: JONESIROBYNANGELIQUE 0162491036669 UAS NICO MOO DEN 5!3f2016 5i5r?2016 UNITED 0162491036671 $830.20 $830.20 Airfare: Myles Poliard~Jones attending AACC Presidents Academy Summer institute, Coeurd?Atene. ID, Juiy 1618. 2016. - Passenger: Ticket: Travel Date: TraVei Leg: POLLARDJONESIMYLES 01624910366?1 7113:2016 IAD UAS M00 M00 - UAQX DEN DEN UA QO 0 GEG GEG UA DEN 5(5r2016 UNITED 0162923523300 976.00 5?6.00 Purchase ID 1612501470312923523300 Page 1 of 4 Report3120 Expense Report Run Date: 61102016 by: LYNETTE TELFORD Time: 11:37 AM Airfare: Economy Plus Seat for Mytes Poilard-Jones. Attending AACC Presidents Academy Summer institute. Coeur d'Aiene. ID. July 16-16, 2016. 5132016 5352016 UNITED 0162923523301 $63.00 - $83.00 Purchase 1D 1612501470322923523301 (Airfare: Economy Pius Seat for Ms. Robyn Jones. Attending AACC Presidents Academy Summer institute. Coeur d?Aiene. 1D, July 16-16, 2016. 51312016 5.1512016 UNITED 0162923523304 $86.00 $86.00 Purchase ID 1612501470332923523304 Airfare: Economy Pius Se'at. Attending AACC Presidents Academy Summer institute, Coeur d'Aiene, lD. Juty 16-18. 2016. "1312016 5l5f2016 UNITED 0162923523305 $76.00 $76.00 Purchase ID 1612501470342923523305 Airfare: Economy Pius Seat for Myles Poilard-Jones. Attending AACC Presidents Academy Summer institute. Coeur d?Aiene, ID, Juty 16-18, 2016. . 513(2016 5f5f2016 UNITED 0162923523306 $44.00 $44.00 Purchase ID 1612501470352923523306 Airfare: Economy Pius Beat for Ms. Robyn Jones. Attending AACC Presidents Academy Summer institute, Coeurd'Aiene, 1D. July 16-18. 2016. 51812016 5151201 6 UNITED 0162923523308 $76.00 $76.00 Purchase ID 16125014?0362923523308 Airfare: Attending Presidgnis Academy Summer Institute. Coeur d'Aiene. iD. Juty 16-18, 2016. ?gment? gorse . @3312016 I 51512016 UNITED 0162923523309 $83.00 $83.00 Purchase 1D 1612501470372923523309 Airfare: Economy Pius Beat for Myles Poiiard-Jones. Attending AACC Presidents Academy Summer institute, Coeur d'Aiene. ID. Juiy 16-18. 2016. (3 51312016 552016 UNITED. 0162923523310 $76.00 $76.00 Purchase iD .1612501470382923523310 Airfare: Economy Pius Beat for Ms. Robyn Jones. Attending AACC Presidents Academy Summer institute? Coeur d'Aiene, iD. Juiy 16-18. 2016. 513112016 5512016 UNITED 0162923523311 $43.00 $43.00 Page2 014 Run Date: 6i10!2016 Expense Report Report 3120 Run by: LYNETTE TELFORD ?me: Purchase :0 16125014?0392923523311 1110100000 6005 ?000 Airfare: Economy Plus Seat. Attending AACC Presidents Academy Summer institute. Coeur d?Aiene, 532016 552016 0162923523313 $79.00 $79.00 Purchase ID 1612501470402923523313 Airfare: Economy Pius Seat for Mytes Pollard-Jones. Attending AACC Presidents Academy Summer institute, Coeur d?Aiene, lD. July 16-16. 2016. 63) 5.32016 55.2016 UNITED 0162923523314 $72.00 $?2.00 Purchase ID 1612501470412923523314 Airfare:Economy Pius Seat for Ms. Robyn Jones. Attending AACC Presidents Academy Summer institute, Coeur d'Aiene. iD. Juiy 16-13, 2016. 5f5f2016 UNITED 0162923523317 $?9.00 $?9.00 532016 Purchase {0 I, Airfare: Economy Pius Seat. Attending AACC Presidents Academy Summer institute. Coeur d'Aiene. iD, Juiy 16-18, 2016. 5f5f2016 UNITED 0162923523323 $73.00 $73.00 5i3i?20 1 6 Purchase iD 1612501470432923523323 Airfare: Economy Pius Seat for Myles Pollard-Jones. Attending AACC Presidents Academy Summer institute, Coeur d'Aiene, 1D, Juiy 16-18, 2016. @5l3i2016 5r5i2016 UNITED 0162923523324 $83.00 $83.00 Purchase ID 1612501470442923523324 Airfare: Economy Pius Seat for Ms. Robyn Jones. Attending AACC Presidents Academy Summer institute. Coeur d'Aiene. ID. July 16-16. 2016. 5f3i2016 UNITED 0162923523329 $39.00 $39.00 Purchase ID 16125014?0452923523329 Airfare: Economy Plus Seat. Attending AACC Presidents Academy Summer institute. Coeur d'Aiene, iD, Juty16-16,2016. 6110i2016 5112;2016 Dogfish Ale House Gaith $194.01 $?4.01 Meal: Lunch wi'Blue Ribbon Taskforce co?chairs. 51132016 L, ACHIEVING THE DREAM $550.00 $550.00 Page 3 of 4 Report 3120 Run Date: 671072016 Expense Report Run by: LYNETTE TELFORD ?me: Purchase iD 8166152376 1110 100000 63217000 Registration: Attending the Achieving the Dream Kickoff lnsiitute,June 21-23, 2016, Scottsdale. AZ. 571672016 571872016 AGE NT FEE 8900676190420 $19.25 $19.25 Agent Fee: Achieving the Dream 2016 Kickoff institute. June 21-23, 2016. Scottsdale, AZ. Passenger: Ticket: Tra ve! Date: Travef Leg: POLLARD7DERIONN 8900676190420 - 571672016 XAAXD XAO 571672016 571872016 AMERICAN AIR0014571785659 $63.65 $63.65 Airfare: Economy Pius Seat. Attending Achieving the Dream 2018 Kickoff institute. June 21?23, 2016. Scottsdale, AZ. Passenger: Ticket: Tra vel Date: Travel Leg: POLLARD7DERION NE PAU 0014571785659 PHX AAY DCA @57162018 571872018 AMERICAN AiR00?i 7777488892 $604.20 $604.20 Airfare: Attending Achieving the Dream 2016 Kickoff institute, June 21-23, 2016. Scottsdale, AZ. Passenger: Ticket: Trave! Date: Travel Leg: POLLARD7DERIONNE PAU 0017777486892 672172016 PHX PHX AA 8 BOA Memo-Posted Transactions Totals Count:23 Status DatelTime User Name Business Unit Notes Unsubmitied 67972016 2:50:00 PM LYNETTE TE LFORD MONTGOMERY COLLEGE PUR incomplete 67972016 2:57:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 67972016 3:09:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 671072016 11:37:00 AM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Pending Approval 671072016 11:37:00 AM Janet Wormack MONTGOMERY COLLEGE PUR Efci'ense Reooft Sum?marv 75049.7(? and I Reimbursable Totai $0.00 - - geek-m, (73(9ch Print Cardholder Name Cardholder Si or Date ?aw .t Mink Pn'niApprover Name 7? Approver Signature 71/ a i 014 an! gee; ctr/m7 I 4w? we 4?5 - [5911? @391 Receipt for confirmation C611QD 12% Confirmation: . Check?In Issue Date: May 03, 2016 I Traveler Seats 0162491036667 0162491036669 i 8 0162491036671 108/118/115/106/108 INFORMATION . Day, Date Flight Class Departure City and Time Arrival City and Time . Aircraft Meal. Fri, 08JUL16 UA778 8 WASHINGTON, DC ORLANDO, FL . A-320 Purchase (IAD DULLES) 12:45 PM (MCO) 2:58 PM UA739 ORLANDO, FL DENVER, co 757-200 Purchase (MCO) 3:05 AM (DEN) 10:01 AM Fri, 15JUL16 UA675 DENVER, CO SPOKANE, WA 737?800 Purchase - . (DEN) 11:15 AM (GEG) 12:33 PM 1 Wed, 20JUL16 UA1702 SPOKANE, WA DENVER, CO 737-800 Purchase - (GEG) 1:35 PM (DEN) 4:43 PM . i Wed, 20JUL16 UA1707W DENVER, CO WASHINGTON, DC . 737?800 Purchase (DEN) 7:55 PM (1AD DULLES) 1:13 AM (21JUL) . - FARE INFORMATION Fare Breakdown Form of Payment: Airfare: 726.50USD VISA . I-U.S. Transportation Tax: . 54.50 Last Four Digi U.S. Flight Segment Tax: 20.00 1 September 11th Security Fee: 11.20 U.S. Passenger Facility Charge: 18.00 - Per Person Total: 830.20USD eTicket Total: 2,490.60050 The airfare you paid on this itinerary totals: 2,179.50 USD The taxes, fees, and surcharges paid total: 311.10 USD Fare Rules: - Additional charges may apply for changes in addition to any fare rules listed. FEE Cancel reservah?ons before the scheduled departure time or TICKET HAS NO VALUE. Tue., Ma 2016Nis as charged 39 USD for the EDD 01629235233290 Charges: I 9.00 SD for: Plus Seat Tue., May. 3, 2016Nisa 5 charged 83 USD for the EDD 01629235233242 for: Economy Plus Seat as charged 73 USDfor the/EDD 01629235233231 for: Plus Seat MG Tue., May. 3, 2016/Visa as charged 79 USD for the EDD 01629235233172 .00 SD for: Econmy Pius Seat was charged 72 USD for the EDD 01629235233146 . 2.0 SD for: Economy Plus Seat Tue., >2016/Vlsa as charged 79 USD for the EDD 01629235233135 for:_Economy Plus Seat AM 7/15/2016 5/3/2016 10:41:22 AMI 7/20/2016 5/3/2016 10:41:21 AM 7/20/2016 675 Economy Plus (SEC 675 Denver, CO (DEM?Spokane, WA (GEG) 1702 Economy Plus DEN 1702 Spokane, WA (GEG)?Denver, co (DEN) 1707 Economy Plus IAD I I 1707 Denver, CO (DEN)-Washington, DC (IAD Dulles) :RobanIangeiiquems?s MileagePius Accrual tota'lsr Pate .. . 5/3/2016 10:41:5/3/2016 10:41:22 AM 7/15/2015 .1 .. . 7/20/2016 5/3/2016 10:41:24. AM .. {380157?95 Flight From/To 77.3.. 778 739 739 675 675 Economy PIlIus MCO DC (IAD - Dulles)-Orlando, FL (MCO) Economy Plus DEN I I Orlando, FL (MCQ)~IDenver, CO (DEN) Economy Pius GEGI Denver, WA (GEG) 1702 Economy Pius DEN I II 1702I'Spokane, WA (GEG)?Denver, CO (DEN) 1707 Economy IPius IADII 1707 DeInver,__ICO (IAD I-"Duiiesj II 80.44134 Mile/749 etius totals: .. Accruals vary based on accrual Important Information about MileagePlus Earning 600 455 790 Award Miles 3640 Award Miles 690 1105' I600 4'55 790' Award Miles I3640 83 '836 1 120 76 I836 1 91 76 14521 158 PQM PQS PQD 54275 728 PQM PQS PQD I39 758 I1 138 I I I 79 154.51 .22173. 14521 158 PQM PQS PQD .. 542.75. .728. the terms and conditions of the traveler?s frequent flyer program, the traveler?s frequent flyer status and the itinerary selected. United MileagePlus? mileage accrual is subject to the rules of the MileagePlus program 5 Once travel has started, accruals will no longer display. You can view your MileagePlus account for posted a You can earn up to 75,000 award miles per ticket. The 75,000 award miles cap may be applied to your posted flight activity in an order different than shown a PQD are a Premier status requirement for members in the U.S. only. a Accrual is only displayed for MileagePius members who choose to accrue to their MileagePlus account. The above amounts represent . Additional Baggage Information that may apply to your itinerary. . If your itinerary contains multiple travelers, the service charges may vary by traveler, depending on status'or memberships. - Carry?on baggage information United accepts one carry-on item with maximum dimensions of 9"x14?x22the aircraft c'a bin, along with one personal item such as a laptop bag with maxlmUm dimensions of 9?x10"x17" (22 cm 25 cm 43 cm). Due to FAA regulations, operating carriers may have different carry?on requirements. .Please check with the operating carrier for more information or go to unlted.com. General Baggage Information First and second bag service charges do not apply to act accompanying dependents. For additional informationIregarding baggage charges allowances, weight/size restrictions, exceptions or embargoes, or charges for overweight, oversized, excess, odd-sized baggage, special items or sporting equipment, visit eTicket Reminders an estimate of the first and second checked baggage service charges ive?duty members of the U.S. military and their 0 Check-in Requirement Bags must be checked and boarding passes obtained at least 30,minutes prior to scheduled departure. Baggage will not be accepted and advance seat assignments may be cancelled if this condition is not met. EXCEPTION: When departing from Anchorage, Atlanta, Chicago, Cincinnati, Cleveland, Dallas/Ft. Worth, Denver, Fort Lauderdaie, Angeles, -- onolulu, Houston, Indianapolis, Jacksonville, Kahului, Kona, Las Vegas, Los - Maui, Miami, Newark, Orange County (SNA), Orlando, Philadelphia, Phoenix, Reno, San Francisco, San Juan, PR, St. Louis, Seattle, Tampa or Washington, DC (both IAD and DCA), the check in requirement time for Passengers and Bags is 45 minutes. a Boarding Requirement Passengers must be prepared to board at the departure gate with their boarding pass at least 15 minutes prior to scheduled departure. av Failure to meet the Boarding Requirements may result in cancellation of reservations, denied boarding, removal of checked baggage from the aircraft and loss of eligibility for denied boarding compensation. 3 Bring your boarding pass or this eTicket Receipt along with photo identification to the airport. 5 The FAA now restricts carry?on baggage to one bag plus one personal item (purse, briefcase, laptop Dr. DeRionne P. Pollard Corporate Card Expenses ?,May 2016 Receipt Attached '0031 Server: CHRISTINA (N206) Rec: 43 12:45, Swiped T: 509 Term: 4 OOGFISH OAITHERSBURO BOO NEST OIAMONO AUE GAITHERSOURG. HO ZOOTO (301)953-5231 . MERCHANT N: . CARD TYPE ACCOUNT NON v1 A. Name: DERIONNE POLLARO OO TRANSACTION APPROVEO AUTHORIZATION I: 046250 Reference: TRANS TYPE: Credit Card SALE CHECK: 82.01 TIP: TOTAL: PHONE: 9 . OARDHOLDER HILL PAY OARO ISSUER ABOVE AMOUNT PURSUANT TO OAROHOLOER AGREEMENT SIGNED COPY MERCHANT I, Ida Henry From: Events@achievingthedream.org Sent: Thursday, May 12, 2016 9:07 PM To: Pollard,-DeRionne Subject: I 2016 Kickoff Institute Registration Confirmation m.n - run-:2? JUBEE 2 $2331.13 Achieving the Dream .w :v :45 rT?r?gl?'f- I. statesman - - -- 4, .-.. mmd- L. I --nmme; I 26 EHSTITUTH GHQ-LEE i2 m; n- 111 r-lgr' l1 earzDeRionne Poiiard: tank you for registering for the 2016 Kickoff institute to be held at the Omni Scottsdale Resort Spa at Monteiucia, 4949 ast Lincoln Drive, Paradise Valley, AZ 85253. aur sales summary is beiow. 2Ri'onne Peilard eSident )ntgomery Coliege loiijlungertord Dr Ste 300 JCKVille, MD 20850?1728 lited States I UnitPricel 'Qty' i.Gross AndOuni M55122 1:2016 Registration I I $55000 1 I $550.00 a: Q. .7. . $530400 Mfg?z' ?Payment By VISA DeRionne Pollard *5010 08/01/2016 ($55000) tel Reservations wee Djuei $0.00 make your hotel reservation at the Omni Scottsdaie Resort Spa at Montelucia please cail 1-800-843-8664 Make-your aNation? early to ensure you stay at the conference hotel. All room reservations must be made by June 1, 2016. servations after this date will be based on and may not be at the negotiated room rate. - gistration Materials will receive all registration materiais at the ATD Registration Desk located in the Alhambra Foyer. TRAVEL MGMT. SERVICES Phone: 301?570-0800 GLCI BETH BITTER Electronic Invoice Prepared For: PAULETTE SALES PERSON I SM I INVOICE NUMBER 1408445 I INVOICE ISSUE DATE 16 May 2016 RECORD LOCATOR EEHMXI 2 CUSTOMER NUMBER ClientAddreBs MONTGOMERY COLLEGE 900 HUNGERFORD DRIVE ROCKVILLE MD 20850 THE FARE IS 604.20 PLUS 19.25 SERIVCE FEE. FEDERAL LAW FORBIDS THE CARRIAGE OF CERTAIN HAZARDOUS MATERIALS SUCH AEROSOLS FIREWORKS AND FLAMMABLE LIQUIDS ABOARD THE AIRCRAFT. IF YOU DO NOT UNDERSTAND THESE RESTRICTIONS PLEASE CONTACT YOUR AIRLINE OR GO TO VALID GOVT ISSUED PHOTO ID REQUIREDAT CHECK IN RECONFIRM 24HRS PRIOR TO TRVL FOR HOTEL BOOKINGS ONLY-AFTER MAKING RESERVATIONS PASSENGER MUST HAVE ACCOUNTS PAYABLE ISSUEACHECK I .TO HOT EL PRIOR TO YOUR DEPARTURE OR HAVE ACCOUNTS i PAYABLE PAY HOTEL WITH COLLEGE CREDIT CARD DIRECTLY I I . I Notes I BOOKINGS REQUIRE CREDIT CARD TO BOOK . GLOBETROTTER DOES NOT PREPAY ROOMS - WE SECURE YOUR HOTEL RESERVATION. DATE: Tue, Jun 21 I Flight: AMERICAN AIRLINES 433 Dep?a?s wiiO?ar?n? From WASHINGTON REAGAN, DC I To PHOENIX, AZ Arrives 9:09 am IDeparture Terminal Arrival Terminal 4 Duration 4hr(s) 59min(s) Class Economy Type AIRBUS Meal Food for Purchase A321 JET :Stop(s) Non Stop tSeatrs) Details Seat(s) - 12C AA - Premium Seat Con?rm ed DATE: Thu, Jun 23 Flight: AMERICAN AIRLINES 493 'OebEuts "2&45pm' To WASHINGTON Arrives 9:59pm Departure Terminal 4 Arrival Terminal Duration 4l1r(s)14min(s) Class Economy ,Type AIRBUS INOUSTRIE Meal - Food for Purchase A321JET EStop(s) Non Stop MONTGOMERY COLLEGE Of?ce of the President July 1,2016 To: Dr. Janet Wormack Senior Vice President for Administrative and Fiscal Services From: Ida B??ow? Assistant to resident, Of?ce of the President Re: Expense Report (May 2016) Please accept the attached check in the amount of $830.20 as reimbursement for tranSportation costs for Dr. Pollard?s son, Myles Pollard-Jones, when he'accompanied her during official business of the College at the Association of American Community College?s Presidents Academy Summer Institute (PASI) in Coeur d*Alene, Idaho during July 2016. The amount represents one-third of the total cost for transportation (see attached). {31:3 Please know that Dr. Pollard?s spouse, Robyn Jones, also attended PASI along with Dr. Pollard and Myles, but Ms. Jones? costs are covered by Montgomery College'as per Dr. Pollard?s contract. If you should need any additional information, please do not hesitate to contact me. Thank you. ~39: Attachment ll.) FARE INFORMATION Fare BreakdoWn Airfare: U.S. Transportation Tax: U.S. Flight Segment Tax: September 11th Security Fee: U.S. Passenger'Facility Charge: Per Person Total: eTicket Total: The airfare you paid 0 The taxes, fees, and Fare Rules: ?Ea Con?rmation: - . 13mm Issue Date: May 03, 2016 . Traveler" eTicket Number Fre'ue Seats 0162491036667 0162491036669 0162491036671 INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time . Aircraft Meal Fri, 08JUL16 UA778 ORLANDO, FL 1 Purchase (IAD - DULLES) 12:45 PM (MCO) 2:58 PM Fri, 15JUL16 UA739 ORLANDO, FL DENVER, CO 757~200 Purchase (MCO) 8:05 AM (DEN) 10:01 AM Fri, 15JUL16 UA675 DENVER, CO SPOKANE, WA 737?800 Purchase (DEN) 11:15 AM PM Wed, 203UL16 UA1702 SPOKANE, WA DENVER, CO 737-800 Purchase (GEG) 1:35 PM (DEN) 4:48 PM . Wed, 203UL16 UA1707 DENVER, CO WASHINGTON, DC 737?800 Purchase (DEN) 7:55 PM (IAD DULLES) 1:13 AM (21JUL) Form of Payment: VISA Last Four Digits 5010 726.50USD 54.50 20.00 11.20 18.00 830.20USD this itinerary totals: 2,179.50 USD surcharges paid total: 311.10 USD Additional charges may apply for changes in addition to any fare rules listed. .Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additiona Charges: be? 0 Tue- Tue: 1123(3) TUE- Fue- c/e mag) TUE- Ma ?2016/Vlsa was charged 39 USD for'the EDD 01629235233290 for: Economy Pius Seat . May. 3, 2016/Visa as charged 83 USD for the EDD 01629235233242 . for: Economy Plus- Seat as charged 73 USD for the EDD 01629235 May. 3 201'6/Visa FWSD for: Economy Pius Seat Ma . 3, 2016/Visa .. was charged 79 USD for the EDD 01629235233172 SD for: Economy Pius Seat . . 2016/Visa 5 charged 72 USD for the EDD 01629235233146 USD for: Economy Pius Seat 2016/Visa was charged 79 USD for the EDD 01629235233135 79.0wso for: Economy Plus Seat . . . . 233231 63 Date: MONTGOMERY COLLEGE Office of Business Services August 22, 2016 To: Rod-(Ville Campus cashier From: Joanna Kong Check From _Fr Derionne Pollard 1248 [Term Optional Post/Deposit to Account Detail Code AMOUNT - REIMBURSE FOR DR SON TRANSPORTATION $830.20 TOTAL $830.20 Additional Instructions: Return Receipt to Joanna Kong Thank you! 5'9 25% order at! LED-D a We?" ['1th Fad-H?" pat/rm BANKING AND TRUST COMPANY 3%8316?? . a. ma lg? -.-- I: . +1 b.3773; -- ?Td??ufb??ii?e?ra-Hi {31*qu {#179 . . . ~44 l$ 8:30:34?) AP Ham?rem r? FEE Mg?? ?ank Corporate Card OERIONNE POLLARD ACCOUNT NUMBER - . . .. .- . CREDIT I AVAILABLE i DAYS IN BILLING 5 STATEMENT CYCLE DATE I $10,000.00 $10,000.00 30 I 06/30f16 ACCOUNT SUMMARY Purchases Cash Advances Total Fees Credits Total Activity $6,486.04 $0.00 $0.00 $815.45 $5,670.59 Ir CARDHOLDER ACTIVITY Tran Post Reference Number Transaction Description Amount Date Date I . 63633196003 Tx '3insz M00: 3000 MERCHANT ZIP: 77002 NAME: POLLARDIDERIONNEPDR TICKET 0152495059982 i I LEG: 1 ITINERARY 0550 FARE CODE: QAAT 4A DATE: OBMQIIS i CARRIER: UA?United Airlines, Inc. DESTINATION: San Francisco. Ca eta. United States I DRIGINATION: Washington, 0.9 \r?irginial United Stat I. CARDHOLDER SIGNATURE MW For customer service, call To write 8. Bank regarding: . '5 toll free (800) 443-36?1. Billing errors: P.O. BOX 4028, But lo. NY 142404028 referralservices. GEE Outside the US and Canada, call Payments: PO. BOX 62120, Ballirr ore, MD 21254-2120 the Visa assistance (716) 635-4152. Losb?Slolen: 465 MAIN TE 500I BulIeloI NY 14203 Center at (800) Visit us on the web at WM.rnlb.corrl MEMO STATEMENT Account Number ALO NY 142404028 Statement Date 061'30/1 6 Total Activity $5,670.59 . Remit to: P.O.BOX 52120 BALTIMORE MD 212642120 STATEMENT PAYMENT POLLARO MONTGOMERY COLLEGE CRP (NEW) ATTN: PATRICK JOHNSON 900 HUNGERFORD DR ROCKVILLE MD 20850-1728 0000000000000 Page A or 0' Mg??Ba?k Corporate-Card POLLARD ACCOUNT NUMBER CREDIT DAYS IN BILLING STATEMENT CREDIT - CYCLE DATE $10,000.00 $10,000.00 30 06/30/16 NOTICE OF BILLING RIGHTS This notice contains important information about your rights underfederal law. to Client as defined in the Agreement, and "us" refers to Bank. UNAUTHORIZED USE OF CORPORATE AND PURCHASING CARDS open for you. You will not be tiable for-any unauthorized use that occurs after you notify Bank orally or in writing, of any toss, theft or possible unauthorized use of the Card. You can do so by writing Bank, P.O. Box 4028, Buffaio, New York 142404028, Attention: Visa? investigations, or by telephoning 1-800-443-8671. Except as provided in Section 26 of the Agreement, your liability for unauthorized use of the Card will not exceed $50. Please be advised that full payment of all outstanding balances remains due, even while we investigate your unauthorized use claim. and failure to pay in fuli by the due date may result in delinquency charges 3r your Agreement with us. We will credit any payments made upon conciusion of our investigation of the unauthorized use ciatrn, to the extent of the proper amount due back to you. Bank 6 Corporate Card DE POLLARD CREDIT 1 $10,000.00 AVAILABLE 1 $10,000.00 30 ?3 ACCOUNT NUMBER DAYS IN BILLING CYCLE CREDIT STATEMENT DATE 06730716 Tran i i I I I 35103 {06 i 1 i Jennatgi?snaa I .1010 so 5103 15107?05100 1smw?lpoa00 . Date i Date Reference Number 1 66156000141420095 3 66156000141420103 1 06156254547013433 66159000735516719 I I I I 1 i 366159000735794043 I f66159000735794050 i :05159000735794000 I 166160000284862269 . 56160671602927655 I 1 CARDHOLDERACTIVITY Transaction Description I LEG: 2 ITINERARY 0727 FARE CODE: VAA14T DATE: 06719716 CARRIER: UA-United Airiines. Inc. DESTINATION: Washington. 0.0. 1 Virginia, United Stat ORIGINATION: San Francisco, California, United States UNITED 0162926259675600-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 0162926259676600-932-2732 TX MCC: 3000 MERCHANT ZIP: 77002 JIM COLEMAN INFINITI 301469-2100 M0 M00: 5511 MERCHANT ZIP: 20617 ORDER NUMBER: 40932 LOCAL TAX: 4.67 LOCAL TAX INDICATOR: 1 NAT. TAX INDICATOR: 0 UNITED 0162495396462600932-2732 TX M06: 3000 MERCHANT ZIP: 77002 NAM E: DR TICKET 11?: 0162495396462 LEG: 1 ITINERARY 0424 FARE CODE: UAAOTA DATE: 06713716 CARRIER: niied Airlines, Inc. DESTINATION: San FranciscciI United States ORIGINATION: Washington, DC. 7 Virginia, United Stat LEG: 2 ITINERARY 0466 FARE CODE: UAA07A DATE: 06713716 CARRIER: UA-Uniied Airlines, Inc. DESTINATION: Washington, DC. United Stat ORIGINATION: San Fran01sco, California, United Staies UNITED 0162926466629600-932-2732 TX MCC: 3000 MERCHANT ZIP: 77032 UNITED 0162926467236600-932?2732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 01629264672456009322732 TX MCC: 3000 MERCHANT ZIP: 77002 UNITED 016292657 42396009322732 TX MCC: 3000 MERCHANT ZIP: 77002 AGENT FEE 6900677039602GLOBETROTTER MD MCC: 4511 MERCHANT ZIP: 22201 NAME: TICKET 6900677039602 TRAVEL AGENCY CODE: 21520796 TRAVEL AGENCY: GLOBETROTTER TV LEG: 1 DATE: 06107716 Amount 119.00 99.00 77.63 203.00 200.00 129.00 122.00 129.00 796.20 E5 Mg?? Bank .. 6; Corporate Card DERIONNE POLLARD 3 ACCOUNT NUMBER . 1..- ?mm. 2. CREDIT I AVAILABLE I DAYS IN BILLING I STATEMENT LIMIT i CREDIT CYCLE I DATE I i $10,990.09 $19,009.99 I 30 06I30I16 CARDHOLDER ACTIVITY ?gmwas? - . - Reference_Nurnber Transaction Description I Amount Date Date I I 553? Tia?{2% 55125799052153599' SCOTTEDALE A ?2521225 - MERCHANT ZIP: 55251 55175299952153599 THE MISSION SCOTTSDALE Az 45535 MCC: 5512 MERCHANT ZIP: 55251 75175991252992915 PRAIRIE NEWSICIFT SHOP PHOENIX A2 3311/? 5.95 M00: 5994 MERCHANT ZIP: 35934 ORDER NUMBER: 99999995577259141 LOCAL TAX INDICATOR: 9 NAT. TAX INDICATOR: 9 55125999952131575 OMNI MONTELUCIA ROOMS SCOTTSDALE Az 35999 MCC: 3592 MERCHANT ZIP: 55253 NUMBER OF NIGHTS: 2 NO wow: 9 PURCHASE IDENTIFIER: 129552 661769?8001561989 AMERICAN AIR0010283105406FORT WORTH TX 25.00 MCC: 3001 MERCHANT ZIP: 85034 NAME: PAU TICKET 0010283105406 LEG: 1 DATE: CARRIER: AA-American Airlines Inc. 661800002081691T1 OMNI MONTELUCIA ROOMS SCOTTSDALE AZ 1729.95 MCC: 3592 MERCHANT ZIP: 85253 NUMBER OF NIGHTS: 2 952 21:55:27 NO SHow: 9 PURCHASE IDENTIFIER: 13957? 35:25 @5129 25151121515395293 MONTGOMERY COLLEGE PERF. 3912512535 MD 99.95 MCC: 8220 MERCHANT ZIP: 20850 ORDER NUMBER: 000011_20160628_1 LOCAL TAX INDICATORNAT. TAX INDICATOR: 0 )6f27@6f29 26179100000004383 GLOBETROTTER TRAVEL OLNEY MD 815.45 MCC: 4722 MERCHANT ZIP: 20832 9.. MCC: 3299 MERCHANT ZIP: 29935 I LOCAL TAX INDICATOR: 9 I . NAT. TAX INDICATOR: 9 I DEST. POSTCODE: 29935 296152299453499953 IL PIZZICO ROCKVILLE MD 51.73 MCC: 5512 MERCHANT ZIP: 29559 I 3632 @0630 i561818945458?3509 ACCT 202-516-4460 DC 940.00 I MIOntgomery College Ii" .52, .- avidly!" CORPORATE CARD EXPENSE REPORT FOR PERIOD ENDING: June 30, 2016 PURCHASE DATE MERCHANT NAME PURCHASE AMOUNT ITEM DESCRIPTION Ext; 752.64. Dept; Officeofthe President Budget Account Number DESCRIPTION OF BUSINESS RELATED PURPOSE '6/3/2016 United 811.20 Airfare Attended AT Grantee Kickoff Conference, San Francisco, CA, June 12- 14. 2016. 6/3/2016 United 119.00 Airfare Economy Plus Seat. Attended ATD Grantee Kickoff Conference, San Francisco, CA, June 12?14, 2016. 613;?2016 United 99.00 Airfare Grantee Kickoff Conference, San Economy Pius Seat. Attended ATD Francisco, CA, June 12?14, 2016. 61622016 Jim Coieman Infiniti 77.83 MaintenanCC Service provided to President?s vehicle. 61?6/2016 United 122.00 Airfare Economy Plus Seat. Attended ATD Grantee Kickoff Conference, San Francisco, CA, June 12-14, 2016. United 129.00 Airfare Grantee Kickoff Conference, San Francisco, CA, June 12?14, 2016. 6369016 United 200-00 Airfare Change Fee. Economy Plus Seat. Attended ATD 6f6f2016 United 293.00 AirfaIe Attended ATD Kickoff Conference, San Francisco, CA, June 12?14, 2016. 6f7f2016 United 129.00 Airfare Economy Plus Seat. Attended ATD Grantee Kickoff Conference San Francisco, CA, June 1244, 2016. - 617/2016 Agent Fee 19.25 Agent Fee Team Kickoff, Scottsdale, AZ, June 2 Attended Achieving the DreamCore I 1- 23, 2016. Cardholder-Name: DeRionne Pollard PURCHASE DATE a MERCHANT NAME . PURCHASE AMOUNT Ext;- 75264 ITEM DESCRIPTION Budget Account Number of the President. DESCRIPTION OF BUSINESS RELATED PURPOSE Agent Fee 796.20 Airfare Attended Achieving the DreamCore Team Kickoff, Scottsdale, AZ, June 21- 23, 2016. ?i 6f13i?2016 Software, Inc. 20.00 Transportation From Airport to Hotel: Attended AT Grantee Kickoff, San Francisoo, CA, June 12~14, 2016. 6K15f20i6 Renaissance Pittsburgh 215.46 Hotei Expenses Did not attend To be credited by hotel. s3 6X15f2016 Hyatt I'IoteIs SF Airport 867.94 Hotel ExpenSes Attended Achieving the DreamCore Team Kickoff, Scottsdale, AZ, June 21? 23, 2016. in 6f162?2016 United 3.99 Meai Attended Achieving the Grantee Kickoff Conference, San Francisco, CA, 13~ 15, 2016. Cine ?reaf?' .esuchS . 6Q1Q016 Taxi All Credit Service 44.09 Transportation From Airport to Hotel! Attended ATD Institute Kickoff, Scottsdale, A223une I i5 69 06821;?16 Georgetown Market 2.75 Meal 2143, 2016. Cm: {669,517+ I Attended the ATD Institute Kickoff, Scottsdale, AZ, June 21-23, 2016. 612122016 American Air 25.00 Airfare Baggage Fee. Attended ATD Institute Kickoff, Scottsdale, AZ, June 21?23, 201 6. 6f21r?2016 - Omni Montelucia Prado 39.63 Meal Attended the ATD Institute Kickoff, Scottsdale, AZ, June 21?23, 2016. 60.212016 The Mission 465.38 Meal Dinner waC?s ATD Group attending the ATD Institute Kickoff, Scottsdale, AZ, June 21-23, 2016. 612212016 The Mission 254.28 Meat Dinner ATD Group attending the ATD Institute Kickoff, Scottsdale, AZ, June 21?23, 2016. 6/230016 Taxipass 79.50 Transportation From Hotel to Airport. Attended the ATD institute Kickoff, Scottsdale, AZ, June 21-23, 2016. 6I?23f2016 Omni Montelucia Rooms 359.90 Hotel Expenses Attended the ATD Institute Kickoff, Scottsdaie, AZ, June 21-23, 2016. Cardholder Na'nie: DoRionne Pollard PURCHASE DATE MERCHANT NAME . PURCHASE AMOUNT ITEM DESCR Ext-1526:; . IPTION Budget Account Number Dept: Office of the President DESCRIPTION OF BUSINESS RELATED PURPOSE 6/23/20 I 6 Prairie NewsKGi? Shop 5.98 Attended the ATD Institute Kickoff, Scottsdale, AZ, June 21-23, 2016. 633120 I 6 American 0283 I05 406 25.00 Airfare Baggage Fee. Attended ATD Institute Kickoff, Scottsdale, AZ, June 21?23, 2016. 6f23l20 6 Omni Montelucia Rooms 179.95 Hotel Expenses Attended ATD Institute Kickoff, Scottsdale, AZ, June 21-23, 2016. 6Q7f20 I 6 Globetrotter Travel (815.45) Airfare CREDIT. 623220 I 6 Montgomery College Perf. 99.98 Donation Montgornery College Summer Dinner Theatre. 6/29f2016 ll Pizzico 61-73 Meal Dinner meeting w/Dr. Clarice Somersall. 06f29l2'16 ACCT 940.00 Transportation Attended the 2016 Achieving the Dream Conference, Atlanta, Ga, February 23- 26, 2016. Hotel Expenses Attending ACCT Leadership Congress ?16, New Orleans, October 5~8, 2016. EXPENSE TOTAL: De Name: Name: anet Wormack b4 1 m: Stephen D. Cain I he}: Fill? gilt nne Pollard Signature: N?l? . .1 Signature: 1 'l a 37:18}. i, I ?917-? vv'l. ""th 'x a Report 31 20 Run Date: 7711112016 Time: 5:27 PM Expense Report Run by: LYNETTE TELFORD Header Note: Cardholder Name: Expense Report ID: Expense Report Name: DERIONNE POLLARD Current Status: Pending Approval Date: 77102016 5:27:00 PM 0004454944 Current Recipient: Janet Wormack June 2016 Location: . MONTGOMERY COLLEGE (NEW) (00004! Summary information I Date Range: 61172016 - 6i30i2016 Memo?Posted Transactions: $5,670.59 Description: Grand Total: $5,670.59 Destination: {Memo-Posted Transactions: I 'Date Occurred Date Posted Merchant Original Amount Settiement Amount Description Allocation Spiit Amount. (9 63372016 67612016 UNETED 0162495069982 $811.20 $811.20 Airfare: Attended Achieving the Dream Grantee Kickoff Conference, San Francisco, CA, June 12-14, 2016. Passenger: Ticket: Travel Date: Travelr Leg: 0162495069982 6i19i2016 UA SFO SFO UA IAD 6i3i2016 67682016 UNITED 0162926259675 $119.00 $119.00 Purchase iD 1615601230202926259675 Airfare: Economy Pius Seat. Attended Achieving the Dream Grantee Kickoff Conference, San Francisco, CA, June 12-14, 2016. 67372016 67612016 UNITED 0162926259676 $99.00 $99.00 Purchase ID 1615601230212926259676 Airfare: Economy Plus Seat. Attended Achieving the Dream Grantee Kickoff Conference, San Francisco, CA, June 12-14, 2016. 6i6i2016 67772016 JIM COLEMAN $77.83 $77.83 Purchase 1D 40932 Vehicie Maintenanca: Servica provided to President?s vehicle. Description: Quantity: Unit Cost: Unit of Measure: Amount: GENERIC PRODUCT OR 1.0000 51.00 EAC $77.83 SERVICE 67672016 6782016 UNITED 0162926487245 $122.00 $122.00 Purchase iD 1615901383752926487245 Page i of 5 Report 3120 1' I I I Expense Repert Run Data: 771112016 Runby: LYNETTE TELFORD ?me: 5327 PM 1110 100000 6005 7000 Airfare: Economy Plus Seat. Attended Achieving the Dream Grantee Kickoff Conference, San Francisco,-CA, June 12-14, 2016. 61672016 67372016 UNITED 0162926437236 $129.00 $129.00 Purchase 1D 1615901333742926437236 Airfare: Economy Pius Seat. Attended Achieving the Dream Grantee Kickoff Conference, San Francisco, CA, June 12-14, 2016. 67672016 67372016 UNITED 0162926436329 $200.00 $200.00 Purchase :0 1615901333732926436329 Airfare: Change fee. 67672016 67372016 UNITED 0162495393432 $293.00 $293.00 Airfare: Attended Achiean the Dream Kickoff Conference, San Francisco, CA, June 12-14, 2016. Passenger: Ticket: Tra vef Date: Trave! Leg: POLLARDIDERIONNEPDR 0162495393432 671 372016 1A0 UA SFO SFO UA 0 67772016 67972016 UNITED 0162926574239 $129.00 $129.00 Purchase lD 1616001521132926574239 Airfare: Economy Pius SeaL Attended Achieving the Dream Grantee Kickoff Conference, San Francisco. CA. June 12-14, 2016. 67772016 67972016 AGENT 3900677039303 $19.25 $19.25 Agent Fee: Attended Achieving the Dream Core Team Kickoff. Scottsdale, AZ. June 2123, 2016. Passenger: Ticket: Travel Date: Travel Leg: POLLARDIDERIONN 3900677039303 67772016 XAA XD XAO GD 67772016 67972016 AGENT FEE 3900677039302 $796.20 $796.20 Airiare:Attended Achiean the Dream Core Team Kickoff, Scottsdale. AZ, June 21-23, 2016. Passenger: - Ticket: Tra vet Date: Travei Leg: POLLARDIDERIONN 3900677039302 67772016 XAAXD XAO 6211372016 671472016 ENC $20.00 $20.00 1/ Purchase ID 00771679 Transportation: From airport to hotel: Attended ATD Grantee Kickoff. San Francisco, CA, June 12-14. 2016 Page 2 of 5 3 Report 3120 Expense Report Ru by: LYN EITE TELFOR Run Date:7f11?016 Tame: 5:27 PM 671572016 671672016 RENAISSANCE PITTSBURGH $215.46 $215.46 Purchase ID 006836 Hotel: Did not attend. To be credited by hotel. . Check-In: Check-Out: Numb er of Days: Room Ra re: - 601272016 3 $0.00 - f. 671512016 671772016 HYATT HOTELS SF AIRPORT $867.94 $867.94 Purchase ID 0011992406150 Hotel: Attended Achieving the Dream Grantee Kickoff Conference, San Francisco. CA. June 13-15. 2016. Check-In: Check-Out: Numb er of Days: Room Rate: 61'1372016 2 $0.00 6.0672016 6f20i2016 UNITED 0162927401045 $3.99 $3.99 Purchase ID 161690128 401 0721:2015 Meat: Attended Achieving the Dream Grantee Kickoff Conference, San Francisco, CA, June 134 5. 2016. $44.09 TAXI ALL CREDIT SERVICE 61233201 6 Transportation: From airport to hotel; attended the ATD Institute Kickoff. Scottsdate, AZ. June 21?23, 2016. no {Wipt 159060! $44.09 672112016 if '55 {(161.10 i? 6!21i2016 6723:2016 MARKET $2.75 $2.75 Meat: Attended the ATD institute Kickoli, Scottsdaie. AZ. June 21-23. 2016. 1 672172016 6723:2016 AMERICAN AIR0010282855947 $25.00 $25.00 Airfare: Baggage Fee. Attended ATO Institute Kickoff, Scottsdale. AZ. June 2123, 2016. Passenger: Ticket: I Tra vet Date: Travei Log: POLLARDIDERIONNE PAU 0010282855947 67202016 EBC NW 0 FEE 6724:2016 MONTELUCIA PRADO $39.63 $39.63 1/ Purchase ID 005998 Meat: Attended the ATD Institute Kickoff. Scottsdale, AZ. June 21-23. 2016. 672412016 THE MISSION $465.38 $465.38 072272016 Meat: Dinner wlMC's ATD group attending the ATD Institute Kickoli. Scottsdale. AZ, June 2123, 2016. Page 3 of 5 7' Report 3120 Expense Report Run Date: 77112016 Run by: LYNETTE TELFORD ?me: 5:27 PM [53:0 672272016 672472016 THE MISSION $254.28 $254.28 260000 100000 6321 4000 F6730 Meat: Dinner w7MC's ATD group attending the ATD institute Kickoff. Scottsdale, AZ. June I, 21-23. 2015. f" 672372016 672472016 TAXIPASS $79.50 Purchase ID 1176995960 Transportation: From Hotel to Airport. Attended the ATD Institute Kickoff, Scottsdale, AZ. June 21-23. 2016. 672372016 672772016 MONTELUCIA ROOMS $359.90 $359.90 Purchase ID 129652 Hotel: Attended the ATD institute Kickoff, Scottsdate, AZ, June 21-23, 2016. Check-7n: Check-Out: Number of Days: Room Rate: 672172016 2 $0.00 572372015 572772015 PRAIRIE NEWSIGIFT SHOP $5.90 $5.93 Purchase ID 25200201 Meat: Attended the ATD Institute Kickoff, Scottsdale, AZ. June 21-23, 2016. 672372016 672772016 AMERICAN AIR0010283105406 $25.00 $25.00 Airfare: Baggage fee. Attended the ATD Institute Kickoff, Scottsdale, AZ, June 21?23. 2016. Passenger: Ticket: Travel Date: Tra vet Leg: POLLARD7DERIONNE PAU 0010283105406 672372016 EBC AAY FEE 672372016 672972016 ROOMS $179.95 $179.95 Purchase iD 130677 Hoiet: Attended the ATD Institute Ktcko?, Scottsdate. AZ, June 21?23, 2016. Check-7n: Check-Out: Number of Days: Roam Rate: 672172016 2 $0.00 672772016 672972016 TRAVEL ($815.45) . ($815.45) Purchase ID 02063030001 VR2 100000439 Airfare: CREDIT. 672872016 672972016 MONTGOMERY COLLEGE PERF. $99.98 $99.98 Purchase ID 000011_20160628_155733398 Donation: Montgomery College Summer Dinner Theatre. Page 4 of 5 9 Report 3120 Expense Report Run Date: 711172016 Run by: LYNETTE TELFORD 5:27 PM 60902016 6f30l2016 IL $61.73 $61.73 I . 672912016 6(301'2016 Purchase lD ACCT 54537350? Meal: Dinner meeting wlDr. Clanoe Somersall. Countz30 Wat/(04119391 $940.00 $940.00 Registration: Attending ACCT Leadership Congress ?16, NeeI Orleans, October 5-8, 2016. Memo-Posted Transactions Totals Expense Report History Status Date?'ime User Name Business Unit Notes Unsubmitted 77172016 2:28:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR incomplete 77172016 2:34:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Unsubmitted 752016 12:07:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Incomplete 77572016 12:56:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR 77572016 12:58:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Incomplete 711172016 5:26:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE Unsubmitted 771172016 5:26:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE PUR Submitted 771172016 5:27:00 PM LYNETTE TELFORD MONTGOMERY COLLEGE Pending Approval 711172016 5:27:00 PM Janet Wormack MONTGOMERY COLLEGE Exnense Report Summarv Reimbursable Total $0.00 Signatures. . 7) :ge?lbnn?b . Print Cardholder Name 57579.0 tl/C?V?mlf?l? PdntApprover Name We [/15 blue Ame Signature Page 5 of 5 69. weep?) Receipt for confirmation - Confirmation: A STAR ALLIANCE memese NIT Issue Date: June 07, 2016 Traveier eTicket?Number Frequent Flyer Seats 0162495531981 Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meai Mon, 13JUN16 UA424 WASHINGTON, DC SAN FRANCISCO, CA (IAD DULLES) 8:50 AM (SFO) 11:43 AM Wed, 15JUN16 UA727 SAN FRANCISCO, CA WASHINGTON, DC 737?900 Purchase (SFO) 12:50 PM (IAD - DULLES) 9:06 PM FARE INFORMATION Fare Breakdown Form of Payment: Airfare: MISC DOCUMENT U.S. Transportation Tax: 75.06 us. Flight Segment Tax: 8.00 (D (#30120 September 11th Security Fee: 11.20 US. Passenger Facility Charge: 9.00 Per Person Total: 1,104.20030 3 eTicket Total: The airfare you paid on this itinerary totals: 1,000.94 USD The taxes, fees, and surcharges paid total: 103.26 USD Fare Ruies: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Tue., Jun. 7, 2016/Visa as charged 129 USD for the EDD 01629265742392 Charges: 129.00 USD for: Economy PIUS Seat Mon., Jun. 6, 2016/Visa .. . charged 200 USD for the EDD 01629264868291 200.00 USD for: Change Fee - Fri., Jun. 3, 2016/Visa charged 99 USD for the EDD 01629262596765 99.00 USD for: Economy Plus Seat Fri., Jun. 3, 2016/Visa 5 charged 119 USD for the EDD 01629262596754 119.00 USD for: my Pius Seat Mon., Jun. 6, 2016/Visa as charged 122 USD for the/ EDD 01629264872454 5 122.00 USD for: Economy Plus Seat Mon., Jun. 6, 2016/Visa charged 129 USD for the 01629264872362 129.00 USD for: Economy Plus Seat Baggage allowance and charges for this itinerary. Baggage fees are per?traveler Origin and destination for checked baggage 15t bag 2nd bag Max wt/ dim 'per piece 6/13/2016 Washington, DC (IAD Duiies) to San Francisco, 0.00 35.00 50.0le (23.0kg) - 62.0in CA (SFO) USD USD (157.0cm) 63/15/2016 San Francisco, CA (SFO) to Washington, DC (IAD - 0.00 35.00 50.0ibs (23.0kg) - 62.0in Dulles) USD USD (157.0cm) Baggage check-in must occur with United or United Express, and you must have valid MileagePius Premier? Silver membership at time of check?in to qualify for waiver of the service charge for the first checked bag (within speci?ed size and weight iimits). w; s; we, re Receipt for confirmation 33., Confirmation: I A snarl Mama's UN will, 155m: Date: June 07, 2016 I Traveler eTicket Number Fre uent Flyer Seats 0162495531981 FLIGHT INFORMATION Day, Date Flight Class Departure City and Time Arrival City and Time Aircraft Meal Mon, 13JUN16 UA424 WASHINGTON, DC (IAD - DULLES) 3:50 AM Wed, 15JUN16 UA727 SAN FRANCISCO, CA PM SAN FRANCISCO, CA (SFO) 11:43 AM WASHINGTON, DC 737?900 Purchase (IAD - DULLES) 9:06 PM FARE Fare Breakdown Form of Payment: Airfare: MISC DOCUMENT U.S. Transportation Tax: 75.06 . u.s. FlightSegmentTax: 8.00 (D #3?th September 11th Security Fee: 11.20 US. Passenger Facility Charge: 9.00 MW Per Person Total: eTicket Total: The airfare you paid on this itinerary totals: 1,000.94 USD The taxes, fees, and surcharges paid total: 103.26 USD Fare Rules: Additional charges may apply for changes in addition to any fare rules listed. Cancel reservations before the scheduled departure time or TICKET HAS NO VALUE. Additional Tue., Jun. 7, 2016Nisa as charged 129 USD for the EDD 01629265742392 Charges: 129.00 USD for: nomy Pius Seat Mon., Jun. 6, 2016/Visa as charged 200 USD for the EDD 01629264868291 200.00 USD for: Change Fee Fri., Jun. 3, 2016Nis was Charged 99 USD for the EDD 01629262596765 99.00 USD-for: Economy Plus Seat Fri., Jun. 3, 2016/Visa ?as charged 119 USD for the EDD 01629262596754 119.00 USD for: Economy Plus Seat Mon., Jun. 6, 2016/Vlsa as Charged 122 USD for the EDD 01629264872454 122.00 USD for: Economy Plus Seat Mon., Jun. 6, 2016/Visa as charged 129 USD for the I EDD 01629264872362 E, 129.00 USD for: Economy Plus Seat Baggage allowance and charges for this itinerary. Baggage fees are per traveler Origin and destination for checked baggage 15t bag 2nd bag Max wt 7 dim per piece 6/13/2016 Washington, DC (IAD - Dulles) to San Francisco, 0.00 35.00 50.0ibs (23.0kg) - 62.0in CA (SFO) USD USD (157.0cm) {5/15/2016 San Francisco, CA (SFO) to Washington, DC (IAD - 0.00 35.00 50.0165 (23.0kg) - 62.0in Dulles) USD USD (157.0cm) - Baggage Check?in must occur with United or United Express, and you must have valid MileagePlus Premier? Silver membership at time of check-in to qualify for waiver of the service charge for the ?rst checked bag (within specified size and Weight limits). iNFi-NiTi - Jim Coleman Infiniti 10400 Auto Park Avenue Bethesda, MD 20817 Phone: 301-469-2100 Fax: 301-365-1575 l-?ionigornery County Registration #02200 CELL: 240?667-5264 NO. AMSOR TAG N0. WEE DATE INVOICE NO. 17581 DENNIS MOORE 690 9339 06/06/16 INCS40932 LABOR RATE MILEAGE COLOR STOCK NO. 5578 BELLEVUE CIR 15 INFINITI 70L 70L WD 15 I a 1 DUBLIN, CA 6 A 0 0226 01/09/DATE I da.br1? ttonOmontgomer'ycoIIege.edu 06/06/16 BUSINESS PHONE COWSENTS MO: 11057 847-494?9620 847-494?9620 JOBII 1 CHARGES .. WI CUSTOMER REQUESTS OIL FILTER CHANGE 8r TIRE ROTATION OIL FILTER CHANGE TIRE ROTATION COMPLETED PARTS - - - - - - - - - - - - - - - - - - -DESCRIPTION - - - - - - - - -LIST PRICE -UNIT PRICE- 1 1520865FUE OIL FILTER 17.95 8.53 8.53 QUAKER STATE 3.99 3.99 23.94 I WASHER DRAIN 1.43 1.43 1.43 TOTAL - PARTS 33.90 JOBII 1 TOTALS - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - LABOR 35.00 PARTS 33.90 1 JOURNAL PREFIX INCS JOBII 1 TOTAL 68.90 2 CHARGES .- . .. .. .. STEEL LEW. SITECIFICSTEEISIST GUSTO-ER REQUESTS INSPECTION NULTI-POINT INSPECTION COMPLETED JCBII 2 TOTALS .. 2 JOURNAL PREFIX INCS 2 TOTAL 0.00 JOBII 3 CHARGES .. .- 177:.- SEEIGREENETIRET GREEN TIRE JOBII 3 TOTALS H- .. 3 JOURNAL PREFIX INCS 3 TOTAL 0.00 --DESCRIPTION --CONTROL NO -- JOB EF FEE 3.39 J08 IIA SS SHOP SUPPLIES 3.50 TOTAL - HISC 6.69 ESTIHATE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . -. CUSTOMER HEREBY ACKNOMLEOEES RECEIVING ORIGINAL ESTIMATE 0F $99.95 COMMENTS -- HLOANERHCUSTCNER REQUESTED A LOANER created 2016?05-12 10:6T:00eun taken by Dennis Hoore MUST PICK UP AT ROCVILLE - 2405676264IOA A 3 PAGE10F2 CUSTOMER COPY ON NEXT 11:313m N0 CLAIMS WITHOUT THIS INVOICE CLAIMS FOR WORK PERFORMED MUST BE MADE WITHIN 12 MONTHS OR 12.000 MILES FROM DATE OF WORK. YOUR SPECIFIC WARRANTY MAY VARY. CONSULT SERVICE AOVISOR OR OWNERS MANUAL MANUFACTURER SPECIAL POLICY ADJUSTMENT iS LAW REQUIRES MANUFACTURERS TO FURNISH THE NATTONAI. HIGHWAY TRAFFIC SAFETY ADMINIS- TRATTON WITH BLH.LEITIIB DESCRIBING ANY DEFECTS IN THEIR HAY OBTAIN COPIES OF THESE FROM EITHER THE PIANUFACTURER 0H N.H.T.SJL IN ADDITION. CERTAIN CONSUMER CATIONS 0H ORGANIZATIONS PUBLISH THIS INFORMATION WHICH MAY BE AVAILABLE FOR A FEE OR FOR FREE You agree the! we niaycoriiaci you snail. orusmg prerecordme voIoe messages. taxi messages, and auio~ me?c telephone cFeSng systems, as the law am. You aIso agree the! we maycontact you in Ihese otI-rerweys 31 any address or us. eien?i-iete?ephom nurnheris email phone wenberoriheoonlectrem?sh echageio you. NOTICE TO CUSTOMER ALL PARTS ARE NEW UNLESS OTHERWISE SPECIFIED R: REBUILT UNLESS OTHERWISE SPECIFIED, LABOR BILLED IS BASED ON TIMES ESTIMATED FOR EACH JOB AND INDUSTRY MANUALS AND NOT ON ACTUAL TIME SPENT. EXPRESS WARRANTY ON- LABOR AND PARTS 12 MONTHS OR 12.000 MILES WHICHEVER FIRST OCCURS. ALL LABOR PERFORMED AND PARTS REPLACED WERE NECESSARY TO PERFORM REPAIRS UNLESS REQUESTED BY THE CUSTOMER. TO OUR VALUED CUSTOMERS The rising cost of the mIsceitanaous suppiies and services used In the repair oi your automobile has made It necessary ior us to surcharge each repair order. This surcharge Is always inctuded es pen oi our original! asllniaie and not added Io your hvoIce over the original estimate. if you have any questions regarding this charge. please see you Service Advisor. We Mil be happy to provide you with a iis?ng oi supplies and services used in this regard. - Jim Coleman Auiomoiive has mm made every eiiori to provide Quality Service Repairs at Compet'r?ve Prices! We apprecieie your business and expect each and every customer to receive cichar value ior every do?ar epenl in our service deparInTenL We hope you win con?nue to honor us with your service business In the WHILE YOUR MOTOR VEHICLE IS ON THE PREMISES OF THE AUTOMOTIVE REPAIR FACILITY. THE AUTO- MOTIVE REPAIR FACILITY MAY NOT BE RESPONSIBLE FOR DAMAGE TO YOUR MOTOR VEHICLE UNDER CERTAIN CIRCUMSTANCESYOU SHOULD ASKA REP- RESENTATIVE OF TH AUTOMOTIVE REPAIR FACILITY ABOUT THE EXTENT OF ITS RESPONSIBILITY. INCLUDING THE EXTENT OF THE INSURANCE COV- ERAGE OF THE AUTOMOTIVE REPAIR FACILITY. SFEMSSB 0 (M16) I-.J: Jim Coleman lnfinitr 10400 AutoPark Avenue Bethesda, MD 20817 Phone: 301-469-2100 Fax:301-365-1575 Montgomery County Registration #02203 INFINITE. 7an_sa7_Og754 3246772 002 008143 DERIONNE POLLARD .- antenna end We . . Your Account Information Statement Date Account Number . . ,q 5N1ALOMM2DC305623 a Maturity Date oanms Payment Information 33;: Description Amount Tax Totai 2 Current Rant Amoun: $798.90 $793.90 I 3 Total Amount Due 793.90 EB Payment Due By 05/11/13 air.92oirgie?zmmoesaooe?weeoi I meet?.- ?r - and return (hi I: pen iong mih youcpayment ?253 Wt" .H I mo '0 . Turn your paoer?tate?ients and manage? your account or?ne at infinitifinanceq?m Can 1.300.503.3"335 To make a payment by phone. Call 1.300.621443? For IFS Customer Reiations and gen eral inquiries cal! weekdays from 7?:00 AM. to 1?20!) PM. CST. Up~to~date information is available 24 hours a clay. Customer Name DERIONNE Account Number . . Payment Due By 0 I i I I Totai Amount Due 798.90 Amount Enclosed Changes? ifyou uro {raking changes. to you; address, check the bone! left and complain Iha rovoreo sido? HAIL PAYHENTS TU: Infiniti Financial Services P.O. Box 9001133 Louisville, KY 40290?1133 In our commitment to provide you with the highest quality service, at! customer?errige caifs are now being handled by our Customer Rotations Department in Irving, Toxas. Dr. DeR?ionne P.- Poilard Page of] Gasoline Expon?scs for April/May 2013 (receipts attached) HERE 1! "1.41! dranhw. 3565?? Inf 1: h? I 134 313?: fiailr 1: :?W'f?itf Ea?" ?MI?li?. Tim?: 1 PRICEIERI 19.1 l?i?L 5 5.3.5: IJK - 5 5? LRMII I 1 33m; $3313 alarm REUJER {ht 4?85h33 at was ?14?241?Jb 913a Kikri Faunk? ?at. In FidLE'?t lnuum aniH 355431 5 ?1.1345 . 4,8513 =15. i?f?t Subtnta! 45.E4 IA): 3.88 . . . a a fuial 5 45-54 I KREHEI {red}! 5 45.54 int ar26533 i aucvaLL, HD 34x14z23L3 84:43:25 FH 94??34?1 xx} - 933515 PUHFH 1 Surlreat 14.47131} 4?829 FUEL 5 53.33 Subtotal 5 53.33 Iax I Iotai 5 53.13 5 58?33 .Sredit I ?qr .. - H.) '35. ?1 a25?? 35* tart? - . Mr." far? .1 1? a 1 .ET SUB-TOTAL: Gasoline Expenses for AprilfM'ay 2013 (receipm dumbed) 21m Freda-ink Ed. Eermatcun, H4. mm Hunk You Hr ?mr Eusinass RENE ESE-133 assume, a WEHNIB ?2:?3:26 [?11 mamas msa man Imam name SIUIH 959313 1% Swan: CE FRIEEML fl? 10191 t?f?ll {rt-dit map New; To Earn Raw-as us Save at tba Pun; 1mm 3.39? 51.53 H- . . . . Subtatat s; 51.5: Tax =5 5.Iutal 51.!3 w-w?n?s Dr. DeRionne P. Poilard WLWW i?lestcae Emu mm freal?iek BL Samara-n, Ed. ram Hunk i'av in: Year Iusimss EIBEE HIEDJL, am 133 31? {1:59:10 Hi 93'13155? $153 mu 2 {HMin sun: was? I Ill Sewn: tn mama cam; mm Safeway ll Earn Renard: Save at the Fun; . I. 161559 3.39? 5 am .iubtntal am r??avi Intel 5 {am S. Huh . ?lm?W9 "mm-u Page 2 of3 I?lcstoaz ism Eii?i Elwerick EL hrnantwa. IE. 25m think 51-: for Mr mm? mu menu. 11mm ?E?lber?, ESIIMNIS Mi mam; Utsamm 915s mama: 1mm: me gamma-21 1 Supreme :8 16.6595 F?icwi?i rm mm ms 65% 'Iax'S ma (E a - a gag-j Elotal'} 69 1:5 t?l?lt 5-353: 5 EMS ?yr: Shep Saffu??ii 4: fa E3113 Sent?; an?: Sm at Fun; 31-812; Page 3 of3 Dr. DeRionne P. Pollard (mnline Expenses for Aprii/May 20I3 (receipts attached) tramm .sa-Ildxal ?i 111-3393;] 0} Jagqsea 1533: . I .. DUTDDEIR WE 05l2?3fl'? 11:58 ?El 0'2 13mm: 1mm Emma:- 1a a 1 .4735355 .. . --. .nu-o-n?n .ssxauasia 31:35:39 PH assassm' F-Pmm, {099. I V. . I mam-2431+ was am: .359,? 332w mm: 11 Supreme 15,573; I Ruth H: 9ng 1 PRICEIBFIL 3.359 1 Ref: 153300310 1 Raw Bale; 4 IUIHL 5?.22 Eta]: 5 'sm - {?5355 . . 3.33 SUE 13' 9320714 - Iota] 51.32 Earn rebates E125 a: CE me Take whatm :22 23?? and Today :34? - 23211 - . - 1 Shop sum mews: BQHE In Earn Rewards and . 'Sam at the Pump (J. gr? 52 J: ?126.58 TOTAL: (Pages 1, 2, 3): $47922 Dr. DeRionne P. Pollard CAB FARE AACC Annual Convention, San Francisco, CA - April 2013 (z-ecezpz attached) Fare$ on From Tn Data Cab No. Driver .nncg EH12 Dr. DcRionne P. Pollard MEAL AACC Annual Convention, San Francisco, CA - Apr? I 2013 (receipt czrlachcd) I . h-u73777 - sham ivfr?d? hr 'c Ei- [K:}Iil ii-?Ilhl' 4.. f'l?l?l?ill - u-l :nah: 3 in} I L. p.55 rewr?: - v: a: {v'Jith I . . 5,3. [11.1 j; {'71 ?m 11:4? . In": . . - ?0 . ?in-l . 131?;- 0 . I?m. .I a. . .- 19). ., Jig-3; 30070361 :51? ii f? ?0?13 053 . 21*: a? ?3 gawk-r: hwy-5:3 310??; Aim may. 4% 5,1235%; :33. 03:03: r0590: 0.00 0 00101132013 07/22/13 - 102.84 0.00 . . r? Montgomery Coliegc 30070361 1. . W-?ng "1550}??3?3 ?ab's??i?nm 0.0 1? 355%? '43 ?302}: o?fr?? - i? "55 :2 If {013% 0819;030:300; 6? '3 -mm NT 6.01} an .00 0.00 . JUNE 2013 22/13 102.84 102.84 Montgomery olfege' 55-27? 312 PNC Bank, NA. 050 A 2-3914 A 3? I: c? - 32;. ET New .1653; 07/23l13 3007 0361 $i?ti?i??l?1 Accounts Payable copy VOID VOID NOT *t MONTGOMERY Office of Human Resource Development end Engagement July 22, 2013 MEMORANDUM To: Ms. Janet Wormack,,lnterim Senior Vice Presidentfor Administrative and'Fiscal Services From: Tarnathia M. Flowers, Director of Benefits and Systems Management Subject: Check Request- Amount: Account Name 84 Number Other 8 Payee Name {353 Dr. DeRionne Poil?ard Address 0?57. gr" P'Iease Denver to Dr. Pollard 331?? at Period Covered June .2013 . . on 'Date Needed ASAP Approved By: (Jakuaml?kty aim Tam'athia M. Flowers Director of Benefits and Systems Management DOC Approved SE =11 13 :3 2m; OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CH ECK REQUEST DIRECT PAYMENT FORM Nora: This rEquesl payment form may be uscd for requests fur memberships dues, subsc?plinns-Ij?car, etth cIigthc transactions under $3008, cmploycc $50, conference and regisualimls not related to HAP, walchmI mrvicc-s undcr $1500 inuiuding Consultants and. Honorm'ium payments. A complete form and unntracl musm be attached to all cunIraclcd services. Contracted surviccs ovcr $i-500 musl be fonvardcd In Of?cc with a long ruquisirion, W-9 fonn and the cuntract. Paint and complela of?lnegl complete onIIna and than print. Send the [arm to Accounts Pavabte. MKE 230. Payment Raquested for: (Utmw?cred Mam-mummy PAYABLE T0: DeRionne Pollard DATE: VENDOR Emma; crrunwr VOLUNTEER 07/12/13 ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED IDII (includlng zip code) CHECK AMOUNT: 102 . 84 [1 Subscription Mutant Confer?tejRegislradon-NOHEAP Halualiun Reimmrsemenl reg ltyear only I no flu-mam no?; I Contractual reimbursement; invoicg: {June 2013) . r33 $2.3m gm La: FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 102 . 4 3252c:an menus-Emile: HOLD CHECK Hail Check Mai cued: Sermumwm Check ?ml 102? 84 Lynette ?I?elf'ord tn Payee: to nepartrent DoRionne Pollard 71796 Tamathia E?lowens REQUESTOR NAME EXT. ACCOUNT MANAGER (PRINT NAME) Office of the. President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL IACCOUNT MANAGER SIGNATURE - . 1i?.?Vwweep Account?ummary Er?$5? this-~41. Biiled $188.54 . . 2013 - 433.54 5i?; I D-?fhf?rence . 0.00 'C?Un?ent Installmeni 264.111 Service Charge 3.00 Totamr?o?ht Due ey JUN 20, 2013 $267.13 - IVO?ue?sr ?became; 3; g: 2f 23-? 9:33;? 5.53.1, 11g we? e?e?l?i- We get eieeELEV-12. 15' {It @1453 W331 ?Ir'zk?a'?55'" ?Iu 2? ?e?ce?w faith? e27 1? - 2012 HONDA $35238 2013mm .e - 5 ?510234 meow UMBRELLA We? mentamn?stennjanp a I . e? Renew?! pre'fniymgbangem .. 1: 3" 20?. A .. eonie?emens 1 .1 rvn? 33? an: elk-?0?: in: nun-I Manny-Installment: -- . nas'been ?isw?qnged. When you provide "a check as payment. yeueulhon'zeaus either to use?the injonnation {gem your pheck tomake a onetime electronic fund transfer Iromyeu account'on topmoess'the paymenl-es a check-transaction. When we?Se infermation from your?chec?k to make an electronic-funds transfer, funds may be withdrawn from your account as soon as {he same clay.I we your payment. and yo'uvwill not youreheck back from your ?nandel?ins?tulion. SFPPAcconn! meme? 939.293; Prepared Jam; 2013 . 3?3? ?1 it'd-L W- - Lei". ?v y? I Print Qlose .. . Payment History Account: All Accounts Last 30 Days Payee. (Nickname): Siale FanW(Stale Farm] Show: Mun-u . Date Sent '7 Payee Account Payment Amount] Status I Inquiry 0511312013 State Farm Checking 5372 0000000437 $267.13 Processed (State Farm) oniina Credit Cards: 1-800-4m-4223 Copyrighl 2013, Branch Banking and Trust Company. Rights Reserved. ?3 ?1 an? on. -- Montgomery. Gail?gg 3 .3 9035i;- gsgiswgu?fiz ?my! Emma CAR 07/16f13 1,050.34- 0500 0.00 0.00 30070250 zany-f? - g; .1??Abn?7i??n. minim: I I 45 LSD 30070250 5'51". 2 W??i?mm?r?i?vh {Em $421.97 :11: ii 4 0.00 0.00 0.00 1,040.84 ESD Coilege 7.: REFER .43 .. M4 13CAR O?/l6/13 1,040.8 Monrgomezy College 55~277 312 PNC Bank, NA. 050 Newersey .5 5.1: . if. 19:73:12; PAMGUNW ?mufi 07716113 - 30070250 8: 1 Accounts Payable copy Dr R'o neP Pquard TOIHE ORDER OF NOT NEGOTIABLE r. 055ch Lua-I .rf Hum-Thin ?k'zH; zm?mw mnyh: undfw requerafor mem?ers??m ehplayca mm- 350. mg?crenae and registrations no: re!er EAP, menace senfces Wading Cmsunenrs am: Honoran'um payments. W-S farm and 00:11:35! mus: be ?ashed to 65? 09;:de Services. Canbecfed {Fawkes over $1500 mus! be rom'arded Prowrtmem with a form mquirin?rn, W-?fwm am! (win-an Prini'and compieta of?ine 9; Complele online and then print Send the completed form to Amounts Pavable. MKE 230. PAYABLE TO: Payment Requested for: Origim! a wmpf?red?'?i??irbw?y a" mew rendnm'! Dr . DcRionIic: . PoiLgaurd ADDRESS ADDRESS LSHE 2 VENDOR mung? ADDRESS 3 DATE: 07/12f13 EMPLOYEE 1-year only VENDOR FED my (including zip code) CHECK AMOUNT: 0-10 . 84 Membership Subsuipb?un ConleraujRegistralbn?NonEAP Hon-uranium I3 Reimbursement I NO FILL RENEWED PURPQSENHSFIFICAQQN: paid invoice, parking and gasoline receipts. Car payment for Infiniti parking and gasoline expenses. Attached are ACCOUNT GROSS AMOUNT $241.94 9* El CHECK CALL Ext. 7.1.795 to, ??putmeni: ,5 El Send mum-rem: wilhmeck- to Payee Total 9.93pm. ?m'smuc-rmus DeRionne P. Pollard REQUESTOR NAME Office of the President. NAME (PleaseType) tephen Cain CW MANAG En SIGFNAWRE DOC ID Approved Date ?Mk JUL 12 2013 D??i?bti?'n' ?In?niti .Financiai Services v.0. Box 660360 oa?ilas, Te?k?as 752660360 . 15143 Your Account Information Statement Date Account May 21, 2013 2900 9563 130 ?mag?,3? r? CD re Maturity Date Payment Information Description Amount Tax Iota! Current Rent Amount 798.90 5, ?98.90 TotaiAmc-unt oua- 793.90 0 Payment Due By 06/ 11/Jauni Mair; 0 05 me 35H. - an; '3 I #990 ?at I a . v-l'5 I i "a - ?rst5p- .xw?v?r?ram; 'Customer Name DERJONNE Account Number Payment Due By own/13 i 1 TI TotaiAmount Due $798.90 AmountEnclosed I Changes 7 you ai? making ,changas in your address, check .Lhe bog at Ie? and campiaie the reverse side. MAIL PAYMENTS T0: Infiniti Financial Services PO. Box 9001133 Louisville, KY 40290-1133 Please detach??nd reium this coupon aiong wilh-your ?gment Turn off your paper-statements and manage your accopnt onllne at infiniti?nance.com To make a payment by phone. Call 1.300.62?.443? For Customer Relations and general inquiries caii weekdays frOm 27:90 AM to ?:00 PM. CST. Up?to-date information is available 24 hours a day, In our commitment to providelyou. with: the highest quality service, all cusfoni'er? se?iiqe caiis are now being handfed by our Customer Relations Department in Irving,- Texas. 1?1" Pn?nt Close i 1 .. r3. . .?Lme. Payment History Account: All Accounts 1 Show: Last 30 Days Payee (Nickname): In?niti Financial JX35mm?! Data Sent v1 Payee Account Pawmentibl Amount] Status [Inquiry 0610732013 In?niti Financial Servings Checking 58?2 0000000434 $798.90 Processed (Da's JX35) 1mwm Oniine 1.888-BBT-ONLINE (1-388-228?6654) Credit Cards: 1-300-476-4228 Copyright 2013, Branch Banking and Trust Company. Ali Righis Reserved. -1- .41 URUDRR l?C EDLE9ILL, ?5 4735638 BEIJEIZEIE 18:13:33 PH Ui?? IDE HBHIBES RUTH 883353 PUHFH Suprm PRICEIBHL FUEL UISE PAULFIIE 3.33% 5 .v Subtotal 5 lax 3.3% [Dial 57.1? 57.1? INC Dr. DeRi'onnc Pollard (Receipts augched) whim? - I 4135533 4335533 HD 'h31532313 3?ll?1}3 PH 94?74688 38(23/2313 11:43:53 PE i UISE .. ?l5? aa?}CF PRULEIIE in?el?? HEH3824 auxn 2e9337 ??iH 937581 Him a Burreue 14,59? my a 3.39: Supreae P?zcErsnL 345* FULL mm 52.72 I FUEL TDTAL Subtotal 53.7; Tax 8.9! Subtotal 51.9; I 133-: . Tnial 8 Tutti i El.? ?26011 5 53,7; tr?dit CREDIT 51.m "9?35 Credit HBHEB 4% way 1. IP Rumkujilh ND FUR EBB 5713 23 ?ruru 315 a ?La Eat 1: I {it tannin; . I. a . UENDIJIE . 3 1331-32" [i I REF NU: RUTH NU .0979?? Alli?: $313. 1D .1: 5.3 l'iifi . 2253}; 25115 Wat?" AHUUNY: $35.0? IHANH vnu raw Rinsun THE iS .Dr. Bchonne P. Poflard PARKING (Receile tmachedj I I I D?fl?ft? ??:14:52 Sl'l'dll}! [hankuj? by BB FBR -un2-5V!u 11?. HEZLHHIHE 31 ?l {31.3 UEHUHR: Din 31?3gnd3 REF HU: BinJ?qub?f HPIH Hn' nughqa {anew} i?j?l??niui A03 unlnt Tl'! 9157 Rx?u HSBR TDIAL nH?unlz m2n,nn vnu FDR RIDING HE3RURAJL THE. Fl! m; UN HE: m? -qI-v. 5319 sngb?xwiw . 0 3-20r MONTGOMERY. COLLEGE . J. O?ic?bf Human . To: .. Frem: . Ii subject:- at M5. Janet Wormabkgl?terim Senior VP for A?dmini?trafivezand Fiscal Services Tamathia Flowers: Director of. Bene?ts and Systems Management Ch?dkRe'que?st Amotmt: 5102.84 Accoum?Name 8.: Number a) .Liv'rr 9?5: we: r; ?or: ?53 P'aye?e Name Dr. DeRionne Pollard E11 w-ws c: . - .- . 3310 i! Address Please Delwer to Dr. Poliard r411; 17-121 :3 d\ Period Covered July 2013 baie Needed ASAP- I Approv?ed'By: '.Tamathia M. Flowers- Director af?Behe?ts and.?5ystems Management ?vim 133' gamma? 11563 .: OFFICE OF BUSINESS SERVICES ACCOUNTS PA YABLE CHECK REQUEST DIRECT PAYMENT FORM N918: 11m: payment form my be used for rcqubsLs l?ur memberships dues: othereligihlc transactions undcr?$1000, over $50. rcgieraIiuns reluled to EAP, contracted scn?iges under 5 I 500 including Consultants and Hiinor?rium pay/manta. A mmplulc W-9 form im'd contract mum be attached in an contracted services. Services must bc fo?xardcd 10 Procurermnt Of?ce with a long rcquisitihn, w-u form mu] the animal. and complete offline 9: complete onlina add print. Send [he completed form to Mount: Pavabfa. MKE 239. Pa ym I1 cq "?13in for: [HegufredAnme-rcnm (1) Original Imm?ce/Reaerpm a completed new remium'} T0: DeRionne Pollard om: 0 2 1 3? VENDOR EHHOYEE vmumrm 3ADDRESS LINE 1 ..- MCI: LINE 2 . ADDRESS LINE 3 2 6" OR FED (ifwludlng zip code) mil-:ngmoum: 102 . 34 Hambaslfp ConfererucefRegstralion?Non Em? HomramI-?n Reimth (ml? I no In: WILL 9r I Contractual reimbursement; invoice attached. July 2013cal-?2 it? . ?51: mt: 5?31: a . . . . FUNDING mos): FUND ORGANIZATION ACCOUNT PROGRAM GRo??mo?i? E. - 33-5 1 (eff Q32 . 84 . Em A 1 sm?m ?smuons: HOLD CHEF-K Ha?check El WW Send Madman rn'thhed ?tn 5 102 84 Ielfor? to Payee to napaxment Tamathia Flowers ACCOUNT MANAGER MANAGER SIGNATURE DeRi-o?ne Pollard 71796 REQUESTDR NAME EXT. Offic? of the President DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL - 0 . 00%? .t 3 a2-I._ 9.. bra I . ILe-Jie. ?ar??i??x?f?nrf?i?n ?Pomoresas; . EA i?g?g I. AT1- . 40519-750021 20-9A4E m. mo Aggnl Mark Spitale - 232:1} St?ng'lpwn Rd 208109363 -. Phdr'r?t 301-916-5543 . "r - . I, 11mg? - Lig??nti??nta?lnfom atlo 2- - $4.elfiarmf? egref?ggw m; . 3- grayenhanced as0502050. - a majsubsaggent. 310354 mam?14$51grawuigghke :0 mg.? a 3' 5 a 0004ng 143103 201 0011,2012 a. ?31 ?0 0335:? "if-1 .5: *33'328. 20.033 333? 030100 3?433-41 na?r-F-?awws-?? - 1m- - w'v . Mai! Send us 0' 911085: Hobilp . ?Pocket??gent?app C?l] your Ageht: 301-915-5543 Autb?hw??tad Line: 16004400900 Kay'uxia: 7540231??5 gni'en?' PC or mob?a 'Power?Ta ?ay Your. Way . I Ifyou have mowed,_piease o?hlactyour ageht. 0&0 $ia?a?0??0m" Accounih0lden POLLARD. 1090751021 21003090748 insurance Support Center . P.-.0.-Box 5880.02- - .Ani?ouh?t 4:1 Nom1.Metro, GA 30029-8002 'Please?p?ygbwuiyza, 2013 0 imakezptayh?en?t?to State Fa'n'n I s??ro??a??s?nfy - SFPP am $266.44 - 0907 I. 200025000020004 400109976162111324> 0:030: Tu 339*? wow - I giziau?'lm Loo?LAmpuntEiiHed . $267.13 - -- 267.13 i039 Leur'rent'lnslalirnent I .. :26344 Service Charge I 3.09 Total Amount'ou??' By JUL i0. 201-: 5255.44 4 r?t-IuCr?h - 1 i Id.- 1; llwill-4M." 'u "1 - .-3.-oumuar hog u" ?iifuu?u??mef? - -- - '9 .- fut. .w . - h? n- ?lama2012 HONDA 'Moninwn?tanrnent Robs have boon one ugh . - . - . I .b . - $102.34 3. 9 11? a? A: ?Pe'fzsounl. UMBRELLA . 3 1?5 $63.08 When-you provide a check E?i?jp'ayment. you authorize us either to use-the information from your char.qu mal-i'o'a ono4iMe-etoc'tronic fundirans'for? from your . accuunt or to processth paymentos a check h?anoac?bn. Whon we USE fromyour ohockllo make an electronidl?mds transfer, {unds may" be- wuhdrawn from your account as soon as the some day we receive your payr'nent?and you wiil nol receive your' chock backfroyn you? ?nancial institution. Page 2 of? a - - Pooparod Juiy i, 1.2014-H ms: H9: out BUSINESS SERVICES . a 1.: mm: :35 Sam? ?Eff??wl?w? Emma? 5w Emmw3.9-.. ?23; ff?gf?w??q a 21.2?; 'itixgz?mi' . .. . frai?f??o?inoj [ggale?'fo contracted services uhders 1500 Wading Cum-frame payments. g?rg: {MS-chairk rE?qzi?IMn-uuf?lm art/9%: urcdfor remxrrisfor membership: dim. mlhwE??w-bvw, em?lm'ec rcf?abur'x?hums ever 330. runfwra and A Iii/?9, rpm: and contract must be a?adred to an conuacfed service's. Camacred m?ces over $7500 musi be I'm-Warde rb nit}: :1 ?9.11; reg-msirfm W19 farm and comp?i?nte b?llne ?compi?e online and [hen print. Send the cgmnieted form lo Egyable, MKE 230. Pa ym ?n i, Bf] nested f0 [Required Attach menu: {2 ,1 Original mwicp?Hrcciwst 2 ,1 a umpirer W-??irmfur new madam} DATE I Dr. DeRionne Pollard DBIZBIIB T0: VENDOR LINE 1 ADDRESS LINE 2 ADDRESS mm: 3 VENDOR FED CITY-STATE .(iricluding zip code) CHECK $81 9 . 85 ?when?m Subscription Consultant (Jord?erenceJRegishalion-Non EAP Honora?un Empioyee 1?year my I no mt WILL RE new Caf? payment for Infiniti JX35 and car maintenance. Invoice and receipt. attached. v?w? FHND dR?bAMufrloN Accou?r' GROSS AMOUNT 798 . 90 $20.Han Chad: 5w Wham ?m1 CHM ?"31 $819 85 71759 to Payee . to gap'la?ytg?fenl: Eea?m ?x?rnu?c?oas': '1 . 'pegionne 9. Pollard 71796 Brian K. Baker REQUESTOR NAME EXT. - ACCOUNT MANAGER {mm NAME) . poC-I ijfice of President DEPARTMENT NA?ng {Please Type) MANAGER SIGNATURE 510 3Tte?% (W. run-9 a EP 9 3-2013 l' ssaHlsn?a .40 3mm 3331103 a} Av aszA-m: Data 2050 3 Em: I I I Tatar Amount Due 793.9D . In?niti Financial Services Po. Box 550350 Dallas, Texas 75255-0350 5900 Freeport Parkway Irving, Texas 75053-2435 Introducing the ln?niti Certi?ed Collision Repair Network CERTIFIED umoax Infimtrcoiirsronnetvrorkcom i ?four Accou nt Information $tatement Date Account Number Vehicle Description June 20, 2013 2900 9585 180 3 maturity Date 09711715 [?gment Information bescription Amount Tax Total Current Rent Amount 798.90 $798.90 I. I I I - JotalAmount Due 5 793.90 ?1 Payment Due By 07/11/13 P. '1 A i a? Wag. .105 ?0 Ty; y, .. on). . 015;. ?i 5 'i wrwartn'wmvxu ?ea-.1 WE 4 erae-ab-lx?lava-Ail ?hf. I mil} [-73 AUG 8 2?7 . 11?1". I 2 2013 50"" - T. 93g accountmanager fzn?i If) Li. Ufiice ofth resident . -.-. Lo . n. . no wearer: .3.- maeama=nmaeyzgammgaeot - 34+ .- - inv-rua-r-?f-I?ate-?n bang} 15411.neng we at @134. Please ?'ou ??fp?mem Turn off your paper statements and manage your account oniine at in?niti?nance.com Call 1.800.603.7385 To make a payment by phone- Cali 1.800.527.4437 For IFS Customer Relations and general inquiries cali weekdays from 7:00 AM. to 7:00 P.r-1. CST. Up-to?date information is avaiiabie 24 hours a clay. Box 9001133 In our commitment to provide you with the I highest quality service all customer service Lou?svmer KY 40290 1133 cans are now being handled by our giggmer ?29?th Depa?mm" i? ?Wing? Customer Name DERIONNE POLLARD Account Number 2900 9533 180 Payment Due By 07(11713 Amou nt EncloSed Changes? iryou are making changestoyouraddrass. ch50}: the hour ni ieft and complete the worse sldo. MAIL PAYMENTS TD: Infiniti Financial Services IMPORTANT CUSTOMER NOTICES When you provide a check, you are authorizing us either to use information from your check to make a one?time electronic funds transfer from your account or to process this transaction as a check. When we use your check to make an electronic funds transfer, funds may be withdrawn from your account quickly, and you may not receive your check back from your ?nancial institution. WE MAY REPORT 1NFORMATION ABOUT YOUR ACCOUNTJO. CREDIT BUREAUS. LATE OR MISSED OTHER ON YOUR ACCOUNT MAY BE REFLECTED YOUR CREDIT REPORT. - . WE MAY ELECTRONICALLY MONITOR RECORD ANY TELEPHONE COMMUNICATIONS WITH YOU. Failure to include the remittanCe coupon with the account number on your payment, or mailing it? to an address other than the address on the coupon, may delay its posting. Wire payments made after 1:00 pm will not post until the next business day. IMPORTANT NOTICE FDR BANKRUFT CUSTOMERS: it your obligation to pay any debt listed in this statement has been discharged in bankruptcy, or is presently the subject of a bankruptcy court proceeding, bankruptcy court-approved plan or bankruptcy court order, ?we are not, through this document, attempting to collect any amounts from you as persOnai liability, and will only pursue any rights we have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or correspondence, use the following address: In?niti Financial Services Bankruptcy Department P.D. Box 66D356 Dallas, TX 75266-0355 For leases owned by Nissan-In?niti LT in?nlti Financial Services, Go Paperless! Turn your paper statements using one of these options: 0 Register on the Onllne Account Manager (infiniti?nance.com) and follow the instructions to turn off paper statements. 3 Enroll in E-Elill through your bank?s website. A email will then come from your bank advising when your statement is available for viewing and payment on your bank's website. Details can be found at ebiliplace.com. i- v.25 .. 4.1 . a . HISSFF Enroll for Automatic Withdrawal unline or by mail: a ?nr'oii onllne for Recurring Payments. Simply log an? to Payment and then Recurring Payment. Once enrolled, you can choose the payment date and amount. it is secure, ?exible, and hassle-free! Enroll by mail for Just call to request the enrollment form This program offers you the security of knowing your contract payment amount will be drafted each month on your due date. Pay by phone or the web. Use your credit card, ATMfDebit card, or an electronic check to make a one-time payment Call 800.603.7385 or log on to in?niti?nancecom. CONTACT US GENERAL INQUIRIES OR ACCOUNT INFORMATION: 300.627.4143? GENERAL CORRESPONDENCE MAILING ADDRESS: ln?nlti Financial Services PO Box 560360 Dallas TX ?5255-0360 Send mlSCellaneous fees or other charges to: ln?nlti Financial Services PO Box 65057? Dallas TX a division of Nissan Motor ACceptance Corporation, acts as 17;? m? at . CHANGE OF ADDRESS Eileclive Dale: .. You can update your address at in?nllilinance.com or complete the form below and mail MO Yea, It With your payment. - County: .. . Resideil Streelmpliit Businessti i, .. Effective Date: Enter Address where vehicle is localed if different from new mailing address. MO .. Year Name: .. Streetmpl License Plale it. .. Cilwstatemp ..) .. Stale: ., Would you like to add or update an email address? .. DC. DCRionnzeP, Pollard Car Maihtenanc?-? (receiptea'ftached) CARWASH CENTE YES HWGERFORD DR. HD 20850 . 15:00:11 r'1ercl'.ant SD: Trz'n "El 10: 02254603 5 399012 CREDIT CARD VISA SALE CARD INVOICE 010.- Batch 11?: 00867 Ap?'ova; Code: 05393 Erhy Method: HamIaJ Approved: Onlfne Avs Coda: WY SALEAMOUNT . $20.95 CUSTOMER COPY SSEHISHE 30 33133??! 3. 63 3mm 2L 4.. EV Calleg? 30 0319.11 63E: nag-rMTj-WW?? 5AUG 13 1,060.71 0.00 0.00 0.00 1, 060.11 CHE: AUG '13 0811?3113- 102. 84' 0 ..Montgomery College 300?71911 - mag" 4W6 *swau??a; . 5e - 1? .. gal?? ?2719; x351. 33:59/12fl3 1,060.71 0.100 0.00 0.00 1,060.71 USD CAR INS AUG '13 09/1311?) 102.84 0.300 0.00 0 .00 1C2.84 LSD I lb: a 1 M95341 I ?1'1'32'84 -, I. i EE?-g?mlr?ai-mu 55,99? It}! '3 Montgaz?wry CoHeg-?e . 65:23? .. - 33.2 Pris-Bank. we. use NWJe-rsey 3007-1911 One?Thousand One 'Huhdr?d Sixty-Three Accounts Paya?bIe-copy VOID VOID VDSD Dr: DeRionne P. Poliard 33325 2.2593 Winding Woods way- Clarksbu MD 0F ?9 - u; . 3-51 w" fr rulj?, ?y gs; -s: art? :fuymzuq I I h' . -. it"; 7532.4; '7 1: g?I?-neanat- ha." 3? .31magaxpaam 4? Aaw?rlfyerrd 1 . cha?cf I:th arfpg?n may be m'yar Eggs, wit} 51?295?50. and readm??ns?m't related foEA?ma-mcred sendces-uncier $1590 my ?lm and-conbaqrmusfbe auacmd?m am committed aervi-?ces. Conbaded sue-nines must be Married {:13 :ffxui?g??ietil a long mq?hih?bm fox-T31 aid @qu- i?an :4in complete offline g1: comm-eta online' a?nEi then p?nL gm mg comgteted form io P353 blu, MKE 23D. PAYABLE TO: ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS UNE 3 Paymgni Requested for: Origing! In'rih'?wkec??pmf? ??tbfa-ipfekd ?H?iyformfar all rim partaking} Dr. DeRionne Ballard? a DATE: EMPLOYEE CITY-STATE VENDOR FED (including zip.code) CHECK AMOUNT: $1 060 . 71 El Membership Sumn 01m1f13nt El MBIence,mcgishaBpn-HonEAP Hanoradurn Empioyee Relmhuraement I?yenr only I NC) nu m: mama - for I'n-finiti JXBS 'and? gasblin? expensfe'? - August 2013. In?voice and freceipts attached . FUNDING . . RR Galina GROSSEAMQUNT $393.90? $251.91? . . - Total $1,060.71? 13 ?01130155? ?a3 G?de El Send ?llgdunentsw?amre? r. ?795 13195986 to Depar?pgy?z? ,1 593mm. msn?c": Ida's: DeRiunuc P. Pollard REQUESTOR NAME Office of- the President DEPARTMENT HAQE {megag'fygg} 71796 Stephen D. saggy"? EXT. accou .. MANAGEE 552933393: Doc ID. if; Approve? ?o r4 :1 5 1 . Fio; Box 550350 oanas, 3430334 003 008143 DBSTILL POLLARD ft Gar 1.: 55-- -- - ti' ?g Your-Account l?nformatiz?late S?taitemE'?t Date - 'l Jugs-?c277. in: L- -. ,?LERf??g?frgi?g??3': Atcount Number .. f? 9 Vehicle Descn?ption 5 5534; gh?gyr Maturity Date 09/11/15 Payment Information - Rog Description Amount Tax Current Rent Amount $798:90 MERE-2032 .: I TotalA?mqunt Due Payment Due 34-2. ??15?9F1tghight?' - - um, ?Juan of?-your paper'statemento and Customer Name DEMONNE PEPOL RD manage your account omine at Account Numbar ?.minz?i??nance. CO Payment?ue By I Total} Amount Due 798.90 In?, 7 (2le 1.800.603.7385 . Duo . MW Wrojm'z'kera payment by phone. ovoti -, Amount Endused . . . .. . Change? For IFS Customer Reiations and genem! 1he box at lIai?l'and oomplola the side. .. . PAYMENTS To. lnquines call weekdays from 7.00 AM, to 7:00 PM. CST. Uthovdate information is . - . . . available 24 hours a day. Financml Serwces I. I I pg. 30,; 9001133 In our? commitment to provide you With the 'est'qua?ry sat-Woe,- customer 59 Nice LOUIsvme' KY 40293 1133 calls are now being bandied by our- Ezzgc?smar?e?a?m? living} ?Jn Gasonne Expe Linn 2m; Ire?erie: 1H. 25856 Ihslh Yaw for Year Eusineas sm?inn?LaMM? ?mm. Imam 13:1}:1? 93351163 ma?awu am @3181? 9 Styrene t5 WW wniw? smunz:saLw Jar 3.9? MM $45.1? Def-it Shawneth Io Ears! Harm: mi Save at 319 Pa; Dr. DeRiane P. Pollard Nilh?f?'l! Ema 2:151 frrderici: M. Gumtaun. HG. mini. for fear Business ?Mm ?mmw,? FH 933mg 39?! 91291? 1 fun?! I Suprm 1?.28?45 Pkltili?l Hi9 wnima $it? Subtotal=$ ILIS lal=$ ME Imle 10.85 mm? [redit Eh I 5135mm . lu Earn awards and Sm m; nses August 2013 {receipts attached) ?ph?pu: WHILE ?$6513 11m swim H9 swim MINNIE PH I Wilt! Bh?i?! FEW suu?m hi? ?93 wuunes Iaz 3 ?3 Inn 5 awn 5 Credit E?m wELanE To SUHDCD 1.. sunuco ran HUHGERFURD 0.. DLnu:H32nu237uTuu1 2 (Self Praduat:?ltra Pure Gallons 1h.996 $jGa1 n.059 Fuel Sale [gtal Sale 3 00.3? UIS . Trans? 235239 approval? ?1?726 J. 39155551?5?02 1' ET .. magnum?II" Manama-? .. I - ISEP macaw; BHSIRESS 358321.928 I CHECKREQUESLT DIREGT .FQRM NmeaTliisc?eck r'cquesi.paymenl form may he u?siad for requc?l? Hillier eiigi?l? Hansacliom under $1000, over 350. confe?r?ncb :ihdarcgi?it'ati?ni: n?t?rciatcd tdjEN', uijdcr including Consume:an and A [mm and mutant must be attached to all?um Lid?ed'sgrvica?s. semi-cu; nvur $1500 must be fg?m'grged? .10 011306 with 3 Ion; requisitionsww fem-rand {he Print and complete of?ine or complete on?neand than print. togg?atgd {011312 5999;} ngg?g? 1:391; MEEZQQ. .. Jo P?ymcn t? Requested to r: Original a am?ng-?qu?y random} PAYABLE T0: DeR-ionne Pailgrg? I we: 09/05/13 Oman-on - EE swam murmen ADDRESS LINE ?5 ADDRESS 3 VENDOR 55010;: ?nciuding zip code) CHECK AMOUNT: $102. 84 mm mm Consuka'nt [j EAP: Reimburse?m l?ua: o?ly'. I I R3 HILL manna]: I Con?trafztual neimbursement; invoice attached.. August 2013;. . FUNDING ,iuoax- FUND Accouwr' PROGRAM GROSS AMOUNT 102 .84 SPECIAL IDES: El HOID CHECK El Mail Check El Age-rd Wm] cried: Toni Lynette Ti:qu 1.0 ngee to Department 4 in" 'Tamathia Flowers Ac Coma-r DeRionne REQU ESTOR NAME EXT. . . Office of the President DEPARTMENY ?lm-IE ?m ?ccwm-m?mm 3931105 Imonmu "mm gums}; :5 my 9 00?" Apprm'cd Date gg?? 11.1w . I 9.1, 1 .L 33:1?wake-?1 np'33-; "an. L. . 4.1.145 . . . ?anJEafmfP?y?ien?Pfan POerxsza'EQZ- it . . . ?Bioom?f?'gifoh'sl? 6,1 7112:2329. Bat-e? I - t. :3 .r-rzh_ Fi?/Ii 1- - 1 91A131 1039-1513521 20?9ng jg; .. 0.15023. k. a. 1 - ?g?r ".321? I . . 'Pa {F.J?fgrg a;ng .xl?ii?akvAgent Mark Spit'aje 23211 Sl?ngtown RdPhone: 301-916-5543 - Mb?. .g .521?. Emi?r?rmt??' l' .1 .10- 11%? If? uwa?? 2:11:15 $311,515,132; 8 figa?f?xg?115? '2 LO: . 5' '1 'ed' ?Mb-n . i. a r? ?353;? 11,4 a_ awn-I? 1329.11 11%- 1.331% tartar?: . 6st 33gameaaygugg?vze??tw?a. ?lling: . yawmast? . 1.2: a ?7 5m?prodg?ts~?ffouri ?115 .11131.15:ch ?n em ?3 32;. :33; $.43 15 m. 11-44%: .Ju :3 m: 3255'- ?gr - WOWlac-?5 -. . :Lzm41.1.95" Kl" ?11911.SFPP 1511;115:101? Prepared August. 1, 2013 "110.1111? .. . Pgdini'?seni'app It?ll-an? A?tbma?rd'Line: 11800440998 . P611191 Ypuquy 11112211921111613' 'if'ydu'hay? moved, p?laase-oontact?you?ggenp 151319131111? Acapnrimolqer; 15311011111: 11.101153. 131003111035 -: . - -1nsu'rance_su armenter SEPE Acpounmumber PEG): 86268816132 A?mou?tDue' 5265;41- Mam? GA State: Farm . . -- . 5266.44 1008. I 6-474: 450 0-1 13 9.9 77:5151191 1 a. . . Monmomem? COLLEGE Of?cegof Hum'an ?esource Development and: Engagement Sentember 12,2013 MEMORANDUM To: Ms. Janet Wormack, Interim Senior VP for Adminis?tra?t?iveend Fiscal Services From: Ta mathla M. Flowers; Directorof Benefits Management Subject; Check Request Amount: Other Bene?t-s Account Name 81,- Number Payee Name Dt. DeRionne Pollard Address Please Deliyepto Dr. Pollard Period Covered August 2013 Date Needed ASAP Approved By: Tamathia M. Elqwers Direotor of Bene?ts and Systems'Management Docmlg?- Approved mm Data? I 33l:l:l0 3931103 ?15; :6 HU El 30073223 ?n?zgm?gum:31: 12%? u. . CAR INS ?9/1023 10/09/13 102.84 00 0.00 0.00 30073228 Mong?ggmemr College "of" a 54? '3 I iimgn? - 53m . CAR INS 9/1023 10/09/13 102.84 0.00 102.84 USD Co?ege 55-2?7 312 PRO Ba?k. NA. 050 New Janey m?hfi?'MmU ?11* 10/22/13 30073228 Accounts Payable copy VOID TO THE ORDER- OF NOT NEGOTIABLE 102 . 89 L80 . MONTGOMERY COLLEGE Office of Human Resource Development and Engagement October 17, 2013 To: Ms. Janet Wormack, Interim Senior VP for Administrative and Fiscai Services From: Tamathla M. Flowers, Director of Benefits and Systems Management Subject: Check Request Amount: $102.84 Accoum Name 3: Number Other Bene?ts Payee Name Dr. DeRionne Pollard Address Please Deliver to Dr. Pollard Period Covered . September 2013 I Date Needed ASAP Tamathla M. Flowers Director of Benefits and Systems Management Approved By: MONTGOMERY COLLEGE Of??e of Human Resource Development and Engagement October 2013 MEMORANEJUM To: Ms. Janet Wormack, Interim Senlor VP for Administrative and Fiscal Services From: Tamathia M. Flowers, Director elf-Benefits and Systems Management Subject: Check Request Amount: Accoont Name Se Number Other Bene?ts Payee Name Dr. DeRionne Pollard Address Please Deliver to Dr.,.Poilard Period Covered August 2013 Date Needed ASAP Approved By: Mama? my Tamathia M. Flowers Director?of Bene?ts and systems Management I 4 4-01.13 1D. is w, ?5?z if". - 13-13930 . I Date WW :9 age? :3 c? 11331,; I . GFFIGEOF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Noic: rcqugst form may be usedmw dues, Iransactions undcr $1000, Employee feimhurscments over $50, conference and registrations nut rclaied to BAP, comraclcd services under $1500 including and lionpfalium payments. A complete w-9 Penn and contract must he attached mnimcted services. Contractud services over 500 must be fumw?du? In-Prmuremem Of?ce. with Inng requisition, W-Q form and Ill: Print and complete of?ine 3 complete oniine a?d then print. Sand mg form to Accounts Paynbia, MKE 230. I Req ups! EU for: I Original Invokex?cmpn: a cumpfered 11-19 farm for of! weirdo?! PAYABLE TO: DaRionna Pollard DATE: 10/ 09 13 [j EMPLOYEE smoem vowrmeen ADDRESS LINE ?1 ADDRESS LINE 2 ADDRESS CITY-STATE VENDOR FEB 10:: {including 21;: code) CHEQK AMOUNT: 102 . 84 E) El M?mmn Consuth EAP Honorarimn 1?year only I an EU: HILL Ra?ta?k?lm mom; I Contractual reimbursement; invoice attached. September 2013. FUNDING FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 102 . 84 31726151. INSTRUCTIONS: - - Total HomicHEcx buii'?leds Ma?meck Send mm ?m Check Ly?n?etta Tnlford up Payee to Departnant DeRionne Pollard 71796 'l'amathia Flowe rs REQUESTOR EXT. ACCOUNT MANAGER (PRINT Office of the President." WA f, DEPARIMENT NAME (Plaasa SUPERVISOR APPROVAL ]Accoum MANAGER SIGNATURE w: ,ng-ng?n 551;; J30 We a? 73L). I - "-15-1-?1-13111311-11S?efa Ean?PaymemPJan Fr? g?k x?W??egmw ?gs-Woo Po 8111112329 . - ?1 Broomrn 10n1L61-r02-2329 . . re? 1 - g" Defe . .. 61-11111 5. 1 mar/1112 . - - 1 111199011911GleerJiamer? 11919211318 - 1.. . - - 1- . re.- I e; rm 1099-7616-21 20-9A4E . 1911.?? - - . st. gg?: J?g?giagijf?a19?3-?111: .f - - '2 genera-5111111111wrangling; J. ?111.1% ?311.11 ere 73/ .- Agent Mark Sphale 23211 Stringtown Rd 4 I ?Ciark?ourg MD 203739363 4' I - Phone: 301-916-5543 . 1.31 131? at$35753; ., ?1337' emvaeg. ?realm .1911Ran-41"Hi- g1 g-I h: g, {were 49k; '5 {ef?sri?h . ago i stole Eamw?eeoom thesewrg yeof 3113111511110 1-3- rower [Lark "1?3335gage) a; so; 7,3: It. . i .1- 1 4-: "an? .4 1 la?. 1 Huge HIE. 191 sud . Mu. elf- _o,u,have1any?qgeslonset. 0.. ready 19111551315310 1 . -. rereremee?renown i :1 - 3?11 -. . . a. - good. ego-32:7 ?413131 ?agree-?1099-2511121 Propaer Septembor3, 2013 ?2 . 3.1 I a Walk-In Seam State-Farm hgenl' Call your Agent: 3111-9166543 Amomr?ed Line; 1-800440-0993 Key oode: 75411335292 bnline PC'or mob?e devices Power?l'd P'ay Your Way. Pockei Agem app If you have moved, pleaee contact your agent. ?StateFerm'? A?ceurrihorder': Romeo, JONESSFPP-Acbo?nt Nulmbofi insurance Support Center - PO. Box 588002 North Metro, GA 30029?8002 "Amounl Please pay by September 20,2013 Make payme?i?IO'?tate Farm Bill $266.44 1108 For Of?ce Use Only 5130331200026644 016503 at. ?Tuu' a. r; . . Statefer?m t, .u?e?a?A-m-Hm. . for- Himwhen "1?937' - La elAnjounl Billed 2013 Difference . . - . 1 seam . 0.00 255,514 3.00 $256.44 Service Change? A Total Arn?oulit "2.13:2013 32687444were? "3ng 3.5 ?i r- we?. .1: ig?w .. rig}; e. - -, 1-. Ruf?an? r. @333"? .- - 1 ?ing-aslesz '7 cwi" 51- out!? .j 335%: ?rtee?r??beiwn r?olrcy?umbor ??p?la?g F. 1* Installment $311.59 .33 JONES, ROBYN 1 201,3 'e . b? "$1023? p? InstallmentWhen you provide a check as-paymentgyou authorize us either to use the information from yourche?ck to make a one-lime your account or lo.process the paymenl as alcheck transaction. When we use information from your oheckjo make an-eleolroniclUnds transfer, runds may be withdrawn from your account-es soon as the=sarne deYWe receive your payment, 'and'you will not receive your chedr?lia?k fro?m'Ty?rour ?ne'ndal'lns?lulim. SFPP Account 1099-7616-?did-4?1 l: ?JrPage 2.01'2 .7 .. w. -- t?keJHp . . ?Minn-c . ., Prepared Sepiember 3, 2 013 ?1 I. Irj'l' 4 3 qul?a'mezy?Co?age' n. 30074105 '2 a: Wire? a - :7 M. . CAR INS 10f2013 11/12/13 102.84 0.00 0.00 0.00 102.84 100913 11/13/13 1,126.08 0.00 0 00 0.00 1,726.08 LSD Montgomezy College 300 74105 r" 1? 3g in. 33mm. ?fur 91?. 0000112.?0003300 101953000 a?mi??xzaga g. 1108002130105 CAR INS 10/2013 102.84 0.00 0.00 0.00 102.04 LSD 100913 llf13/13 1,126.08 0.00 0.00 0.00 1,726.00 LSD Bank. MA New Jersey 050 ?:95 {Iv-13%} MW ?uumn?wns Montgomery College 5527? 31? {ad {5233? '{Qas 3 30074105 PAY T9 THE ORDER OF Dr. DeRionne P. Pollard Accounts Payable copy VOID VOID NOT NEGOTIABLE MONTGOMERY COLLEGE Of?ce of Human Resource Develooment and Engagement November 12, 2013 MEMORANDUM '70: M5. janet Wormack, interim Senior VP for Administrative and Fiscal Services From: Tamathia M. Flowers, Director of Bene?ts and Systems Management Subject: Account Name 8: Number Other Benefits Payee Name Dr. DeRionne Pollard Address Please Deliver to Dr. Pollard Period Covered Octobewh Date Needed I ASAP - Approved By: (9101?4119., Tamathia M. Flowers Director of Bene?ts and Systems Management not: Inge . Gig A Approved Date x; It Ir- OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Note: request payment form may be used for remit-.515 for :Imnberships due?s: subscriptions'lycar, other eligibie transaclitms untch $l000, reimbursements over $50. confurulcc and rcgisirations not related to EAP, contracted Scrviccs under $1500 including Consultants and I-Ionot?arium paymean. A compiclc W-9 Form and contract must be allacIIL?d In all services. Contracted scwiccs over SISUO must forwarded [0 Procurement Of?ce with a long requisition. W-9 form and [hp conlracl. Print and complete amino 9; complete onl?na and than prinL the com letad form to Account: Pu HIKE 230. Pay?! en! I.I (?Ste? for (I) On?gfmu' Jm?of af?rms: I419furm?lr m?w PAYABLE TO: DeRionne Pollardf DATE: 10/11/13 VENDOR in??'es Cl STUDENT VOLUNTEER ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED (including?zip code) CHECK AMOUNT: 102. 84 CI Hallmhip [j Sllbi?p?m CI 9311511113?! Car??emef?egistra?on-HonEAP Hos?orauriun 1-year only I NO 1m: 9111. BE 3.9mm Contractual reimburSement; invoice attached. October 2013. FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 102 . 84 SPECIAL :Hs'mwcnous: HOLD CHECK ?an Che? Chen Send mad'lmenls with Check Tom}. 1 02 i 84 Lynette T?lfard to Payee to Department DeRionne Pollard 71796 Tamathia Flowers REQUESTOR NAME EXT. ACC UNYMAHAGER (PRINTHAME) Office of the President MIA DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL [accoum MANAGER sseumune -- . v. . I State Farm Payment-Plan .?r?ywxr? a . 2:1 r" 0 3?33?" 20:10:11qu .- 1; Mg. 1 1 ,r 8100171111910!) IL 61702-2329 "4312103 . a}:s?i??k?ag?m 33333"? K35 1 4 ?if ?a-W . It?ll}? 3' 1? 3111.0003 20-9A4E EAkEcbu Edam POLLARD I I1 31w .. . $99339 3313.3 ?ag-Fix 3,93" r?fwgm :LlfL" 112.1105. D. STI- A AgentMarl-z Spilala 11801 Fingerboard Rd Ste . Date Cw? 1 MonroviaMD 21770-9030 \Dl'lupb 1004429 113153201 05?11-2012 . I iv. 3 . .3 ,meigfvigw? ting} thin?? 10997511121 Page 1 01'2 Prepared chober 1t 2013 ?Caflyour Agem: N1-882-4101 Automated Llne: 1130041400998 Key 0:119:2?540881415 Mlubiln .?deioad our PockelAgenl app 5813 our :13 State Farm Agent Pay On?na Your?Way i P'Cor d'BVi25 If you have moved, piease contact your agent @Statef'agrm?? ?cwun?t?older: DERIONNE 81 JONESSFPP Ac?o?nt NUfhb?rf. Insurance Supper! Center .. PO. Box 588002 Amountnu?e: North Metro, .?Ptaasa 20, 2013 Make paymeht?lo State Farm FOrJOf?ce Us? Only SF PP Bill $266.44 1208 400334200026644 4001099?6162111321> 01551:. . UMBRELLA 250000 SELECT TERM - 20 Mommy Installment Monthiy installment Monthiy In?staltments' Instaliment 1?fir 53'? 131???32: Verge-o: rotor-rage I - - .Last Amount Billed 7 $266.44 Last Amount Pa?r?d?s?Epao, 2013 ?55.44 Difference 0.00 Current Instetlme'nt 263144 i J. Service Charge 3.00 1.426644.103 $84.59 - $002.84 j" -: $53.03 Wnen you provm a check as payment. you authorize us either to use the tnfonnah?ontrom your check to?make a oneittrne electronto tune transfer fromyour account or to process theipayment as a check transaction. When we use information from your check to make'an ete?ttonic turrds transfer; tundsmay be withdrawn from your account as soon as the same day we receive your payment, and you "wilt not rocetve your check back from your'?nanolal Institution. . ic?ounr _s . ?Poge?20f2Prepared October 1: 2013 I . "t "5 "ti "up 0F SERVICES r1, I 9-33-. - . Win?i? .- . 9 ?w .31. 4-233 as: rim-:5 ?13:3 - . amt??3 33335;? Lawn. in .mn- i? ?a rz?a?ta: t? mgr?srrab?ns no: rEISrap r9 EAP. mix-{9d sam?ces under $1500 mm Cmsunanfs and Honoran'm: payments. A mfg-tangy vb}! a: imp aims-?wa 319m and trauma Pdnla?d Gunplete o?iln?a complain online and then print Send the cm form to Accounts PavabfaLMKE 2311. aware: Th? NQ3wPa3?mr?ym :mj- he Unis. mpr'rgw umr-SM. canfm-mr our 1.9-9 form and com-ac! must be attachedlo an ognbacfedsen?csa Canbaded samba: over $1590 must be rewarded DeRionne P. Pollard VENDOR EMPLOYEE PAYABLE TO: Dr .- gr' ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 . (including zip code) CHECK AMOUNT: $1,725.05 gut Requ ??ttd for: (I) Orfginn! In roka?ecei?r; (2 a mmpfered Hiy?mu?lr of! am mam! DATE: EMPLOYEE 10/09/13 VENDOR FED [Dill 1 Henbersl'?p Combat [3 Conierencemegistra?m-Nm EAP W?um 5W9 any-am: only I no rm: M?imszn . . PURPOSEIJUSTIFICATION: I Reimbursement of car payment. for Infiniti Jx35 - $798. 90; Gasoline expense??r?fi' $232 .39; parking 00: transporifation - $195. 00; HOT Dinner Beverages an Leadership Congress $453. 39. 1.31:2; {'91 . Acnvm? INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT s? 98 . 90:; $473 . 792 $453 . 39 . ram 3? DHULD CREEK Haunted Haicheck ?Ital um" "-795 :9 935129 to ML msmucrxonsi Brian K. Baker r) Stephen . DeRionne P. Pollard 71796 REQUESTOR NAME EXT. ACCOUNT mag?cea??pmm Offic? the President r; DEPARTMENT NAME- (Please Type) SUPERVISOR APPROVAL Accpig?r MANAGER SIGNATURE DOC ID Approved Date: .L. ?agging. 66 2' 73 ?mm-.1 . Infiniti Financial Services 1 I goo. Box 650350 Dallas, Texas 75256-6360 >01019 3558002 002 003143 DERIONNE POLLARD Your Account Information . . .. Account Number Vehicle Description Maturity Date OQIIUIS Payment Information g? Description Amount Tax Total 2 'C?urrent Rent Amount 798.90 $793.90 i Total Amount Due $798.90 .5 Payment Due By 10/11/13 Acc?lrit?hlanageKH I NOV 11 2013 . 5? 1 mice of the Presidee.: u. .fv - - - Iii?3?2: . a; quiz-lea..- 11?s.: 1 ?2 '39nix-J"; .1 L. I . A runny313?. . Vll?lg?l: ll R. I. incl-'3. I ?av{I?M?Gift card - - Ian-?1?: ingenious. A - I . ?I-w ?p . . 3? n?w? s: CDC: 1r._?3mm, lr ringput-.1- ??nngh?Tqawu.?me: awe. .tv?n I is. - l??r?a-Irh?a??h-n g. I H- m. Please detach and return [hrs coupon along your payment finsCustomer Name DERIONNE POLLARD Account Number Payment Due By 1 Total Amount Duo 5 193.90 10(111?13 Amou nt Enclosed changes? if you are making changes to your address. check the box a1 lalt and complete the rarerso sldo. HAIL PAYMENTS T0: Infiniti?Financial Services PD. Box 9001133 Louisville, KY 40290-1133 . Turn off your paper stat?menrs and manage your account online at inflniti?nanoesum Call 1.300.603.7385 To make a payment by phone. Call 1.300.627.4437 For IFS Customer Relatlons and general inquiries call weekdays from 7:00 AM. to 7:00 PM. CST. Up?to?date information is available 24 hours a day. In our commitment to provide you with the highest quality service, all customer service ca Rs are now being han dled by our Customer Relations Department in Irving, Texas. IMPORTANT CUSTOMER NOTICES G0 Paperless! 'i When you provide a checkr you are authorizing us either to use Turn off your paper statements using one of these options: information from your check to make a one-time electronic funds a Register on the Onilne Account Manager transfer from your account or to process this transaction as a (in?nltl?nance.com) and follow the instructions to check. When we use your check to make an electronic funds turn off paper statements. transfer, funds may be withdrawn from your account quickly, a Enroll in E-Bllithrough year bank's website. A and you may not receive your check back From your ?nancial email will than?come from your bank institution. . - - advising when your statement is available for I ?cw Viewing-and payment on you'r bank's website. Details can be found we MAY REPORT ABOUT YOUR ACCOUNT no i r~ CREDIT BUREAUS. LATE OR MISSED PAYMENTS OR OTHER :23 ?f DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CREDIT REPORT. enach Enroll for Automatic Withdrawal online or by mail: a Enroll online fer Recurring Payments. Simply log . on to in?nitl?nancecorn. Click Payment and then WE MAY ELECTRONICALLY MONITOR RECORD ANY Recurring Payment. Dnce enrolled, you can choose TELEPHONE CUMMUNICAUONS WITH YOU. . the payment date and amount. It is secure, ?exible, and hassle-free! I Enroll by mall for SignatqreDlRECTPAY?. Juet call to request the enrollment Form (8005214437). This Failure to include the remittance coupon the account program offers you the security ofkn?owing-your number on your payment. 01' mailing it :0 an Address Other than contract payment amount will be drafted each month the address on the coupon, may delay its posting. Wire on your due date, payments made after 1:00 pm will not post until the next business day. . 9* Pay by phone or'the web. Use your credit card, Ali-i/Debit card, or an electronic check to make a one-time payment. Call 800.603.7385 or log on to NOTICE FDR BANKRUPT CUSTOMERS: If your obligation to pay any debt listed in this statement has been, discharged in baner'thcy, or is presently Hie subject of a CONTACT US bankrUptcy court proceeding, bankruptcy mun-approved plan or bankruptcy court order,. we are not, through this document, attempting to collect any amounts from ydu as personal liability, and will only pursue any rights we have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or GENERAL on ACCOUNT INFORMATION: 'aoo.527.4437= correspondence; use We following address: GENERAL CORRESPONDENCE MAILING ADDRESS: In?niti ?nancial Services in?n?iti Financial Services PO Box 660360 Bankruptcy Department Dallas TX 75266?0350 P.O. Box 660356- Dailas, TX 7'5266a0365 Send miscellaneous fees or other charges to: In?niti Financial Services For leases owned by LT ln?niti Financial Services, PO Bax 66057? a division of Nissan Motor Acceptance Corporation, acts as Dallas TX 76256-057? -SecvlcerCHANGE OF ADDRESS Effective Date: .You can update your address at lniinilil'lnance.com or compiete lhe form below and mail M0 Day Year it with your paymenl. I I I I County:., .. .. Resideil .. .d?l I . Slr?el Business: .. Elfacliye?Dale: Enler Address where vehicle is located If different from new mailing address, MO Day Year ., Name: County: .. Street! Apt ii: .. License Plate Would you like to add or update an email address?? .. . F?lk? - l?u rm 5: 13-0?1 $133333: cf?lro [a 1-31?. Dr. DeRionne P. Pollard Gasoiine Expenses October 2013 09318601 DATE l?fiifl? PUHP 0' Tn 12,319 3.62% FUEL 61.bJ V18 A Auth g; Ref: 338310a! Resp Code: Stan: 02331b8838 SETE 1D: 9328601 Earn rcbayes with HP Vgsa Take appligatruu and Apply Foday THANK TUU HAVE A DAT IHC 4?35633 HD 13(2132913 13?4li?B PM 9485535? HBHQIQD HUIH 956?5? ima?c FRIEEIGRL 3.749 FUEL IUIHL 5 52 ll Subtotal i 52.11 Tax 9.33 Total 5 52,11 5 62 11 Credit 52? (538? 63*? 33} a x; Dr. De?ionne P. Pollard Gasoiine Expenses October 2013 Ih'leslcm iim 211m Ir'ederick Ed. Eu?mntum, 25m Inm- for Mr Easiness ma: mam, mm: mm, vs ?Mhli PH U138 Ilki mama mum i more: am EWI rz'mg; E?prm c: mm .33: a: ?1 FRIEHEH 3.15%? :3 can um we {2'43 I mm; 3.st . WE air?! PKCS a a . f?lax in?uva in grit: Suhtatal 51.9% In MB Iata! ma meson 5w: 'iwr Tum Fuel Distwatisi emit um my Safeway Io terminus and Save at ?ung ii?lhlliliillil car Lush cm is 598 1 Mains ea :mwma fig?" Zf?g?L Dr. DeRionne P. Pollard Parking, Expenses October 2013 ?re-am Sam. Inn. In: I ml P. ?1:29z?i PH Pd i'a'?ii?f' I thdihd 1.15131: it- {i Pagans ?iwm: ?v'ISh Maulikxw: m: Hm: Yam! Pit?fut?.) time Ana in if $45. 03 $45. 00 CREDIT I875 {.131 N.) 3a{.fn h" i? -- x'l-a ?13: 5-3. 35:; .4: L.) c- Dr. DeRionne P. Pollard Transportation Expenses October 2013 Conference and ACCT Leadership Congress '1 Yamw Cob" i206e622-650i01 4253-4553-4999 253-.455-4999 I Seattle Easterde 80. King County DATE Mme I 0666 'Amowo' ?i ?Eonmna FROM -. a - . We Mousse}; .24 HOUR COMPUTER ACCOUNTS WELCOME - 206343-4362 C.) no rag-1' Lo C3) w" :1..le wt. ?tazi :9 mt rm!" ?3 w: Eqr .63: Y3 Cab . 253-455-4999 I 266-622-6500 425455-4999 I Seattle Eastside' 80. King County ?chum . . - . F: - Drop Off: 1' . 0 'Datq; RECEIVED FROM . . . ,1 AMOUNT q, FOR Blckup Time. Dro?prft'l'u . FROM To ?w?-Wk ?Cnbfi: Driver?s Name: 24 HOUR COMPUTER WELCOME - 206343-4352 Yd Cab - gE31311)?" 266-622-6500 425-456-4699 253-465-6999 i . 44(0- Seattle Eastside 80. King County PM ?We. a A Dru'p Off: ?3 - Iv . MTIME NAME Date: Len-101111663? El ED FROM 1 -. AMOUNT 56 . 0 FOR HIRE: Time- Drop .0 FROM 6mg:- TO Ca'b?z. I Driver?s Name: 24 HOUR WELCOME - 20513434362 Dr. DeRionne P. Po?ard RECEIPT for BOT Dinner Beverages at ACCT Leadership Congress (NOTE: to be paid from Account No. -s i a. a II hivlh It 52?" xvii. 1-351 Utilli' "'Hiis'mgl 'igr- i-aul i- ..Mi l?r?l?f'iftiwl: 5 HI: . Uri? ., t'lil?tl??. byigi Cari.? C3 ll 3' .5253; Wu": gig - ?12:7 ?.11 Fur-? :22: as: h?jJ. r1? - {45'3- College l. 300 15:] 6?if}. .- u. my. ?fl-fmn??a: . ., .0- CAR INS Nov 102.27 0.00 0. 0 0.00 102.27 0 CAR MATNT 0001.3. 1,030.77 0.00 0. ?0 0.00 1,030.77 0 Montgomery CoHege 30075165 W??h?ah0.34.0000 CAR INS 000 102.27 0.00 0.00 0. 102.27 CAR MAINT 00013 1.,030.77 0.00 0.00 0. 1,030.77 PNC Bank, NA. 060 New Jersey Montgomew- College 55-277 312 SD SD n: mrutw4u3>mv=a mice? I311 :9 1mm? mu- :0 0533:: 031%- ifx v? :1 Knuth? I .1 It?. 12l17/13 30075165 $1liriirz'n1 "1 One Thousand One Hundred Thirty-Three 8: 04M PAY 0 Rio eP Poiia TO THE ORDER OF Accounts Payable copy VOID VOID VOID NOT NEGOTEABLE I - MONTGOMERY COLLEGE Office of Human Resource Development and Engagement December S, 2013 I MEMORANDUM To: Ms. }anet Wormack, interim Senior VP for Administrative and Fiscal Services From: Tamathla M. Flowers, Director of Bene?ts and Systems Management Subject: Check Request 3 Amount: 2'63 ES col-?- T15) to? re Lin Account Name 3! Number Other Bene?ts (hr) '0 53:; :31 (In; Payee Name Dr. DeRlonne Pollard 54 Address Please Deliver?to Dr. Pollard Period Covered November 2013 Date Needed ASAP Approved By; MW Tamathia M- Flowers Director of Benefits and Systems Management gadget? 3333 F3 w? .x New?! I $.10 OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Now: This chock request paymcm form may be used for rcqucsus for memberships dues, subscriptions-15mm, ether eligible transacxions under $1000, amployec reimbursements over 350, conference and registrations not related to BAP, contracted sowicus under SISOO including Cunaullwus and Honomrium A Form and uunlracl must be lu all scwicue. Contracted services ovnr S2500 mural forwaxdcd lo Of?cc with a long requisition, form and the oonlracL Print and compiete of?ine complain Dunn and then print Send the [mm to Announts Payable, NIKE 230. Pa'ym DI Req ?sted for: Origl?m! Invofro??ewym: a cumpfemz' W~9?m??x wndam} PAYABLE TO: DeRionne Pollard DATE: 09/04/29 Cl VENDOR mamas [j STUDENT [j ADDRESS ff) . .. . .. ADDRESS LINE 2 5 J: hr ADDRESS LINES E3 .4 CITY-STATE VENDOR I: (including zap code) mg CHECK AMOUNT: a 102 . 27 53;: gm $313: ?emergth Subscription Camilant Memef?egistramn?on Moi-arm :3 . 1-year: only I ND 29.1 BI {13231303539 no?; Contractual reimbursement; invoice November 2013. FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 1 02 . 2 7 SPECIAL INSEUCTIOFB: 1101.0 CHECK Mast Chad-1 Mai! Cheek Send Mmem ?in check ?"31 5 102 27 Lynette Teiford to Payee to nepartoent De?ionne Bollard 71796 Tamathia Flowers REQUESTOR NAME EXT. ACCOUNT MANAGER (PRINT 94w Office or the President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL ACCOUNT MANAGER SIGNATURE 1 I, a I - "'41 Va -. . $21.1: 33:03State Farm Payment Plan 03 1A CM PO Box 2329 Bloomington IL 61702-2329 . 009115 0005 4099354021 POELARD. DERIONNE 3T3. Agent Mark Spitale 11801 Fingerbgard Rd Ste 3 Monrovia . .. Phone: . a 0 <13 - 02:1: .. 910% n- o? "w?r - it?, 3.. . o; u: 0 5-1?1 V1W- 3.1 4 u; 53. .. dwmce??w?g?? 0; f1 . 0 0&1?r? - ?i??El; r: ?333.41?? 3} vii 3; fig? "6362{$143 334%.? gappm'?iale?heg?wa ifygumonsl?ten?yfgg'j 0 ?aci?un :Wg?ghg .32. . 003-5? 31$513: .- 8 43? twawlai??s?" if. 5% 0% Kurd. - - Ionmw havetrecanilw?enbancgd {19559; uslomerg anewgrm?a??to {3 :r 0023:? . 540513 $0991"? ?gm 3912 44 a .: . [meforE ?an on; 2000100ucenterz??m?rhw . 16*" 00021030030?:- WM srx-?t?gv' my sin-M .. .- ?i'tggi?cx 0?42? . 1" . ?3:19- adg-a as; 1" P?s I 33110-33. 'Lazgra? in "as; ?9 'xbvw? ?b . at}? 03.3%? x??q-n 21? v. 135% LE. wad?2?? I?tiur..s?$ 5- 0 ?a 303er ihavewn alto: 3500530 . - - ?.213} 11' W41. .Wa 5?3; ngu fs?em?aa: 60:00 f4"? Emir-'SFPP-Acrgount 1099-7616431 Page 10f 2 Prepared Octobarst 2013 Ifieaazt?igz-iwar?aril Catt your Agent: 3010824101 5 Autqmaleq Line: 1-000-440-0993 Key'ooder 7541423153 Power To Pay Your Way Pod-{elAgmt app State Farm Agent If you have moved, pieaselcontact- your agent. &StateFarm" . Accomtholder: POLLARD, DERIONNE JONES, SFPP Amount Numbe lnsucdg-S-[JppO-rt Center P.O. Box 588002. Amount Dug: $235.37 North Metro. GA 300208002 Please pay by November 20, 2013 Make payment 10 State Farm ForOf?ce Use Onfy SFPP $265.87 0103 20040080002653? 400109976162111321> 009.5%? 1'7; @Siat?armw 1 1 ung?i} . ?uh-gang 3275:?- :zs-gr - 13 1? new?? an?. if a? w??gl m. andworker-r '33 Lasmmoum Billed . $266.44 Last AmountPaid com; 201's 255.0iffesenoe 0.00 I I ?o 23"? - 262.87 -. - Service Charge 'ano Total Amount Due By uni/20, 2013 $265.87 are-mare? r? eWe'oa-we?ve rke??r .r sen-:31: efi?ies E?fagg .. raise if?? ?Ef?e-ea? ?ea" af?x feeaesv?eitaeer f9; e12: 2012 HONDA bv Montth Installment $84.69 2013INFINITI or Monthiyinstaliment . Rating Change . . UMBRELLA lb, . a I a . $12.33 250000 SELECT h' - - . Jones-Roam When you provide a check as payment, you authorize?hs either to use the infonnation from'your check to makeaone?ime-eleclmnio fund lransrer from your account or to process ihe payment as a check transaction. When we use inimmation from your check loynake?an electronic funds transfer, funds may-he withdrawn from your account as soon as the same day we receive your payment, and you will nol receive your-checkbook from'your ?nanclei institutionSFPP Account 1099??516?21 I I Page 2 of 2 Prepared Odober31, 2013 F: I I . . . Iii-J 1 -1 if: a? I .15. ENE .I ,1 Egg-gel gt; I . Ht.? (1-. 23'? 9?11 no; a .3): no: :Ir['1-31 53: :31: soc", fir1-. 33- - ?l . may"; is? 35+? ?g 5? OF BUSINESS SERVICES mawagwj - ??oggeg??g?g? ED 11?" 'm mi . Jimmka PAYABLE TO: Dr . ADDRESS LINE ?1 ADDRESS LINE 2 ADDRESS LINE 3 h??rw?fhis c?cck'mzm?pagmmr?nm may 5: mrd?r ?qka?tt?lr menibenhgm rims. Jubitrip?om- err-Way: mm?mwuu aver-35f}: and Wha?ons not related [0 W. contracted xen?ces under $1500 Ming Consu?anl?s ahJHc-mm?um perm ants. - w-9 ram: and contract must be attached Io Joana": dad amines. annuach ?Nice: owrs'isoo must be rammed In Procnmmem with a Jung H?-9?um Print and con-[plate of?ine 95 complete ontine and than Send the compleied form WAccounis?Payahle. lime 23g, Paym BS ted for: meg-ude Afhja'i?m??tit, (U Ori?m?-inmfavmzuan; af?nity g?exrdg?v? D?Ri-onne Pol?la In; DATE 12/04/13 EMPLOYEE mm qeun?a FED c3 (Including iip code} :32 9:120}: mum: 51,030.77 5116,") HmIb-ership Ij Cormkant EAP Howrah? Empm? . mi; 143?: only I 30 m: 1 Rgimbufs?mant of car payment for ih?ibhihi .1335 $793.90,- Gasoline; expanses $231.8?2INDEX ?1:an is . GROSS AMOUNT, $?98.90 $231 . . . . tal lj'Hm'o cum? Ha?d'meck $313156? SEMAWIS mil-Ilka _to Paylte ?to ?pgbi?g?it?i?t 3mm narrimx?ns: DeRionne P. Pollard REQU ESTOR NAME iJl' 'PI'HHig'lenL NAME (Px?ase Type) AP DEC 4 2013 Docm? Hjogf?f?fg?o Approved. Dam In?niti Financial Services no. Elox 660360 Dallas, Texas 752530360 905714 3626910 004 008143 DBSTIL DERIONNE 8900 Freeport Parkway Irving, Texas 75063 2438 8' Your Account Information Statement Date Account?Nurnber . . Maturity Date 09211115 Payment Information Description Amount Tax Total 2 Current Rent Amount 5 798.90 798.90 Total Amount one s. 793.90.? I Payment Due By 11f11j13 r? im-gm.o? vu- Customer Name DERION LARD '4 Account Number Payment Due By minus. :1 i TotaLAmount Due $798.90 Amou Enclosed Changes? are making changes to you: addreas, check the hunt al loll and the: HAIL MONTH PAYMENTS TO: In?nltl Financial Services PO. Box 9001133 Louisville, KY 40290~1133 aunimanaget I If pile: oi the Freeman: . ".mnuoim 13:3 Turn off your paper statements and manage your account oniine?at infiniti?nance.com Call 1.800.603.7385 To make a payment by phone. Call 1.800.627.4437 For IFS Customer Relations and general inquiries call weekdays from 77:00 AM. to 7:00 P.i~i. CST. Up~to-date information is available 24 hours a day. In our commitment to provide you with the highest qua?ty service, a? cirstorner service calls are now being handled by our. Customer Rafa Hons Department in Irving, Texas. euelse side. - IMPORTANT CUSTOMER NOTICES when you provide a check, you are authorizing us either to use Information from your check to make a one-time electronic funds transfer from your account or to process this transaction as a check. When we use your check to make an electronic funds transfer, funds may be withdraivn from your account quickly, and you may not receive your check back from your ?nancial institution. if WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT CREDIT BUREAUS. LATE OR MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFEECTED IN TOUR CREDIT REPORT. WE MAY ELECTRONICALLY MONITOR RECORD ANY TELEPHONE COMMUNICAHONS WITH .YOU. Failure to include the remittance coupon with the account number on yOur payment, or mailing it to an address other than the address on the coupon, may delay its posting. Wire payments made after 1:01] pm will not post until the next business day: IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS: If your obligation to pay any debt listed in this statement has been discharged in bankruptCy, or is presently die subject of a bankruptcy court proceeding, bankruptcy court-approved plan or bankruptcy court order, we are not, through this document, attempting to collect any amounts from you as personal and will only pursue any rights we have in the bankruptcy courts to the extent allowed by iaw. For all bankruptcy notices or cowespondence, Use the Following address: In?nib Financial Services Bankruptcy Department P.O. Box 650356 Dallas, TX 36266-0366 For leases owned by lesan-In?nltl LT Infinitl Financial Services, a division of Nissan ?Motor Acceptance Corporation, acts as CHANGE or Appeass You can update your address at infinitifinance.com or complete the form below and mail iiWIth your payment. Slfeei i AM if. .. Cllyi'StateIZip .. Enter Address where yehlcie is located if different from new mailing address. Name: .. a SlreeUAptWouidyou like to add or update an Email addressPaperless! Turn off your paper statements using one of these options: I Register on the IFS Online Account Manager (infiniti?nancecom) and follow the instructions to turn off paper statements. I Enroll in E-Bill mmugh your bank's website. A emali will then come from your bank advising when your statement is available for viewing and payment on your bank?s website. Details .. can be found ?at ebiilplace.com. - new?; Enroll for Automatic Withdrawal online or by mail: I Enroll onllne for Recurring Payments. Simply log on to in?nitifinance.com. Click Payment and then Recurring Payment. Once enrolled, you can choose the payment date and amOunt. It is secure, Flexible, and hassle-Free! Enroll by mail for SignatureDiRECTPAYca. Just call to request the enroilment form (3006214437). This program offers you the security of knowing your contract payment amount will be drafted each month on your due date. Pay by phone or the web. Use your credit card, ATM/Debit card, or an electronic check to make a onetime payment. Call 800.503.7385 or log on to in?nitifinance.com. CONTACT US GENERAL INQUIRIES OR ACCOUNT INFORMATION: 800.527.4437 consent CORRESPONDENCE MAILING ADDRESS: ln?niti Financial Services an Box 660350 Dallas TX 75265-0350 Send miscellaneous Fees or other charges to: In?nltl Financial Services PO Box 660577 Dallas TX 75256-1057? County: Reside: nus .- BusinessEffective Dale: MD .- Day .. .. Licensa Plate .. Stale: .. u. I Dr. DeRionne P. Pollard Gasolipe Expense-SH November 2013 19315 Bernantoun Roai Gernantoun HD 233?& [Ht 413E248 19315 GERHIUH EERHAHIB, HD [mum IHE . 4735533 i1!89/2813 85:33:25 31 335551714 :23 RUEHUILL. ND 3:3; H. um .. UISR mg 1133532313 3?:33133 94359352 PULL PAULEHE 5314a $.34 mam (7 Human gamma PAULETIE gt? IHUMCE HBHBIZB 3 gr: M118 ?45329 Supra.? 15.3319 dun 3.51.15 frag; ,xh 8 gr? 5 Suprane 12.9551 56.19 mg;- PRICEIEEL 3.55: :i'1 FUE . Subtstal 55.19 44 if Iax H: 3.39 Subtnta} 10131 55-15 Tax B.BE Total :5 ?3312 nasal! . a: 55.19 a. . ?gfdit ?a Ip: CREDII Credit Shop Saimv to Earn Reuards H3333 and Save at tha jug?o? ?Dr. DeRionne P. Poliard Gasoiine EXpenses November 2013 - .II. ?he: 042high .E2E2L2355 SETS ta?r "abatea with dH 1553 Taka -3. a} I n. - UISL mJ?' a? m? nilsslone Ersaa ?1191 fre?arink ad. Eernantaun, H1. Ikaak vat Ear Year Eusinrss #735133 REVIEW. 13 I h? 1119mm mam 1119mm ?33 WES Lu Cz?; C3 um. mmzesm man: my; IH?eiaitE 1mm am mass: ?25" ?1 ME 1' mm: 9 rmnr?. ES Suprane tR 1?.1539 mm: 3.259 L, f?iL Subtotal - ta: iota! EHMT SGLH nun ?n??ww Iciww?wxiswd (me 3} I15: Dunn jp?rk?hf; jt?ftji? rMQInga?rrzezy?Co?lege? .. a 4. 30074105 00000000510000 . ?2 fit-tap?nm??-bm - -. -- er ..- .9..- mm. a, ww 03311?2K300'?g ?fsE?gE-E?y?ig?? CAR INS 10X2013 11/121?13 0.00 102.84 0813 100913 11/13/13 0.00 1,726.03 USD Montgomery College 300 74105 ?5 ?1 2i an: do'k-wjg- 55? 10.0535353393'13a :1 a'?mi??z?m 00980111 @0203 CAR INS 10/2013 11/12/13 102.04 0.00 0.00 0.00 102.84 LSD 100913 11f13/13 1,726.38 0.00 0.00 0.00 1,726.00 LSD Montgomery Cot/age 55?2? . 31? PNC Bank. MA 080 New Jersey .35th 11/141113 30074105? Accounts Payable copy pm Dr. DeRionne P. Pollard VOID VOID VOID T9 THE ORDER OF NOT NEGOTFABLE OFFIOE 0F SERVICES 5.. . ?gift-:3 a? ?45,114. r? ?au. .. -.. pug. 1; .fu-fr-u-v?t-MS -d.v .. .1: 5, .. i?g?L??gm 35'; 1:33 $33433-33:- <32? Pr?mfc: m: chit-k mu} be med?v ?quarrx?nrmniberxmh unis. a mam. (awn-4m an! Mt r?larepi to BAP. conkgdad sat-mes under ?scam Comments andeoran'wnpayn-wnix. A qufm?! W4 ram: and mac: must be attached $0 an cpnbacfedservisas. Contracted mm?oes over $1500 mm! be Married fuJ?n a bug m! gamma Pdnta?d comPIata Offlan 9g cemplem online and then print Send the form to Amoung Faggbla. MKE no. P?ym 9:1 I. Req es'tcd for: [ffequfream fraCh?mm: (.9 my?! {max-mmw; mmpe?erzd licp?m?u an whim} PAYABLE To: Dr. DeRicmne P. Pollard DATE: 10/09/13 VENDOR EMPLOYEE *r 4 4'3" ADDRESS LINE 1 EMPLOYEE ADDRESS LINE 2 ADDRESS LINE 3 VEHDDR FEDIW [inctuding zip code) CHECK AMOUNT: $1,726.03 r, w' ?1 [l ?embasva Subscr?mm Comment DConkremeJRegistratim-l?hn?? [j Haw-adum Emmaeiwm ?23; rr J: l-rwr 4:111! I ram with}: RuRposauUs ?ch now: I 3:535 Reimbursement of car payment; for Infini ti JXBS - $798. 90; Gasoline $232.39; parking "$46.00: transpor?ation - $195.00: BOT Dinner Beverages Leadership Congress - $453.39. .25 {3.3 . ACTIVITY INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $?98.90: $473 . 791 $453.39) Haucred Harem ?m ?#2633 Cm Pas-ea to'napatl??nt msmucnou'si Brian K. Baker DeRionne . Pollard 71796 Stephen D. REQUESTOR NAME EKT. ACCOUNT Margg?i?pmm Office? of the President TE DEPARTMENT NAME- (Please Type) SUPERVISOR APPROVAL [Accp?ig?fr MANAGER SIGNATURE ID Approved 66" .. - Date? Infiniti Financial Services 1 I n- . aox'saua?so Dallas, Texas 75266-6360 I Your Account Information .W?StateIoontjate . Account Number Vehicle Description JX35 Maturity Date 09111/15 Payment Information Description Amount Tax Total 2 "Current Rent Amount $798.90 5 798.90 a a Total Amount Duo 793-9? 'o 5 Payment Due By 10f11I13 - NW 11 2013 6:9? awnassoc-Gut: awn.? - Account Manager . . . A JL Home tho modes; 1 I f; 3:2: I u- . u? 2:3? I a .. . (300 . - TDi?jB?355?P?'gz?pg?piO?W?nation- 4px way-oth-hif :1 1 Human -. n. Please detach and return this coupon along with you: payment :9 A 3? I?m h- Customar Name DERIDNNE POLLARD Account Number Payment Due By 10/11/13 I 1 Total Amount Duo 5 793.90 changes? If you me making changes to youracldless. chock the box 31 lalt and complete the reverse side. HAIL PAYMENTS T0: Infiniti Financial Services PD. Box 9001133 Louisville, KY 402904133 :c-Sn'i . Turn of? your paper star?ments and manage your account online at infiniti?nanoomom Call 1.800.603.7385 To make a payment by phone. Call 1.300.627.4437 For IFS Customer Relations and general inQuiries call weekdays from 7:00 AM. to 7:00 PM. CST. Up-tooate information Is available 24 hours a day. In our commitment to provide you with the highest quality service, a? customer service calls am now being handled by our Customer Relations Department in vafng, Texas. IMPORTANT CUSTOMER NOTICES Go Paperless! - 1 When you provide a check, you are authorizing us either to use Turn off your paper statements using one of these options: information from your meck to make a one-time electronic funds Register on the IFS Onllne Account Manager transfer from your account or to process this transaction as a (in?niti?nancecom) and follow the instructions to check. When we use your check to make an electronic funds turn off paperstatements. transfer, funds may be withdrawn from your account quickly, a Enroll in year bank?s website. A and you may not receive your check back from your ?nancial email will then'come from your bank institution. i' - ?advlsing when your statement is available for I .- viewing-and payment on you'r bank?s website. Details carj be found I . 3 WE MAY REPORT INFORMATION ABOUT ACCOUNT TO CREDIT LATE oe MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR MAY BE REFLECTED IN YOUR CREDIT REPORT. were reverie-d Enroll for Automatic Withdrawal onlina or by mail: a Enroll onllne for Recurring Payments. Simply log - on to ln?nitl?nance.com. Click Payment and then WE MAY ELECTRONICALLY MONITOR RECORD ANY Recurring Payment. Once enrolled, you can choose TELEPHONE COMMUNICATIONS WITH YOU. the payment date and amount. It Is secure, ?exible, and hassle-free! Enroll by mail for SignatqroDlRECTPAYe. Just call to request the enrollment form (300.627.4437). This Failure to include the remittance coupon with the account program offers you the security ofknowlng-your number 00 Your Pal'mentr or mailing it ?10 an other than contract payment amount will be drafted each month the address on the coupon, may delay its posting. Wire on Your due date, payments made after 1:00 pro will not post until the next business day. . a Pay by phone Dr'the web. Use your credit card, .- card, or an electronic check to make a onetime payment Call NOTICE FOR BANKRUPT 300.603.7335 or log on to lnfinltl?nancecom. if your obligation to pay any, debt listed in this statement has been, discharged in bankruptcy, Or is presently the subject of a CONTACT US :ankruptcy court proceeding, bankruptcy court-approved plan or ankru tcy court order. we are not three this document, attempging to collect any amounts aan you age personal liability, GENERAL OR and will only pursue any rights we have In the bankruptcy courts '800.527.4437" to the extent allowed by law. For all bankruptcy notices or correspondence; use the following address: GENERAL CORRESPONDENCE MAILING ADDRESS: ln?niti ?nancial Services ln?njti Financial Services PO Box 660350 Bankruptcy Department Dallas TX ?5265~0360 P.O. Box 660365. Dallas, TX 75255-0366 Send miscellaneous fees or other charges to: Inhnitl Financial Services For leases owned by Niss?an-in?niti LT ln?nitl Financial Services, PO Box 660577 a division of Nissan Motor Acceptance Corporation, acts as Dallas Tx 75256-0577 -Secvicer?. .. . .- . (MI. CHANGE OF ADDRESS Effective Date: Tau can update your address at lninnill?nancecom or complete lhe form below and mail Day. Yea, il with your payment. a. 00110150., .. Reside: a Business: E?ecilve Dale: Enler Address where vehicle is located if different from new mailing address. MO Day ..-. Yearuw, ., County: .. Skeet! Apt #2 .. License Plate CityiStateIle Woold you like in add or update an email address? a a botlauurl - mun?1.. . Dr. DeRionne P. PolEard Gasoline Expenses October 2013 -3 magi?:an 322mm 093mm um}: DATE 10:35:15 Hum a! LL: PROD - ?'mmlr ms a: 16-7596 saunas: 3.93:3 35 8 . .4 meEm; 2.52:9 -F FUEL. {azalxzeia 13?41'59 PH $435595? VISA . .. 553-5193;; H3H414L Resp Code: Dogos 9555.Stan. 0-391% Elms . .. mane 1, I SHE it). 93.5601 me? 133%: EM rebates: wilth HP Visa I FUEL mm 52.11 Take appiigatn?n?: am? Subtotai =3 52.11 THANK mu HAVE A NICE DAT Iotal =5 52.11 ERENT mm 5 3 h? w? a: ?51. :5 5-329: afa? rid-SS) Dr. DeRionne P. Pollard Gasaline Expenses October 2013 Itilesm: Emma 2119! Frederick M. En'mntum. Hi. 2am than for Mr swims EIDBE MEDAL mm: mum, 9119355399 mm mm?: IHJMEE 1.15595 am am? 53? w-r w- wm Euprem ?1 ?.1285 ?k 921mm 3.699 .2: can vasa 4.2% ?513:: ma 3m 3'la: iunlLr?ed in grit: Suhtntahi 5m 13:: =5 MB Iatal =5 5L3: ERJZDII 'iwr rah} Fuel ?immtis?; 2.31: mm 11393 imp Same; In tam Renard: an! Save at Pm; mt car task can is 59800 1 Elpires ca ?harms 5?f?o?f Dr. DeRionne P. Pollard Parking. Expenses October 2013 ?J'rh?li?n'i 31' Gann. Mi}. maniaale Luiiz: PM {affila-"mf: PH {El?n-Ian I Lh?i {Ear?i?L?Jn?l as 1mm, lif??lul??i? :1 'd $45. 03 $45. 03 ":msr: If ?1 win.- IT Vii-:5 1876 iMii'E: rum: C0419: {any} ?we; Mir-I: Yam! .1 Pinuno Evian Dr. DeRionne P. Pollard Transportation Expenses October 2013 Conference and ACCT Leadership Congress 511509000020? 0:0 525-455-4999 259-455-4999 Eaets?lde 80. King County NAME 0035- FOR I 206-622- 65 Seattle DATE Mme AMOUNT 05:0 l-?To Menaan ppm?? .- hu? - .24 HOUR COMPUTER DISPATCWCOHPORATE ACCOUNTS WELCOME - 206-343?4362 run 5:3 L.) C3 CI: c: 3.35% [Tl F'lr- mL-g' :9 mp. . "Elf-:3 C. ?Ye?ow Cab I 206-622-6500 425-455-4999 253-955-4999 A Seattle Eastside? 80. King County MUN p. Drop ore .0 1 931W NAME IO Ammugg?; RECEWED FROM i in? AMOUNT 4, 4 FOR Pickup Time. . qup?ffTa W?m?px 1:an}; Driver's mime: RECEIPT. (HM. FROM a To 24 HOUR COMPUTER WELCOME -205'343v4352 Ye?ow 000 425-455-4999 Eastside . 206-622-6500 25545544999 80. King County Seattle DATE 0 TIME NAME 5501431151? . Pick Up: - Drn?p Of?? . Earnounce?g Date: Pickup 'Tiniin Drop Off-Timon F'Hma Ca?b?a Driver?s Name: FROM i AMOUNTW FOR HIRE: FROM . - TO - 24 HOUR comeuree-olsemewcoepoeme ACCOUNTS WELCOME . 2093434352 4m: Dr. DeRionne P. Pnllard RECEIPT for BOT Dinner Beverages at ACCT Leadership Congress (NOTE: to be paid from Account No 5mm $351 um?: i .I unit I ?gr: H13 Paul ..n?lJ '1'351 In: . U- I: Hi: I'Hlliilfniu: 1.12:? :31 MC: 5133.; 3 lg? 3mg I?m/5g . . I I . .i?sf {Tlil?iiz . /529 ?a ?ailt? I 3500 a. 453 4,332: .- 35? .J Ill? w: 1' l: . 30076438 03,407 "33 Hgages? - Monig (gm ?fy. :11? - - *5 $323 .. .. - {mm-3 UAR 2014 CAR Ill/20,413 992.24 0.00 992.24 0.00 102.27 USD CAR INS DEC 14 01/2314 102.27 30076438 ?33? $3560" r??thfl-a' JET 311 Va": 0115.3? 1? Montgomety Co?c?ge '3 I . 31-. .54 cm 55 JAN 2014 CAR 11/20/13 992.24 0.00 0.00 0.00 992.24 LSD 102.27 0.00 0.00 0.00 102.27 LSD CAR INS DEC 14 01/23/14 Montgomer Courage 55?NewJersay . 021?04/14 300376438 ?194.51 Di l'i?kHi One Thousand Ninety-Four 51(10 Accounts Payabie copy VOID VOID VOID Dr DeRionne Pollard ORDER or NOT NEGOTIABLE OFFICE OF A. . . 1, ?Frf?L?gF??i - kg?; PE in 'ih' (EH-Send?. .33, i .. .. .. ?HEP-5W?16274?3ss??g?ang?~ .7 ?g?a?gn a" . v. .3: y?all; as 33-13 a: - MaiWig:- en?n'. 1? ?f?ighi . .I. . . - - . 55;. ?d . ray?. Apt? 1.- ri meizh?u? :0 I?mwucar rm 0 [mg qusiddm. iP?SP?u-m an! cos-mm. ADDRESS LINE 1 ADDRESS LINE 2 Nae: that} mam: mgmemfam may be med?lr ragwm?rr mm bucth dual. m?mim?bm-?i-dn implo?'c mg?umu and. rega'sfm?ons murmured to EAP, contracted sen-ices underJfSOOhcmw Coauu?am and Wrr'um payments. W-Q form and canned must be attached 1'0 a?m1badodsenices. Conn-adedsmioss mars 1500 musfba (0mm Print and cumplotn amine compiata?nnlina and then print. Sand tha computed form to Accounts Payable. MKE 230. Paym en t' Req ues?ted for: IquuirL'IJ (J Cl?ginal Jawicezmmpa; a mawmd Mmfor a? new madam-J PAYABLE To; Dr . DeRiorme . Pollard DATE: VENDOR Dl/leld ADDRESS LINE 3 CITY-STATE {Inciuding zip coda) CHECK AMOUNT: $992.24 VENDOR FED Membarsmp [j Summon Consuhant [j EAP Hem Erm?mea Reimnsemml I mrumazmumb 1-year only Reimbursement of car payment for Infiniti m5 $798.90,- Gasoline expenses $1 93 . 34 -- at DeRionne P. Pollard REQUESTOR NAME Office of the President DEPARTMENT HAME {Please Type] 11'? run-hf. H) may: r73 L. HtFUNDING INDEX .EUND ORGAMZATIEN ACCOUNT PROGRAM $7 98 . 90 39:5 93 . 34 mi IR) 5:33 - ?$992 24 mmecrc waxed: El 'B'M'm?mqm?ded: Tm" 1?4" 71795 to gayee to anemia mamamxms: 71796 Stephen D. Cain EXT. ACCOU ANAGERPRINTM gg . SUPERVISOR APPROVAL Inc?mumi?mmgasmuam?? {/w/Ly .mgz?? 'oo eacounl'bhlingiftil; BILLING 5? ..lMleii?fiiliEin?i?c??te?m Statement Date November 20, 7.013 Custam?r Relation?s - 300.527.4437 Automat?ed RasPOnse 24 hours, day?s a week Description 'Amount Tax Total Agents AVailabla Monday - Friday 7am-7pm CST Current Rent Amount 793.90 793.90 Mall Payments to: Infinitl Financial Services Total Amount Due g: .3 793.90 80* 9001133 Payment Due Date a 1 f11j13 KY 402904.133 Date I Remit Misc?ellaneous Fees or Other Charges to: .L Cm- -- In?niti Financial Services I PO Box 330577 7 Dallas, TX 75266-0577 ACCOUNT INFORMATION For CurreSpondance Only: In?niti Flnanclal Services PO Box 660350 Account Number Contract Date - Vehicle Description 13 1x35 Dallas, TX 75266 0360 Vehicle ID - - 11.1,; Maturity Date 09/11/15 if trip} .. 75% I ll31,3395:- ?971'? Eli?l?l?g??a?t?fw .- IkePlease detach and return this coupon along wath your payment 121In?nm Etnancml Serwces?? 00239 3539134 000530 00001400001 1' 1 PD. Box 660360 Dallas, Texas 75266-0360 8900 Freeport Parkway T3333 73063.2438 3 Customer Name I LBJOLIQXRD Account Number >00263 3399134 003 003143 $331321: file :ilglal?g?: DERIONNE '0 LARD rr 5?3 Jar. '0 Amount Enclosed I ?5 Eur; Changes? llyou are making changes to your address. check the be: all left and complalu lha IEVBIBB Bider55? . v. 9. All :r wait; MAIL PAYMENTS ?3 - In?nlti Financial Services 51- a' 3' . July-3 "any 9, 4:3? - at! PO. Box 9001133 . if" {El Louisville, KY 4029 0-1133 3935333; a 4 159.. 4 IMPORTANT CUSTOMER NOTICES When you provide a check, you are authorizing us either to use information from your check to make a one?time electronic funds transfer from your account or to process this transaction as a check. When we use your check to make an electronic funds transfer, funds may be withdrawn from your account quickly, and you may not receive your check back from your ?nancial Institution. WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE OR MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CREDIT REPORT. u- aw.- ?a WE MAY ELECTRONICALLY MONITOR ANDIDR RECORD .ANY TELEPHONE COMMUNICATIONS WITH YOU. Failure to Include the remittance coupon with the account number on your payment, or mailing it to? an address other than the address on the coupon, may deiay its posting, Wire payments made after 1:00 pm will not post until the next business day. IMPORTANT NOTICE FOR CUSTOMERS: If your obligation to pay. any debt listed in this statement has been discharged in bankruptcy, or is presently the subject of a bankruptcy court proceeding, bankruptcy court-approved plan or bankruptcy court order, we are not, through this document, attempting to Collect any amounts from you as personal liability, and will only pursue any rights we. have in the bankruptcy courts to the extent allowed by law.? For ail bankruptcy notices or Correspondence; use the following address: In finiti Financiai Services Bankruptcy Department PD. Box 660366 Dallas, '04 75266-0366 For leases owned by LT Infinld Financial Services, a division of Nissan Motor Acceptance Corporation, acts as ServicerGo. Rai?peclessi Turn off your paper statements using one of these Options: I 0 Register-on the IFS Onllne Account Manager [in?niti?nancecomj and follow the instructions to turn off paper statements. 0 Email In through your bank?s website. A email will then come from your bank advising when your statement is available for viewingand payment on your bank?s website. Details I . can be found at ebillplace.comHis. '75. 5' :5 ontuiv aacopm, I 7i I Enroll for Automatic Withdrawal (spline-or by mail: 0 E?ioll Pay??enmids??ly'l?g on to ln?nitl?nancecorn. Click Payment and then Recurring Payment. Once enrolled, you can choose the payment date and amount. It is secure, ?exible, and hassle-free! 0 Enroll by mail for SignatureDIRECTPAYei, Just call to request the enrollment form (800.627.4437). This program offers you the security of knowing your contract payment amount will be drafted eath month on your due date. Pay by phone or the web. Use your credit card, ATWDebit card, or an electronic check to make a one-time payment. Call 800.603.7385 or log on to in?nitifinancatorn. CONTACT US ACCOUNT 8.031.627.3437 3" la GENERAL CORRESPONDENCE MAILING ADDRESS: in?nitl Financial Services PO Box 660360 Dailas TX 75266?0360 Send miscellaneous fees or other charges to: in?nig Financial Services Dallas TX 75266-0577 .- - Effective Dale: You can update your address at or complete the form below and mail MO Day Year it columnNamei .. Reside: I .. Street 1 Apt is .. Business: i CiIWSlaieIZip. Effective Date: Enter Address where vehicle is located if different liom new mailing address .. Day Year .. County; .. Street {Apt ii: .. License Plate at. .. CityiStaieiZip. Stale: .. Would you like to add or update an emali address? .. ?m Dr. DeRionne P, Pollard Gasoline Expenses Decerhbei' 2013 Jun?Himtens imn ms frmrisk Es. Hiltstone Ema ma: Hewitt?; Sermtm, H. 2332!: hmaatm, I'd. 2M Thank for Busims Thank am for Mr minus ZEE BUS IHESS 4781'451 32%;Mid lalexaaia 547,331938 11:21:a? AM 1 Emma 19 SEIHEHR, He ?0 IHUUICE L7H4989 "mpg. RUTH a . . mm: UH I 1mm: - 3 Supreme 16 . 'i'?lG ?mam; wumma 3.995 mm {a . mg; 3 FUEL TUTHL 3: E36. '33 ?mu 1mm CREDIT 55,99 mm: 3.359 P?ltff?il 3.351 I Eredit . $5u1 wamm iaun m? I ?Fatal 4 65.11 I Subtotal 5L3 hx=$ lax=$ a I .- I nm-Sm? nm=$a? 23 i i I I anon 6531 cum: 5 sava 535: I . . mm Cram imp infamy Sh? iafmy Earn mm: urn Rwards 13-3Sad! at Fun COLLEGE Office of Human Resource Development and Engagement January 23, 2014 MEMORANDUM To: Ms. Janet Wormack, interim SeniorVP for Administrative and Fiscal Services From: Tamathia M. Flowers, Director of Benefits and Systems Management Subject: Check Request Amount: $102.27 Account Name 8: Number Other Bene?ts :3 ?Tim Payee Name Dr. DeRionne Pollard mm ?332: 0.) mil-7 220 an Address Please Deliver to Dr. Pollard . .3 Period Covered December 2013 55% re ASAP Date Needed Approved By: Tamathia M. Flowers DlrectOr of Benefits and Systems Management 4 My .5 .- OFFICE OF BUSINESS SERVICES ACCOUNTS CHECK REQUEST DIRECT PAYMENT FORM Note: 'lhis chuck request payment form may be used for requests for ducs. subscgiptinns-lycar, uth eligi?lc under $1000, gmpioyac reimbursements uvcr $50. and regisuations nol reialul?m BAP, contracted services under $1500 including Consultants and Honorarium paymenls. Ammpl?lc W-Q form and wnuact mustbc attached In all oonlfaclcd services. Contracted suwiccs over 5150!) must be fonmrded?lo Procurement Of?ce with a long, W-9 form and {he Print arid cornptete of?ineg complete ontlna and than prim. Send the cum?leied form to Accounts Payable. HIKE 230. Paym ?nI Req nested for: Ongim! Inmfce/Racelpm: W-Qfam?r all new raiders} PAYABLE TO: DeRionne PQlIIard DATE: 01 {1 Bill: VENDOR EMPLOYEE [j STUDENT [j VOLUNTEER ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED make; CITY-STATE [including zip code} ED. CHECK AMOUNT: $102 . i 3.3 E. MErnbas?p CI Comm [3 Conferencej?eglsUa?m-NmEAP mm R?mbugmnt :3 Lo I 1?year only Contractual reimbursament; PURPO UFIGA 770M: 01' December 2013 . if} . FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 1 02 . 27 SPECLRL marauc'noua: CI HOLD CHECK Mawka With-ed: mm 102 27 Lynatte 'rauord to Payee to ntrpartnenL 71796 Tamath'ia Flowers EXT ACCOUNT MANAGER NAME) DeRionne Pollard REQUESTOR NAME Office at the President DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL SIGNATURE - .- State Farm Payment Plan PO Box 2329 It; 617?02-2329 AT1 0006 ownipob I 100442? 141163201 0641:2012 I 1? Agent Mark Spitale 11801 Fingerboard Rd Ste . Meqrovie MD .21KVO-9030 v? Phone: 301-832-4101 $$?e?eFeEmf . - Account 1093161641 Page 30:25 Prepared December 3,2013 Hume; -H. 1 we ?Power 'i?u pay . I Onine ?lobila Mai! Agar-11.: 3301632410] Walklp . PC or Dcmr?eed our Sendus ,gugomgiedune: moo-44mm See four You'll way mb?a dewzes Id Pockelfsgeni app a check Key grade: 7541982732 C53 Brats-Farm Agent If youhave moved, please contacl?your ageni. - &SEeEeFerm Accounlholden POLLARDLDERIONNE JONES, SFPP Account number.- lnsurance-SuPPOIt Center Box 583002 Phase pay-by D??emberzo, 2013 Make payment to Stale Farm I For Offree Use My SFPP em' $255.37 0207 1q040330002653? 400109976162111321> 014539 . Stai?sfamei -- oaeeroie? . a?eccounti ..umm.a - we. . wov- e. Last-Amount Billed 5265.8? Last Aniburwba?u Nov 20, 20313 .2653? Difference. I 0.00 . .C'ur'rent installment. 26237 a; servioe Charge 3.00 TotalAmount-DueByD?C 20,20?i3 $265.81(201.2%qu ?564.69 A '?oio?t?Ni?"iu?m 5 installment some?) b? mommy lnsiallmerit - osc'ooOse'LEoITERM?zo lb . - - some .0 . When you provide a check as payment, you authorize us either to use the information from your olieok to make a oneAime-e?ctronio fund tiansfer from your aocounl o; to process [he payment-as a checkirans'ac?on. When we useiniorrna?on from your oheoig to make an eiecifoniotunQS itensfer, fund: may be withdrawn from as soon as?lhe same day we receive your payment, andyou will not receive your check b'aol-ivfgorn your ?nancial institution. . rPege?lofz SFPP Account {0593761621 f. l-{RemdriPreoared December 3, 2013 .. .1,er - 51 . . untf.? a? (?323 .. - - ant. 5 .. 1 a? "er-Alf? . . - v-r ii? .. College 30077750 - . *1 6136666637 3 .2: 6606.03: 31:36 "cw-15.5% ssw?a?: CAR MAINT mqu 03f12/14 1,01 .61 0.00 0.00 0.00 1,014.61 030 Montgomery College 30077750 - i -. 0 53cm? x" "3?3 a 5. 6.033033%? 3 3:1; CAR MAINT HARM 03/12/14 1,014.61 0.00 0.00 0.00 1,014 .61 LSD Montgomery College 552?? 312 PNC Bank. NA 060 I NewJersey L. .4 LEDAIE. $356!; Etc? 03f14/14 Accounts Payable copy pm. VOID VOID VOID TO THE ORDER OF NOT NEGOTIABLE 1% ""33 a I ?1 .11 nggj?fi OF BUSINESS SERVICES ?33m: ?f?i?f??iw h. a 4 9 51.1332-44. m'fnmm 9 Idn?mqyisit?n and mm. 3 . 3.nnEag. M. Numji?is am may be {twd?m- request: membr?rhig dud}. :beFbm-lJ-w. cram?; refraba?imms ow:- 530. BOW and regis'zra?m no? relaxed Pa EAP. con?ncfedsemices under?SOO Omaha-H: and Honors-Hum payments. J'm??rd rpm: and omit-sad m-usfba attached In at: momma-Jams. Cpnmed sen-ices owrstoo mud be fonrarded and mph-t; of?ine 91 compiata ontine and than p?nL Send lha comnieta-d form to manna: ?Payahbe. 230. Payme nt Req c's te? far: ,1 vagina: Jumwsa-?mgm- (2) momma: Hi??nm fur an new man} PURP?s?idus??gAnom PAYABLE T0: Dr . DeRionne P. Pollard DATE: 03/12/14 VENDOR ADDRESS UNE 1 EMPLOYEE o- ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED 101! (including zip code} CHECK AMOUNT: $1,014.51 l] El Cmaimt Curferencemogistramn-Hm [3 awn-m 1-1111: onzy GI: I no mf?u at: Reimbursemant of car payment for Infiniti 0X35 - $7598.90} Gasoline ekpensg'??fi; 533?: $215.71. 3.2% 4.4. 'I-u Int"- 37:19FUNDING INDEX FUND $798 . 90 $215 . 7 1 EIHOLDCHECK E?andm D??az?dtyi ksliou-S? 31"" 71795 to ?Payee to neparjgment 692cm mmuc?cms: DeRionne P. Pollard 71796 Stephen D. Gain REQUESTDR NAME EXT. Office of the DEPARTMENT NAME (Pfeasonpe) My SUPERVISOR APPROVAL MANAGER (FHIHT NAM Law-1U :11- Approved T?ato BILLING SUMMARY Statement Date Description Amount Tax Total Current Rent Amount 798.90 298.90 Total Amount Due :?9830 Payment Due Date 02/11/14 ACCOUNT IN FORMATION January 21, 2014 Account Number Contract Date Vehicle Description Vehicle ED Maturity Date Donuts o: to 2 a a o: Law?f. 1 rub Manon?4M HwM_u. 31c: gara? .?innr 3:3: LI MAR 1 011i lei-366:6 lead-2;: 53i- osrsze u: it: lossitizei Jazz-369635.236Minter; ?Mi?71000 - . we.? 13 mime 3x35 INFINITI . . . . C'ustmer Relations 666.627.4437 Auto'r?ated Response 24 hours, 7 clays a week Agents Available Monday - Frida'i,l ?am-?pm CST Mail Payments to: Infiniti ?nancial Services PO. Box 9001133 Louisville, 40290?1133 Remit Miscellaneous Fees or Other Charges ln?niti Financial Services PO, Box 6605?? Dallas, TX 75266-0577 For Corresp ondence Only: Infiniti Financial Services PO. Box 660360 Dallas, TX 7526543360 M34. 2: In?niti Financial Services? PD. Box 660360 Dallas, Texas ?2?5266-0360 5 COMPLIMENTARYTOWING Call 1.800.662.6200 for comptim entary towing to Hi I I I. [he nearestln?niti Certi?ed Fl Collision Repair Shop? ?"4190? 9m" "m mm 6226 dzmwewo atoeidemmoeswntoentea'omua Please detach and-return this coupon along with your payment 00322 335790? 00032? 000643 00001.00001 8900 Freeport Parkway irving, Texas ?5U53v2436 Customer Name DERIONNE POLLARD Account Number . Payment Due By Totai Amount Duo 1: 798?90 Amount Enclosed I Changes? ifyou are making changes to your address, check tho but at left and compian the reverse side. MML PAYMENTS Infiniti Financial Services P.D. Box 9001133 Louisville, KY 40290?1133 ?Wh??ui?U?J? i .0- 0.. I BUSINESS . -4$g?331 INCE one -1 ITHERS. HD a rag/2914 :31:38 PM Ea?338898 I CZUHH pm; RD cE L7H3862 913355 4 S?Preme FUEL -CREDIT Credit L1ui4 l: l3 I Dr. DeRionne P. Pollard Ga?soiine Expenses Februaw'2014 .maLcoma BP 25234 RIDGE 0000 00mnscua,m0 0311250 in fl'l DFTE 13: HP 5 BS PRODUET: GOLD BFLLOHS: 15.235 PRICEEG: 5 3.399 FLEL SPLE $3.55 U159 'Rpth h: 92 Resp Ends: 9%3 IStan: 1163533883 SITE ED: Earn rebates with EP Uisa .Tcke application ,ard Apply Today YOU DISCOUNT $3.33 OFF QEEULRR flu" . . 7-ELEUEN 2184B HENDERSON CORN MD manna aggiggasszs STORE 1no: 92099 u-w 2 P2x29/2914 16:12:13 -. 12 canoe .gjm r- 8.879 w$ 3.379 Ban 33.99 Egg ._rr 53 (J1 3* 38R RECEIPT II 19700 FREDERICK RD GERMANIOHN HD 209"11300 3019!?5 STOREH. THANKS FOR S?i' 0T YOUR GERHANTUHN, 10! i4 55.88 i 001 000 I SUBTOTN. TNALIXE x51K?01xx?ii; 035368 - .-?uUl 2.391 00072?? 112 03 -- . REFH 92000 1 1 '1;%dt 7%?1555?4 - ramp CELL 1~30? 0P -. -. - . dump?c- -. ?fu-r "r :1 a i itgbm'ery?. alfege I 30077344 ri- . '11? 0. a??gr?fm =?5??E$9sesh? . 03/15/14 102.27 0.00 0.00 0.00 102.27 LSD Ithmezy College 3007784 M: ?1?51- 420% 103601300 0 r. CONTRACT F3314 03 14/14 102.2 0.00 0.00 0.00 102.27 USD a QANCELLED APR 02 am ?a Montgomery College 55.277 312 nk, NA 050 may ai VERA 03/25/14 30077844 one Hundred Two Accounts Payable copy DeRionne Pollard VOID VOID NOT MONTGOMERY COLLEGE Of?ce of Human Resource Development and Engagement March 13, 2014 MEMORANDUM To: Ms. Janet Wormack, interim Senior VP for Administrative and Fiscal Services Tamathia M. Flowers, Director of Benefits and Systems Management From: Subject: Check Request 'i Amount: $102.27 Account Name 8: Number Other Bene?ts i2, Payee Name Dr. DeRionne Pollard Lu?! Address Please Deliver to Dr. Pollard Period Covered February 2014 Date Needed ASAP Tamathia M. Flowers Director of Bene?ts and Systems Management Approved By: OFFICE 9F AccoUNrstA YAQLE CHECK REQUEST PAY-M ENT FORM Note: This check :cqucst fen-m ma}P bc used fof dues. subscfiption?-lyt?r, oth'er e'ligi?lc {tan?ac'tibns under $1000, reimh?ursermms over $50, confemlce and registratibns nntrelatcd sci-vim; under $1500 includingfansuliants.and Honoran'u'm A complete form and mun-ant must bemhachcd In at! con?scth servicvzs. Contracted scwiccs ovcr$1500 must be in Procurement Of?ce with a long requisition, W?9tfonn3nd-lhe comma. Print and cumplei'enf?lne 9; complain on?ne and [hen pdnt?ent?ha completed fun-11.10 Accounts Payable, HIKE 230. Reqn estcd it: [Required? 0:13:30? lmarcef?mljm: (2) alcompmed W?P?lmfar of! new vendors} FANTABLE Tb?: DaRionne Pollard . we; VENDOR EMPLOYEE moan ADDRESS my ADDRESS UHE.2 ADDRESS LINE 3 VENDOR (including zip code) I . 5.102 . 2 7 Summation El Com?mnt [j cox?.rerencemagistrammw El mm Relm?wsemen?f; only I no ux. nk?rmsm I ashtractual reimbursement; i?nvoice February 201-: . 03? FUNDING FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 102 . 27 592013.HOLD CHECK Han Check [3 Hall Chad: El Send mm ??31 10 2 Lynabta mallard tn Payee ?n Degartment DeR?ionne P01 1 ard 7 1 7'9 6 REQUESTDR NAME Tamathi a- Flowers EXT. ACCOUNT MANAGER (PRINT NAME) 0f fine of the Pres idem-t DEPARTMENT .HAME- (Please Type) SUPERVISOR APPROVAL SEGHATURE ?at?eFerm; Stale Fame Paym em? Plan . PO Box 2329 Notice of Payment Due Bldomr?ngfonll. 6170252329 . .. a . State Farm Payment Plan: AT1 mm 0006 1099461621 ACCOUnlhoklet' Name; DERIO NE 3: JONES. POLLARD, DERIONN Total Amount Due: $256.41 Due By: February 20, 2014 Agent Mark'Spttale 11301 ?ngerboard Rd Ste Monrovia MD Phone: 301-882-4101 .Jmportant Information 1.5 .u .. We appreclate the way you consistently pay your account. :13" . State Farm? cares about the security of your information. We have recently enhanced how customers are veri?erl?fou be asked new questions to verify your identity when you access your account online or call into our contact centerr Changes and payments matte after February 3, 2014 witt'be re?ected on a subsequent billing notice. a It you have any questions or would like to discuss other State Farm products, your agent is ready to assist you. Thanks for letting us same you! 77:" "31? mount 1099-7616-21 Page 1 of 2 Prepared February 3, 2014 [0 pay Lee)? Mobile v.5 Mall - Call your Agent: 3016324101 Walkln 'ay Download our Send us Automated tine: - Seeywr a . mob?e deVEtes g: Pocket Agent app admk - 5' Key coda:?54308674? as? Stale Fann Agent ll you haye moyedl please contact your agent State Farm" :ntholder: POLLARD DERIONNE 8r JONES, .. .. .. Account Number. anc? Suppo Center He PO. Box 588002 North Metro, GA 30029-8002 ant Due: $266.41 9 pay by February 20, 2014 payment to State Farm SFPP Bill $266.41 0410 lice Use Only 000140000026641 COLLEGE OFFICE OF BUSINESS SERVICES :To: Moptgomery Comm?ty Coliege Of?ce of Business arviccs 900 Hungeiford D?ve, Suite 235 Rockvi?o, NED 20850 From! (Name and Address) a?oat DATE - I Subject: REQUEST FOR STOP PAYMENT OF CHECK Reason for Sto 5Q 54 my VENDOR ACCOUNT #2000007394301 15mg, m; ed. Nag/(am I Certify ?iat?I have not received cheek number 00 dated 3 I in, the amount of 310.1: 33: issued by Momgomery Community liege. I req cSi that the Coliege Stop payment 11 the above check and issue me :1ch er check in the amount of {03? $.31 replacing check number 5529 dated a . IN REQUESTING MONTGOMERY COWUNITY COLLEGE TO ISSUE THIS REPLACEMENT CHECK, TO HOLD MONTGONEERY COMMUNITY COLLEGE HARMLESS FOR LOSSES, EXPENSES IN THE EVENT CHECK #30? FOR PAYMENT AT THE BANK DRAWN BY ME OR ANYONE AND BEARING MY PERSONAL ENDORSEMENT, WITH OR WITHOUT RECOURSE. I fuxther agree that if I do ?nd or receive chock number W- I will immediately return the check to Montgomery Community .ollege, Of?ce of Business Services, 900 Hungerford Drive, 1100111235, Rockville, SIGNE - i REPLACE CHECK: YES 5 Date Age/21!; I YOU MAYFAX THIS FORM BACK ACTION TAKEN BY STOP PAYMENT PROCESSOR: Veri?ed Checkis Outstanding Per Bank Statement Dated MStop Paymonl Placed with Bank 011 by Payment Cen?nncd with Bank on by Completed Form to for Proccssing as Noted Below I Stop Payment Released at Bank on IF THIS BOX IS CHECKED, NO ADDITIONAL ACTION IS NECESSARY. :0 bactmEoU ?ningathmavmw?amu a 341:1$9.385 . . . . a a. 2:08.E?mu?n?gf?. .19Em..mNn.v?Lmo ?rn?aoa?n 3.8 .S 53:5 I I a. $1 .I Montgomms ?010.28 M00 0010130601203 30073206 A - 5. . w-eWM-vr- ass?"Hr ??ew-u - - -1000"? 9000040500 00001200 0000001030. 04/02/10 102.2? 0.00 0.00 0.00 102.27 CSD 30078206 - *5 0000000000011?? Anmmon'AL ?0 . 0 030900.000 04/02/10 102.27 0.00 0.00 0.00 102.27 LSD trim-Lu 1:1: Montgomery Coflege 552?? 312 NA. 060 New Jamey Wmoumg??m? 04/03114 30078206 One Hundred Two 27/10 PM. {r0 THE 0305a OHtHH-??ii-H??li Accounts Payable copy VOID VOID VOID rm NOT BAPMM MONTGOMERY COLLEGE Of?ce of Human Resource Development and Engagement March 13, 2014 MEMORANDUM To: Ms. Janet Wormack, Interim Senior VP for Administrative and Fiscal Services From: Tamathia M. Flowers, Director of Bene?ts and Systems Management Subject: Check Request I Amount: Account Name Number Payee Name Address Period Covered Date Needed E13 Other Benefits 3; :31: 3C ?rel 33" cell?s 7-33 U: 32 . (Jim Dr. DeRlonne Pollard 55?) .. mm ??73 We: re Please Deliver to Dr. Pollard :3 tL'i February 201:0r Tar?nathia M. Flowers Director of Bene?ts and Systems Management PM 3 f/ 3 Approved By: 1333 ID. if. Approved Date 1 OFFICE OF BUSINESS-OE vaces ACCOUNTS CHECK PAYMENT FORM Note: This chOck rcqu?st payment ferm may he used for requcsls dues, under $1000. mm 1230, conference and regisxmiions nor related to BAP, contracted services under $1 SOD?i?nciuding Comments and Honorarinm A commute W-9 and conLraCl musl be aliachOd-IO all contracred sm?ices. Contracted services over $1500 must be forwarded to Procurement Of?ce with a long requisition, farm and this contract. Print-and complatn of?ine complete amine and than prInL Smith} cmpieted' [Own to Accounts Pavab?le. HKE 230. 'Paym Elli Req 1] es ted for: [RanJJ-ad Am?ch an?: (I) ()Hgfm?nmfce?famwu: (2) a mm?ekdlf?anm?-ar vendors} PAYABLE TO: DeRionna Pollard DATE: 03/12/14 [j VENDOR EMPLOYEE ADDRESS LINE1 . ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED (including-zip code) - . CHECK AMOUNT: 102 . 27 ?9:1 El Subscription Consuth [1 H?r'prariygn R?imbursemegtg?. ?3 ma Only I an: n: mm?gxsso I Contractual reimbursement: invoice af??ggch?g 54"" February ,2 014 . o) 5?61"" r116? any; ma? sf FUNDING FUND ACCOUNT PROGRAM GROSS AMOUNT 1.02 . 5PECI1L IHSTRUCTIOHE: 1:1 HOLD CHECK Hailcheck [1 Mail am SW Amwmm m1 Wk 10 2 2 7 Lynette Toltord no Payee to Dapartrnent. DeRionne P01 1 ard 71?? 96 REQUESTOR NAME Tamathia Elgwers EXT. ACCOUNT MANAGER NAM E) Office of the President DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL . MANAGER SIGNATURE Sign; Fain} Ramon! Fran P@.Br5r2329 Bloomington IL 61702-2329 0005 D, DERIONNE OLLA 5.21 209mm ice grip. $513933; a. . . .0 3.021990:43 533.51%; pi Few:- ?31. xx. 8 i? J- - egg} 3 f. 'mmga?BM 133?i??ru caseIn": eat)? gaygg?r, one} gue- ~Febma 3201532000 .F ?39.39" mm a! ,w 17x,? .1 :?g?j?gi ?g @413 3?1 er?r?fg?? F339 r? @530: ?42" 39? 33$ 2.. 3?ch 3390105253.! :51- S?m? 1:331?15?5 I ?i . Agent Mark Spitaie 11801 ?ngerboard Rd Ste . Monrovia MD 21770-3011 1 Phone: 300882-4101 . Etta-y" a - 1b. 5.0.1.. u: napin??hqtm 4.: l?rt??a?t:tlli H: #21 ??11 .1 .IQI: 3?3 03E: egg? ?330%; 3. QB in. 3:4 ?"530? @3353 are"? I Emmi? wee-3:3 ?bre: sew?? "is w? 5*??652 .113; ?1.3100?: 9 9389900331? 33- 2?70 Wife. 1i: if rt are? 14:? s5: '41::5 . 1: L131 - .4: .123.? . an 12?; a: H. Lc, - .31 Ln? ?ugneyrg es ?th greentera: t, . . gymRn: lei-gr. EAL 2-- "31? a; . .izrmr ?33309- emieeE-run-- .3 at hillagrneth; ?ere-me . to?? - eager? 01,35,000: 1 a: - a. w?F-?i -- n1? i?r-u. 96?" Add accr3.2. I s~ ?Wee ?gm om ?ks' forgle?in'g US'Sj?gveiyhurs? e- .11 - grows; a, -. ?with: Mame? rah-FA. x? ?kiwi-2.00.35" Max:000? was: ?x?ise?zee?m??. who i . -4 3.145 . SEPPrApcounl 10907616-21? Zl?ower To Pay "four Way $5feteFarm" Accountholder: POLLARD, DERIONNE JONES, SFPP Account Number. Amount-Due: $256.41 Please-pay by February 20, 2014 Ma'ke?peyment to Siaie Farm I Pogo-1 are Ha? Send us a drunk Key woe: 1543006140 Call yaumgern: summer Automated tine: 1805-4400993 Prepared February 201 m: If youhave moved, piease contacl your agent. 2100404103 Insurance Support Center PO. Box 538002 North Metro,? 300208002 Waik In Boo Slate. Farm Ageni For Of?ce Use Onfy BilE $266.41 0410 n, .. 4? . I: f?uly' i a . w. Stete?erm .hau_ . "tar-2'. {gm? . . I nur?u?fru - ka:a and; E?-642' '1 4933:": . . . - - es: .c?ceun LasLNnouniBilied, - . -. $265.41 - Lasf MauritiPei?ijA'N?iZ 2014. -205.41 - - Differehee a 0.Cuifenijn??taymem: - 253.41 .: Sewim Charge . - $255.41 . J: . a? 21.. .. 1. 43 - - 32:; we avg-r?; 49'; treat". 33"? ",r?nym- raj": 3: "c urn"- 3.1m: 3e a; . a. we; Eex? eds-e. saw .5 we??tee?gg??emm- Eula-Fee f- ?rm? t'f 1: 339:3 2734?; eagevzeomgeen we.? "wares wee-.2 rm ere-eg-?ewmme509.393; - . were 119%. the a: e? women 5? Installment $35.23 2013mme 5 . $102.27 PERSONALUMBRELLA - $12.33 . p. 250000 'Menihly'installmeni I "i $53.were. a-ew - - When you provide a check as pay?rnentvyou authorize u? elther to use theinfonn etion from your chads to make annealime eiectronic fund transfer "0m account or lo processl?ne peyment es 8 ched??lransectien. When we use ioformalien [rem your check ?9 make enfeiectronicjunde tfensfer, funds may be as soon as the you: payment; and you will not receive your cheek; beck-[rem your ?hendal institLition. I . I I . SFPP-Accounf 1090761621 .. Page}? of? Prepared February-3, 2014 ?E-y Iv - 4??'33 . inf-3'we?. gougeue OFFICE OFZBUSINESS SERVICES To: Montgomery'CoujmmJity College Of?ce 'of Business Services 900 Hungerford Di?it?re, Suite 235 Reel-(Ville, MI) 20850 From: (Name and Address) .. rallsz DATE - 4mm!- Subject: REQUEST FOR STOP PANT or: CHECK Reason for Sto gQ um ?hiw VENDOR emu?; an, af?rj?bt I certify that I have not received checknuruber 300% ?g dated .3 2?57 in the amount of $Jb2ifg?3?r, issued by Montgomery Community ollege; I req_ est" that the College stop palyment? the above check and issue no one? or oheokin the amount?of?i 203' replacing ghegk' number Might: dated a 257! a '13, MONTGOMERY comma: cob-Leer, TO ISSUE THISREBLACEMENT CHECK, T0 HQLD MONTGOMERY COMMUNITY COLLEGE FOR EXPENSES IN THE EVENT CHECK #309 IS PRESENTED non PAWENT AT BANK err-write]; DRAWN BY ME OR ANYONE AND DBMS MY PERSONAL ENDORSEMENT, wrmon WITHOUT RECOURSE. . I further agree that if I do ?nd or reoeiye check number. will immediately return the cheek to Montgomery Community ollege, Of?ce of Bus'ines's? Services, 900 Hungerford Drive, Room 235, ROCkVille, REPLACE CHECK: I Date ?ll/2. If! YOU MAY FAX THIS FORMBA CK TO 301-545-0539 BY PROCESSOR: Veri?ed Check [5 Outstanding Per Bah}: Statement Dated H. Slop mm Bank on 'by Stop Payment Continued with Bank on by Completed Form to for Processing a's Noted Below Stop Payment Relmsed at-Bankon IF THIS Box 18 CHECKED, NO ACTION IS NECESSARY. Custom Stop Payment Report initiation Date: April 02, 2014 - 20390252 Page1 0H Mo??bigfii?e?l Collgge 30077844 CONTRACT 031(14/14 102.27 0.00 0.00 0.00 102.27T ESD - Montgomery Coflege 30077844 Ho. M0007 DISCOUNT w: A'Dnmou'at. - NET AMOUNT - v. - - CHARGES CONTRACT FEBM 03f14/14 102.27 0.00 0.00 0.00 102.5.In"! Montgomery College 2 PNC Bank. NA. can 31 New Jersey DATE CHECK NO. AMOUNT 03/25l14 30077844 02.27 one Hundred Two 8? Accounts Payable copy Dr. DeRionne P. PAY TO THE ORDER OF PoHard VOID VOID VOID ii: NOT momma Cb?llege' 30079144 15510123 am" -i - w; nth-s 2-. w- . J53. 1%mfra 5' :13: ?gs: 2010 04/25/14 102.27 0.00 0.00 0.00? 1021.27 GAR MAINT 3X14 04/28/14 1,278.65 0.00 0.00 0.00 1,218.65 (:30 ntgomery Col?ege 30079144 ?e Eff03-155. Wig REIMB MAR 2014 04/25/14 102.27 0.00 0.00 0.00 102.27 111313 cmimm 3/14 04/28/14 1,278.65? 0.00 0.00 0.00 1,278.55 USD rtmraw Montgomery {Coilege 312 ank, NA. 060 .. ?3'59? WCHECMNOHE 30079144 One Thousand Three Hundred Eighty at. Accounts Payable copy VOID VOID VOED NOT MONTGOMERY COLLEGE Office of Human R?source De?velopment and Engagement April 21, 2014 MEMORANDUM To: Ms. janet Wormack, Interim Senior VP for Administrative and Fiscal Services From: Tamathla M. Flowers, Director of Benefits and Systems Management Subject: Check Request Amount: Account Name 8! Number Other Bene?ts . - Payee Name Dr. De?ronnetPoliard Era?.3 4 If? '2 rag-)1 'nr. ca. Address PleaserDeiwer to Dr. Pollard I 9r 3 45 mt?? rt? Period Covered arch 2014 . lair, . ma: . . gag: ?53 Date Needed ASAP Firs: "3 I fir?- JD Approved By: Tamathia M. Ftowers Director of Bene?ts and Systems Management BOG E) Approved ZGFFICE OF BUSINESS SERVICES A CCOUNTS PA YABLE CHECK REQUEST DIRECT PAYMENT FORM Nule: This check request paymcna form may be used for for members?ips dues, 'suhsc?plionsJ year, uthcr-gligibk {msaclions under 3 [000, cmploy?c rcimburs?munlsiover $50, conference wudmgislraiinns nul?related lo commend servica undcr $1500 including, (funsultanls and Honorarium payments. A complete form and contact must be allachcd to all contracted survicm. Contracied scn?iccs over $1500 must bu: forwarded {u D??icc with along requisition= farm and the contract. Print and complete of?ine gr. campieta and then print. Sand um completed [arm to Aocoggjg Pangahk:i PAYAE LE TO: ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 Paym Ell! 65 f0 1' I ,1 Original [Mm/Reach.? (.2) a cnmpu??cd aflm- DeRionne Pollard VENDOR EMPLOYEE 5mm El VOLWITEER DATE: 04/17/14 UEHDOR FED (including zip code) CHECK AMOUNT: 102 .27 [j Comma: [j Conremmemegmammonw El Haw-aria? Reimbursmw E111. get W- . 1?year only I mu I Contractual reimbursement; invoice March 2014. Egg; 13': Eye: FUNDING I INDEX FUND ORGANIZATION ACCOUNT GROSS KIMOUNT 102 . 27 5mm Please can Ext. 11790 when check is ready for pickup. Thanks. HOLD P1611 Check 'HaiI Chock with Check fatal 1 Lynette to Payee 1:0 Department DeRionne Pollard 71796 Tamathia Flowers REQUESTBR NAME EXT. ACCOUNT NAME) Office of the President DEPARTMENT NAME (Please Type) SUPERVISOR-APPROVAL SIGNATURE r' .l i' wit-v1 StafeFarm? re, a an; {51a ym:?ni I Swag. Blaqmingfoq 61792-2329 Mm 0006 AdenLMark?Spitale . 1180f Fingerboard Rd Ste . Mongovj'a 7271 I- . - . O. I: gimponapli? "Emma on?? fiz??lfb?Traggfy?n +3 .o I uRig-1r 5.99;" l, . canto)? I?ve?ui :11 I I {x is 524*, .. L. ?5 ..II I. Jr? 1 I im- nil}! a. J?r??tz-.. min-7.2.9 . . I..- q. .a m. .e?b?r .. II 33-.-3, a manToenter?zf?f 2 pr" 1n;- c: u. a- t: ?u-i Ir?ir? .. mi" ".34 - $1.135; - 5'3? -, . . are;- es-kaasu uen. I you; ?535: ?55, ,anw- ?gs-W #raeii??9:4 gfij?x??g. 1. Mr[Wow-213$? EL, aaII?fl'ipfgduglszim?ag'?n :33 A - - 3.13.. r: otdlw?aromga?l a . I ?173 3i1.3.3 3:9: . .1 V: vi' fey? f} 'r - 94 L?f_ .taf?p5. 4?3, Jan?? (1 at: 5 1' ?ts??igl?g I :ThanKszorle?tn :uss we. onsub- Khuwr" - ?i-yr? ?ija? 'i . :31 3? '29' It? {a ?h 2' . {hWi-lx-luth-J 1-Page 1 of 2 Prepared March 3, 20.14 W. M. . WaUg hl I See-mt SLah-Fann?hgam Mai}. Send us 3"ka Call your Am?om'atedjLina: 13004400993 Key code: 2543540504 If you have movempfease contaci your'agent. hc? .Ge'nter 588002 North .Melgo, .GA 30029?8002, SFPP Bill' $266.44 0508 8004128000266? 4001099761621113213" pL'r'x er PM. r? - "Mite; ,a me -v .met': . 31-? i Hag. v? .1 I I 51' wag.? we. @ccountSumma. r. Ef?gy: - Erna ?meet?: gimme?; . - :?-Last?y?grnount Billed . 1 .5266.? -Easr?mo?unriaerd'r?e25, 2014 - .P?t?'rerce . - . . . .0-00 t' I D- 4 ?63.,Ser'viee Charge 3.00 rota] Amount hue by MAR 20: 2014 Egg ?1 . ff?: II - ,rd" ?11. er em jug res-e: Jrer l1: an? ?13. ?f - 9 ?rst 'o . a" Mix- ie?et?i- ?re?ghter: Ettii?te Itittg'?? either 2rsense;wevm?wg?o?fe game-?aver gr:- $13? 33 ?ngererrant-ree-gar-'2 e, we ?is: trail were Seek 2012 HONDA installment 585. 2013 tNFiNtTi Monthiy?irrStatiment . i $102 UMBRELLA ib Moritth installment$63 ROBYN 3'3? When you provide a check as payment. you authorize us either to use the infonnalion from your check to make a one-time electron'tc?fund transfer .accountor to process the payment :35 a check transaction. When we use information from your check to make an eiectronic funds transfer, funds withdraw from your account as soon as the same day we receive your payment, and you wilt not receive your check back from your ?nanciai ineti o'ol A?munr roee-rsrezr Pagezorz Prepam?r March - I?ve. f. . 1' OFFICE OF ausmess-aeawpas' r" 94 .. in?: ?5 ?h .35 3' ?92.p't gm?, ?555exam-ears A.-- G??l?r?gaff?'wi?g - 35 r? 1.13?? . 3.4.). -. 4: - . ny? at 2 ms? Elkr?h?f?z? .. . Ln? ?11wr?r? a hug rrqm?x?fn'm. m??lm umhwm 53222711?: duo? aqua: mm mi?xm Arr} Fe md?r minim Hue}. .tuhsc?plm- car. gnu-$50. fon?rcucc and WM: not Mend to EAP, oop?f?cted semis; under: me WW Comuffanfs and Wm pajmgen?r. W~9.fonn Womb-gums: be anachecr lb all con?ded sen-ices. Con?rmed sun-ices mrif?bo must be Ion-mm and complela o?iinogcompleh on?na and than wink Send the comnialed form toAccounts Pavabie, MKE 230- Paym en Jim 1; for: [thuimblraxlmunm U?gim! Inmicejkmipa; (2) a gongokwd m9 ?rm a? my? 1mm; Dr. DeRionne . Pol lard VENDOR ADDRESS ADDRESSLINE 2 3 (including ?zip code) CHECK AMOUNT: $1,231.65 DATE: 04/117141 EMPLOYEE VENDOR FED I036 [j Mamba-ship 1~y an only am [3 Omaha: [3 ConWRegisb'aLh-r-Hm 1] El En'plo?fee I HO FILE BE W0 PDRPos?ggJus?FicAnom Reimbursement: of Car payment for Infiniti 3X35 $798.90; Gasoline expanses $?112.75; parking expanses $47.00; meal $20.00 (attending HERDI Advisory Board Meeting, Washington, DC) . 5pm Jinan . FUNDING. INDEX FUND ORGANIZATION A6b0un'1'. 9303mm cons AMOUNT $798 . 903 $412. 75 3.1 $20 . 00:31 . . . I - Ell-133M MM Tom 4 m? ?31- 71?? to 93 Please call Ext. 71796 when check is ready fo'r pickup. Thanks>W?J?w Office of the PresidenL DEPARTMENT NAME {Plea?a Type) SUPERVISOR APPROVAL DeRionne P. Pollard 7.1796 Stephen D. Cain REQUESTOR NAME EXT. ACC NTHAMGERIP g?o I "urn?Jug.? DOG ID. 37?; BILLING-SUM Statement Date Automated Response 24 hours, 1' days a week Desg?pltipn Total Agents Available Monday - Friday 7am-?pm CST Past-Due ?tmoun't" 798.90 Mail Montle Ffa?r?r?ehls tor Current Rent Amount 793.90 [n?nltl Financial Services Box 9001133 Total AmountDue a 1,597tau Louisville. KY 4029b~1133 Payment Due Date . 11/14 Remit Miscellaneous Fees: or Other Charges to: In?nitl Financial Services PO. Box 6605?? If prior past due billing has been mailed please accept our thanks. Danas? TX yszs?'osn For Correspondence Only: In?nltl Flnanclal?SeFvlces ACCOUNT INFORMATION FD. Box 550350 Dallas, TX 75266-0350 Account Number Contract Date 'Vehicle ID :2r ar- . Maturity Date U9f111?Ina; Serulce . 2-1114? owner A-pp?jr?ti?at-ion Event. Iv .s ?a 2} .amww . - lore. chancelo? i . .p-t Lug}; . I. h. at?. Ll. ,3 .Is, ?1 I -f a;ng . i .: {.rl\?v.4 .-.. . "95% [pm-go nailed-?ashes; igs .giuneI?lgf ,E?d?s?jl?g :52 11.111?: Sublectj- I out; u? Please detach and return this coupon along with your payment In?nlti Financial Services? I 1 P.0. Box 560360 Dallas, Texas 7526641360 00355 39.41434 noon 1 mootmool 8900 Freepor't Parkway Irving, Texas 75063-2438 Customer Name DERIDNNE PDLLARD Acmunt Number Payment Due By 3(11/14 Total Amount Due 1,597.80 Amount Enclosed lhe hm: a! loll-and complete Iliareversb slda. EST: LL HAIL PAYMENTS In?niti Financial Serulces P.O. Box 9001133 Louisville, KY 40290-1133 IMPORTANT cos-rouse NOTICES so Paperless: on When you provide a check, you are authorizing us either to use Turn off your paper statements using one of these Information from your check to make a one-time electronic funds Me Register on the IFSrOnline Account Manager transfer from your accoUnt? or to process this transaction as a - and follow the Instructions check. When we use yOur check to make an electronic funds turn arr paper-statements. transfer, funds may be withdrawn from your account quickly, and 6? 'EnrOii inLE-Bill through your bank's website. A you may not receive your check back from your ?nancial email will?th?n'come from your bank institution. advising when?yOpr statement is available for viewing and payment on your bank's website. can be found at ebillplace.com. WE MAY REPORT ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE OR MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED 1N YOUR CREDIT REPORT. Hew- UHb?l? Enroll for Automatic Withdrawal onilne or by mail: 0 Enroll online for Recurring Payments. Simpl WE MAY ELECTRONICALLY MONITOR RECORD ANY on to in?niti?nance.com. Click Payment and the TELEPHONE COMMUNICATTONS WITH YOU. Recurring Payment. O'nce enrolled, you can she tl'iB payment date and amount. it Is secure, flea: and hassle-free! . "Elimli mu. . - Faiture to include the remittance coupon with the account number request the enrogimen: form (300527.443?) 11 on your payment, or mailing it to an address other than the program offerg You the security of knowing you address on the coupon. may delay its postino- Wire payments contract payment amount will be drafted each made after 1:00 pm'will not post until the next business day. on your du? date, Pay by phone or the web. Use your credit card, ATMID card, or an electronic check to make a one-time paymen 800.603.7385 or log on to lnlinitl?nancecom. IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS: if your obligation to pay any debt listed in this statement has been discharged in bankruptcy, or is presently the subject of a bankruptcy court proceedlng, bankruptcy court?approved plan or bankruptcy court order, we are not, through this document, CONTACT US attempting to collect any amounts from you as personal liability, and will only pursue any rights we have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or correspondence, use the following address: GENERAL INQUIRIESIDR ACCOUNT INFORMATION: 300.627.4437 1 In?niti Financial Services GENERAL CORRESPONDENCE MAILING ADDRESS: Bankruptcy Department Financial Servicas P.O. Box 660366 PO Box 660360 Dallas, TX 75266-0366 Dallas TX 75266-0360 For leases owned by Nissan-in?niti LT ln?nlti Financial Services, a Send miscellaneous fees or other charges to: division of Nissan Motor Acceptance Corporation, acts as Servicer. in?niti Financial Services . PO Box 650577 Dallas Tx' 75266-05?7 .. .- CHANGEOF aooRess Eileclive You earl update your address at in?nitifinancecom or complete ihe form below and mail MO - Day Year ?with your payment .. . 1 County: .. Name: Reside: i .. StreetlApll? .. .. Citwsraterap.. Effective Dale: Enter Address where vehicle is located if different from new mailing address. MD .. Day .. Year I Streei {Apt License Plate .. City-?StatelZip Slate: Would you like to add or update an email address? .. WMmHum?m??m?M. Eir?l?t?k?, In. 3:336 ahast Yau_FuI Ecer a?siness RIDGE u?36133 863%3 HLI ?Z/?3f2?1 1; 935?2366 33:16:11 ?ll-l UISH UISH POLLHIED JDEMOHHE PH IHUUICE RUTH B21590 9 Supreme CH 15.nu1u FUEL Tuth 59.35 CREDIT 53-35 Creiit Shay Slfkuay 1: Earn Ilium: am! Mwatmanw Dr. DeRionne P. Poliard Gasoiine Expenses February and Marchr 2014 REPRINT REPRENT REPRIHT SHELL 57543577100 649 DRIVE AIRY H0 21771 02/1453 680002388 AM Debit INUDICE AUTH 587456 PUHPFE PREMIUM 10.8528 PRICEZGQL 3.909 FUEL TOTAL 42.42 i*1 HEPRTMI REPRINT REPRIHT DEBIT 42.42 REPRIHT REPRIHT *1 3? 25335 9?41325 SQTE L: 53 :33? i 33 . i F. GRLLOHBJ L7.53 r" .- .-. FJEL EFL: 38.3 U139 3 Ruth REF: 11512'; Resp Cois:' Stan: 118953 SITE 3-: Earn with U553 Take appiicatioh and 999:3 Te?ag TGU DISCOUNT CDUFEF 3-1 5. ki?a Cl.- are: r. -r a a-a ib?W?iM MELBDHE T0 SUHOCO SUHUBD 79B HUNGEHFORD 03f1231u 16:19:12 Pugpll: .2 Praduct1Prcniun Gallons 1?.130 $i6a1 3 3.879 Fuel Sale Total Sale 3 UIS Trans? ZB?th ?ppraual? ?26?85 I h61h655215?a2 YOU FOR VBUR BUSINESS Dr?. DeRionne P. Poilard GasolineEkpenses February and March, 2014 ?diastoaz faith fiiti ?radtriLi aernaneUn, In. Ilsa: 3:9 for insinzsz RIDGE FETRO.LL uBfl?i2u1n 10:31:2g PM Ul?? UISH (DERIOHHE IHUDICE LISthh RUTH PUMPR 8 Supreme CR PRICEXGHL 1?.6326 ?1 . 05?) FUEL TUTHL CREDIT 3 U?n ate; 3: {il' inar?s an: 1 r: :33 a: an, 72-M- gum-g. - n? Halearear EISQL Qii?i sfe?tii?k Ba. ?e:1zn%slm, 1H. - ihlri fey $35; insists: RIDGE ui?b133 no u3x23x291u 06:29:25 PM UISH PH RUTH PUHPH 'uprene an in.6826 n-659 LHR Wh?? HerxunL 3,359 FUEL 52.30 moans 3 1n.nu Total 62.80 cnean a2.nu ireon Shpi?any Io Eurn ??u3r?s 234 San: at 112 Pung lililalinx ?our car wash code is Expires hf??f281h Dr. DeRionne P. Pollard Gasoline Expenses February and March, 2014 - Em; mm Free-aim 8d. Eemntem, ltd. than}: Yau he Eusimss RIDGE perno,LL -ceennurn, no 93n333na rw;35:uu nu Uifi?'i UISFI XIIERIDMHE PFI L1hIi-i29 HUTH [ill?ii?h? . 9 Supreme CH 111.9128 Pnlcaxcng u.u59k~ FUEL h? CREDIT Endi?. mm Snap 5mm; I la hm 3mm: I Saw at ml Fri-9 f; Lav 55?) '39 i $37?ng 11:31; E- p: :E'En't tall U5. 1913 it}; 0730?: 913.19 i [m ill/Otis?lfl 11:19; 13? Dr. DeRionne Pollard Request for Reimbursement - receipts for cash purchases attached Januang 2014 r. 59 EDI: . 1?30 ammun- . ROWILLE :41} 2323- 1211 3:131]? 1' f1'kt?08??tii man ram gee? met mu m: r: SAFE 'a N1 GJ'E?Sflfi 1mm Si .. 45/" were 419-63 February 2014 BUT WE) 333(01de IPWOIOD 111w. Sumz'ed Jug nun :{quL 1 1 [Jenn-3393 :runoun1:33:76 PAID AMT-.- 3Tn'i5 receipt is only valid if? this ticket ls timestamped. .Jazhal? 3 f? ljy- 5b Dr. DeRionne Poliard Request for Reimbursement - receipts for cash purchases attached [41.17% March 2014 1 RECEIPT: ,w ?a 0t?) hummus I man i . ?aw, This receiptis onlyvalid if . I) this ticket is time stamped. .. Erie I earAgril 2014 E?th ms 13m 59613 I 04/05/14 17:24 Ln 1 m: 5 mama 100 mm?) Egg WOSM 15:47 In 1?:24 But WUILLE H0 mu 164.485 1 Rams?? mam mum m" (33.1mm 0:35:15 1n -- Tutu 1m ME 9 SAFE TRIF WK 9 WE TRIP 9 i 9'59 . 5% {14,11 gawk $9391.. I. Dr. DeRionne Pollard Request for Reimbursement MEAL - receipt? for cash purchase attached April 2014 anu3ni??il?irw CHE 183E) I 1 HALDURF SALAD 16.00 AUD CHICKEN F000 Sate-3. 16.00 Tax Payment Due 1. 3 .Eu. Tlp: .. .. Room -.. Signature Wall: E- 4 om?gomer? College." 30079785 is}. ?fr Jr.? 1 1w. 1* Ea ?211?: mam 135431351555 -1 GAR ?osiigjl4 - 575660231in 1., 1315.55 0-. 00_ ?3.06 0.00 1, 135.55 LSD Mowgomely College 30079785 at q. 1?3? - .yg?sc - ?2?5 5 ?gs %m?x??rf .1. ?3 CAR 05/14/14 1,135.55 0.00 0 .00 0.00 1, 135.55 3H0 Bank. NA. 050 New Jersey Montgomery Coilege 554277 312 hi f? 05/1914 30079785 a . Accounts Payabie copy VOID VOID PAY To THE ORDER OF NOT NEGOTEABLE OFFICE OF Au. .. (Prat 3' 3 . - 1? 5:7; :5 5'.151" . 13:3.? a - .. yaw-t?; E- 5? Is. IL- rt' (3?13misc.- ?ll! r?qimrs?r Baas. u'm" Li?DLam?r?'nc? aha! mumngenw to SAP, 'mm?edunices under $1500 Madam Consortium: and Hamm?um payments. {magier fqaimanq dew? be attached .I?u an remade-daemon Canbacfe?' services over$1500 mast bg?fumardad In u-?h a long H413qu and canme Print and compieta of?ina?g complain onlina and men prim. Send the commuted form-in Acco?nts Pavabl?. HIKE 23B. Fay :11 em Requ?sted (I) Original! lnx'aIMcuipb? mi?kmd W-anrmfar all raw mm?; PAYABLE TO: Dr. DeRionne . Pollard one: 0.5/ng14 VENDOR EMPLOYEE ADDRESS LINEA EMPLOYEE mm ADDRESS LINE.2 ADDRESS LINE 3 CITY-STATE VENDOR FED {Including zip code) CHECK AMOUNT: $1,135.55 mum El up Hmua?um Empimee Rebuburs'errmt Hembershh I HIM. ?3 gamma 1-yau only new: i Reimbursement of car payment for Infiniti Jx35 - $798.90; Gasoline expan?ses $335.65; parking expense $1.00. 3 Li}; - 4:3, ac. - ?Ag-?um! .. FUNDINGH IN FUND ORGANIZATION ACCUUNT.-PROGRAM CODE. .1: i: $798 . 90 5E $336.65 .I :33 235.2 if- wmagx Owned: [3 mum ??31 $1?135'55 31795' to Payee to?nepartnarit - 53cm minimums; - Please cal}. Ext. 71.796 when check is randy for pickup. Thanks. a I DeRionne P. Pollard 71796 Stephen D. Cain REQUESTOR NAME EXT. AC UNT MANAGER (PRINTHAME) Office of the President: - A mama-mm? NAME (Phase Type) swarm oa APPROVAL A?ccoif?? 3 gymz?a A pproved . :7 Date l?me esuMMAR-?r c'u'stomer Rela Automated Respon Statement Date March 21, 2014 PD. Box 6605?? if prlor past due billing has been mailed please accept our thanks. ACCOUNT INFORMATION Account Number Description Amount Tax Total Agents Available Late Charges 1; 25.00 25.00 Mail Payments to: Current Renthmount $?93.90 5 y?aso In?niti Financial Semces P.O. Box 9001133 Total A?mouriti Due 523,90 Louisville, KY 40290-1133 Payment?Dye Date. 04(11/14 Remit Miscellaneous Fees or Other Charges to: Infiniti ?nancial Services Dallas, TX 75266-0537? For Correspondence only: Infiniti Financial SewICes 9.0. Box 660360 Dallas, TX 75266-0360 se 24 hours, 7 days a week onday Friday 7am-7pm CST 55/01/12- 1a INFINITI 3X35 Contract Date Vehlde Description Vehlcle ID Maturity Date '1 at; .u lbw.63: 5.1-: 5,1212? I I wu?L- A gr. "z-e ?rmneajei? enemas HES ,ee: .. . . I *eogeuee ?93? "Offl?cla 1.5: . . Please detach and return this coupon Jung with your payment Customer Name Account Number Payment Due By Total Amount Due 55 a Ema-11:53:59 gangs/algestnmega. . tanglel?twii??eltlueifdomrome 4 .uihi'f?g? 2.. {a i c? I??g-?Cfrx . .3. In .3, I'e 'a-1l173?uigl?tr . .9- 00349 4025904 093352 ammo OOEDWUDODI Freeport Parkway Irving, T'exas 75053-2433 DERIDNNE POLLARD 04/11/14 23:90 Amount'Enclosed [5 If 1h >00349 4025904 002 003143 DBSTILL POLLARD In?niti Flnancial Ser P.O. Box 9001133 you are making changes to your address, check a box a! hall end-complete the reverse side. HAIL PAYMENTS T0: vices Louisville, KY 40290-1133 "23 Dr. DeRionne P. Poliafrd A. .Mh HELEDHE TD SUHDCU 9w l?lestena {flin 51131 freieritk Ed. how HH?hmi?M?HMf?HddiL ?1r?ante'a, H4. an ma: 31m 9 sunncn RIDGE ?9u HUHGERFUHD $386133 RFDEE nocuuxLLE,nn2uusn 211n1 Frederick "?36133 Bh/02/1h 13:28:12 Pump?: 1 [SelF Product:U1tra Pure HD URIWFXEU1M 6h355?156 86:52:?! PM UISH ?33333 UISH 2 1?l Frederick MD Uh/22l??1h ?th?2839 n?:u3:k9 PM UISH 3333333 Gallons 16.60h Pn $xua1 3 3,999 . PH Fuel Sale b?-h0 I RUTH H?hU?u I ern31u To?al Sale aa.uu - RUTH uznuuo 3 - Supreme cn 15.3nuu i In 1 PRIEEIGHL n.179 Suprene an 1h.3306 PRICEIGHL n.1vv FUEL 66.23 d?s? 2397?u FUEL TUTHL n?.2n :proual? CREDIT 66.23 I CREDIT ?H.2u H0812Bs2199u1 ?ak tum wan YOU FOR [nn anH BUSINESS ?wi?wu hiHaMMwind h?atmewm In Eirn Renard: an? D_r. DeBipnne Pu Pollard Gasd?neExpEnses-Ap?l2014 iMahmiumiumnwwukM. lbank for Van: Business RIDGE 2110i Frederick H0 Uhl??1201u 6h8566973 01:11:2h PH UISH ENNXX. UISH PR RUTH PUMP II 1 Supreme cn 16.2196 u.1?9 FUEL TUTHL CREDIT Credi't uni . -Greentree Exxon 3951 Brain Hay Glen Burnie HD El??l luv 1: 3 IHTERHHT 4?36192 GLEN BUR, HD 34/33/2a14 1185?28 . . Ul?? ulah . Pa Suprem?_ 16.4358 Pnlcewan 4.379 FUEL TOTAL 5?.39 EREDIT 5?.33 {re?t HRH Save at th! PunP To Earn Rewards ana . 4 il' Dr. DeRionne Pa Poilard Parking Expense Ap'rii 2014 20950 3:938 WWUI 111% L11 1911 6 WHEN 10:55 In {Hill/HI 1MB flit Tkt? 15815 PFIID 1110- YDU Fl BREE TRIP 'lhf l4. p-r- Montgomery 30079922 - 0.102117202930390 022300000? Etw?r?? ?jg??iigg? CAR 14? 04/20/14 102.2?7 0.00 0.00 0.00 102.27 LSD Manfgomery College 30079922 if. 00575-5? ?3'01: 7H ""7merm a gaf?sa?a 00 $?aamae??m .. $030000 CAR INS APR 14 04f20f14 102.27 0.00 0.00 0.00 102.27 USD Montgomery College 55-277 3?12 H0 Bank NA. 050 aw arse? CI. 13%? ?32 DATE 13335 EC EC 0 DU Tirg?g?f?? 05l20l14 30079922 Accounts Payable copy VOID VOID VOID One Hundred Two 8. 27710 Dr. DeRionne P. Polfard 22593 Winding Woods Way Ciarksburg MD 2087143340 NOT NEGOTIABLE . .1 . . A COLLEGE ?O'Hicetof?Human Resourceneveiopm'ent and Engagement May 14, 2014 MEMORANDUM To: Ms. Janet Wormack, Senior VP for Administrative and Fiscal Services From: Tamathia M. Flowers, Director of Bene?ts and Systems Managem Subject: Check Request .3 gigs} 3; Amount: 335 can a: TI: 25?3 ?23 Account Name 8; Number 22% 3:34: in Dr. DeRionne Pollard Payee Name Address Please Deliver to Dr. Pollard Period Covered April 2014 ASAP Date Needed Approved By: We?me Tamathia M. Flowers Director of Benefits and Systems Management :1 Mfg/f, Am)?ch Pate 32?? 5 I law" 4. parSlate Ham: Payment Han PO Box.2329 '01'3'537? 40006 QERIONNE Agent Milk Spila?aie 11801 Fing?rbciajd Monrovia {no 21 7799011 3? . Arne . .. van; - m1?AVn?p-Lm .. syn?..wa .31? .. .ueshons=t Wen . 1 ant \mengou?acc --.-.. . . en?m?gik - khan .min). . .rva . . up Lent-a. Restedcf? to. Aura Wu? 8 ?b VI 1004429 ?143163 201 06-11-2012 1 3? 2: to?? a ?ag? A 1-42-nan? - a . 2.. Va. 4.1.34! 9 I 1 . 3523'- a $953? :33 i - I QR) ?tr-Page 1 of 2 law Haw, Call'yourAgent:301632905101 Au'tomaicd LJnc: 1-330440-0998 Kay coda: Hal-118931? Eloh? a' Duanhad our way Podcetngonl app if you have moved, piease canta?d your agent. State Farm" cwuniholder: POLLARD, DERIONN Insurance Suppcirt Center. 9.0.:Box 533002 North-Metro, 300 29-8002 lush-urn. . ?1,1:4 1 gang. J, i9 . Ta :35? - .If .34; 2:3 . . LT?wA-hlwn aw. Pp? - mam math? a a agar; ?a'aguqu: Jeni"? :41 e295 s- -4 aw? Sid? r?Importanl?lnformatL ns yum" '3 diam magi-gar 'a - 9 E?sii'Q32? {l?wil? ?g . 1? m3: .1 xx. La?? . "5 v? uninrrg? QgEEZEquy.akq?ign'W? - Mun 2* a?xam Ma. ?m a; ms naming-?1' - .s ?mm k: 39-Janrf- .. ?uid ?41 . ., .1: gr . ayeven?e ?3x01; maygbg; :35? ?ya-x 1: ?5:1 ?m Wu" v? ?5 Stain Farm Agent $266.41 SFPP Bill' 060's" 6004159000266? 4001099761?2111321> ,4 Marrlgo?z?r?C?'?gge ??in HT - (329R 1PM Mix-113T I 05210710 l,020.57 0 .00 0.00 1,020.57 LSD Montgomery Coflege 30080886 "Hilmmv? 8077"? - 77"? . "mi?3550515010705! 0s. 8mg - . 11:30:10,000 ?gmeas? - CAR PYMT MAINT 06/16/14 1,020.5? 0.00 0.00 0.00 1,020.57 030 In 9 .Montgamary College PHC Bank, NA. New Jersey One Thousand Twenty 57I10 PAY TO THE ORDER OF 050 5552?? 312 .1: =3 SEW-.30 ?W?rhM 0 08/17/14 30080886 Accoums Payable copy VOID VOID VOID NOT NEGOTIABLE w? 3 OFFICE OF BUSINESS SERVICES I . I: fur-P? .i??fx?g-EJ? Vamp-?3? "Eva: 3 1 .7 11? 53:5 ifswgi?c?gC?f?UNTS?P?YA??a ?13: ?5 if?? Obi? 9 gift . .rr Jigs - d. ?Ega1115.35? GERMEM :33; died awarm?m pin} be MUM ?ringh?n?lps dam, rmpkiyec rainbummnk owsin? cm?rc?mmc and f. (wish-aarer mmlat'e?o?E?P: mini-acted unite: may: I?oo'g'mfucfrg Cannibals A ?ua?rkd' W's'fann?and cont-ad by}! he enamed to 313 named sen-fans. Omnacred make: war $1500 m: be forwarded byway-I?m magnum, gan?wi Print andfcomplete Of?inaggcom?lapfqoli?a and that: print-59nd {Om 19 gg?cwnis??ayahta. MKE 230. Paym ejntl?eq ues'tedEfur: (I con?ned W-9?lrm?v n+1 mum-j PAYABLE T0: DJ: . DeRionne P. Pollard DATE: 05/11/14 VENDOR EMPLOYEE ADDRESS-LINE 1 EMPLOYEE ADDRESS ADDRESS LINE :1 VENDOR FED 1W (including zip code) CHECK AMOUNT: $1,020.57 Hmbersh'rp Sttna'iptim [3 mamammrm? EN: [3 Honorarium Endo'ree Reimbwsemem hymn: only I HO my. {15' @m . . L-I.. . . . 'd EURPQSEZJUSIIFICATION: -, I mg; L, Reimbursement of car payment for Infiniti JXES $798. 90; Gasolina expanses'gi-F: . 013:. $221.. 6.7. $153 22.: ., rm"- .: m1. L'rlINDEX . FUND ACCOUNT PROGRAM CODE. GROSS AMOUNT $798.90 $221 . 6WI- Brt- 71795 ?to rayae. tob?ggtm'em- 5mm 1mm?, Please call Ext. 71796 when check is ready for pickup. Thanks. DeRimme P. E?Ollard 71796 Stephen D. Cain REGUESTOR-NAME ACC 1mm i Office of the President DEPARTMENT NAME [Please Type) I 4 @9161,? DOG '19 Larry?; My ate H11 CF . Statement Date I April 21, 2014 Tpescripiion Amount Tax Total Cunrent Rent amount 5 793.90 790.90 I TotallAmqunt Due 790.90 Payment Due Date 05/11f14 Elk-E . . AHA?Muwp?r?w-? pilicn 0i lire President 1x03000000ACCOUNT INFORMATION D. (I Account Number 5 Contract?oata 05101112 .3 ?Vehicle Description ?1 INFINITI 3x35 3 Vehicle ID . .. .. 2 Maturity Date -. . a, a f?R ll . Date a Automafed Response 24 hours, 7 days a week Agents Available Monday - Frldav 7am-7pm CST Mail Payments to: in?niti ?nancial Services PD. 80): 9001133 . Louisville, KY 40290-1133 Miscellaneous Fees or Charges May be Sent In?niti Financial Services PD. Box 660577 Dallas, T_x 75266-057? For Correspondence 1:3, infinitl PD. 80): 660360 ?mg; Dallas, TX 75266-036003 ?55; 0? euv agf??eesgeer THE ?ligree $1 In Heifer EMT INTRODUCING Cal11.800.662.6200 for complimenta towing to I I I. the nearestln nit? Certi?ed err-:0 Collision RepaIrShop?.l mum? l? 'l lnil nl?coilislonnemrkoom In?niti Financial Services? I [u 1' 1 PD. Box 660360 Dallas, Texas ?5266~0360 Please detach and returnlhis coupon along with your payment 01102 4112040 00110? 002320 0000100001 3900 Freeport Parkway Irving, Texas .75063-2438 OLLARD Customer Name Acc0unt Number Payment Due By Total Amount Due 393.90 Amount Enclosed I Changes? If you are making changes to your address, check . the box at loll and complete Iho reverse side. MAIL PAYMENTS T0: Infinlti Financial Services PO. Box 90011-33 Louisville, KY 40290-1133 .. .Il mu ?n Hunt; in 'u?om Business mamamm h?86133 *1l?1 Frederick MD n?xuvxauwu hh??i91?u Dn:33:33 PH UISH 333333: JDEHIUHHE Pa LTTIHBU RUTH ulna?? PUHPH 1? Supreme CR 1h.2196 PRICEIGHL h.1?9 IoreL 59.nr CREDIT 3 59.n2 trial? She; lo Earn keuerss an: SM at the Fan; aim- Dr. DeRionne P. Pollard Gasoline Expenses May 2014 Jae: Eum?Han?d$R? alH.??J? Ihaak vac far Yaar assiness RIDGE h?86133 21181 Frederick MD uu:33:u9 PM UISR PH IHUDIBE RUTH 1 SuPrene EH 5.1196 H-i?9 FUEL TUTHL 21.39 CREDIT 3 21.39 ewe Law San; infeuag is Earn icterds as: ?watuehe RU coJI( Buckeystown Pik 2 Frederick. HD 21?Dh i301) 6MHHERB1 Pump Na: 05 Premium Uolume: 16.993 Gal Gas Total: $66.09 Total $66.09 560686 Uisa 333333333333" Ii 1 - cu! H. iim?thfar?w??unbus mam - Rl??f 536133 Frederick S?nun -. MD ?f 6H9591235 LHRU JUDICE LT11313 HUTH ?18535 Fauna a Supreme tn . FUEL In 3 7h.ff szgomery Gallege . 300810-40 - WHERE-E 77 ?w . 01% 01021102110 MAY 2014 INS 05/20/14 115.02 0.00 0.00 0.00 115.02 USD ontgomery Cq?egg - 30081040 "w-ww: f? - 2. I.-. amt-ercwm? 1 00000036; $005209?. -. MAY 2014 INS 05/20/14 115.02 0.00 0.00 0.00 115.02 Montgomery Coilege 55-2?? 312 3ank. NA. 080 Jersey mam-inmgm; 02531an 0014010091 00? 9114 30081040 Accounts Payable copy 9 1'1 Dr DeRitmne P. Pollard VOID V010 NOT NEGOTIABLE 1 15"? Please Deiiver to Dr. Pollard Address Period Covered May 2014 Date Needed 2&4 MONTGOMERY COLLEGE Of?ce of Human Resource Development and Engagement June 12, 2014 MEMORANDUM To: Ms. Janet Wormack, SeniorVP for Administrative and Fiscal Services From: Tamathia M. Flowers, Director of Bene?ts-and Systems Manag?ment . Subject: Check Request Amount: 115.02 ,a Account Name Number Other Benefits . 2;;31 r.ch 5153'.- we . 63:35. u' Payee Name Dr, DeRIonne Pollard 33?} 23:23 ASAP Approved By: rm - Tamathia M. Flowers 313 Director of Bene?ts and'Systems Management 5! HE J.th {cg tum 33;: =9 ?le 35 e: OFFICE 6F BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Note: This chock request payment form may be uscd I?nr Inquest; for memberships duos, subscriptions-132cm. othcr eligible transactions under $1000, employee reimbursements over $50, conforcncound regimalions not related In HAP, contracted services undo: $1500 including Consultaan and lionorarium A complete form and contraol must bu allauh ed to all contracted survices. Contracted services over SISDO must be forwarded to Procurement Of?ce with a long requisition, W-Q form and the contract. Print and complete of?ineg complete saline and then print. Sand comnl?led form to Accounts Payabl?, MKE 230. Payme nt Requested fo r: Un'gr'rw! a ampmed lV~9fomfor an vendors} PAYABLE TQ: DeRionne Pollard DATE: 06/11/14 VENDOR EMPLOYEE rrnjonrr El VOLUNTEER ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LIng 3 VENDOR FED ?311 (including zip code} CHECK mourn: $115.02 ?mg Combat CI Hmorarim Relmburs-engg 1-year: only I NO mvipg?rg?ra xii/Ema I Contractual reimbursement; invoiqa aff??gch?ggl . May 201-4 . ?n 0? ?131? W2- sill: - FUNDING -INDEX FUND ORGANIZATION ACCOUNT PROGRAM 115 . 02 . ?Jrr SPECIAL ms?gmo?g?lease can Ext . 71796 when check {a ready for pickup. Thanks. .H 9:93 . oz moi? ?33% USendAttadmertsm?ICheck Tm? 115 Lynette folio-rd to Payee to napartnent "3 Egg DeRionujgj Po?iard 71'? 96 TamaLIlia Flowers EXT. ACCOUNT MANAGER (PRINT NAME) {an I- q: Office of the President DEPARTNIENT NAME [Please Type) supenwoon APPROVAL grammar: L15. ,r . fu StateFarm State Farm Payment Piaf: - PO BOX 2329 B'oon?ngtoh? IL .51 3'02-2'329 I- AT1 0142a POLLARQ. DERIONN . . plae 1.: W. . 9 La; x?m?a .. T1801 Flngefnoafd -- Monrogia MQ 2177043913 ?fiath . . :aw" avg; 4.4-, 3'{hi ?tnhhimn' 52" ar *1 a?:qu - 55:51?? an"? 5'93} 3: Hz?. .5322. ?may .. r??zgaw 9 3 gram?- I fuegl?v 3? a as. ?faT-w. wig 1314341 .42! fig igmu-ai? ?331- . :3 .95? '0 nah Luz. G. r; .M. 29? Luau?m - 3It-- - Egycustomers re,v_en 1. tuna ,mas . . . .uni?,MH1?33-1w?ti??kau?: 31% ta 5} 3" - Ikr{huh-5'43- Vtm?n??r'rh, sg?xzr-?u. 1r Us? "4'3 ?an, my 1 - 22am. . . 44 3 Wag?" is! 4-3333? a. 3.x? LT Isms? ?i 15, e1 "v'ckjj?lf'y?u?ih'g'?e {11? ill {L33}st othens alefarrn ?ag-g? raej??'mre??a gar-w Gigi; - g??f?i Is; a; 3:31.137? a .6 Hm"; 5-1.5 .3 ?gfi.? spiky; 1-. 1194.?gL?rWJf?Qg-g?f. an?? 'o-r 5, . 329:5? 5.23:3 ?za?f ?53? . 17,3433 ngturi?n-E ?33sill33.5155} . 9: .- . R. .3325: hnlholdet: ROLLARD Account Numbarg unt'Dua: $2179.16. i8 pay'by May 20, 2014 payment to Stale Farm DERtow JONES. Page?! of? JPIea'se toid aifd't?ar here 1 Ha Send Us a check Kayoode:154471%50 Cali your Agent: 1301-8324101 Auium?aied?ne! a If you hav? moved. pleaseoonlacl your-age'nt. Center PO. am; 53300:; North?Metro. Prepared May 1, 2014 walk In See-war State Farm Agenl SF-PP Bill $279.16 0708 Ign- w. ?rmm3. {'aficmre??en?; *1 5m: u" emerge iAopLouns _a 31.3- 3153' f: . angina}. - $266.41 ?66.41 'f )iffregjenoe I 0.00 egqgegtipstaument . 276.45 . a . Service Charge 3.00. To?iai Arnoum ode ey- rm 2i); am $279.can.2155? :11 4.. 3. 57"? .3 . - ?73ft?? 3? at? - 3 {a?gijj?f tin,? i be?" a an insiau?l??l Late}. 9 a I . "mu-9.31 3* 5? a. 51-031 33:12: zen-{Henna Montth Installment .. gee-.23 Monthiyinst?nment' 5115262! Change En?yehiollerating groupigroomprehensiye - ooverage. Hales have of a-Vehide, nun-.1 - .- . $12.33 .. $63.08 .JQN ES, RUBY-N A .2: tzsseggsw 359% surf "a - weer?:- ?ream-1.3: 5e: we ?lm? Wag?" ?3 ge?eae?ffi?aa?a?%ieqee?e . ., . en youproyidea check as payment, you authorize us either to use lheiinfOrrnalion=from your oheok to make afone?u?me e!eotronlc?fund transfer from your ounl?or to process [he payment as?: a cheek-transao?on. When we use intonnatio?n from your check tomato-an electiomcf?n?etransfer, funds may be Idrawn from your account as eoon as the same day we receive your. payment. and you will not receive you?r check back from you'r- ?nancial institution. SFPPAccount 1099-7616321 . aPageZ?of 2 Prepared May 2014 #3 - . TE radio 30082169 ?50007211000005 0*?0000?00?01 0- ramw?- .A .. IWWQEQE -x .. INS 05/02/14 115.02 0,00 0.00 115.02 LSD 30032169 i - ti 06/02/14 0.00 0.00 13.5 . 02 USD PNC Bank. NA. 000 Hem Jersey Mann?gumery College 109-": hm Hhmtumma me} 552?? 312 DREW 07/152114 30082169 $ik?i?i?'k1 1 a mi. To THE 10F Accounts Payable copy VOID VOID NOT I Mitt 6/60 COLLEGE Of?ce'of Human Resource Development and Engagement . ram 1 5 2m; July 14?, 2014 MEMORANDUM To: Ms. Janet-.Wormack, Senior VP forAdrninistrativea nd-Fiscal?Ser-vices From: Tamathia Flowers, Director of Bene?ts and'Systems Management Subject: Check Request Amount: 115.02 :2 ?34-?32. ?it. [?515 r? :2 Account Name &.Number Other. Bene?ts. ?73 ?If. ESL. Payee Name Dr. DeRionne Pollard l' r. ?3 Address I 'Piease Delluer to Dr. Poliard Period Covered June 2014 Date Needed ASAP Cg Approved By: Tamathia M. Flowers Director of Bene?ts and Systems Management OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE .CHEC-K REQUEST DIRECT PAYMENT FORM Note: This check rcques?t payment form may be us?d realm-41m for membershIps dues, subscriptions-Hear, Other eiigible transactions under 3:000. empinyce ruimhurscm?nts over conference and registr'ntinm; mluled In FLAP. mnlrueted services undex $150!) including Consultaan and anmarium A con1plele=W-9 Tom: and conhacl?musi tie anaehcd lo alt commuted services. miocs over $1500 must be fomar?ed Prucurunenl wilh 11 1mg requisiti?n, [him and the mnlracL Print and complete amine 9; Complete online and then print. Send the completed form to Accounts Payable. MKE 230. Pay cat Reque'st ed fo r: {Requiredmm?memx Oring a mpjam?? a? vendors} PAYABLE TO: De?ionne Pollard DATE: 07/10/14 I: vavoon EMDYEE [j s-moem' [j VOLUNTEER ADDRESS LINE 1 MCI: ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED IDII (including zip code) CHECK AMOUNT: $115.02 71? 5:3 [1 Meme-mm Wilden CI Hm only ?33? gem? I Contractual reimbursement; invoice i??ac?d. June 2014. FUNDING INDEX FUND ORGANIZATION PROGRAM GROSS AMOUNT 115 . 02 smm.msmucuou5: [Ileana call Ext. '11?96 when check i3 ready for pickup. Thanks. ?Homw?m Hameck El WM mazumm mam m? 115 02 Lynette Salton-d to Dayna tn Department Pollard 11796 Tamathia Flowers REQUESTOR NAME EXT. ACCOUNT MANAGER Office of the Bresident My.) NAME Ty pa) SUPERVISOR APPROVAL Inccoum IMHAGER SIGNATURE State Pamw Raiym?em Plan PG Box 2329 Bloonw'ng'tqn IL 61702-2329 -w9<99 0006 POLLARD, DERIONN - Agent Mark Spitale 11801 Fingerboard Rd Ste Monrovia MD 21719901} - . .. Phone: 301-8132135191 59' 4-1- new =3 _h?h ?3 53 ?4 #151 vista-:5 Ftant?lnfon[lgtionp? - . jg??w??fg?u 2&3} -- a - . - .ie-i: art? .zw. . '32 32.1123 I u? 9%?{E?sj??i'f??oy - 'q i? 1? . :7grg?c. . fl, 3; #nj??thh." I .1. 25-19?? I n" .s ?3 'ltr . q, ?hf-T; 9 era .the. renhanoedzhow?customers:a{ :Qets?e . Youimayzbeasked?s?a ms. hwy-4 fan-M33 #1 ?i 'r 0- ?d ay" ant-bll?ng 3" 'fa? .5 . 16; ?re eciedg nls'made be - n'u- on afaubsgqu if?? {as 3? I W?l?n 15% d. it? a. CurrSW.- d?lu." 31effan tate Egrmipgpgiucls-yo be is dy: oassIst-iyou, $513} 55%: if rag?! 0343' ?d uni-1- 53"- . . 'rt? It ?5 '1 {(99 .3 3- a? .. ?.17 J?dnig?? Mi? 9' . . . 5h? 133,13 1 as?; v?1004423 114315320: 0011-5201; - - 0251'099-7616-21 Page1or2 I 1Plaiaat?193r1t1?eamer? Ga? your Aguni: SUI-8824101 Automated Line: 1-W998 Kay 00:19:?545334313 .P?wbr'ro Pay . . .YourWay . DoWoadc-w? Podmt 'Agent app . If you have moved, please mnlacl your?ageni. i .11 @Sfatmrm" . . . - 1 DERIONNE JONES, SFPP ?ACcounl Number . a en'ter PO. Box 588002 North Metro, GA 30029-8002 I gmgasg MM June 20,201.! M?k? pay'ment?lo 31316:? Farm ??mcwseomy . . SFPP Bill $27916 'paoa :1 . 70'04?22000027916 400109976162111321) 0101p?! . . 'l I I . Ho?imm?e?e . . a 3 in; 2.1.5; r; ,1 1319441 1 ?r L-astAmounl Billed - $279.15 . . - 4:79.15 5.. foferenoe I CurrenUnsIa?menl i .276.16 . - . .l ,Servicepharge . 3.00 Iota: Amounl'oue Jun 20, 2014 $279.ht. '41, f-?z?P-?A?i?vj 131-? v, v! - v" .145 $35.23 14585911.szth 5' $115.02 2oeL-Bzaeo PERSONALUMBRELLA $12.33 LF-zazo-izoz tmonmt?yrn?sonment. - - $63.When you prowdo a check as paymenttyou authonze us either _lo useJhe'hformatLon from?your check lo?make, your amount or to process the payment asocheoklraneaction. When weguse information from your check to'make Ean t'ranelegqnfunds may be wimdrawn from your account as soon as the-same day we receive your-pennant, and you wil! not receive yoor'ohedi?baok from institution. SFPPAccount moo-751541 Paeoi?pfi' .- . -. ii . Ewe: *3 .. .3253 - Prepared Jone 2, 2014 ml?: ?1 V.- v."121?: 1.4; eh 5' Monfgolmmz College- 30032115 "?wa 00218050001809 2014 CAR 07/11/14 1,248.76 . - . 0.00 ?u 0.00 1,248.76 LSD Manigomerjv College 3008211_6 5' :1 . . . . JUN 2014 CAR 07/11/14 1,248.76 0.00 0.00 0.00 LSD wgu?mv umcqr?mm-c: lame" Hausa-Ir." mm Montgomery Coliegc PNC Bank, NA. 060 New Jersay 312 5.1.31.5 07/111111 30082116 One Thousand Two Hundred Forty~Eight 8: Accounts Payable copy VOED VOID VOID PAY TO ORDER OF NOT NEGOTIABLE I OFFICE OF BUSINESS . 33.19.53; 9?03":13 . *1 :2 ?rj-?m a ?s?yamou?xsamma? *??v?wga . . - . .4 Ikuun. ?r val?Van" '4 v. .. ENE?will. ~09? 1 a. .5, Va: a: 1-0 dark rrqur pojmm?m may be :dfor "Ma?a- mkn?p dues. over 550. and m?h?ww not misled :0 SAP. Wed sem'ces under $1500me Consu??ants and Homa?um payment: W-9 ram and comm-ad musfbe washed to wmsm: aver?soo mus! behm'arded A 10 hug regain-(rim. W-9?ym and P?rln'l and cornth of?ine 91 complete un?ne and ?'an pn?nL 990:179119 comnle'ted farm to Accounts Pa able 230. Payment ch nested for: angina: (2) 0 mme ?r all new havth I PAYABLE TO: Dr . DeRiorme . Pollard DATE: 071?10/14 vmooa EMPLOYEE ADDRESS . ADDRESS LINE 2' EMPLOYEE MCI: ADDRESS LINE-1.3 CITY-STATE cnecxmoum: $1,243.75 VENDOR FED Membership 1-year only minim El Cmsukanl CafaarlceiRegmtm?m EAP Hom?m Emphree Reime I "0fo Reimbursement of car payment for Infiniti (?135 $798.90; Gasoline expanses ?$029.06; parking fees $20.00. imam - - . . I: . . AQHYJEY. ORGANIZATION. IACCGUNT 000E Hausa AMOUNT $798 . EJSend Attadfmenbr?m?ed: Tom mil?zf 2ft. 71796 Eu payee Loim?a?itgenii 53:3! Please can Exii. 71795 when check is ready for pickup. H. DeRioma P. Pollard 71796 Stepgen D. Cai?n?? any" REGUESTOR NAME 5x1. Aggy gymn? Office of the President ?gir' ng?gnm?am NAME (Please Type} SUPERVISOR APPROVAL 00:: ID Appr??f?d Date - - M, SUMMARY 2080 12310. R2013-9NBRE $33: EN Contract Date Sjtat'ar'nen't Date I May 21, 2014 02"50rip?tion A?mount fax "Fatal Cuhr?'nt Rent Afnount $798.90 ?90.90 Total Amount Due 7398.90 Payment'DueDate 00111;? t' [(91 ACCOUNT IN FORMATION Ac?ouht'?umber Vehicle Description 13 3x35 y?eh'icle ll) Maturity'Dato 10 2811+ 00:00 Accountl??slturnu?egd a Costner- Rlations .- 000.027.4432:r Automated Response 24 hours, 7 clays a week ,Agents Available Monday Friday 7am-7pm CST Mai! Payments to: In?niti. Financial Services P.O. Box 9001133 Louisville?;r KY 402904133 Mlscellaneous Fees or Charges May be Sent to: ln?nitl Financial Services PD. 80): 66057? Dallas, TX 75266-0577 For Correspondence Only: ln?nltl Financial Services FD. Box 660360 Dallas, TX 75266-0360 Infinltl Financial Services-?9 I 'r I 9.0. Box 660360 Dallas, Texas 75255-0360 DBSTILL DERIONN POLLARD Please detach and return this coupon along with your payment 4193535 0024313 004950 00001?10001 3900 Freeport Parkway Irving, Texas 7506342438 Customer Name DERJONNE POLLARD Account Number Payment Due By 00111114 Total "Amount Due 798.90 Amount Enclosed [5 Changes? llyou are making changes to your address. check the 00: al tell and complele lhe reverse side. HAIL PAYMENTS T0: In?niti Financial Services P.D. Box 9001133 Louisville, KY 40290-1133 . . . . cur?aw .. .. m. nun?4 I 3 3 IMPORTANT CUSTOMER NOTICES GD Paperless! when you provide a check, you are authorizing us-elther to use Turn off your paper statements using. cine of these options: information from your check? to make a ones'tirne; electronic funds Register on the Onlin'e Acc?ount Manager transfer From your account or to process this transaction as a (in?nitl?nancecom) and follp'w the'instructlons to check. When we use your check to make an eiecb'onlc funds turn off paper statements. transfer, funds may be withdrawn from your account quickly. and Enroli in E?Bill through your bank?s website. A you may not receive your check back From your ?nanciai email will then come from your bank institution. advising when your statement is avaiiable fOr vlewing and ?payment on your bank's website. Details can be Found at ebiliplace.com. WE MAY REPORT ABOUT YOUR ACCOUNT TO caeorr euesaus. LATE on MISSED PAYMENTS OR OTHER DEFAULTS on YOUR ACCOUNT MAY BE REFLECTED IN YOUR ceeorr REPORT. mars-n URL-LN Enroll for Automatic Withdrawal online or by mail: a Enroll onllne for Recurring Payments. Simply log WE MAY ELECTRONICALLY MONITOR ANDIOR RECORD ANY on to in?nitifinance.com. Click Payment and then TELEPHONE COMMUNICATIONS WITH YOU. Recurring Payment. Once enrolled, you can choose . - w. w? - ?exible,? - and hassle-free? Enroll by mail For SignatureDIREm'PA?r'ei. Just call to Failure to include the remittance coupon with the account number request the enrollment Form (800.527.4437). This- on your payment. or mailing it to an address other than the program offers you the security of knowing your address on the coupon. ?may delay its posting. Wire payments contract payment amount will be drafted each month made after 1:00 pm will not post untii the next business day- on your due date. - Pay by phone or the web. Use? your credit card, card, or an electronic check to make a onetime payment. Call 800.603.7385 or log on to in?niti?nance.com. IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS: if your obiigab?on to pay any debt listed in this statement has been discharged in bankruptcy, or is presently the Subject of. a bankruptcy courtproceedingr bankruptcy court-approved plan or bankruptcy court order, we are not, through this document, CONTACT US attempting to collect any amounts From you as personal liability, and will only pursue any rights We have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or OR correspondence, uss the Following address: 800.627.4437 ln?nlti Financial Services GENERAL CORREQEONDENCE MAILING ADDRESS: Bankruptcy Department In?niti Financial Services PD. 803-: 650366 PO Dallas. TX 75266-0355 Dallas TX 75266-0360 For leases owned by Nissan-Infinltl LT in?nib? Financial Services, a Send miscellaneous fees or other charges to: division of Nissan Motor Acceptance Corporatlon, acts as Servicer. ln?nlti Financial Services PO Box 65057? Dallas TX 75266057? .. .-.. -. . (JP-ADDRESS Effective Dale: .. You can update your address at or complete the iorm below and mail MO . . . Day Yea]. itWiih your payment Name: .. .. Reside: .. Street {Apt is. .. .. CilyiSialelle Effective Dale: Enler Address where vehicle is located if different from new mailing address. Day .. Name: .. Colinin .. Street MP: is .- License Plate ii: .. CiiyiStaleJZip.. .. Would you like to add or update an email address? .. . .. r. l?lastzae Eznt?. .l?i fredlliat ii. Hd. $5316 Xm??wfw!ur??ux RIDGE h?86133 21101 Frederick no 0530112n1u ou3599329 92:5a:15 PM UISH Urs?n PH muuoigE'era11u eL?a. Eur? 092082 e! bug-n. . hr1?9 FUEL 75-13 CREDIT tum Shep Safeuzg 1a {irn an! Jett?zhm ?5.13 Dr. DeRionne P. Pollard Gasoline Expenses ?June 2014 Exlul 21101 fredrrick Rd. um - 3M for 'r'w eusimss RIDGE FETHD.LL 21101 Frederick MD PM uzsa ursn PH LT33321 RUTH 0235?6 19 Supreme an 10.2520 PHICEIBHL n.179 FUEL 3 u2,gu CREDIT 3 Ertdit She; Safeuag ?netuehw WELCOME TO sunoco ?9u 1?:29:?9 Punpn: ISelf Fradunt:U1tra Pure Gallons 16.693 $zua1 u.ab9 Fuel Sale 57.9n Total Sale 6?.9h UIS Trans? 36M5?h ?pproual? B19331 M91??752339ch 9DU FDR BUSINESS LHHE FURESI EXXON 8 BER HRSH - 448 FREBERIEK ERIZHERSBURG H9 (331) LHKE FOREST FG24126821381 awe NORTH FREDERICK HD 85x1?/2314 23132574 38:29:88 am Uiga XDERIOHNE an IHUDICE 815781 RUTH 363441 3 Supr?me 1?.864? $4.179, FUEL CREDIT . Eustoner?activated Purchaseftapture Eile #1 3883358334?35365 Shift Hunter 1 Shauence Hunber 16321 ?53441 Buy Car Hash lodav and Save 13 Cents Per Gallon At the Pump .vu Dr. DeRionne P. Pollard Gaso?neExpenses?June2014 l?lustone Ellen ?Il?l Frese+ict Ed. ?mnum,m.imm ?unk iv 1w Sasimss RIDGE h786133 211?1 Frederick MD 36/21/231? 13:01:2h HH uxsn 1 ursn PuLLnno IDERIDHHE PH annexes I RUTH 1 9 t. Supreme CR 1a.u5?a PRICEIUHL n.179 FUEL 3 68:7? - CREDIT 68.?7 4n k. uwu snap SafaUIy 102m Pmer and 1 l' .. u? ?to WELCUHE 39328?14 SHADY.GHUUE BP 15318 FREDERICK GAITHEHSBURG MD DATE 8?:58 PUMP 82 PRODUCT: GOLD GHLLUNS: 8.553 PHICEIG: 4.159 FUEL SALE 35.59 UISA DEBJT Payment'from Primary Account Huth 822 Ref: 95475811 Resp Ende: 808 Stan: 8298914d2 Trace SITE ID: 9328?1? YOU HAVE Dr. DeRionne P. Potlard Gaso?neExpenses?Jun82014 F?lestent {Egan 21151 151. mu mmthuhrhw?mhus RIDGE #786133 21101 Frederick MD unxz9x201u 6h8630152 PH UISR UISR PR 1HUOICE RUTH ??2?11 3 SuPrene CR 13.6966 u_239 ERR HHSH .200 h-?39 FUEL 55.32 unsn 13.00 T?t31 68.32 CREDIT 68.32 awn tun Snap Safeway roEuthwr? ma unarmeh? Vnur car wash Sada is 19235 Expires F/13xzn1g I we Dr. DeRionne P. Pollard Parking Fee- June 2014 mummnm 11111 193 11 :31 13:5 111111.113 51.. 11.11. 1111111 . manuallm. 111?. 21.183 (31:31 91le 15: um. Ref 8: 1135 Sale Entrv MW: 55in 115111111 16:15:11 1.1.11 11: ?$3339 Code: 9315555 prrud: Unlih? Batch?: Total: 1 2711.3] harm-I I'm! 7111?11112 I 0 cu? I. .Moglgohl?ij? Coilege, . 30083236 0+3 - 72.50% Mums?; .?mc "~00 003303003? I x, fg?? =fi?gEB?r??Ei? - SF if. 31' .731?? Kr}: 00/25/14 846.37 0.00 0.00 0.00 846.3? LSD . . Montgomery Co?ege . 30083286 :31- "u I "i i . :33? 1.0.3" a 'Li ?6000519002 03$, 0500003003000; 0030000: 3 08/25/14 846.37 0.00 0.00 0.00 846.37 USD ht wms?xyw-mn mm I It a ?3 Monfgomery Coll?ge 55-217 31 2 PHC Bank NA. 060 New Jersey ?3,323? iG HEGKEN 01.? (in? .4: riffs": 08/26i14 30083286 Hundred Forty?six Accounts Payable copy PM v0.10 VOID TO THE ORDER OF NOT NEGOTIABLE a BFFIQEQF BUSINESS SERVICES r?giszra'?om 00! feraredra'EAP, :0on same: Ends} $15.90 mum-g Gunman and Homrium paym a? Emma RM a hug qu?ln'nn. KHz-n Mmms. A warp!ng #9 km! and mmlbo a?ac?aqln an mnbatfedsemtat Cmred sen-ices mrusoomm Fumwded Print?a'nd complete of?ine g: on'?ne and than Send the commuted form to Accouriu Payable. MKE 230. .J . am: ?ni?iL? 9. ?13" 2.5.: 2- Quip War-.35a1Wawh? '57- .3- Nore?i?gr (93? reqyes': my bay 5; wea?far re?na?r mm dam, 5 k?srr?nurlom? 1mm min h?tm?n? mar-Siofmx?wncc and Payment Requested for: [Regain 2) W-S?fbmfor of! nm- widen] PAYABLE To: a a Esp/5% one: man 9114 VENDOR ADDRESS 1 maoszaans ADDRESS 2 LINE 3 cm, ATE VENDOR FED 1m! $33 {including zip code} 5; CHECK AMOUNT: $345.33 931251 :0 El Hautemh'ip El WW1 Consulta'll? Cmfertr?J-cej?eg?rsuaLiu-I-Hm EAP El Hmora?um Enph?ee . H5314 l-vyau: only I H1355: 523;; - 1 Raimburaamant of car payment for Infiniti. JX35 - $793.90; Gasoline expense nu $47.47. a 3 FUNDING INDEX FUND {401mm .. PROGRAM . . 12? gerioss?imounr $798.95/r $47.47 Hm? HOLDCHECK DHa?'Cledt, [3 Malawi!" 7m? $84637 Mcmt? ?795 I50 Payee tc'u D?pa'r?bgrit? w, Waskf' Please cam check is ready for pickup. Thank J, DeRionne P. Pollard 71795 Stephen D. Cain REQUESTOR NAME EXT. ACCO-MAHAGER AME) Office of the President DEPARTMENT NAME {Please Typo} 'su APPROVAL ?ssNATune I W329 963,,? IJE . sumo-nay - To avoid a late charge 07/27/2014. ACCOUNT IN FORMATION beacription Amount Tax Total Current itent Amount 790.90 790.90 TotalAmount Due 8.90 Payment ode Date [g z; I 1114 . nt must be receive before Account Number Last Transaction Amount Last rransaction Date Payoff Amount Payoff Amount Good Until Customer Relations. GONTRACT IN FORMATION -$798.90 0611122014 $39,448.13 The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain-your actual payoff amount and instructions on-line at infiniti?nanca.com or by calling Contract Date u. - Vehicle Descrid?on AP (title -o.ch nut-1 tiumta: rig-g. 5.199950 1 r17 JX35 Foulth 10335623 1 909111115 in? gay] . . Guglom?r?. Relations AutomaEed Response 24 hours, 7 days a week Agents Available Monday - Friday 7am-7pm CST Mail Payments to: tn?niti ?nancial Services 13.0.00): 9001133 0, Louisville, KY 40290-1333 't 1 '0 Miscellaneous Fees or [?ak?go?s Majyspe Sent to: Infiniti Financial ?10 Po. Box 550577 Dallas, TX 75255-0577 ~13 For Correspondence Only: in?niti Financial Services 1' PD. Box 660360 ,r . Dallas, TX 75266-0360 Tggate 0 i- . or"- v. nerlass . . - a ?92" itsIlia??14". In? 1 as], a? Fl ED (BLUSIDH new: i" 1: _3 - sea?oor: . -. .- - Cail1.800.66:.6200 for complimentary towing to the nearest in?nltl Certi?ed Collision RepairShop*. . DBSTILL DERIONN POLLARD Customer Name Account Number Payment Due By Amount Enclosed I Please'detach and return this ooupon along with your payment . In?niti Financial Services?) LN P.O. Box 660360 Dallas. Texas 75256-0360 .00255 427370? 000290 3900 Freeport Parkway Irving, Texas 750630438 LARD 07/11/14 Total Amount Due IQBJJO Changes? ll you are making changes to you: address. chock llio box a! tell and complele the revarsa side. HAIL PAYMENTS TD: In?niti Financial PD. Box 9001133 Louisville, KY 40290-1133 IMPORTANT CUSTOM-ER NOTICES When you provide a check, you are authorizing us either to use informatitin from your make eons-time electronic funds transfer from your account or 'to ?protess this transaction as a check. When we use your theck to make an electronic funds transfer, funds may be-iwithdra?wn from your account quickly, and you may not receive your check back from your financial institution. WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE OR MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE. REFLECTED IN YOUR CREDIT REPORT. WE MAY MONITOR RECORD ANY TELEPHONE COMMUNICATIONS WITH YOU. . .. .1. --. Failure to include the remittance coupon with the account number on your payment, or mailing it to an address other than the address on the coupon, may delay its posting. Wire payments made after 1:00 'pm?wili not post until the next buSiness day. IMPORTANT NDTICEFOR CUSTOMERS: If your obligation to pay any debt listed in this statement has been discharged in bankruptcy, or is presently the subject of a bankruptcy court proceeding, bankruptcy court?approved plan or bankruptcy coort order, we are not. through this document, attempting to collect any amounts from you as personei liability, and Will only7pursue any rights we have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or correspondence, use the following address: In?niti Financial Services Bankruptcy Department P.O. Box 650366 Dallas, TX 75266v035? For leases owned by lesan?In?nlti LT ln?niti Finandal Servites, a division of Nissan Motor Acceptance Corporation, acts as Servicer. a Go Paperless! I a . Turn off your paper statements using one of these options: 3 Register on the IFS Onilne Manager (in?niti?nance.com) and foilow the instructions to turn off paper statements. Enroll in EnBill through your bank?s website. A email wili theh come from your bank advising when your statement is available for viewing and payment on your?bank?s website. Details can be found at ?tiillplace.com. - 'mse?: tint-H muons-r Enroll for Automatic Withdrawal online'or by?m'ail: Enroll online for Recurring Payments. Simply log on to infinitifinance.com. Click Payment and then Recurring Payment. Once enrolied, you can choose the payment date and amoLfnt. it is secure?, ?exible, and hassle-free! Enroll'by'mail for Just cali'to request the enrollment form (800.627.4437). This program offers {you the security of knowing your contract?payment amount will be drafted each month on your due date. Pay by phone or the web. Use your Credit card, AmlDebit card, or an electronic check to make a one-time payment. Call 800.603.7385 or log on to ln?nitifinance.com. comm; us I i . oswtmumoureiss do INFORMATION: 800.627f4437 GENERAL CORRESPONDENCE MAILING ADDRESS: ?l??n?cial S?erylges? P0 eox?ssoaso' Dallas TX 75266-0360 Send miscellaneous fees or other charges In?niti Financiai Services PO Box 66057? . t6: Dallas TX 75255-0577 2. ?mwr?du?mm. - CHANGE OF masses -- m-I Effective Date: t'ou can update your address?ai in?nitilinance.com or complete the form below and mail MO Day yea,- a ll with your payment. County; .I. Name: .. Resideli .. Slreet Mot it. .. .. Business: i .. CiiyiStalelZip .. Elfecllye Date: Enter Address where vehicle is located if different from new mailing address. MO Day .. County: -. Street {Apt #1 .. License Plate noon-ech Would you like lo add or update an email utuv-Ivotop . StaleDr. DeRionne P. Pollard Gasoline Expense "July 2014 (receipt attached) u- I?iiesmr ?13.51 (lil? fredH?itk M. Germaine, H. mm thank for Mr Wsims RIDGE PETRU 11786133 21101 Frederick EERHFIHTD, 072?26/201?1 {36:92:16 PH UISFI UISFI PULLFIRD IDEHIUHHE L137h2u FIUTH 36963? Pump? 10 In: 1? ER 11.111113 pnIcunnL 11.159 FUEL BHEDIT 1173;? trait [151% Shep 5mm Ta Ear: Rama?1?55 1'3? . 4 - Mtgom?gjr-?yllege. - 300333 65-} -. . - 000610;?" ?f INS 03/27/10 115.02 0.00 0.00 0.00 115.02 USD Montgomczy College 3110 33365 YEP-1336555119 A??i?mm v. . .0 . - ?emmas - .m?ku?z JUN 2014 INS 08/27/14 115.02 0.00 0.00 115.02 i Montgomery Cottage 55-277 312 PHC Bank. NA 060 Newme mzeHEQKmor-um 08/28/14 30083365 Accounts Payable copy VOID VOID VOID PAY THE ORDER OF NOT ssny?lges am MIR 7 a a, rid-?4' I. CHECK REQUEST DIRECT Now: This check rcqum payment fawn-may banscii- for requests for memberships (tum, subscr?ipliuns-l?ur, diner employ?: reimbursement over conference .1136 regislnalinns not related In BAP, conlr?cled services under $1500 including Consultants and Hnmrarlum payment: A complete and conmucl mus! be attached u: all commch smvicts. services mm: SI 500 must be forwarded? Prucutcment O?ice wilh a lmg?rcquisiliun. form and the: contract. Pilntand complete u?llne cumplutn unllne and the; mini. 80 [acorn let a toAc $1000, aha E2 . Payment Requested {a r: Origfm! a nm?credllw?mu?v all mum; DATE: 08/19/14 PAYABLE T0: DeRionne Bollard Emma EMPLOYEE sum-1m VOLUNTEER ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 QTY-STATE VENDOR FED Ina zip code} CHECK AMOUNT: 1 15 . 02 - Membership D?Coimlrunt EMI Homdwn Reinbusmmem; 1-year only Ho TM HILL 3: 31mm I Contractual reimbursement; invoice attached. i JUne 2014. FUNDING FUND ACCOUNT PROGRAM GROSS AMOUNT 1 15 . 02 5mm Please call when check 15 candy for pickuthunhs. El ?a?mk Tomi 115'02 to Payee Dapattmant Suzanne Redding (for) DeRionne Pollard 71?fyb REQUESTOR NAME EXT. ACCOUNT MANAGER (PRINT NAME) @?fi-ce of the President SEPARTMENT NAME {Please'Type-I SUPERVISOR APPROVAL mcoum MAHXEER SIGNATURE ?l'amathia Flowers DOC: 19 JE ??ij - iWsL 5% r-rlP a: jaw?M? El ?I@Si'atef'arm?? u: Ens? gijDa?tet adv914124 0005 10951-751621 DERIONNE I Agent Mark Spirals 11801 Fingerboard Rd Ste . . "Monrovia MD 2130:9011 -- Phone: (EM-8824101 . a . i .. 3. 1E ?53 SEPPAccount 109$761Er21 a a Please {old and 1523; here 1 ia-ud- In 3933111!- Slata Farm Agent PowerIO'Pay gm . qr. YourWay mowed &StaieFarm* Accountholden POL-LARD, a. JONES, SFPP Account Number: Amoun't'Due: $283.71 Rlease pay by July 20, 2014 Make payment to State Farm Pagq 10! 2 Kay code: 545907933 you have moved. please contact your EFTQEQL 2100?090?? Insurance Suppo? Center PD. Box 588002 North Meir?, GA 30029?8002 can yourAgenl: 301-682-4101 Momalud Lina: LEGO-41100998 Prepared July 1. 2014 r? . "ld??For Of?ce Use Oniy . ?o'miae SFPP Bill $283.? 0907 . I I ammo: =3 {"15 w' w?zagmia- counteSu - wawa . J.a a -, . ?1 - .Last-Amount?illed . . $27933? I tastAmountvPald-JUN20,2014 .t a, 9.79.10 D?i?gronce . . ?0.00 200.71 Senno'e'ohaEge 3.00 - Total'Arnount Duo By JUL 20, 201'4 $283.71 r' .s A. 2012mm)?. - $39.70 Rates havebean changed: Mmthiyins'tallment - . 0115.02 PERSONAL UMBRELLA. - 12.03 . A $63.00 Jonasfnoavnn - When you provide a check as paymenl, you authorize us either to 050100 Information from your check to?make-a oneifimE?eloclronio fund Era nsjer from your amount or to process the payment we check transaction. When weuse informa?on'fmm your chock to mak'o an eloch'onic'funds transfer.-funds may be withdrawn from your accou'ntassoon a'slhe someday we recen'a your payment, andyou wii! not recoiyejyour-cheoksback from?your ?nandat-instilulion. SFPP Aocount 1090753021 . Pag'o 2 of? Pmpared J00 1, 2014 ?Ijl? .v ?0 .513'51- s. .Mog'tgohz??iji Coflege, 30083286 {5 - .1. .W . Muffbaa, Inl' - 3.9; BE 6 Fm?- 9U. @000 {@00ng famg?wm . 1.: $339 -ji??e?JnT'; ?Te-Ema" .a GARZMIN 03/25/14 846.3? 0.00 0.00 0.00 846.37 LSD Mangomery College . 30083286 i EVENTS 'rz't?a ?rm 3&0 ?43? 31w; 'fmomd Li ?g?r?mx?gk?i aegis}; - re: mtg:- 3 aa?puyirm?mz?l? 5.59.310 mae??lg' 08/25/14 846.37 0.00 0.00 0.00 046.37 {:30 Montgomery Coll?ge 312 PHC Bank. NA. 060 New Jersey .?ix?f?s?MOUNR-a OBIZBH 4 30083286 a Accounts Payable copy PM, VOID VOID TO THE ORDER OF NOT NEGOTIABLE -Ja GFFIBEQF BUSINESS SERVICES *w ~32? '15 r: HEEL-J 1.31.145?- d'v-x . . . 13?131. Newt?er ch?cgreqym pamm?m [pay b2 dues We mimhuasemn? enigma-taxman and ?gigbi?om no? r'eJ'afed comm sme: imde? $1500 mm and Hoemrium A sw?gkd W19 km: and cankadmustbe attached to an contracted services: Contractde Over! 1500 mrba WW mm long 17-9 ?rm admiracl. Prinl'a'nd complete of?ine complete oniine and then print. Sand the commath form to Accou?ts Payable. MKE 230. Payment Requested for: [Reqqu a gumpfeged my?mfw all mm mum} 3? I: .4 PAYABLE TO: a a #42; DATE: ADDRESS LINE '1 moazssua ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED Ina ?33 {including zip code) (-3 CHECK AMOUNT: $846.33 - 1. Hmbers?p Unsuitam' Cmfetemee'Regisn'a?wNm I3 HmurariJm Rehr??pm ?gs?.4 1-1an only I mfga? ammo v.31; Reimbursement of car payment: for Infiniti JESS -- $793.90; Gasoline expense 45? - FUNDING mosx FUND . Acidoium PROGRAM {.0005 a :3 gerioss?mounr $798.9(3i rm? HOLDCHECK Dmii?d'ed: [j Haitched $84637 Wyatt. 11196 ?o 9.399;: 126 D?p?r?ghgrit' Mg'c?wgkf' Please call . ?when check is ready for pickup. Th?nm, J. DeRionne P. Pollard REQUESTOH NAME '71796 $47.47 EXT- Office of the Presideni. DEPARTMENT NAME (Please Type) APPROVAL BOGI 10.31:; air?ow? :30 r? . . . sumo-nay Sta fem?ejjt; Illa te" - Description Current R;th Amount Total Amount Due Payment Due Date To avoid a late charge 07/279014. Amount Tax 793.90 ACCOUNT INFORMATION June 20, 2014 Total $790.90 nt must be receive before Account Number CuStomei'. PD. 80): 9001133 Miscellaneous Fees or Cl'la?ges ln?nlti Financial Services?f?j;? {03 4'37 Automated Res'ponse 24 hours, 7 days a week Agents Available Monday Fn?day ?am-?pm CST Mail Payments to: ln?nlti Financial Servltes bl L0uisvil ey KY 40290-1333 5* aj?ylspe Sent to: ?tl- .4 PD. Box 660577 Lg.- Dailas, TX 75266~0577 1? For Correspondence Only: FlnancialSenrices :33 PD. BOX 650350 9' . Dallas, TX 752660360 l. - Last Transaction Amount a r. Last transaction Date . f" Payoff Amount $39,448.13 Payoff Amount Good Until o7l1orzo14 - 1.: a .- I The payoff estimate above Is for informational purposes only and may - .1, - a a. . 0: not include applicable sales tax. You can obtain your actual payoff f'Qf?afs i amount and instructions on-line at in?niti?nance.?om or by calling -. .Wg Customer Relations. "Logan to lo?n F?irm .- . - -. . CONTRACT INFORMATION - Contract Date H. ?10? 01/12 Vehicle Descridtion 3x35 Vehicle ID )5623 . - Maturity Date 11(15 -: INTRODUCING Call 1.800.662.6200 for ., A.) A complimentarytomngto 00 Man er the nearest Certi?ed -ol the. Presld?m .3 coma Fl :2 r3 Collision REpalI'ShOp?. A?col?lny? LDLUSIDH new: name: AL I Please'detach and return coupon along with your payment I In?niti Financial ServicaSP con?rwoommw I 5 TI 301? 550360 Dallas: TED-CBS 752550350 8900 Freeport Parkway Irving, Texas 75053-2438 DERIONN POLLARD Customer Name Number Payment Due By I NE PPULLARD 07f11f14 Total Amount Due 795.90 Amount Enclosed I 5 El Changes? ll you are making changes to your address. chock Ilia box a! lei! and complete H19 reverse side. HAIL PAYMENTS T0: In?niti Financial Servi?flas PO. Box 9001133 Louisville, KY 40290-1133 l. n?J IMPORTANT CUSTOMER NOTICES GO Paperless! I - - when you provide a check, you are authorizing us either to use Turn off your paper statements using one of these options: lnformatiOn from your smake arena-time electronic funds 0 Register on the IFS Online Acc0unt Manager 3- t'ranst?er from you'r acco?nl: or to 'protess this transaction as a (in?niti?nance.com) and folloyr the instructions to two check. When we use your Check to make an electronic funds ol?f paper statements. transfer, funds may be-iyithdra?wn from your account quickly, and Enroll in E-Biil through your bank?s website. A you may not. receive your check back from your financial email will then come from your bank advising when institution. your statement is available for viewing and payment on yo'ur?bank?s website. Details can be found at ?billplace.com. "h we MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO . - CREDIT BUREAUs. LATE DR MISSED PAYMENTS OR OTHER ix DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR .. ?see. um.? wouqu CREDIT REPORT. Enroll for Automatic Withdrawal online'or by mail: 0 Email online for Recurring Payments. Simply log on WE MAY ELECTRONICALLY MONITOR ANDIOR RECORD ANY to infinltl?nancecom. C!le Payment and then TELEPHONE WITH YOU. Recurring Payment. Once enrolled. you can choose the payment date and amOLfnt. it is secure}, ?exible, and hassle?free! - 0 Enroll'bymall for SignatureDlRECTPAY?. Just call'to Failure to include the remittance coupon with the account number request the enrollment form This on your payment, or mailing it to an address other than the program offers you the security of knowing your address on the coupon, may delay its posting. Wire payments contractpayment amount will be drafted each month made after 1:00 'pm'will not post until the next business day. on your due date. Pay by phone or the web. Use your Credit card, card, or an electronic check to make a onetime payment. Call 300.603.?385 or log on to in?nitifinance.com. IMPORTANT NOTICE-FDR BANKRUPT CUSTOMERS: 1r your obligation to pay any debt listed in this statement has been discharged in bankruptcy, or is presently the subject of a bankru tcy roceedin bankruptcy court?approyed plan or bank?rugt?cy courtporder. wge are not, through this document, CONTAQT US attempting to collect any amounts from you as personal liability, and Will only pursue any rights we have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or i . - OR ACCOUNT INFORMATION: a correspondence, use the following address: 800.62?.4437 - ln?nlti Financial services GENERAL CORRESPONDENCE Bankruptcy Department i. lnfiniti lilfr?ri?clal Seryitcesa P.O. Box senses po Box ssoaso Dallas, TX 75266-0365 Dallas TX 75266-0360 For leases owned by Nissan-In?nlti LT [n?nlti Financial Services, a Send miscellaneous fees or other charges to: division of Nissan Meter Acceptance Corporation, acts as Servicer. infiniti Financial Services - PO Box 660577 -. Dallas TX 75266~0577 CHANGE OF ADDRESS Effective Date: You can update your address?ai infinililinance.com or complete the form below and mail MO Day year il with your payment. County; -, .. . Reside: .. Slreel l? Apt at .. Business: .. CityIStateIZip .. . Effective Date: Enter Address where vehicle is located if different from new mailing address Day .. .. Count)? -- Skeet/Apt it. .. License Plate Slaie .- Would you like in add or update an email Dr. DeRionne P. Pollard Gasoline Expense ?July 2014 (receipt attached) ?0 I Fq-vp??h - a ll hrmumm.m.2?w Thank Yni for Mr mines: .5953 RIDGE h?86133 211 01 Frederick HD PH UISH U139 IDEHIDHHE on IHUDICE RUTH 06962? PUMPH 10 Supreme ER 11,3611?? n.159 FUEL u7.h? CREDIT h7.#7 treiit may Safeuay 1a int. mm: In! nwatmehm Mantgomeiy College 313084524 01m - . . i . argiw-u??i?if 14212031411011 3143011110111; - - AUG CAR INS 08/20/14 115.02 0.00 115.02 (SD Montgomery Coliege 30084524 - - . 0 AUG CAR INS 08/20/14 115.02 0.00 0.00 0.00 115.02 LSD Mom omerv Ca?e 5? . 8' . 312 PNC Bank.NA. 060 New Jersey ch??CH EG Km WMMOUNT 1DI02114 300845-24 15.02 a Accounts Payable copy *1 i i ii PAY Dr. DeRionne P. PoHard VOID VOID TOTHE ORDER 0F NOT NEGOTIABLE Of?ce oFHuman Resources and Strategic Ignugel ubl?] lo MONTGOMERY COLLEGE l. Septem her 201413? 3' :1 31?: t'?351:: ?jhil ?1 - . . . A EMORAN DUM To: M5. Janet Womaek, Senior VP for Administrative and Fiscal Services From: Suzanne EdRedding, Interim Bene?ts Manager Subject: Check Request Amount: ,2 Account Name Number Other Bene?ts . Payee Name Address Period Covered Date Needed Dr. DeRionne Pollard ifth .m 1; fc?w QC Please Deliver to Dr. Pollard August 2014 Elie I ASAP By: Suzanne E. Redizl-?rr? Interim Benefits Manager. .. ?Er OFFICE ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Notg: This payment farm may he ?scd rcq?ucsrs for'msin?crs?ips?ducs, subsu'iptions- year, other cligibie uamacliuns under 5 [000, umpiuy?: reimbugrsemuuL-i um 1:501 mnfercnce. and registralions not related [0 SAP, canlractedsewim under $1500 inufuding CunsullanL'; and Hummium puy?icms. A W-9 form and contract mum bc nuachcd-lo contracch scrvicm. Conlraclcd Servings over $1300 must be {awarded to O?'lcc with a long requisition, W-9 form and ?ic.conlmul. Print and comple?re of?ine gear-opiate and when p?nL Send The completed form to Accounts Payable. HIKE 23-0. Payment Reg licsted {0 r: {Required A mom'me (I) On?gimt? bwrca?Remgpm a com?efed W-Pformfor new vendors} PAYABLE T0: DeRionne Pollard DATE: 09/12/14 VENDOR SFUDEHT VOLUNTEER ADDRESS LINE.1 I ?on ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED (including zip code) CHECK mourn: 11 5 . 02 5013?an CI CanferencelReglemwi-Honw Honorarhrm Whimsement I-Tanr only I H0 nu: 911.1. 11311131111839 I Contractual reimbursement; invoice attached . august 2014 . INDEX FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 11 5 . 02 5mm msmuc?nm?s: Plans: call Ext.11796 when check is ready for pickupsrhanks. .HOLD CHECK- Mai Chad: Mai Cited: SW Am?; mm 5 115 '02 i?ulford to Payee to Department- Suzanne Redding {for} DeRionne Pollard 71796 Tamathia Flowers REQUESTOR NAME EXT. ACCOUNT MANAGER NAME) Office of the President - COUNT DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL ?it5.cw. Stage Faqr'r Egymen: Pian Pogo); 44111.9 .. FL 32231-4110 ("3231 . AT1 0006 POLLARD, DERIONNE 31 JONES, ROBYN 0161-1000 31in ?9 (It. I?n? . ?39100442? 143163 201 05?11-2012 rag, .- .. 1 - I. ?duff; yer-f ?u 5; {xi-gr: v1} t?iikt?nxjt ?Eezzuigs,yourefaqgoun! {m I 8 .- . ?vgmw?gw .: .- v32 .. 11:, Sf?le: @rmf?) t] . is! 4* r21": - {m 1099J516-21 20-9A4E . tgapcourir?rgrl?gmes new a, (gr?EPQLEtARDj-?lgg?g?grqg a -I. .311- 2:13 wma . .. - .74? . . "rs-:1 a: .. "i Agent Mark Spilale 11601 Fingerboard Rd Ste MunrongMD 21770?9011 2" :1 .. ?4 . - :Wq??ta?n ?km: 9?amuse-ts. 2, Trauma .. :qu 53?? a. $9.51! 193;, ?r . $37534. way v.eChangesgandgpaymagrsimad? ?arfJ 1y 3.31136 . . .. . 533%": 1? ?if? 3593'? 315:? "jf?ica?.35 43- ?12. 3. - Ac. . Aty-t - J. In ,a ?mifryourhave anynugeshms-orw ld-?igeitozdI wsgf?theghspiagef rm?gpquuc ,Y?r?ge?tzj?s??e, B?Wf??rp ?Ey?w 4 . 451% :33 "931* a varyan?a-mw?srmw FagPage of 2 _?P_lease foid-ar?teaf here; Power To Pay Mob?e Your Way State Farm" Accounthorderi POLLARD, DERIONNE Account Number $233.71 Pleas?e'pay by August 20, 2014 Make payment to State Farm Download our Pocket ?.ng app -j?I-n?Il Key code: 44 93.2%: w: f" Bil ., ?ifi .CallyourAgem: (BM-33241101 Automalad Line: 1-390-440-0993 Phgn?: 501-332-41'01 I If you have moved? please coniad your agent. insurance Support Center- P.O. Box 588002 North Me_lro. GA 30029?6002 . a: . . 1: ?11. 1 a If. h?f-E J33: 2w *3 @5353 .. rt - ?at 4. Prepared July 37., 2014 'For Of?ce Use Onfy or?oao SF PP Bi)! $283.71 1008 ar'wh 1'34 0 a: . $95} 'a Last?AmOunl Billed ?i 3 .--I. @?g?n?swmm523.311.. ?r may'na. - I .m I. 1 Il? -253._71 La?t Amo?m?am JUL 1B, 2614 Diffeteoce .- 11-030 Buffeni Ingtajlmeffll' 530:1 Service Charge - 3.0'0 Total Amount Due By?ue?zo', ?m $233.71 I I - 11;. - ?3 ?3 315? Pkg. J, a ?lm . 5'33. uwgf?-gw?i?. at; . .I I Julia; I. Era- .9511? Li? 3.14 ?wmm'g{Riv-'3? . ?J?iwwm - . mar? ?f?g??bunw?g?f?g 2012 HONDA Installm?nl . an;ny 3.9 asullmu?i?uue ?Eat-1:29 $89 .75 20131NFENITI (Z nimme-Instaument - . .. I - ?Hut Page? 012.- . it. ll??bl'a$12.33 2?uoqoasEL?anRuwzo_ ?p $63.Heparqc?i July}? 1, 2014 . . z'1 When you provide g1 check as authorize us ailher'lousa the; inhrmal?un-from your check to make'a one-time accumip.fund transfer from your account ortopmrjess the payment 35 a checkiransac?qn. ,When?we usesinformallonjrom your check?to make an may be withdrawn from your account as soon'as {he'sama day we receive your payfnant. and-you wilt not'rgceiveryqui' che?k bank from y?ug'?ngncial institulion. I "er I i?th?mi?em? Coilege ii?E?R? Iii-"Ta: ?3e m: - mama?? . -- ?3 4: 091214 09/16/14 0.00 0.00 0.00 091214 Coftege 30084076 t? 'z 03ft" .- .. 031558-? 0 ?550309; magi u?lg?g?au?i?m . - l?cmnces- - Manatmmah-?E 09/16/14 1,095.54 0.00 0.00 1,095.54 0813 BanngA 060 Haw Jersay Montgomery Co?ege tum-cinch? 55-27? 312 mamcxmo?m 30084076 a PAY Dr. DeRionne P. Poliard TOTHE ORDER OF Accounts Payable copy VOID VOID VOID NOT NEGOTIABLE OFFICE OF BUSIHESS SERVICES fl? . P. RH f??fH-r- ring Mags" 3* 3'31" Jam" - i. ?it 359.11! ESEDIREQEBEEAM. u_ 1511link}? hum?. agave: at 9:3} . $515 99 2? a? 5 rag?. c? t? a: 5.5 {4 @111?ka mam: may be wad?r rcqwu?r Nigerist (km, hmrf?irmt-bmr. min am $50. m??f?um m! relawa EAR, wandedsmicas under $15-0qu Conn?anb mHomm payment. form endopmad musfbo a?achadrp a?gonfracrodsenku Cmbacl?ed 56m; warli?oomustbe hmr?ed if! Wren-am: will: a hug mfg?? rim-1m? ?ri?tf?hd?d??pht9 nl?lna Q?Ect?pl?ta onllnia and than lhecmplated?fonnto Accounts Pavabie, MHE 230. +4 Payme n_t Requested for: (2) a convicted H113me an mum} PAYABLE TD: ADDRESS LINE 1 ADDRESS LINE 2 Madness LINE 3 (including zip code) $1,095.54 3? . I EgeRiEn?e P. Pollard DATE: 09/12/14 VENDOR EMPLOYEE MC VENDOR FED 10! Hen-mm 1?year only [3mm Duonorm swam: I WNWILLBEREMURED Reimbursement of car payment for Infiniti 0x35 $798.90; Gasoline expenses - 251.74; Parking expansas -- 3-14.90. i- AQIWJYY - . . FUNDING INDEX FUND. Ohsm'iiz'inoh ACCOUNT PROGRAM cons GROSS AMOUNT . $793 .90 $296.64 Wk Dmmw' warm gm cm ?m \t 0935 swings to Payee . sucm?vmmucrxous: Please.- call But. 71796 when check is ready for pickup. Thanks. DeRi?omm P. la rd 7 17 96 Stephen . Cain REG UESTOR HAHE ACCOUNT NAME) .. 15w? Office of the President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL [accoum QKNAGER stom?ruaa? . .L-J ail BILL-INS SUMMARY Statement [Sate elm i 391?: Descrlotio'n Amount Tax Total . .. ayment must be received before 198.90 00/11/14 To avoid a . 03f2712014. ACCOUNT INFORMATION Account Number Last Transaction Amount $793.90 Last Transaction Date 07111/2014 Payoff Amount 1338,81 2.16 Payoff Amount Good Until 08/10/2014 The payoff estimate aboVe is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and lnsimctlons on?iine at in?nitifinance.com or by calling Customer Relations. CONTRACT INFORMATION Contract Date Fr" .. Vehicle Descripzion Vehicle 10 - 35-3: Maturity Date A SEP 12 Elm (legal/12 35 Account Managier Gilles oi the Pres dent . Aseeunillto. liumhsr_ng:W9 "lilting-0061 a Cusiitimer Relations - 500.622.4437 Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 2am-2pm EST Mail Montth Payments to: infiniti Financial Services P.0. Box 9001133 Louisville, KY 40290-1133 Miscellaneous Fees or Charges May be Sent to: ln?niti Financial Services P10. Box 65057? Dallas, TX 75256-0577 For Correspondence Only: ln?niti Financial Services PO. Box 660360 Dallas, TX 25266-0360 Infiniti Financial Services'9 P.O. Box 660350 Dallas, Texas 75256-0360 >01007 4361055 002 008143 DBSTILL DERIQNNE POLLARD I Please detach and relum this coupon along wiih your payment 0100? 436-1056 001010 002016 0000100001 8900 Freeport Parkway Texas 25063-2438 Customer Name Account Number Payment Due By 08/11l14 Total Amount Due $798.90 Amount Enclosed Changes? llyou are making changes lo wur address, check lha box at loll and complain the reverse side MAIL TO: In?nltl Financial Services P.O. Box 9001133 Louisville, KY 40290-1133 IMPORTANT CUSTOMER NOTICEs When you provide a- check} you are authorizing us either to 'use Go Paperless! Turn off your paper statements using one of these options: information from yoursich'ecii. to make alone-time electronic funds I Register on the IFS onllne Account Manager transfer from your?a'i?ccour'it brute process this transaction as a check. When we use your check to make an elle?FtiniE pfupds (ln?nitl?nance.com) and follow the instructions to turn off paper statements. transFer, Funds may be withdrawn from your account quickly, and i! Enroll in through your bank's website. A you may not receive your check back from your financial email will then come from your bank advising when institution. 3? . . your statement is available for viewing and payment hail-fig}: gr: o_n Details can be found at tr ebillpiace.cOm. . {t we MAY REPORT INFORMATION ABOUT YOUR ACCOUNT To ., CREDIT BUREAUS. LATE 0R MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CREDIT REPORT. . 5 EHEEH FHDIIEAM Enroll for Automatic Withdrawal online or by mail: I Enroll onllne for Recurring Payments. Simply log on WE MAY ELECTRONICALLY MONITOR RECORD ANY TELEPHONE COMMUNICATIONS WITH YOU. .ot. H4 .- to infinltl?nsncetom. Click Payment and then Recurring Payment. Onto enrolled, you can choose the payment flexible, and hassle?freei I Enroll by mail for SignatureDiRECiPAY?. Just call to Failure to include the ?remittante co?upcin With the account number on your payment, o: mailing it to an address other than the- address on the cbupon, may delay its posting. ere payments made after'1:00 pm will not post until the next business day. IMPORTANT NOTKE FOR BANKRUPT CUSTOMERS: if your obligation to?pay any debt listed in this statement has been discharged in bankruptCy, or is presently the subject of a request the enrollment. form (800.627.4437). This program offers you the secu?ty of knowing your contract payment amount Will be draftad'aach month on your due date. Pay by phone or the web. Use. your credit card, A'l'MfDebit card, or an electronic check to make a one-time payment. Call 800.603.7385 or log on to ln?nitl?nancexom. bankruptcy court proceeding, bankruptcy court-approved plan or: bankruptcy court order, we are not, thrbugh this document, attempting. to?t'oiiect any amounts from you as personal liability, and will'only pursue any rights we have in the bankruptcy courts to the extent allowedty law: For all bankruptcy notloes or correspondence, use the following address: In?nltl Financial Services Bankruptcy Department PD. Box 660366 Dallas, TX 75266-0366 For leases owned ?by Nissan-In?nlti LT In?nltl Financial Services, a dlulsion of Nissan Motor Acceptanco Corporation, acts as Servicer. Send hiiscellaneous fees or- other charges to: In?niti Financial Services PO Box 6605?? CONTACT US GENERAL 0R 300.627.4113? GENERAL CORRESPONDENCE MAILING ADDRESS: Infiniti financial Sery?ices POBoxi660360 - Dallas TX 75255-0360 Dallas TX ?5266-05?7 -. CHANGE OF ADDRESS You can update your address at in?niti?nance.com or complete?lhe form below and mail ii with your payment. Name: Streeimpl Enter Address where vehicle is located ll differenl from new mailing address. Street I Apt it -. CilnylalelZip .. Would you like to add or update an email address? an r- nun Effective MO Day .. Year .. . . - Reside: .. Boslness: .. Effective Date: MO .- .. License Plale .. - Jul). $V?t3 3184B KURH HD #3815206535 STDRE ?34143 TID: 888734148H1 Bu ACCT TYPE 93888 83 82 88/83/3814 33:31 -2 PUL :caLLons 17;39? 4.359 FUEL SHLE 78.?3 995391 TERH SEQ 599853 111tai*1jlmh 1? and?uo . DATE ??f28f1? 39:24 PUMP BS PHUDUCT: PREM GHLLUMS: PRIEEIG: 3.919 FUEL SHLE 64.48 VISA DEBIT Payment f?un ?Pnimary ?ccoun ?fth. at: Heff 4??08822 BEER Code: Gem 1 Stan: @494??2154 Trace . 3:3? I Dr. DeRionne P. Pollard ,1 EXPENSES 1' $m2?anMd??L muwusti?? I??wawarmnmu RIDGE 21101 Frederick HD nexlB/231u 01:16:55 PH IHUOICE LIT2971 RUTH 062763 PUHPH 13 Supreme CR 1h.u566 PRICEIBRL n.019 FUEL TurnL 58.18 CREDIT 53-1? Lu)? P. Reimbursement?for Au ust 2014 32mm Tiank Ya: iur ?our Buxiness RIDGE 21181 Frederick HD 08/1?f2?1h 6&8680090 Dh:1?:?7 PH UISH UISH PH IHUHICE LTTH17D RUTH 006820 PUMPH 10 Supreme CR 1h.76h0 3.959 FUEL sa.us CREDIT 53.ns Dr. DeRionne P. Pollard Reimbursement for August 2014 EM . PARKING (paid in cash31:0? g- (3 E2 QWRM FWD ?ma-v 131 DAILY 202 269 1100 mu K269 FACE ID pr "r3011 oaiosm 2062 SIART END MIIES 20:40 20:50 2.2 nan: VEJJAHK V?i? FARE: a.55 Em: 0.25 w; .Hssosa TOTAL: 8.90 THANKS EMPLOYEE NUMBER DC TAXICAB CUH4 TEL PARKING RECEIPT ?rmlum'?im un?t LQME COLLECTOR: 5:513 1 'f .. Tue Jul 22, 2014 18:00:29 FARE E: 0000 - . . . TOLL PAID: 5.00 ?flu 5' 31? I. .. . METHOD: Cash 516? 'ih . SERIAL 0091?564Carquinaz Bridgg Rh13%; 311.9:- 2031.gang 3 . 5:200 - ., 1} SERIAL 027593.13?; . Ida?. .3 1 9: ?331:5. A - -- 249Fir" 31% its: a 434' )1 1? San Francisco-Oakland ?ay Bridge . LANE 12 I A 2? COLLECTOR: "1?24 wed Jul 23, 2014 33:12:12 CLASS 2 FARE ID: I. {1500 TOLL PAID: 3.00 WE . (f0 PAYMENT METHOD {?ash SERIAL at: ?F?T?ff ?"5700?? 0422m? 89042 4 9714. 10/15/14 - 115.02 0.00 0.00 0.00 egg??x-I??r 9/14 10/15/14 1,221.29 0.00 0.00 0.00 1,221.29 USD 30085094 I 40010 40INS 9/14 10/15/14 0.00 0.00 115.02 031) CAR 9/14 10/15/14 1,221.29 0.00 0.00 1,221.29 USD I marawnmh Montgomery Co?ege 55.227 . 312 NA. 0613 NevJJ?rsey WEDMEW. 10i16l14 30085094 One Thousand Three Hundred Thi?y~8ix Accounts Payabie copy PM, vom voao VOID TOTHE IORDER NOT NEGOTIABLE ?51- Of?ce of Human Resources and Strategic Tafent Management MEMORANDUM- TO: MONTGOMERY COLLEG 13 October 9, 2014 Ms. Janet Wunnauk, Senior VP for Administmtive and Fiscal Services From: Suzanne E. Redding, Interim Bene?ts Manager Subject: Amount: Account Name &Number Payee Name Address Period Covered Date Needed O?ier'Bene? Cheek Request 11502 Dr. DeRionne Pollard Please Deliver to Dr. Pollard September 2014 ASAP Approved By: Suzanne E. Regaing lnterimBene?ts: Manage-r EH 1" o. OFFICE OF BUSINESS SERVICES . ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Note; This check request I?urm may be mad i'nr requcsls for memberships ducs, subseri?tions?b?car. ulhcr eligible transactions under $1000. cmployoc over $50, conferencc and rcgisunliuns nm mlalcd to contracted scrviccs Under SISDO including Consultants and Hnnamn'um puy'munm. A W-9 rum: and contract must be anacth to all contracted sm'ices. Contracted services must be forwardec; to Of?ce with a tong requisition. we! form and the contract. P?nt and complete of?ine 9: complete onlkna and then print Send the completed form to Accounts Payable. MKE 230- Pay?: ent ch nested f0 r: {Requiredmacmrm (I) {mum Iand?eoeipts: a mmpJarrd aft new Pemfa?} PAYABLE T0: DeRionne? Pollard DATE: 10/07/14. VEMDOR EMPLOYEE srunem VOLUNTEER ADDRESS 1 ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED CRY-STATE [includan zip code) CHECKAMOUNT: $115 . 02 Hmbau??p swat-1mm mm [j Homta?um 1-year only I so not mi? as neuiamnb I Contractual reimbursement invoice a?ij?ch?d . Sap?ember 20.14 . - FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 115.02 SPECIAL Please call when choc}: is ready for pickup-.Thanhs. HOLD CHECK Ha?Check El rammed: Send AanBW-?cm ??31 115 02 L'mottu ralfunl to Payee to Department I I Suzanne Wedding (for) 71196 Tamathia Flowers DeRionne Poll a rd ACCOUNT NAME) REQUESTOR NAME EXT. Office of the President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL ACCOUNT mam?zn?smumune a . . . It a @Stage??arm? . :Srati; FaHnFPayh?entv?Plnn .903bede . - Jack'sonvf?e: FL 32 231.41'10 Kin coma 00.05 pa :3 PQLLARD, DERIONNE a. JONES, . I a a .4 Qn?na- PC. Of moEFSh d?ipegs 'P?oWaf-?Tb Pay ?Your-Way 1 - @State'Farm? . vac-t. ?hP?oblle De?nion bur Pmkemgnm app 'Accognmolder: POLLARD DERIONNE JONES, AccoilntiNumber: - Amounl Due: $233.11 Please payby Sea-member 20, 2014 Elba/M I Page 1of2 . wrap. - .W gi?ngp?cEgoft?g? Q?eniiDue-?yg .- mg?? we: gt?i?l??agi?w?ii?t a521$.05.5 ?lb; Agent.er Spitale 11801 Fingerboard Rd Ste - Monrovia MD 2177043011 Phone: 301-882-4101 . :??hVMD?n-lro M?f?H-r. . Bi 3 9? if' Io} Fr}. 1? a: .. I 9 115 PO. Box 588002 North Metro. GA 3002943002 El g? . xv u? {331? as: 2.42: vy?q? Ev rr'. J, at . ?it. :g 3' jab: IL: 1:31;; 55;; giav??W' . .7 MW . - giggl?a?' Laue:21? -.. 4:5. I. ?h 1 i .. ~17? 3: ag?J-ggm? gamma ham 35.; gm ?g Prepare?j September 2, 2014 - Make payment to State Farm Of?ce Use Only" m?om. SFPP Bill $283.71 1108 I . 01-. hawIiitau-.3-3.1 . .. Juan: A. Last Amount Billed $233.75! 20, 2014 1 1233.11 Di?erepoe280.71 1 ?SiewtcoChafge? 3.00 . I . Tb'tamui?o?hnto?e SEP 20, 2014 I $233.71 I 1. . . in}. . ?in, . ?gr or t, 1.,5 g: f?t?dg, . .. t. .o r? vrt?w- . - :u a; fowpoli?fj?oet?n - .J r??ezi a. we . .. M. a?oat 35mm no" mo 9? ??me?n?Thin.? It, {a I. Hy:- .agg. 33mg, my - 3% a what-H,? Eh pi . $8933 . 201-3meth . I "*5115'02 PERSONALUMBRELLA - 2500008ELECT 3 . $63.08 33m. . - a? um. :13' . When you provide a check as paymenL you authoz'ize us oilhar to use the informa?on from your check to make?a cine-time oleotronic fund transfer from your account or to process the payh?aenljs-?g chock?transadion.. When we use information fromgyour phegk lo make?an'eloclronic funds transfer; funds may be withdrawn from your account as soon as the same do)l we receive your payment, _am_1 you wiil notrecoivo your chook'back from?your ?nancial institutionSFPP 10951-751521 . Page 2 oil-2; Prepared September 2, 2014 yd- .. .4. m. . ?i?hF' I - - 4- 1r.iwl-m?h H?a?npu??i?d ?i r?hfrw? lu?d- I 3-1., 15?- - .. . waning? gig-141315 waif requesfpagmm?wmsay b: wrd?ar re?urs??rmmkaxm m?o?c am- ma?a-um and Consultants and Harrorarium puma-us. W9 Ram: and ??acheqm all mhrracfed SEW. Contracted saws: nrer 5:500:1qu be rum'arded SERVE GES . ap- . Iii-1' .. Jthw?han?Wbm?c??rmudmeri . "1 and compiela omine?complatn onlin'a a'nd thenp?nL comglatad to Accounts Payable, MKE 230? 3 I Bayment Requesled fur: r1 )O?ginnunwicai?emip?: "c9 farm fin-a" "211$?PAYABLE T0: DI: . DeRiOnne . Pollard r?n?am [guiihfwfoayii [j whim EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 . CITY-STATE VENDOR FED 1m! coda) I CHECK AMOUF 1.22119 . [j Suh?aip?m meftant mnfatraf?egisuwm-Non EAP 911501?? 1?year: only I no u: HILL 3! REJIDGURSID Ci] 1 Reimbursement of car payment for: Infiniti JXBS $798 . 90; Gasoline expenses I $422.39. . . . . - 15.Accounf- cope . $p99.90 $g22-39 .gf. 111.96 . Send with Tomi .. to?vgyae, boipgpagyn?'nt mun-?lms; Please call Ext; 71796 when check. is ready for pickup. Thanks. REQUESTOR NAME DeRionne P. Pollard Office of_ the Preaidcnt 71796 EXT. #0 Stephen D. Cain DEPARIMEHT NAME (P'I'oase Type) SUPERVISOR APPROVAL AppfO?fC-d 31103 a .Statefna'ntu?at?' R2013-NER E. 1A3 uok?DM_Au 914 ,a .. . Efasgr?lpr?on Total Eurr?'nt Rent Amount 98.90 Iota] Amount Due find Payment Due Date. To avoid a late charge of $25, your payment must be received before 09f2?[2014. INFORMATION . Au If 98.90. a Automated Response 24 hours, 7 days a weak Agents Available Monday Friday 7am-7pm CST Mail Payments to: [n?niti-Fmancial Services PO. Box 9001133 - Louisville, KY 40290-1133 Miscellaneous Feas or Charges May be Sent to: ln?nltl Financial Services Box 6605?? Dallas, TX 75266?0577 For Correspondence Only: infinitt Financial Services PD. Box 660360 Acoount Number Last Transaction Amount $798.90 Last Transaction Date 03/11/2014 Payoff Amount $38,173.51 Payoff Amount Good Until 09/10/2014 111a payoff estimate aboue is for informational purposes only and may not lndode. applicable sales tax. You can otitain your actual payoff amount anti instructionson-line at in?nltl?nance.com or or ?calling Customer?Relatlons. CONTRACT INFORMATION Contract Date - Vehicle Descri? -. Vehicle ID Maturity Dalte? ULJ palm/12 JX35 H. 201i ,1 Account Ma nagar . (lliice oi the President I l'lggfa'unjjlio. ilumbord OallasrTX 352600360 I Ih?niti FinancialServicosG? 1 1 1 PD. Box 560360 Dallas, Texas 752660360 >00389 4452930 003 000143 DEREONNE J-Ia-w?l? a 1lt Plse detach and return this coupon along-with your payment 00389 4452930 000391 000782 0000?ll00001 8900 Freeport Parkway irving, Texas 75063-2433 Customer Name DERIONNE POLLARD Account Number . Payment Due By 09/11/14 Total Amount Duo 2; 795.90 changes? l1 you are making changes to youraddress, check lha boanl loll and complete the rererso-sida. Amount Enclosed 5 MAIL PAYMENTS Infinitl Financial Services P.O. Box 9001133 Louisville, KY 40290-1133 IMPORTANT CUSTOMER NOTICES When- you 'provide a-check, you- are authoriilng usreither to use information from your. funds transfer from your account or to process this transaction as a check. When we use your cheek to make an electronic funds transfer; funds may be withdrawn from your account quickly, and you may not receive your check back from your ?nancial institution. WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO CREDIT eunenus. LATE OR Misseo PAYMENTS OR OTHER DEFAULTS. on row. ACCOUNT MAY BE REFLECTEO YOUR CREDIT REPORT. we MAY ANDIDR RECORD ANY TELEPHONE COMMUNICATIONS WITH YOU. Failure to include the remittance coupon with the account number on your payment, or mailing it to an address other than the address on the coupon, may delayuits posting..Wire payments made a?zer 1:00 pm will not?post Until the next business day. IHPORTANT NOTICE CUSTOMERS: If your' Obligation to pay any debt listed in this statement has been discharged in bankruptcy, or is presently the subject-of a proceeding, bankruptcy court-approved plan or bankruptcy court order; we are not, through this document, attempting to collect any amounts From you as personal liability, and will oniyijrsue?any r1ghts we have in the bankruptcy courts to the 'ext?nt' allowed by law. For all bankruptcy homes or correspondence! use the [Ollowing address: in?niti Financial Services Bankruptcy Department PD. Box 660366 Dallas, TX 75266-0366 For leasesowned'by Nissan?In?nlti LT in?niti Financial Services, a division of Nissan Motor Acceptance corporation, acts as Servicer. CHANGE OF ADDRESS You can update your addreSs orcompletethe Iprrn below andjm'ail it With your payment. u-o-I-u plan-toe: Sli'eei .hu. CitriSialeiZip .. Enter Address where vehicle is located if different from new mailing address. Name: .. Sheet 1 Am ego-aua- Would you like to add or update an email address? I I Go Paperless! 9 Turn off your paper statements using one of these options: 0 Register on the Account Manager (in?niti?nance.?om) and follow the instructions to turn off paper statements. a Enroll in E-Blli through your bank?s website. A '??fgj -email- will thentome?fyrgom?your bank advising when a? '33 your statement isyavailable?or-vlewing ?and payment an?hpw? ongyourbank?s?x?bslte? Details can be Found at m. - . -L was?; Ui-?tt? Pnuumv En roll'for Automatic Withdrawal onljne or by'mail: a Enroll onllne for Recurring Payments: Simply log on to in?nitifinlancecom. CIic?k?Payrn?ent and then Recurring Payment. Once enrolled, you can choose the payment'date and amount. lt is secureJ ?ekible, and hassle-free! mail for nggaijD?Et?ZJTELeglust call to request the enrollment form (800.627.4421?) This program offers you the security of knowing your contract payment amou'nt will be drafted each month on your due date. Pay by phone or the web. Use your credit card, ATM/Debit card, or an electronic-check. to make a one-time payment. Cali log on to in?niti?nance.?om. CONTACT US GENERAL INQUIRIES OR ACCOUNT INFORMATION: 300.627.4431? GENERAL MRJLING RDDRESS: in?nlti Financial Services PO Box 660360 Dailas TX 75266?0360- Send miscellaneous fees or other charges to: ln?nltl Financial Services PO Box 66057? Dallas TX 75 2660577 MO .. Day .. Year .. Reside: 3 .. .. Business: Effective Date; Year .. .. . License Plate #1 .. .. .. . StateuldtlI-r'tng-II-o-uo. .1. a If. .- likestaai ixnna 21191 fresericz 30. 09mm, I?d. 20310 Ihank Yea for fnur Eusiaess RIDGE 122706133 21101 Frederick MD 9.32111? 6148? ?2176 12:18:29 PH UISR 0139 IDERIUHHE 99 INUDICE aura 033390 PUHPH a Supreme CR 16.8366 PRICEIDHL 3.859 FUEL 09.9? CREDIT 00.9? credit 51199 512909;. hisahm?smi nmatnenw Dr. DeRionne P. PoHard Gasoiine Expenses i "Meri REPRIHT REDRINT BEL HGRR MARKET 00000222101 66440 BELHUNT BELMONT 0H 09/12/2024 530092402 02:99:02 PH 1076 VISA IHVDICE l45452 90TH 00?024698 REF 5601i0912141454 9000 2 PREMIUM 15.9470 3.709 FUEL 59.15 REPRINT #29 REPRINT 292 REPRINT CREDIT 3 59.15 22* REPRIRT 12* REPRINT 29* Batch: 66 Seq Hum: 3! Earn Up to $.25 0n Earn up to $.50 an Marathon purchases Marathon purchases with Marathon Visa with Marathon Visa 13*: '1 4.. ".511. {m 32?3? a? g~?g 2-6-9 .5 -.-- 5393 J. I Hal-:13} Ur? Lagfur-31:1 High?:- .- ar? 1' - 3.: .f 1:3! 1 1 1 hash-2:, i -- au? 22.22::- 3:13 :r - H- RamJ? - . a 3 5L. dfldull?L'Sb a at" nun?. .- i?mnhr ?ll :31 (0230? .4. NJ -- 3a.. 39.1 ?k U. A La! with Liza-:2 'r 1 . -4 ENE appTr. 3% . . I :2.ng Dr. De Rionne P. Pollard Gasoline Expenses-Septemberzom 3300ELEE El t'gt?huab . . Sheet: nau1 2nu5 Dedfard St. Cumberland, MD 21302 (301) 322~nu35 Pump Ho: 10 Premium Unlume: Gal Eas Total: $?h-21 Total prrnual B91137 Uisa 1?zh?:h? 53531157325! K91 Wm: ELL $331.5 GU . HD 333395 952559318 0:255:53 PM Debit LWHICE: 1.90003 1111.511! 511' 3793 1 VFHHER 16.1TOG 3.999 FUEL TUTEL ?2.66 1? TE. 66 Milka! urh? ?mmh 'iil-it imnm?mm twin?? -. MIRHH I B485 EHST LEE 3933 . . 9/33/3814 141283552 89:13:5l Debit PA INUQICE 884523 RUTH PUMPH 7 Supreme 18.6856 $3.519 FUEL TOTAL 38.?1 DEBIT 38.71 tustoner-actiuated Purchase/Cayture Sit: i: Shift Hunter 1 Sequence Hunher 34?53 APPHDUED 75173Q 15.1, 444.; ab. Dr. DeRionne P. Pollard Gasoline Expenses - September 2014 Eiilemne men 'Jil?i Frederic-Iv. Rd. Geri-mama, IH. man than You Tm Business njD?E h?86133 2'11 B1 Fraderi cl? no u9x2ux201u 6b2n?u3h9 name! :81! PH UISH IBERIONHE PH IHUDIDE LTSNU1U RUTH 03h352 1B Sup?ene cn 3-809 FUEL 3 56.08 CREDIT 56.88 Crelit HHS Shay Safeuay 1a Earn mm: :11: Save SUNUCD 6855350381 L324415328831 21888 FHEDHICK ROAD GERMANTUWH m0 28875 89(28f281? 583212d12 10:33:34 HM DEB PH INVOICE 859925 RUTH 339588 8 ULTRA 13.7586 PRICEJGAL 3.739 FUEL TOTAL 51.45 DEBIT 51.45 UWWNSUES Have a great 63;! :55 Had; 44:25:15 - cove-g2: 30086414, ?03503?: . . .035" 0011:0751 33 3034;032:0007: .9050 ?14 11/18/14 1.01-3.03. 0.00 '0.00 1,013.03 USD Montgomery Coliege I 30086414 a F: 11' ?fh a? 221* Pei; f" {Er-?ax? . . . 3 . OCT '14 CARMANT 11/13/14 1,013.03 0 00 0.00 0.00 1,013.03 0313 PNC Bank. NA. 060 New Jersey Montgomery College "u?mwm ?[53:14: Imt?-l m3 55-277 312 .31? frj??} 11f20l14 30086414 Accounts Payable copy VOID PAY TO THE ORDER OF Dr. DeRionne P. Pollard NOT .. OFFICE BUSINESS SERVICES, .. . j. - AccouursieggABL-?? . . 53%, . CHECK REQUEST DIRECT PAYMENT FORM A ADDRESS UNE1 ADDRESS LINE 2 ADDRESS LINE: :9 Irma "Evan: ?uddcm??k I Print and ccu?nplet'e of?ine completenn?ne and?wn p?nl. Send the completed {arm [D'Anconnts Payable. HIKE 230. Dr. Dech-nne P. Pollard VENDOR EMPLOYEE I Nam Thir chad: may but match mmbershig; a?tg??mbsa?irm-?bvqr. mph)? minim-5mm: am 550. ?Wilt! an! resists-thus no: mama to EAP, mtradedservkes underusoo Inch-Eer Qamu'ranh maonomm payments. W?s Foam andconh?mu? be singed to Mt cankachdsenfce's. angf'acted nm?ces mrsisoa must be fomardad Payment Requested for: (I Imaice?ienfpm a Hi??rmfar a?neir Finder!) PAYABLE T05 DATE: EMPLOYEE H01. VENDOR FED 11g?102?14 g? ?5 CITY-STATE (I'nbludlng zip code) CHECK AMOUNT: $1,013.03 El Herrbexship CI 1-year only Omsu?am [j Cufermcel?cgmamn?an EAF Hawaii}: Emplwee Reinmumenl I NO HILL LIE TION: Reimbursement of car payment for Infiniti ?35 - $398.90; ?GaSDline expenses $214 . 13 . FUNDING INDEX FUND RGANEZATIDN ACCOUNT PROGRAM CODE GROSS AMOUNT $798 . 90 $214,113 '3 ?3 MGM Send mam: $1 I 013 03 CALL Ext. ?31156 to Para impairment SPECIAL HWMINB: DeRiDnne P. Pollard REQUESTOR NAME Office of the President 271796 SUPERVISOR APPROVAL Stephed 13.56am ACCOUH MAME) MANAGER SIGHATURE DEPARTMENT NAME {Please Type) .. 11..) ?Eu-n H..- . ?w - I:l" R2013-NBRE BILLING so MMARY Sta temerie Date September 22, 2014 Description Amount Tax TOtal Current Rent-Amount 5 ?98.90 3f. 798.90 Total Amount Due ?1 3?03.90 Payment Due Date 51m 2" - Ev Totayold ?a late charge $29, or paymelnf?maoe receIVed before 10727[2014. Pf?) ACCOU NT IN FORMATION Account Number Last Transaction Amount $798.90 Last Transaction Date 09/1 [(2014 Payoff Amount $37,532.18 Payoff Amount Good Until 10/10! 2014 The-payoff estimate above [5 for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on-line at infiniti?nancemom or by calling Customer Relations. CONTRACT INFORMATION .. n_ .t customer elatio'ns - 300.527.4q37 Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 7am-2pm CST Mail Payments to: Infinlti ?nancial Servlces P.O. Box 9001133 Louisville, KY 402904133 Miscellaneous Fees or Charges May be Son: to: In?nlo? Flnanci?dl Services P.O. Box 6605?? Dallas, TX 752660577 For Correspondence Only: Inflniti Financial Services P.0. Box 660360 :Cnetra 5-1?5? . 05? 01/13 ?25:513T0Ver3?. Vehlcl rl?ti :l I ?l 13INFW1T1 1X35 Safety Rating Ve mi 3 - - 9" :r?r'aa?qtex?: Maru ty lDa 1 . lH-? [mill/15 In]; 112W a 60 Paperless and Enterto ?E?EE??Z-?enazef Wm a $500 Gift Card Lift". (n'i?r Flag, L0 . . .. 3? -.., glntom?mti?nancemm L. .- lo go papedessandemenowin I 2'1. 1 . a $194613: (Jim Please detach and return this coupon along with your payment . :21 In?niti Financial ServicesG' I I P.D. Box 660360 Dallas, Texas 75266-0360 8900 Freeport Parkway Trivium Teg?a?s Q.. DERIONN POLLARD Customer Name Account Number Payment Due By 1 135. Total Amount Due 293.90 .3, 20 Amount Enclosed l- ?i Changes? ?you are making clunges?to your eddies-3?5, check Ihn hm: at lo? and complete the rau?rsc side. MAIL PAYMENTS TO: 'In?niti Financial Service-.5 P.O. Box 9001133 Louisville, KY 40290-1133 Dr. DeRionne P, Pollard Gasoline Expenses - October 2014 $14 REPRINY 4*4 REPRIHT 44* Milestune Exxon 2110! Frederick RL Hd. Ena?? Thank You for Your Business RIDGE 4795133 2130] Frederick GEHHAHTD, HD 10f05f2034 648556325 08:43:45 PH VISA U134 PDLLARD PA INVOICE LTSSOQO AUTH 014902 ?4444 12 Supreme CR 14.B74G PRICEIGAL 3.759 55.16 REVRINT REPRINT REPRINT CREDIT 55.16 44* REPRIHT REPRINT Credit L1812 Shop Safeway To Earn Rewards and Save at the Pump 34% 12? 412 nepalur ugi IHG F92412?351uu1 9331 GEUHGIR HUEHUE SZLUER SPRIH, MD 20910 164262778 08:53:58 PM Debit IBERIONNE PH RUTH PUHPII 6 SuPreme 17.6116 PHIBEIGHL $3.799 FUEL ("1.911 a. . 1. 1. DEBIT 66E 0 g; . .57.. 9999 112:1?: a! 4: mutwma1 E: same: Haw 1519! 0444 2mm: 1 Dr. DeRionne P. Pollard Gasoiine Expenses October 2014 REPRINT REPRIHT REPRIHT QEUDAR INC. F624126989001 15211 FREDERICK RURD HD 20850 10/28/2014 35585041? 03:32:58 PM PULLARU PA INVOICE 057451 AUTH 046575 4 Supreme $3.499 FUEL TOTAL 60.03 REPRINT *ti REPRINT REPRIHT CREDIT 3 50.03 . REPRIHT REPRIHI REPRINT Site 0000000004?86538 Shift Number 1 Sequence Number 0?309 APPROVED 046575 - ?v 1? - -u - {a r-n'wT .. ?47 31F3331 w?rnlJ: 9319238 DME Wv3w14 1&2? 8? PRODUCT: PHEH H.882 PRICEJB: - 3.559 FUEL SHLE 32.8? VISA Auth 839125 Ref: 258d8?1? Resp Code: 888 Stan: SITE ID: 9319938 . Earn rebatea with HP Visa 1Eka application and Apply Today g?w (.31 law fi?i THANK vuu Egg: HAVE A NICE may inf a. i 2" ?Co?ilege 30086735 11sz111014 115.02 0.00 0.00 0.00 115.02 USD Montgomery Colfege 30086735 - a f? ?7 Ti? ?7 13$: <20: 10 111014 11/25/14 115.02 0.00 0.00 0.00 115 . 02 LSD PNC ?ankI HA 050 New Jersey Co?ege tum 55277 312 a?i-QDMEH?r-??ia HEG KNOW 11095350100 12/02/14 30086735 1 1 5.02 I Accounts Payable copy VOID VOID VOID PM Dr. DeRionne P. T0 me ORDER OF Pollard NOT NEGOTIABLE 11 l? .n'k OFFIGE OF BUSINESS SERVICES r3911: um ACCOUNTS PAYABLE I by: v. CHECK REQUESTDIRECT PAYMENT FORM th??j This chuck ruqucsl payment fem? may bc used-tbr-requms fur mumhurships macs, subscriplianyiygm, olh??ligiijle under I000, cmptoy'cb reimbursementsovcr $50: conference and rcgislralinru; nul-rctalcd to BAP, conltaclcd services undcr SISQO including Consultants and Honoratium payTnana A W-9 form and contract must be altar:th to all mnuacled sen?ines. Cuntraclcd savings aver $1500 must be fonvar'dedm Procurement Of?ce with a lung. ruquisition, W-Q form and the contract. Print and complete of?ine geomplete onllne and than pn?nL Send the com?leted farm to Accounts Favable. HKE 230. Pa me [It Requested For: (I) O'Nng (1) .1 mm?rm! W-P?amfnr all new vendors} PAYABLE TO: DeRionne Pollard DATE: 11/1 0/14 El VENDOR EMPLOYEE STUDENT [3 VOLUNTEER ADDRESS LINE 1 A ADDRESS DRE 2 ADDRESS LINE 3 cmsm're venoon FED 1m: (including code} AMOUNT: 115 . 02 Membership Cl Subscrip?on El CI Honoradum Rein'nbursm'uznt l-yan: uni-y I ND not HILL BE I Contractual reimbursement invoice attached . October 2014 . GROSS AMOUNT INDEX FUND ACCOUNT 115.02 SWCIAL EI HOLD CHECK HauCheck? El Hailm Send Attachments w?tihtheci Lynei-ite relic-rd to Payee to Arr}: 1 Jammy- ?cwuy 7:95 DeRionne Pollard '21796 Tamalhjaff?lowors REQUESTOR NAME EXT. Accounygk' GER LOff-?iede of the Preaident WA 1% DEPARTMENT NAME (Please Type) ML 060m ma?a SIGNATURE DOC. Approved . .. Siam Farm? .frhq ?9 . 5 ii: .Sf?feEFad? PbymoniPIan 539362344110: . . .Jack?'b?'v?fe'FL 52231-4110 Sale A . . - a mm: .0005 mamas-21 20-9A4E . :AgenIMark Spi ..-qurezia MD a .011 Phone: 301SFPPAccounl 10997615-21' Page 10:2 Prepared Odober 1, 2014 E. Power-To .Fay Mo??e Qailyourhgant: 301662410! Waikin {mu-r wa?y - Download our Aulornat'ed Una: 1-800-440-0998 Sea your Pocket Egan! app Key coda: 1547600699 State Farm Agent if you have moved, please mutant your agent. 'Accounmonen DERIONNE - SEEP-Account Number Insurance Suppon uenrer - PO. Box 538002 P19asapay by Odtoberio, '2014 'Make paymenltfo Slate-Farm . SFPP Bill $283.71 1203' {109416. 'n a "qr-I. 1l$533565?fm 4 n. -- pg, . fu-??huu- . is I?d. . a . gag-raw ccounLESummapyojx?y??33' 3 .. I - 94:25 . . . - 233.71 - 0?00 ,QQng?t-In?sra?rl?mano - . 230.71 -.: Service Charge 3.00 Iaramr?no'umoug??yoo'r 26.20111 $233.7193: :rjs'n IL: ?.arlrh . faxinaf??' ag?ul?aoa? - I. .u f: ~15 17W 331:?? Janus2012 HONDA Installmem I - $89.73 20131Nr=mm UMBRELLA . - Jones-,noavNA - .v . $315902. f: a 312.33 Mo?th} Inst?l?no? . $63.08. .g a 7.3 . When you provide a check as paymenL you authorize us eiihar to use {ha information from yooroheck to make aonotime alech'onicfund transfer from your account or to process the pa?ymentasa check transaction. When we?use Information from your check-to make an electronic funds may be from your account as soon?as lhe same day we receive your payment, and youle not receiv?a'yoUr chodi'back from?your ?nandai?ins?tu?on. SFPP Amour] .. . Page 2.01% . Prepared'oaober 1} 2014 'Zf'r! . .. .270: v: - 4 rpm'r?n h1r?"1s4?u a u! .IuWotanMammary 0022012 000871113?- Fig-H "m 7035550035 5' 5001035: 0&5 1 ?ea?l? . 2263-3012001 ?330.12?; 0532-00531 1 120014 12/09/10 962.20 0.00 0.00 0.00 962.28 ESD Montgome?y College 30037137 . - m'.V1.31 p-A rifir . - . vmy?; :1 120014 12/09/10 962.28 0.00 0.00 0.00 952.23 USD mam I. Montgomenv College 552?? . 312 PNC Bank. NA. 000 New Jersey - 1-09 12111.44 30087137 Accounts Payabie copy 0010 VOID VOID pay Dr P. TQTHE ORDER OF NOT NEGOTIABLE OEFICE OF BUSINESS SERVICES 5 62 3g?; 1, 5?313.5.: . mawgemek?ah ?22:1; . .2 W?s-r I 3.3 mg)- InaT?Jr r'zq?km??lr DEM dwsy?ut?p?mq? a if? 55 I3. Eodfaiem?a and mgi??a'bbns mimic-119359 'E'AR-mnbadw soaks; u?ndar $1500 Coq?sb?anls qnd?ignmarfwn . ?d'l - 5 1 V1- Nagaj?lgr?lgmi form and mad mus! be attached to all contracted service; over 3?300muu be rammed af?ne; requisition W-v?ym P'?nl ahd c'ompzato of?iria g: complete amine and than Send farm HKE 2.10. Paymen'f? qu ?sted for: [Requiredd?ac?n-wm: D?g?wl r! wmgn?rh? H?J?fw?l?r Mr PAYABLE TO: Dr . De?iohne . Pollard DATE: 12/08/14 DVENDDR EMPLOYEE - ADDRESS LINE 1 EMPLOYEE mart: momma ADDRESS LmE'z ADDRESS Lmsa VENDOR FED 1m: (Inciuding zip code] CHECK AMOUNT: $952.23 [3 Membership ?wtmiwm 03191131: [1 mwnegmm?mm Hmmrium l-yoar only I tmp10yee I Reimbursement of car payment for Infiniti 0x35 -- $793.90; Gaaoline expenses $163.33. . . - I mm FUNDING . Dabaulzayioy Account?: PROGRAM conga, I GROSS AMOUNT - 4? I r? $163.38 I ?moo-lam Ha? the? "53' El ?ml sgsme ?11- "-795 to Pnyvo to Department SPECIAL DeRionne . Pollard 71795 REQUESYOR NAME Stephen D. Cain meow? MANAGER Office of the President 9/3/13; DEPARTMENT NAME (PleaseType) SUPERVISORAPPROVAL [?ccbunr?mm?en SIGHATURE calm'PHD? Chief of Sla?fChiaf Shalegy 0mm DOC ID, 15? 626, ?1 EL '1 . I 1:Li: 3143 oer COL - Staten-rent Date Description Current Rent Amount Total Amount Due Payment-Due Date before ACCOUNT INFORMATION October 21, 2014, otal E. . 3.90 L90 {14 CW1: a 1111.! To avoid a fate charge of $25, your payment be reCQWed AccouotNumber Last Transaction Amount Last Transaction Date Payoff Amovnt Payoff Amou rat . Good ntil The payoff estimate above is for informational purposes only and mas,I not include applicable sales tax. payoff amount and Instructions on-llne at lnfinitl?nance.c0m or by calling Customer Relations. CONTRACT INFORMATION 1oz1012014 $35,888.14 11I10f2014 You can obtain your actual 4. Contract Date Vehicle Description Vehicle ID i Matul Dt a" rt)! 38 3? in I i 030001303211! INFINITI DEIONNE PDLLARD .- ?grape/91212 Ff I JXBS 0:20 - 3 2014 ?ak. Bills-.1 oi the Pies deal . we gpsgome elatlons ?27.43? gutomated Response 24 hoursJr 3 days a week agents Available Monday - Friday 7am~Fpm CST Mall Payments to: Infiniti Financial Services P.O. Box 9001133 Louisville, KY 40290-1133 Miscellaneous Fee's or Charges May be Sent to: lnfiniti Finanoai Services P.0. Box 66057? Dallas, TX 75266-0577 For Correspondence Only: Financial Services PO. Box 660360 Dallas, TX 75266-0360 500ass-H; Call1.800.662.6209for complimenta towing to Hi I LT It the nearestln mill Certi?ed Collision?epairShop? mm? . . .n lgl?I?? tr?? o?nq-s PERFORMANCE :vuunaou evtur "ll 10ml" Ln?! A (.0 LIST RIO-FONT Kim A . ocroam 1?31. 1010 I-g?u-?u a?ro- 1-6000 Please hisan and relurn this ooupo'n along wilh your 359nm In?niti Financial Service-53' P.O. Box 660360 Dallas, Tellas 75266-0360 00376 4632557 000351 000155 00001900001 3900 Freeporc Parkway Irving. Texas 75063?2438 Customer Name DERIONNE POLngi-o Accounc Number 13 Payment Due. By 11l?l11l14ps-f Total Amount Due $795.90 -. Amount Enclosed I {o Changes? liyou are making changeggo?iyour eo?gss. check the box 81 Ml and oomplelajl? rewrieslcle. ?73 HAIL PAYMENTS T0: Infinitl Financial Services PD. Box 9001133 Louisville, KY 40290-1133 I 0 Turn off your paper statements using one of these options: Register on the Account Manager - (ln?nlti?nancetom) and follow the instructions to turn off paper statements. :clr IMPORTANT CUSTOMER NOTICES Go Paperless! When you_ prdvideoa check, you are authorizing us either to use information from your check-tornake-acone-time electronic. funds 0 transfer from yOur account" or to process this transaction as a check. When we use your check to make an electronic funds transfer, funds may be withdrawn from your account quickly, and Enroll In through your bank?s website. A montth you may not receive your check back from your ?nancial emall_wili then come from your bank advising when institution. r? 'your statement is-ravailable for viewing and payment on your'bank's?webs?ge. Details can be found at ebillpiace.com. 1 - WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE OR MISSED PAYMENTS OR OTHER DEFAULTS on YOUR ACCOUNT MAY ee REFLECTED IN YOUR 1. CREDIT REPORT. Uhk?? ?rtmiRAR Enroll for Automatic Withdrawal online-or by mail; a Enroll online for Recurring Payments. Simply log On to infiniti?nance.corn. Click Payment and then Recurring Payment; Once enrolled, you can choose the payment date and amount. it-ls secure, flexible, and hassle-frag h; A Enroll by mail for SignatuleRECl'PAYoL Just call to request the enrollment form (600.627.4437). This program offers you the security of itanan your contract payment amount will be drafted each month on your due date. we MAY MONITOR enoroe eecoeo ANY TELEPHONE corinumcenons WITH you. . - Failure to Include the remittanco coupon with the account number on your payment, or mailing it to an address other than the address on the coupon, may delay its posting. Wire payments made after 1:00 pm will not post until the next business day. Pay by phone or the-web. Use your credit card, ATM/Debit card, or an electronic check to make a one-time payment. Call 800.603.7385 or log onto in?niti?nance.com. IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS: If your obligation to pay any debt listed in this statement has been discharged in bankruptcy,- or is presently the subject of a bankruptcy court proceeding, bankruptcy court-approved plan or bankruptcy court order, we are not, through this document, attempting to collect any amounts from you as personal liability, and will only pursue any rights we have in the bankruptt'y courts to the extent allowed by law. For all bankruptcy notices or correspondence, use the following address: CONTACT US GENERAL INQUIRIES DR ACCOUNT 800.627.4437 GENERAL CORRESPONDENCE MAILING ADDRESS: In?'niti Financial Services, PO eox?ssoaso Dallas TX 75256-0350 In?niti Financial Services Bankruptcy Department PD. Box 660366 Dallas, TX 35256-0366 Send miscellaneous Fees or other charges to: ln?nlti Financial Services P0 Box 66057? Dallas TX 75266-057? For leases owned-by Ni'ssan??ln?nlti LT Infiniti Financial Services, a division or Nissan Motor Acceptance Corporation, acts as Sewicer. CHANGE OF You can updaie your address at inlinililinancecom or complete the form below and mail MO Day Yea, .Ilb I I I II to I luv County: Mamet-Slfeel i Apt .. Business: .. Elfeciiye Date: Enter Address where vehicle is located if differentfrom new mailing address. MO Year .- I Name: .. .. Sireelmpi License Plate it. .. Cilyl'StaleiZip ..- Would'rou like to add or update an email .. Dr. DeRionrJE??. Poliard Corporate?Card 2014 GASOLINE EXPENSES 37011 SUNOGO MILEPOST F1.7 NJ TP WELCUME T0 SUHDCO . I lupul 11/28/14 22:55:34 =?:H334420299m31 -. Emg?y 26 1 3.2.4533 11?05?1?1 0939-? Email Sale 56.31 lair-Sui! SUHDCD Total Sale ld': groduct:u1?ra 79a $ru2i $3,299 /*Auth 0222 43.00 Ref:'0987202 a .ale gr.UO 11/usx1u 1?:unpua - SHE ID: 938 Punpu: 2 fSelf Earn rebates ?3 . Pure EB ?Eamon Trans? 112566 Gallons 1?.738 and App?y Today Approval; 053152 $/Ba1 3.539 1g1ggbg?1312play Total Sale 59.0? HAVE A NICE UIS Trans? 33h?10 approualn nuaavy 5338605265902 vuu,ron. . vnun BUSINESS 2% . a: 13:; a} ?Ei u) \x . A 3003-7453 000000005 - - - 'sim??rm?ao foiro'? . 1'33! NOV 114 12/16/14 114.31 - '0 .00 0?0 0 .00 Montgomery Co?ege 30087458 :r I .: -- rim 00000000me th't'sc w-s- . . . ?rum m. gag/{4% CAR INS NOV ?10 12/16/14 114.31 0.00 0.00 0.00 114.31 USD mu Montgomgry College 312 PNC Bank. NA 050 New Jase? i=5: 12/18/14 30087458 one Hundred Fourteen 8? Accounts Payable copy VOID PAY Dr. DeRionne Pollard TOTHE ORDER OF NOT NEGOTIABLE Rf SERVICES YABLE CHECK REQUEST DIRECT PAYMENT FORM Notchhis check'rcquesi payment mei may be used for due?s, subscriplinnx-lyca'r, ?l?er ?ligi?nle lransacliuns under $1000, unpioyec icimbursunehbi uwr $50, cnnfer?ncc and notrclatccj lo BAP, services undcr$1500 including Consuliams and Honorarium A form and contract mustbc attached toa??mmraciud Conimcled serviccs over $1500 must be fom'ag'dtd to Of?ce with a lung requisitinn, W3 fonn-gnd'the cOnlracl. Printand mmpl??e of?ine 91 cumplete on?ne and then printsSand?ne comma-ted farm to Accounts Pazgmg. [11155230. Payment Requbsted for: (I) ?rigim! Invoice/123mm,; 12 a um?da! w-wbm ?ar :1?:th mam; PAYABLE TO: DeRionne Pollard DATE: 12/08/14 VENDOR EMPIDYEE swam-r VOLUNTEER HOE- ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 I (including zip code) CHECK AMOUNT: 114 .31 [1 Members}? detion Consukant Cl El Hmariwn Reinhmement 1-3211: only . I HO TAX HILL 1E ?mo I 'reimbiuse??ien-t; invoice attached . November 2014. FUNDING FUND ORGANIZATION ACCOUNT PROGRAM GROSS AMOUNT 114 .31 393cm manual-101:5: if El ?bathed mam" C1 Send Tm? 1* 114 3'1 Lynett? Eelford tn Payer: to Depaxment - a ff. I Mr: g?wa DeBionne Pollard 71796 TaxmaWEi-wefs REQUESTOR NAME EXT. ACCOUNT MAf?hGi-ii? .2 Office of the President -. nemamem NAME {Please Type) SUPERVISOR APPROVAL ?(Wod?gr munb??'sjemwgg If?. - E3 65:: CD 51'? 0 E3 fjn' J3): . -. .3?Sf?fafarin Payment Pfan PO so: 441w Jacksonvi?a 10 - an.) 131;- 113. I I W?s" Learn-.5: . r: .485," . . ?fin Lid: .1: f? . a. .abmimoun ??amezmm, 395E) RION iz.? - a waij:.::3 LEE A Quilt ntDue~ - 11}. ?n - 42. . 115? . . Agent Spita!e . I thwart?b Jar-..215 4-22-13. ?9 un- a . 1'1301Fingerpoam Rd Ste 'Mohroviaxl?? 217:2(243011 . *:?irw?r??w 2' f3?: raw-?1" - ?mi? Hank.? 'c5? .3 . pp ?gig? 4" . . . {8013 9 1004429. 1313153 '201 0511-2612 ?Iu 41;;3e?a?3? .. wamuayon mis?t! . .9 yepaygmra L) u. ii a} mum} mg? an. I, a . I;;r italt Jim J?egy'beg?kedo -. .499 Vii-?kt-?ll 1: 4'32'. mam. ALLPrepared October 31, 2014 - at?. Jugm' .. i; #53. 110-: . . mgsvecugmgf; .13qu . -- - arm. r. can, v- a. . raggadurum.? xpfl'} I. .. aft? 13? l- 33?, 0? I. . ?fli?g. .LE 1; "?5m 'a I. n.3w-Gh3ngeszandf E?mai?hg??o??eim ?35} ?5 . W. 94.11.31. . 31-3,? .1 . Egg: hij?f?ii .1 r: 5 ?2?E?rra Jim v3.9.2. waggi?; . 3,5; asanyg?egxiq . . Marni?; A . - 3 2.5.35 J-g-w? "'Iin' - ?w 15 :33 ?r 'Ein. .15nn'. g3 wu? In?rq- I 2 ?33-?45 J. "pg-3C5: 53-14" .- a5 . 3. ?i'IirL?m $.?u?gyf?tir j. a '3 .Iv Jl'l . i: . . . SFPP Accoun Paged 01'2 .I.Elei??i?ygialqi?aathm Powar In Pay Your Way Account Nymber: -.?m5u?nt Dua?: $232.71 Pfea?se pay by November 20; 2014 .M?ake payment to State Farn} 4 PO. BOX 588 cwyourlgant: wan-4101 Automated Llna: {6094400993 Kay i?548170655 ifyou have moved, pleaseoontad your agent. insurance banter North Metro,? A 300298602 wan: In 539 5m: St?ll??Fann Ag?nl For Of?ce Use Only - 009233 $282.71 0108 5005003000232?1 400109976 162111321:- - State?Faaair.? in: i gof?t- a it at; Last Amount Bitted . $283.71' 3284.00 Di?'e?rence e029 Current'tnstattment 280.00 Service Charge 3.00 TotalAmountDueByHOVED,2014 "$232.son! i a ?it ?f only?: 33- a . 2012 HONDA P- $314.31 Ii Rating Change-Rateohave beenohangad. PERSONAL UMBRELLA 3 $12.33 TERM-20 t? $53108 -. i . ?frl'i :13 I 0.1 aid?gt . ant :1 37:5 .23. ad When you provide a check'as payment. you authorizeus either to use the information from your check to make a one-time etectronic tunditr'anoter from your account or to process the payment as a check transactton. When we use information from your check to make an electronic funds transfer, funds may be withdrawn from yOur as soon as the same day we receive your payment, and you wait! not'receive your check back from your ?nancial institution. Account Page.20f2. a r; t. ?ufn' .. . am?? hi i 5113 . one Farm Mamet Wernmme Compare Pmbamq October 31, 2014 a. .- a ?t GU DESERVE. I t. In: - a} You can earn discotrnte'on your . Disoounts insurance?as?youg. lite qhanges?. a Visit Dis'co?unttloubt'ech?okmom? -- .- 5 . van? . ., . or tatk to your State Fan??agent . about a tree Discount Doubte Enact-if: today. names. pruning: and instability may my; star. 51m Farm indemn'ty Comp-aw. Bioornington. ll. . . W93 - OFFICE (DP-BUSINESS SERVICES . ww d?f?i L?s) HI ACCOUNTS PAYABLE CH REQUEST DIRECT PAYM ENT t. New: This c?cck rixlIIL?St baymenl form ma}I bc used-for requests for suhmiptiups-Iyqag- O??ggig?l?l?ggw?qg?ingis. cmpluycc (we: $50, conferencennd riagistralions nol relach IO EM, contracged ._s?rviccs under $1590 including Cansulfanis and lionorarinm payments. A W-9 form and contracl must he atlachcd mail contradcd'scrvim. ova: $1500 must be l'nrwarded in Procurement Ol?ce with 11 lung rchIisitii?On, W-Q'Thrm and .1133 contract. Print and compiete Of?ine complete onllne and {helm prim. Send the completed form to Accounts PaVabie. I ment cq csted? for: {Reqm?mm a lV-9?wm?1r (If! new PAYABLE T0: DeRionne Poliard DATE: 01/14/15 [3 VENDOR EMPLOYEE STUDENT VOLUNTEER ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED my (including zip code) CHECK AMOUNT: $114 . 31 El Membersmp Subsa'iption Conam?nt Cameramaegisuamn-Mm EAP El Helm?um Reimbumeman! 1-year only I HO VIM. :13 1281150358) PURPOSEUUSTIFICATION: Contractual reimbursement i?nvoic?e attached. December 2014. ?5 FUNDING INDEX FUND ACCOUNT PROGRAM GROSS AMOUNT 114.31 1 5mm mmucnous: A - El How CHECK mum: {Enema Total 114 .31 9 Lyxlettae Telford L-O Payee to bfrpaxment. Debi'ionne Pollard 3'1796 Suzanne Bedding REQUESTOR NAME EXT. ACCOUNT 5f OERIPRIRT Office Of the President DEPARTMENT NAME (Pleage Type) SUPERVISOR APPROVAL gp?fmm?R SIGNATURE ?3 . 5023 1D. :12 . hemmed Dam hh .1 .1. . 301g P0 II 5:103:25: Jacksonv?wesFL 322304110 . . AT1 05112! 0005 1099-?6116?21' 3110' - .1 11100 1 POLLARD. DERIONNE Aging ROBYN .1 nu. 55:1 0101-1000 151'?: Jug?. - . Lit-00001111005000 . 1180'1'Fihgarboa'rde Sle qu'ro'vi??MD 21170-9011 9 I 032.4101 1 1.$31521; .qkfr?w?l' $34}:th '1 1:.1151: 1 1 I 011:2: ?an, "(Hunt - .I '53; - {1'20 $31k ?a . m? 3511? @3513"?3 mfg? gai??gfm - $051910?. mm {is} ?1 ?1 ?gm 9: awn. 00 0.00000059001120111100- r33 1. 5. 4-4-9: 1 '13::pr I ?Ee?d?ow?pu?fomers sl :3 m. aft-Ear.? #?Ir .. :1 Ed1004429 143163 201 06-11?2012 ram-05;? 103051111?: 0'.1021 I - ?1 4? 1?13? . -v 7'5? ?im ??E??warifaf?? 3.135 4973:: {Jami}; ?m bangs and: 0 1 - 3 ?$1113qu 1? "as. ?n 1. 22:15303?4 -. havg?' is? 0?11 W?i? 00 gram?30310000190559? ?Ema - ?331.91; ma?a? 1 a . 1 . 1101 3,1? r; (v ?JIH'v-rr .3 1? 1 I. his? ?3 5' 9 {15159 Burn? - 01?0". 6: '1 Eli?:- timint?asi?masg? 002151;? msixra?z?} ME.- amt-.0. 050"?1.1? If." 34h?4.0r'vPayefof? 91-90733nun-up.? Walkin ?es your - . ?SiatauFarm Agani canyons-Mam: 301-552-4101' u?lomamd . Key code: Mail Send us a check Pow?r To Pay Wine Your Way PC 'fn?otim 00111000 . if you have moved] 020050 00th your agent. @StateFarmf - -, 'Ec?ohntlio?lftie?r: P??t?fici. 05010110.. . ?EPPAodquniNymp?r: .. ll. . . - Ins?urance Support Center -. .. - P.O. 3010588002 1 Nonh Metro. G. 30029-3002Plaasei?pay by. December '20, 2014 Make payment to State F3101: EoromceUse 0111;? 1 SFPP am $283.00 0207 v- 10:19:53: State Farm? raga? gay}; (R'rg'if? ?31253??- F. 0 Ag *faao Ear.- LastmuountBiil?od- . $232.71 Last Amount'Pa'id?NW 20,2014 282.71 Di?eronoo :000 Service Charge 3.00 Total Amount on; By o?Ec mm 2012 HONDA 2013 PERSONAL UMBRELLA - 250000 SELECT TERM 20 JONES, ROBYN A $233.00 .. d-s w. flipy e? i . 351:4 I - .l b- B: Manlth Instalimenl Manlth lnstolimenta, 3-. When you provide a check as payment. y0u authorize us:either to use the information from your check to make a one-??meofectrohto fund irangforfrom your account or {o prooesslhe payment as alcheck transacljoh. Wren-We u?se informab'on from your check to make' an eroctr'onio be withdrawn {rum your acoou oi as soon as the same day we reooiye your payment. and you wil} not reoo'uiolyour check backfrom your?nancialiiristit'ution. H. .. . 0 ma-? .. i rr- 0- SFPP Account 1099-2513521 ?w?Propared Decemb?r 2, 2014- .J I. h" WE. You can earn discounts on your insurance as ygufiito.qbango?.? Discountoaubrech'?au?dm? 22.. .. or?ioikm your?Statol-Tany??r?go?t- i'e '1 abouta'froe Discount Double 8656500003 Checks. today.- I '1 Tr.? u' 8 I in 0:38.11an I 4 its wt no. In." "2 .ngcm! "a mesh?pz Lagos ans! 511.3!? ry?py glam. H. Sim ammo oubrm?ew?rm'qouw?u?- .. .. Stale Farm hdan-nutypompmy, Biomington, fl. . SERWCES a; A?cc?dUNTsz??-m?gsl? . .3155. . ?1.?1'4 . Eif'ti?zzHakim: fh?i?rbqveiuiyi?ld??m may be lard?w rchmu?r armbanth milks. ?510!qu over 551'}. ma?a-me; and .f reg?shab?om no: related to EAP. con?icted sem?ces under: 15M Cmsukanls Armpw HLQ jam and wail-dc! mus: be gnawed to am canth sen-Sass. Gonna?cred sen-ice; over-mine 111051 be ?mmrded lo me?m?h'f H'th Lung r?qlrm?on. umh?w?'rucr. Print and complete o?llne complete onIinn and than prim. Sand the comglatgg farm to Accounts Payahie, NIKE 230. ., . . .4Payment Reques?t?d for: IReqmredAH-nckme?m (mm: (2 ,1 a'mmpletcd 1::wa fur an new PAYABLE TO: Dr. DeRiane 2. Pollard DATE: 01/14/15 .w EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED (including zip code) CHECK AMOUNT: $932.28 Mem;;, [3 Subscriptbn El Fm?ant CI Cmf?rymReg?Lsua?au-Hon EAP Hmora-ium En'qabree hymn: unity WILL BE no?: Reimbursement of car payment for Infiniti $793.90; Gasoline expanses - $234 . FUNDING INDEX FUND PROGRAM CODEI- AMOUNT $798 . 90 $234 . 20 El HOLD CHECK Haiidredc a 5.3m; .3.me 13mm ?ml - 1 33 "10; can. Ext. ?1736 yuyce tq mpg-1mm 5mm ms?pc-mmis: DeRionne P. Pollard 71796 Stephen 1). aging? REQUESTOR NAME vaccoum MA em??fmnme; I r- I Office of the President DEPARTMENT NAME Type} laccbu?w?nmen smumune x: g; n" . a . SUMMARY 1.1..I131'13Eit e: Statement Date - November 20, 2014 Customer Relations 4800;627:0437 . I Automated Response 24 hours, 7 days a week Description Amount Tax Total . Agents Availaole Monday - Friday ?a?m-7pm CST Current Rent Amount 793.90 5, 793490 Mail Payments to: in?nltl Flnanclal Services TotalAmount Due A 93.90 9.0: Box 9001133 Payment Due Date ?uu Inna KY 40290-1133 0,319 Miscellaneous Fees or Charges May be Sent to: lbl?llul In?nitl Fll'l?l?ICial Services. To avoid a late charge 0 your pee-mm wHeugkbgeggi-mu P.0. Box 6605?? before Dallas, TX 752660577 For Correspondence Only: ACCOUNT INFORMATION ln?nlti ?nancial Services PD. Box 660360 Dallas,. TX 75266-0360 Account Number Last Transaction Amount -$798.90 . I Last TransactiOH Date 1010/2014 Inmooucme COMPLIMENTARY TOWING Payoff Amount $35,241.39 01013006626200 for- Payoff Amount Good Until complimentary towing to I 1. theneares?r ln?niti Certi?ed The payo?? estimate above is For Informational purposes only and Collision RepalrSh0p*. may not include applicable sales tax. You can obtain your actual couISlOHsf-P?ls??n?k? payoff amount and instructions on~line at in?niti?nance.com or by calling Customer Relatlons. CONTRACT INFORMATION Contract Date Vehicle Description VEthlB 1? - . if . Maturity gage . g. . [Ennis . l_ ?1 . a 00000.0 Freeman. (rifle: 03": 3143 Please detach-and return this coupon along wilh your payment a: ?In?niti Financial Services?3 . 00m 42200410003150007400000000001 I Box 660360 Dallas, Texas 7'5266-0360' 8900 Freeoort Parkway Irving, Texas 7'5063v2433 Customer Name DEO POLLARD Account Number Payment Due By 12/11/14 Total Amou?nt Due 798.90 Amount Enclosed I changes? If lyou are making changes to your address. check the box?alle-lt and complete the reverse aids. >00372 4723041 002 008143 DBSTILL Hm ERIONNE POLLARD In?niti Financial Services PO. Box 9001133 Louisville, KY 40290-1133 IMPORTANT CUSTOMER NOTICES When you provide a check, you are authorizing us either to use information From your checkytoilmavke a ione-timejelectronic funds transfer from your account or? to process this transaction as "a check. When we use your check to make an electronic Funds transfer, funds may be withdrawn-from your account quickly, and you may not receive your check back from your ?nancial insutution. WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO CREDIT LATE MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CREDIT REPORT. WE MAY ELECTRONICALLY MONITOR RECORD ANY TELEPHONE COMMUNICATIONS WITH YOU. 3 Failure to include the remittance coupon with the account number on your payment, or mailing it to an address other than the address on the coupon, may delay its posting. Wire payments made after 1:00 pm will not post until the next business day. IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS: If yourobligadon to pay any debt listed in this statement has been discharged in bankruptcy, or is presentiythe subject of a bankruptcy court proceeding, bankruptcy court-approved plan or bankruptcy court order, we are not, through this document, attempting to coilect any amounts from you as personal liability, and will only pursue any rights We have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or correspondence, use the Following address: Infinltl Financial Services Bankruptcy Department P.O. Box 660366 Dallas, TX 752660366 For leases owned by Nissan-ln?niti LT ih?Dniti Financial Services, a division of Nissan Motor Acceptance"Corporation, acts as Servicet- Go Paperless! a Turn off your paper statements using one of these options: 0 Register on the Online Account Manager and follow the instructions to turn off paper statements. 9 Enroil in E-Bill through your bank's website. A email will then come from your bank advising when your statement is available for viewing and payment on your bankiswebsite. Details can be found at a" ebiliplace.com. GREEN Enroll for Automatic Withdrawal unline or by mail: I Enroll online for Recurring Payments. Simply log on to in?niti?nance.corn. Click Payment and then Recurring Payment. Once enrolled, you can choose the payment date and amount. It is secure, ?exibie, and hassle-free! -- request the enrollment form (800.627.4437). This program offers you the security of knowing your contract payment amount wiil be drafted each month on your due date. Pay by phone or the web. Use your credit card, And/Debit, card, or an electronic check to make a one-time payment. Call 800.603.?385 or log on to in?niti?nancemom. CONTACT US GENERAL INQUIRIES OR ACCOUNT 800.527.4437 GENERAL CORRESPONDENCE MAILING ADDRESS: ln?nltl Financial Services PO Box 660360 - I i . DallasTX752561?0350 Send misceiianeeus fees or other charges to: In?niti Financial Services PO Box 55057? Dallas TX 75256-0537 CHANGE OF ADDRESS mu": m-nmn nag-u .- ma Hum?q. E?eotiye Date: .. below and mail You can update your address a! or complete the Tom MO Year Ii your payment: County: .. Name: ., Resideii ?l .. ?Sireel lApt it Business: .. CitrISlateiZ-ip Enter Address where vehicle is located if different from new address. Name53331 AP: -- Would you like to add or update an email address? .. Effective Date: M0 .. Dali Year .. - License Plate .. . . . . . . . . IRUDAR INC. 7834125389881 L5311 FREDERICK RDAD HD 30958 l2/B3f2613 355073353 Jisa HDERIOHNE PH INVOICE 884315 883349 3UHPH 1 Supreme 13.331G $3.249 33.47 CREDIT 33.4? ustaner-activated Purchase/Capture 3883939834785533 -hift Huuher 3 equence Hunber 25938 PPRUUED 339349 Dr. DeRionne P. Poilard Gasoline Expenses - December 2014 21949 HENDERSON CORN PHUNE ?3315295525 STURE #3414a . TID: DEBIT ACCT TQPE Don 92993 ?2 eel?e 12/95/2914 14:1v:34 PUMP 4 HMB 17.644 PRIBEVGHL 2.?39 FUEL SALE 48.33 B49928 TERM SEQ 932825 FIG/Honor . m?u?n?uc - WELCOME 9319938 DATE 13:1ex14 12:a1 PUMP at 35 1?.2 PHICEKB: 3.25 FUEL SALE 3 53.31 VISA Ruth 813523 Ref: 23821882 Resp Code: BEG Stan: 8532932159 SITE ID: 9319938 Earn rebates with BP Visa Take application and apply Today THANK YOU HRVE NTEE DRY $9?vaan ?ee? Dr. DeRionne P. Pollard Gasoline Expenses - December 2014 Gut: Drive Exxon n?tulwu??w Mellie, 3 23159 EHST nuns, IHC. F62h126955381 1215 5337 3332 33132 RDEKUILLE ND 23353 12/2122313 233513132 11:12:12 an Uisa (DERIOHHE PR IHUOICE B10130 RUTH Supreme 16.?156 PRICEKGHL $3-159 FUEL 52.83 CREDIT 3 52.80 Evstiner-aativated Firehaseltaptare Sit: I: Shift Huriar 1 - Sagucnce Renter HHWH 333 Sh?f Safeuay Mina?mwsm? huat?kwm - 31343 HENDERSON cunn MD PHONE eagiggesses RE 33 g?g: 33323414331 33 DEBIT 322223223223. 333T TYPE Don REF3 92333 34 31+ 4 12227/2314 15:25.53 3 PUMP 33303 PUL 2.?79 FUEL 43.39 APPRDUED- 342224 TERM 323 332173 i?g?CDq ,1?ng ??33 MW ?f 3608? OFFICE OF SERVICES - I In w? v: :53 'Y?ixDi, 533$; 3:31:21 1%?3?A-L-fa . Jr: nol?mf?fed 10 coma dad Denise: under 5 $500 Why Consu?anb and Warm payments. .4 c?tm?h?fcd Pdnland campl?te D?F?lnn on?ne and than prIrIL Send the complaint! form to Accounts Payable. 230, maybe nsm??Jr nqnem Jam. emphuw am? amfcmu?r my} W4 form andcantrad musfbe attached to .33 contracted services. Contracted wees overs 1500 mrbe tamardcd .39 l?m?rcgic?! Mr}: {m mammal. wan-m and cam-pct P?yme?r?t? Req nested for: (I) )?amr?thceIpunew wm?nrs] PAYABLE TO: Dr . . Pollard DATE: VENDOR EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2 ADDRESSLWE 3 02/23/15 EMPLOYEE 1-year Duly . VENDOR FED (including zip code) CHECK-AMOUNT: $1,013.27 El Mam-shl? El Subscriprbn El Cmmkant Non EAP Hmm?wil Empb?e Reintuwmat 1 ND TM HILL BB pu?npswus'nma Tran: R'eimb?rsement of car payment for Infiniti - $798 .90; Gasoline expenses - $214.37 . 591::an ?rm-trays . .- - Agwm. INDEX EUND OKGANEATIQN PROGRAM CODE GROSS AMOUNT "vi, $214.37 . f? ?c I A HOLD CHECK Phi-10m ?x Send Mathth Tdtal 1 I DALL nth: 11?96 to Payee to Stephen D. ,(?lin ACCOUNT MA ER {5mm NAME) 3/ DeRionne P. Pollard 71796 REQUESTOR NAME an. Office of the President DEPABWEHT MAME {Pkease Type) APPROVAL [Accou?m DANAGER SIGNATURE I m. -l.l . ?33 - 3., . Curr'ent Rent A'mount' 'Payr'ne?nt Due-Date Statement Date. Tax. Amount Description Total Amount Due To avoid a late charge oF $2 before 01f27{2015. ACCOU NT IN FORMATION Account Number Last Transaction Amount Last Transaction Date 12/11/2014 Payoff Amount $35,591.90 Payoff Amount Good Until 5 The payoff estimate above is for Informational purposes only and may not include applicable sales tax. You can obtain payo?? amount and calling Customer Relations. CONTRACT IN FORMATION your actual Instructions on line at in?nitl?nancetom or by Contract Date Vehicle Description Vehicle ID Maturity Date9.63% a: m. insole? - 2 3 E?l? - an 13 1X35 06/01/12 09l11f15 ustom el- 8007,4437 Automated Response 24 hours, 3' days a week Agents Available Monday - Friday 7am-?pm CST Mail Payments to: in?niti Financial Services PO. Box 9001133 Louisville, KY 40290-1133 Miscellaneous Fees or Charges May be Sent to: ln?niti Fin?ancrai Services PO. Box 660577 Dallas,.Tx 752660577 For Correspondence Only: ln?nlti Financial Services P.O. Boa-t 660360 Dallas, ?5266-0360 . I. . . ?Va-1?3 ?ux .3457} pp 14; @545; . I. 1 351;. . DBSTILL DERION NE POLLARD I ?aw?nu no-Iwr?i?w .1 1-H "n Please detach and return this coopon along with your payment ?11 . 227' a ea" In?niti Fmancral oosro 4831642 noosrs ups-944 i 1' P.O. Box 660360 Dallas, Texas 75266-0360 8900 Free?port Parkway lrvingZEFT?xasE3?053-Z43El Customer Name Account Number Payment Doe By 01/11/15 Total Aniount Due 795.90 DERIONNE T, If you are making changes to shook the box a! lefl and oomplele lhe reverse side. Amount Enclosed [i Changes? WU NTS T0: In?niti Financial Services PO. Box 9001133 Louisville, KY 40290-1133 IMPORTANT CUSTOMER NOTICES When you provide a check, you are authorizing us either to use information from?yourchecki to make-a one-time ?electronic funds transfer from your account or to process this transaction as a. check. When we pee your check to make an electronic funds transfer, funds may be withdrawn from your account quickly, and you rnay?not receive your check back from your financial institution. WE ABOUT YOUR ACCOUNT TO CREDIT LATE OR MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CR EDIT REPORT. WE MAY ELECFRONICALLY MONITOR ANDIOR RECORD ANY TELEPHONE COMMUNICPLHONS WITH you. on your payment, or mailing it to an address other than the address on the coupon, may delay its posting. Wire payments made after 1:00 pm Will not post until the next business day. IMPORTANT Monte FOR BANKRUPT CUSTOMERS: if your obligation to pay any'debt listed in this statement has been discharged in bankruptcy, or is presently the subject of a bankruptcy court proceeding, bankruptcy courtiapproyed plan or bankruptcy court order, we ?are not, throLIgh this document, attempting to collect any amounts from you as personal liability, and will only pursue any rights we have in the bankruptcy courts to ?the extent allowed_~ by law. For all bankruptcy notices or correspondence, use the following address: In?nitl Financial Services Department no. Box 660366 Dallas, DC 75266-0366 For leases owned bY?lesan-In?nitl LT in?nitii-?inancial Services, a division ot Nissan Motor Acceptance Corporation, acts as Servicer. Faiiu?e to inc-luwde the remittance coupon with the account number Go Paperless! Turn off your paperstatements using one of these options: 0 Register on the IFS Online Account Manager {in?niti?nancecom} and follow the Instructions to cum off paper statements. 0 Enroll in through your bank's website. A email will then come from your bank advising when your statement isavailable for viewing and payment- on your bank's website. Details can be found at ebiilplace.com. es wilan til-kt? Hummer Enroll for Automatic withdrawal onljne or by mail: 0 Enroll online for Recurring Payments. Simply log on to in?niti?nance.com. Click Payment and?then Recurring Payment. Once enrolled, you can choose the payment date and amount. it is secure, flexible, and hassle-free! 9 Just call to request the enrollment form (800.627.4437). This . program offers you the seCurlty of knowing your contract payment amount will be drafted each month Di? your'due date. Pay by phone or the web. Use your credit card, ATMfDebit card, or an electronic check to make a one-time payment Call 600.503.7385 or log on to in?niti?nancemom. CONTACT US GENERAL INQUIRIES OR ACCOUNT INFORMATTON: 80062144237 GENERAL CORRESPONDENCE MAILING ADDRESS: ln?niti Financial Services PO Box 560360 Dallas T): 7526603601 1 Send miscellaneous fees or other charges to; ln?nlti Financial Services PO Box 6605?? Dallas DC CHANGE OF ADDRESS Effective Date: .. You can updala your address at lnlinili?nance.com or complete the form below and mail MO DE), Yea, . it with your payment. Counly: .. Name: .. Residall .. Street iApl .. Business .. Effeolive Dale: Enter Address where vehicle is located if different from new mailing addressStreet License Plate CiinSlaieiZip,,._ .. Stale: .. Would you like to add or updale an email addressmn- algae HENDERSUHMCURN HD PHONE ?3315335525 STORE #aaiqa $10: as DEBIT TYPE Don 53 86L 3 91/33/2915 11:15:99 PUMP PUL 1?.946 5 3.5l9 FUEL SALE 45.21 861833 TERM SEE 989921 Dr. DeRionne P. Poliard Gasoline Expenses?January 2015 (receipts attached) . . xx ICR RECEIPT xx 21040 HENDERSON CORNE GERMANTOHN HD 20876 30152855?? STOREE: 34:10 - THANKS FOR SHOPPING 0# 6 PUL 14.454 GAL 0 2.479 35.83 DEBIT 35.83 SUBTOTAL 35.83 TDTAL DUE 35.H3 ?353 APPROVALH: 079280 APPROVAL TIME: 093601 STORE 34140 00073414001 08 92000 51 043 6 To? Isa: CEHTPAL ?Iitl Erilf?rl mu -a an - .a Ban B1x1df15 1 a C1 PUMP as PRODUCT: PHEM EaLLan: - a. a: FUEL SALE 44.53 Ruth 899088 Ref: Resp Cede: 33m Stan: SITE ID: 9319930 .. "um?n- Earn rebates with BP $135 Take application and Apply Today YOU . - ig?nl?ani" a. staff-- a- 1-1-1 1' 0332405 '5 1! IJ Dr. DeRionne P. Pollard Gaso?neExpensendanuary2015 . [receipts attached) REPRINT REPRIHT REPRINT Heirs H311 Exxon 12245 Veirs M313 Rd Silver Spring MD Thank You for Your Business SPRIHBBRUUK INTERNAT 12245 VIERS H;;u SILVER SPRIH, HE 20906 01f23!2015 817863531 02:05:14 PM INVDICE 051241 AUTH 001792 Supreme 16.5428 $2.?89 FUEL TOTAL 46.14 REPRINT *ti REPRINT REPRINT CREDIT 45.14 REPRINT x*i REPRINT REPRIHT . . . . . . Customer-activaten FurghasefCapture Site 0000000004736364 Shift Number 2 Seuuence Number 6123? APPROVED 001792 Shop Safeway To Earn Rewards and Save at the Pump 04 a PEELQRD Pa IHUOICE BETETG RUTH 625318 2 Supreme ju36518 $6.549 FUEL TOTAL 42.53 CREDIT 42.53,, - . 4231:} - ntivated Purchaseftapturl ggiea?grig?lili?l??95638 Shift Hunter 3 Sequence HunSer 52354 825MB 11;: .v - 4- Eu. U: it"- b, a 300%5?3? go 0 OFFICE OF SERVICES ?1.4.. 3? I. .- f! gifts; 1:55 haul ?15-'36? - ~rrh~?goz? gfraf?f g. . I v; 1? its, . $392"? trig-3 era}? ?1 ,g .4.. . ?3 ?u-u whatRalgr?r?liad Io EAP, sem'ces under: 1500 harming Consnnants and mm pennants. A-m'npfuaf go with lungs-cmth Prinland complete o?'llna geomplete unline and than print. Send the comple?lad form to Accounts Pavabla, MRI-2130.51 NEH: ?ab dice; may b4 awake newsman: dyes. {mm Em?ww reimbursemwzs war :59. 1m?wacc and W39 form ancicontr?ad musf be anachad to ail comrade-d services. Camadedsenfcas wer$1500 must be forwarded um?? Payment for: [Required (I) Origipr 43 W-9?a?rm?v a? Slew Hindu?! - ?3 is" :31 PAYABLE T0: DeRionne p. Pollard {p.515}; 02/23/15 [1 vmnon EMPLOYEE ADDRESS LINE 1 EMPLOYEE mom ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED my (irrcludingfzip code} CHECK AMOUNT: $114.31 El Mania-as.th Submi?bn Cmsurm EAP El Hom?um Emma Re'a'r?luscmen?. 1-year. only I, I mx 81?. 23W I Contractual reimbursement; invoice attached. January 2015. . I ACTWITN .EUNDING FUND ACCOUNT PROGRAM CODE GROSS AMOUNT $114 .31 - Manama I: Rained-c. gem. gleam mm (W mt? $114 31 mint. 11795 in Poch to Department 5min. mkmuc?cms: DeR~ionne P. Pollard Suzanne Reckng REQUESTOR NAME EXT. ACCOUNT MA ER 5 OffiCe of the President A DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL 1 Approved nee emu . . ll. I I i :41: 22.: -.- .. ., Sia?el?arm lam-2 gm, 1- - ?37? high . IF?Sfa?faFan?nPaymenLPIan Da?t 3 I . A 'Ja??RsohidHeFL 32231-4115: . 115AT1 ?312384 QOOG 1099-1516521 20-9A4E i DERIONNEEJONES, 5.2255: in -- Juan. 5. ROBYN - . . . 4 A, - ?tr-4?5 i1"? ?ao - Agar]! Mark Spjtaie I . T1801 Fingerbo?ard?Rd Ste . Monrovia MD 21770?9011 . a- Phone: 301-882?4101 nu- .r-We? ,nlu uni-.15 .: ?on; u? ba?tg??i?rf?g?g?ga?yg ?3.533% ?7 i .u A . gig;ng w?r'lm?? 1' an?" -: A. - as"? 39": - .- . a ?gg? IE: g3?? 3 diag- a? an: I 3? .ib @3341: 5? "Wm-{Far 1' 1 $5 39%? .0 a. 4.1.: 3.5.33? 5039.3? $1.23. .3 marr?ei?arm 5; resiabqutgme} Imam? hanw?gmgg? . .., . .9 .. $3.33Q-?e 1 ?3 .- 5 95312;?wa . .. ?nan. 1 ft?. - 3 .- ?ig?b?g:vied' I I . 3- fig. fan 9 s? c313- ledbm '-Friar; 35:; I ?air :?gr-Lc?ze 33m {9 uldilme io?wcu sgolh (Stale .srraagi do) . . 1g;- . . 'f '3 ?553? 3- ?w waif-:1 5:61:7- aim .- . . 441;}, Mi $43SFPPAccoun: Page or 2 PreparedDecamber 31, 2014 - a Power To Pay ?Blill'na Hahn's . min Caliyour Agent: 301-382-4101 Yburw?y Pqu "1 pm Sendus Automated Lina: LIB-004400998 8 Sea your niab?a dm'ibas Podcangerd app a check Key code: 7549306747 i Stab Farm Agent If you have moved. please contact your agent. v. Pfij?LL?ao, DERTONNE ?5 S'FPP-Acdbum Nuabe?? - . Insurance SUppon Center . c' . . PD. 301538002- Amoluntt?u?: $273.69 . North Metro. GA 30029-8002 I Pi?ase Pay by January?, 2015 Ma?ka paymerit to State Farm Foromqausaonry - I SFPP an: $273.59 0310 500506900027369 4001099?6162111321> 0157353 't I .r State-Fermi? qu.hd?: I. I w; . gn?a?at?l:?f?g?jl A I I I tJ-?LiIrare?ne em?wt mt? - . -. Last Amount $283.00 L'astAmount?F?atd DEC-1.9.2014 ?-283.00 r' thference? . ram} 3- '2?0.ee Current instettr?ne?llt Service??arge . 3.00 TotalAmount out: '20, 2015 $273.raw? ?re?rrvg - - w. wu- Men-mew straw-ere.- 4' tr ?r -. . $135536. tee-961m: ?ange-e- . .emoax.e?ee - Lac. -., tokens-.mwofei -: zwweyse-mte .225 - we? game.? a 35? a" mew? mien-?ejiA rr?er'a' Foamy:- 1: tote:? we ire . ease: h. o??fnhW-EZ we? I ge?efy-e ent. gh nge ?re "Sigagi-cc -e . hams-e-" .13h?zh-Je?evm?onf?wnmm z? Might-emit??-wo-owe wza?vw ?utw? ?TLr-?ze?' 9* Installment 380.47 Rating Change - Rategs have been changed. - Change of vehicle rating'group tor coverage. Montny'mstanmeng . . 7' . . . 2012 HONDA $14.31 . $63.08 When you provide a check as payment, you authorize ue?either to use the informetion frotniyouI-c'heck to make a onetinte electronic fundr'trensfer trom your account or to process thepayment as a cheek h'aneactim. When we use information from your cheek to meke?an- dectroniefugnds, transfer, funds maybe. withdrawn from your account as soon as the same day we receive your payment, and you Mil not reoetve yo?r Check back from your ?nanotat . . - - a SFPP Account - Page 2 of? ?Prepefed December 31, 2014 1BEECH NW You cap?earn?legountson your I Visit DiscountDoubteCttecl-toortt or talk to yew about a tgee Dlscount Douhte Check?, today. Et" ?L?t'mut anger-mtqu may vn bum}; ,statc . . . . . . State Penn lr?amr?i?to?npaw. BtoernTnatm. . TF03 Eu? OFFICE OF BUSINESS SERMIICES r? Dad; "m in 12252-1:52xrxw in: - ;a 135'?: gar?v. f- 9?:E4?r?1r?j?, 'f Sg- 1d" . 25;; Icy" x1." . ?Ir, . . ,g-I a. ..L w'i?u" Pi?? lizx?n.? . . ?u-i?h I. 1? 33 5;?353?13? - Eat.- ?4 Nnk? His :bcrk?qi?'q p?jglm?fq?m mrd?r rehmitg?r Dubibenldp cmpa'uyru aw: 350. um?rvm? and aegisme nofi?ia?ad to @155ch sem'ces mder 1509 and Honoradum paymenri A com?gm ragga-Sad donbact attached to at? Maxed sen-ices. Con?udedsem?ces warms-GO musl?be fonvarded f0 n?bng rxgquir?ion. Higfwm and Print a?d'?oinpl??ts online and men print. Sand tha completad?furrn In Accounts Payable. 230. Iffagvemfnt Requl?s?t?d for': lrecqmum?mmu: Origin! a cm??akd lindumj PAYABLE TO: Dr. DeRiDnne P. Pollard . DATE: 03/11/15 C1 VENDOR EMPLOYEE i EMPLOYEE MCF: ADDRESS LINE 1 ADDRESS LINE 2 . I ADDRESS NE a . I (Inciuding 2 code) CHECK AMOUNT: $982.53 VENDOR EED 1W my I: Suhsaipthn El [j Cmremregnegwaummnw El Hcmrarm 1?year only I HO HILL 81? 2313903530 I Reimbursement of car payment for L-Infini?ti 31:35 Gasoline expenses $163 . Acmm's FUNDING INDEX FUND PROGRAM EDDE . $798 . 90 $163.63 HOLD CHECK Hamlet? 1 ?aimed:- Ser?f-?Ilachmems?wi?l Check mm 962 53 5?91?! 7175 5 to Payee to Dcpa??ment' msmcifxoysl; DeRiorme Eh Pollard 71796 Stephen D. Cain I REQUESTOR NAME EXT. Office of the President DEPARTMENT NAME {Please Type] SUPERVISOR SIGNATURE Doc ID. 15. Approved . - - 134 we RE R201 3-NB . BILLING sum-1AM Statement Date Desc'rlpti'on' Current Rent Amount Total Amount Due Payment Due Date . To avoid a late charge of $25 before Data . ACCOUNT IN Account Number Last Transactipn Amount Last Transaction Date Payoff Amount Payoff Amount Good Untll Amount $798.90 January 21, 2015 Total 798 . 90 Tax 793.90 01/11/15 paym?nt must DE rec ImW?p @090 01/14/2015 $34,939?53 02/10/2015 1113 payoff eatimate above is for informational purposes only and may not include sales tax. You can obtain your actual payoff amount and instructions on?llne at in?niti?nancecom or by calling Customer Relations. CONTRACT INFORMATION Contract Date Vehicle Description Vehicle ID Maturity Date I u) ?unk?: 1 . ,h?ou. p? ULtu 'f In; (3:1 :Iznooua??zo. umber a; I :13- Pm I h} 2 13. 3X35 customer?elais 8530:6235?? Automated Response 24 hours, Z'JQays a wool: Agents Available Monday: Fridai?amd?pm CST - e- . Mall Payments to": ln?nltl Financial Servic?f?sf? P11 30x9001133 t0 Louisville, KY 4029011233? Miscellaneous Fees or Charges May lge Sent to: Financial Services P.0. Box 660577 Dallas, TX 75265-0577 For Correspondence Only: ln?nitl Financial Services P.O, Box 560360 Dallas, TX 75265-0360 3: - .- g. u-y a ??teEw ?a 4 erg. ?r-l 5.. tul=lmar:, Please delach and return lhis coupon along with your payment In?niti Financial Services-.9 00351 4931959000354 1000011'0000! P.O. Box 650350 Dallas, Texas 7526643360 >00351 4937259 002 003143 DBSTILL DERIONNE POLLARD 890-0 Freeport Parkway. Irving, Texas 75063-2438 Customer-Name DERIONNE PDLLARD Account Number Payment Due By 02/1111? Total Amount Due 798.90 Amount Enclosed '3 Changes? ll you me making changes 20 your address, oheol: lho box :11 loll and oomplole lho temrso sldo. MAIL PAYMENTS TO: In?niti Financial Servi'ces P.O. Box 9001133 KY 40290?1133 IMPORTANT CUSTOMER NOTICES When you?provide a check, you are authorizing Us either to use information from your- check tomake a: one-time electronic funds transfer from your account or to process this transaction as a check. When we use your check to make an electronic funds transfer, funds may be Withdrawn from your account quickly. and you may not receive your check back from your ?nancial institution. we MAY REPORT INFORHAUON ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE 0R MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED IN YOUR CREDIT REPORT. WE MAY ELECTRONICALLY MONITOR RECORD ANY .- Failure to include the remittance coupon with the account number on your payment, 6r mailing it to an address other than the address on the coupon, may delay its posting. Wire payments made after 1:00 pm will not post until the next business day. - IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS: If your obligation to pay? any diabl: listed in this statement has been discharged in. bankruptcy, ?or is presently the subject of a bankruptcy co'mt proceeding, bankruptcy court?approved plan or bankruptcy court order, we fare not, through this document, attempting to collect any amounts from you as personal liability. and will only purSUe any rights we have in the bankrUptcy-courts to the extent allowed by law. For all bankruptcy' notices or correspondente, use the following address: Infiniti Financial Services Bankruptcy Department P.0. Box 660366 Dallas, TX ?5266~0366 For leases owned by Nissan-in?niti LT in?nlti Financial Services, a division of Nissan Mater Acceptance Corporation, acts as Servicer. o? Go Paperless! . Turn off your paper statements using one of these options: 1, 0 Register on the IFS Onllne Account Manager {ln?nitl?nance.com) and follow the instructions to turn off paper statements. a Enroll in E-Bili through your bank's website. A email will then come from your bank advising when your statementjs available for viewing and payment on your bank?s website. Details can be found at - i . v, Q4125: 'n ethic,? OFEEN Enroll for Automatic Withdrawal online or by mail: 6 Enroll online for Re'Curring Payments. Simply log on to inflniti?na nce.com. Click Payment and than - cari?ch'oose?the m? - payment date and amount. It is secure, flexlble, and hassle-free! a Enroll by mail for SignatureDIRECTPAYt?i. Just call to i request the enrollment form (800.627.4437). This i' program offers you the security of knowing your . contract payment amount will be drafted each month i on your due date. 5 Pay by phone or the web. Use your credit-card, ATWDe'bit card, or an electronic check to make a one-time payment. 'Call 800.603.7385 or log on to io?nitifinance.com. CONTACT US INQUIRIES OR ACCOUNT INFORMATTON: 500.527.4437 GENERAL CORRESPONDENCE MAILINGADDRESS: Infinitl Financial Services a PO Box 650360 Dallas TX 75266-0360 Send miscellaneous fees or other charges to: Financial Services ?30 Box 65057? Dallas TX 75265~05?7 CHANGEOF ADDRESS Effective Date: -. i?ou can Update your address at in?nililinanoe,com or complete the form below and mail MO Day Yea, a death your payment. i County: .. Mame: .. Residel .. 5 Street Apt it. .. Business: .- Citwsetemo. .. Enter Address where vehicle is located if differeni from new mailing address. Effective Dale: Day -. Year .. Name'- .. .Counly: .., .. Steel A111 it: .. License Plalaii: .. CiiWStalea?Zip .. State: Would you like to add or 'update an email ?9n ?Z/thaS 12:22:01 Pump?: {SelF ProduthUItra Pure ?allons '11.38n $Vna1 i 2.?99 Fuel sgle 31?86 Total Sale 3 31.86 UIS Trans? 35u750 FOR YOUR BUSINESS Jaunn Pam??i-TI "\mnwm I RRDIDERIDHHE 018E 953296 .x PFIX 51C :?ZEbe CW1 burr I 1 3 hi 19.952G $2.929 52.13? Par-ems FUEL TOTAL CREDIT tit-3, I: 5-38 {?ijlr'ih?h?b 2 $5555 BS3393 do - Dr. DeRionne P. Poilard Gasoiine Expenses - February 2015 (receipts attached) Open 24 hours StureiCarHash Haunt Airy Shel} 301 60? 9030 Ht Airy Shell, 815 649 LAKEVIEH DR HT AIRY, MD 21771 02f12/2025 9:59:18 AM Register: 1 Trans 919 Up ID: 600 Ynur cashier: Albab PREMIUM (Grade 03) CA 11 14.?48 GAL $41.23 99 Subtotal $4!.23 Tax. $0.03 Total $41.23 Change Due Cash I $42 [00 'w r} 3?5? . ?rm? T-ELEUEH 21848 HENDERSON conn- MD 1 PHUHE #3815386525 STORE #34149 i ACCT 92888 Baf17/2515 15:13:36 trump 5 PUL 14.93 2.51,! stag?g&?% 393999 ITERM 35a 915591 i fl h: 7.11. c; 103.59?? if- {5.5m :25' -- 3609055 OFFICE OF BUSINESS SERVICES a . ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Note: This check request payment form may be used for requests for memberships dues, subscriptions-lyear, other eligible transactions under Si 000, employee over $50, conference and registrations not related to EAP, contracted services under $1500 including Consultants and Honorarium payments. A complete W-9 form and contract must be attached to all contracted services. Contracted services over $1500 must be forwarded to Procurement Of?ce with along requisition, form and the contract. Print and complete offline complete online and then print. Send the completed form to Accounts Pavable. NIKE 230. Payment Requested drigiMW?eceip?f a completed W-9 form for a? new vendors} PAYABLE T0: DeRionne Pollard DATE: '03/11/1 5 ADDRESS ADDRESS LINE 2 ADDRESS LINE 3 mbursement Masters 9 (Including zip code) CHECK AMOUNT: VENDOR FED $114.31 Ci Subscription 1-year only I I No we WILL BE Contractual reimbursement; invoice attached. February 2015. El HOLD MtiiChed-r El ?aiiCneck Send Attachments merciec FUNDING INDEX FUND ORGANIZATION ACCOUNT GROSS AMOUNT 114.31 SPECIAL msmucnons?: Total I Lynette to Payee to Department DeRionne Pollard 71796 Suzanne Bedding REQUESTOR NAME EXT. accougmoen (PRINT NAME) 1 Office of the President - . DEPARTMENT NAME (Please Type) sueenveon APPROVAL IACCOUNT MAMKEER SIGNATURE ;1 I. gt}: ea? 4: gin-:1 .r rap ?Hi a '3 revved- hJL3-ru'. StateFar?m 3&2 State Farm Payment Plan "Dam - PO Box 44110 Notice of Payment Due Jacksonville FL 32231-4110 ?4610 4.4 . git." .- State Farm Payment Plan: AT1 .009325 0006 Accountholder Name: POLLARD, DERIONNE JONES, POLLARD, Total Amount Due: $273.69 a - Due By: February 20', 2015 A Agent Mark Spiteie 11001 Fingerboard Rd Ste Monrovia MD 21770?9011 Phone: 301?082-4101 Important "a We appreciate the way you consistently pay your account. -- State Farm? cares about the security of your information. We have recently enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account online or call into our contact center. - Changes and payments made after February 2, 2015 will be re?ected on a subsequent billing notice. 1004429 143163 202 12-05-2014- o_ It you have any questions or would like to discuss other State? Farm products, your agent is ready to assist you. Thanks for letting us serve you! Lena?.3. wan-a. EFL 2- 21'- ?mmWr-? 04" SFPP Account 1090761021 Page 1 of 2 . Prepared February 2, 2015 Mobile '59- Download our PodtetAgent app .- 65 Online PC or ??ng mobile devices Power To Pay "our. Way State Farm Agent if you have moved, piease contact your agent. Accountholder: POLLARD DERIONNE Account Number: insurance Support Center PO. Box 588002 . North Metro, GA 30029-800 Ahiount Due: $273.69 Please pay by February 20, 2015 Make payment to State Farm SFPP Bill $273.69 - 0410 For Of?ce Use Only 3?98' 0'5 M. .1 1:14 IL .OFFICE OF BUSINESS SERVICES - ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM 1l ?3 5; Note: This check request paJa-rtentfom may be medfor reqrtemfor memberships dries, subscriptions-1 year. employs reimbursemean over $59. can?erence and not retated to EAP, contracted sem?ces under$1500 inctuo?ng Consultants and Hanomn'um payments. A completed W-Q fonn and conbactmus! be attached to alt contacted sem?ces. Conbacted sem'ces ovar$1500 must be forwarded (a Promrentent with a long 319 form and contract Print end complete of?ine o_r complete oniine and then print. send thecamnleted form to Accounts Pavabie. NIKE 230. Payment Requested for: [RequtredAttachmenm (I) O?gfnn! Invetce/Recet?pts: f' 2 ,t a cengnteted a? new vendors] PAYABLE TO: DeRionne P. Pollard -v . 04/02/15 VENDOR EMPLOYEE - ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE (inciuding zip code) CHECK AMOUNT: $114.31 EMPLOYEE tact: VENDOR FED Membership El Subseiption Consuitant El ConfererncetRegistra?on-Non EAP Hcmra?um Employee Reimbursement 1?year: only . I NO HILL ee non: i Contractual reimbursement; invoice attached. March 2015. CD 3.1. 2:ACTIVITY sri ..- FUNDING INDEX FUND ACCOUNT PROGRAM CODE 51:61 11 4 . 31 can; 3 St Tm: g2 El HOLD CHECK Hail Check Mail Owe-ck send Cm I Tetal $1 1 4 31 CALL Elt- 71795 to Payee to Department. SPECIAL INSTRUCTIONS: DeRionne . Pollard 2' - Suzanne Redding REQUESTOR NAME EXT. ACCOUNT MANAGER (PRINT . - Office of the President A .. DEPARTMENT NAME (Please Type} SUPERVISOR APPROVAL [AEcoum MANAGER SIGNATURE Past Due Notice State Farm Payment Plan PO Box44110 . Jacksonville FL 32231?4 1 10 POLLARD, State Farm PaymentPlan: 013512 0006 1099-7616-21 20-9A4E Accountholder Name: POLLARD, Total Amount Due: $547.38 3 Due By: March 20, 2015 r3- I Agent Mark Spitaie 11801 Fingerboard Rd Ste Monrovia MD 21770?9011 Phone: 301?882-4101 I important Information. State?arm? cares about the security of your information. We have recently enhanced how customers are veri?ed, You may be asked newguestions to verify your identity when you access your account online or call into our contact center. 9 Changes and payments made after March 3, 2015 will be re?ected on a subsequent billing notice. I- if you?irave any questions or would like to discuss other StateFarm products, your agent is ready to assist you. 1004429 143163 203 01-30-2015 letting us serve you! .. ens-easel; ?v - .. - r. has?" ?WE??mm Prepared March 3, 2075 SFPPAccoun I Pageiof2 a Mobite . Download our .t Podtet Agent app - GallyourAgent: 3101-8824101 . a Automated Line: 1-soo44ooees PowerTo Pay Key code: r54o4ros44 YourWay it you have moved, please contact your agent. Erase Earns? Accounthoider: POLLARD DERIONNE SFPP Account Number: insurance Support Center P.O. BOX 588002 Amount DUB: North Metro, Please pay by March 20, 2015 Make payment to State Farm SFPP Bill $547.38 0408 For Of?ce Use only 14112 r- i OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM 3003(005} A completed to Pronnemenr with tong requisition. HiP?erm and connect. Print and complete of?ine 9; comptete online and then print. Send the comoteted form to Accounts Pauable. HIKE 230. PAYABLETO: Dr. ADDRESS LINE 1 Note: This check request morenrfem: may be medfor reqnemfcr membership: dues, subscriptions-1 year. reimbursements over $50. conference and registrations not related to EAP, contracted seMces under $1500 Including Consuh?ents and Honoran?um payments. W-Q form and contract must be attached to at! contracted services. Contracted services over $1500 must be fomarn?ed Payment Requested for: [RequiredAttochnrenm (I) Origtne! 2 0 completed of} new vendors] DeRionne P. Pollard DATE: 04/02/15 VENDOR EMPLOYEE ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE (including zip code) CHECK AMOUNT: $1,040.56 EMPLOYEE . VENDOR FED CI I Hembership El Subsu-iption CI 1 a: only Honoran?um Employee Reimbursement N0 it"IlI SE PEDEURSE: US TIFICATI ON: Reimbursement of car payment for Infiniti JX35 $798.90; Gasoline expenses - $24 66 . . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $798.90 ,$241.55 leGmk 'Dtm?md CALL Ext. 71795 to Payee to Bepartment SPECIAL INSTRUCTIONS: I DeRionne P. Pollard REQUESTOR NAME EXT. ACCOUN . . . Lr/l/rs Office of the President DEPARTMENT NAME (Please Type) sueentdeon APPROVAL MANAGER SIGNATURE Stephen D. Cain ANAGER NAME) x7 CiteIr:- ?1 on 213' 3 tom 2: :27: r31 mn- -: mmg?mma. .. Current Rent Amount Total Amount Due Payment Due Date To avoid a iate charge of'i2S?lou before 03/27/2015. r?payment must be received ACCOUNT INFORMATION BILLING SUMMARY Statement Date February 18, 201s Description Amount Tax Total Automated Response 24 hours; 7 days a week Agents Availabie Monday a Friday 7am?7pm CST Mail Payments to: Infiniti Financial Services PO. Box 90011.33 Louisville, KY 40290-1133 Miscellaneous Fees or Charges May be Sent to: Infiniti Financial Services P.O. Box 660577 Daiias, TX 75266-0577 For Correspondence Only: In?nitiiFinancial Services Account Number Last Transaction Amount ?$798.90 Last Transaction Date 02l1 1/2015 Payoff Amount $34,284.71 .Payoff Amount Good Until 03/10/2015 may not include applicable saies tax. You can obtain your actual payoff amount and instructions on-iine at infinitifinancecom or by ceiling Customer Relations. CONTRACT INFORMATION The payoff estimate above is for informationai purposes only and? PD. Box 660360 Dallas, TX 75266-0360 izninv si-Ivict' and kit a [Imam in win' CINE Ol? THan OWNERSHIP ON US Contract Date Vehicle Description Vehicie ID i 1 06/01/12 swam-TI 3x35 Maturity Date 1 11/15 . if APR - ., ,u?r ?Huts..- i. infinitiUSA.commwner?venl 'liU PURCHASE [Ll HRH-3 l'ili WIPL tr?r Maw lei?:3 .1: - mm: 13.2.7; Go Paperless and Enterto - . Win a $500 Gift Card Log in to in?niti?nance.com to go paperless and enter to win He pom-user 05 ed. See 0m rial sures ates rules for linwid ween: pron?: ed. Infiniti Financial Services? P.O. Box 660360 Daiiasr Texas 75266-0360 513' >00377 5024337 002 003143 Please detach and return this coupon aiong with your payment 0037? 5024337 000380 000755 00001700001 8900 Freeport Parkway Irving, Texas 75063?2438 Customer Name DERIONNE POLLARD Account Number Payment Due By 037117101;3 Total Amount Due 793.90 . r11: Amount Enclosed ifs: Changes? If you are making change?iojyour address. shack ihe box al [oil and reverse side. . 2531 so MAIL PAYMENTS To: :fiCj Infiniti Financia! Services Lrg?}: .. PO. Box 9001133 (.0 Louisville: KY 402904133 ?lm I Dr. DeRjonne P. Pollard Gasoline Expenses March 2015 ?'eceiprs attached) ?$54 I EQEE 5? r?-rf. r15 H.113 m0 f; 5151 g? SS 5 a SHSL - ,?vms?sma SUHUCU RUIHTDH un 21545 HENDERSON CDRH .., . HD 53/131523: 2:1 39 PH maqu 2525335585 SW TID: BS ?m we HUHGERFURD 5 DEBIT HUCHUILLEJIDZOBSB PUHPE TEPEBDDH 31 WW: 135m 9233 14 a mu- asxasxaa15 17:22:15 esrnu1516:suna . FUEL 39.1? 13 Pumpn: 2 GRHDE PUL I t-Ult? Pure 15-439 Sui-total 1 25.19 "c ta" PRIEEKGHL 2.799 gang 1h?53 FUEL SALE 5 45.91- "111 $nm1 2?89 rm i=5 935513 SEQ 955115 - . MLSU CREDIT FIGfHonor Saw wtpy Instantly Shell when you 1 - - - earn 188 pomls .l Kroger. - ?333%?th UIS . up a Egoch'ttr? a: ?01.11; local Shell 1 Trans? 362596 ?r?me 83?5' . ?pproual? 553520 . SF95915291DG2 HERIH Sou FDR RUUR BUSINESS wig/if .. [aria/?61 Dr. DeRjonne P. Pollard Gasoline Expenses March 2015 (receipts altached) c: '13 4,1. 1:1 :43 11:3, 333'? 5352231 to ?31 in 3 '33 41545 HENDERSON CORN 55354HT55H 53 3184B HENDERSON 553? PHDHE 33515335535 PHONE 3331 33335 334145 5335535 EDEN TID: 55533414551 53 334145 PHONE 33515335535 DEBIT 53 STORE 334145 3 55533414551 53 TEPE 331333 3 353 33533 ?3353*3333*332 . 63/29/2615 aa:2s=sa .5553 33555 35 553 3 Pg?gE PUL 3 Pump 3 53/13/3515 15:35:13 15.4g3. 55355 PUMP 3 3 3.533 15.333 GRHDE PUL FUEL 33LE 5 44.13 FUEL KGAL 3 3.533 13.134 .3949?5 SALE 3 43.45- 3 3.533 . APPRUUED B51935 TERM SEQ 913T15 FUEL 35343 TERH 938533 35533355 513433 FIGf?onbr TERM 555?3 333354 3?72? (Mg/?73- 435294: 35 OFFICE OF BUSINESS SERVICES . ACCOUNTS ENABLE CHECK REQUEST DIRECT PAYMENT FORM Now: This check may be medfor requemfor membership: dues. employee reimbur?mem: over 5?50. con?mnca and reglsbabbns not related (a EAP, contracted SEMCES undar$15001ncludfng Consultanls and Honoran'um pa ymenis. A mmpfeted W?s fonm and con?raCfmust be attached to at! con?acfedsewfces. Contractedserwces over51500 must be {awarded to Proarremzm with a fang reqm?n?m W?fom and Print and complete offline complete oniine and than prinL Send the comnleted form to Payable. NIKE 230. Payment Requested for: [Required Attachments: (1) Origina! Invoice/Receipts.? (2) a magni?ed W-9famfor a? new vendors] PAYABLE T0: Dr. DeRionne P. Pollard DATE: 05/08/15 VENDOR EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2 EMPLOYEE ADDRESS LINE 3 VENDOR FED [Dill . (including zip code) . - CHECK AMOUNT: 847.23 Membership El Subsaip?on Consultant ConfereanRegistratiorENon EAP Honorarium Empkwee Reimbursement 77-35? (-35 RISE 33? PURPossuuanCAnou: Reimbursement of car payment for Infini ti JX35 $798 . 90; Gasoline expense 348 . 33 . . ACTIVITY FUNDING FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 798.90 48.33 .xs?ff Th? 3 E1 HOLD CHECK El MaIICheck D'Smd am We? 847 - 23 E?t- 71795 to Payee Department SPECIAL INSTRUCTIONS: DeRionne P. Pollard 1 Stephen D. Cain REQUESTOR NAME ACCOUN MANAGER (PRINT MANAGER SIGNATURE Office of the President DEPARTMENT NAME (Please Type 3'34 R2013-NBRE f, BILLING SUMMARY Statement Date Description . Total Past Due Amount $798.90 Current Rent Amount . 798.90 Total Amount Due 1,597.80 Payment Due Date If prior past due billing has been mailed please accept our thanks. i ACCOUNT INFORMATION Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 7am-Ypm CST Mail Payments to: Infiniti Financial Services PO. Box 9001133 Louisville, KY 40290-1133.; he raw-r Miscellaneous Fees or be? Sent to: in?niti Financial Services PD. Box 660577 $4,735 Dallas, TX 75266v0577 For Correspondence Only: Account-Number Last Transaction Amount 413798.90 Last Transaction Date 02/11/2015 Payoff Amount $34,425.88 Payoff Amount Good Until 04/10/2015 The payoff estimate above is'for informational purposes only and may not include applicable sales tax. You can obtain your actuai payoff amount and instructions onhline at infinitl?nance.com or by calling Customer Relations. CO NTRACT IN FORMATION Contract Date Vehicle Description Vehicle ID Maturity Date - 06/01/12 3X35 l?ii'ilfi 8 Zili? 14 Infiniti Financial Services 1:32;. P.O. Box 660360 .1 Dallas, TX 75266-0360 2015 @0306? Appreciation Event tniuy servitu- anil I-niei lur ILliEIlitl' In win? OF THREE OWNERSHIPON us $7.800 RiTAll El: CARDS lniiniliUSA.can1/0wneiEveni ENEH 5min Go Paperless and Enierto Win a $500 Gift Card 'Log in to ln?niti?nanca.com to go paperless and enterto win lin- purrhase required. See n?irlal anemia has rule: for details. Void virtue pmixlbilod. Please detach and return this coupon along with your payment Tnfiniti Financial Services? I i i i PO. Box 660360 Dallas, Texas 752660360 a fit is,? a i; F5. 7- 52:13:. 3m: tag: can n?aEa? 7725.: - A I i?h?f-W >00995 5125658 002 008143 DBSTELL DERIONNE POLLARD 00995 5126550 000993 001992 0000?! f00001 8900 Freeport Parkway Irving, Texas. 750632438 Customer Name DERIONNE POLLARD Account Number Payment Due By 04/11/15 Total Amount Due 1,597.60 Amount Enclosed I . I: Changes? ifyou are making changes in your addresa, check the box at tell and compleie the reverse side. MAIL MONTH LY PAYMENTS T0: Infiniti Financial Services PO. Box 9001133 Louisville, KY 40290-1133 Dr. DeRjonne P. Pollard Gasoline Expense I 5 (receipt attached) 3E5 EHTERPR. F334137371331 971 QUIHCE 9333439 GAITHERSBURG, MD 33333 3431333313 535913313 333333333333 3 i543 PDLLARD HDERIDHNE P3 53 INUDICE 331333 {39 M1 RUTH 377331 53 11 3% :f Supreme 15 a. 594G PRICEHGAL $3.399 53$ - FUEL TOTAL- 43433 . 53% CREDIT 3 43.33 3% 225% . Iustoue: activated Purehase/Eapture Site 3: shift Number 1 Sequence Humber 23859 3} OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE . CHECK REQUEST DIRECT PAYMENT FORM 3 0 0 (her 1; Note: Hits check may be med?'rr reqrrests?r members-tan tines. emptoyee reimbursements over $50, conference and registrations not retated to EAP. contracted services under31500 Inctuc?'ng and Honorarium payments. A comptered w?9 form and contract must be attached to att contracted services. Contracted services over $1500 must be forwarded to Procurement with or long H19 )brm am contract. Print and complete of?ine 9; compiete ontine and then print. Send the completed form to Accounts Payabie. MKE 23D. Payment Requested for: [RequiredAttoc-hnrents: (1,1 Ortginot Invoice/Recaps; completed H?-9?rnr?r at} new vendors] PAYABLE TO: DeRionna .P . Pollard - DATE: 05/08/15 VENDOR EMPLOYEE EMPLOYEE non: ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE {including zip code) CHECK AMOUNT: $1 1431 VENDOR FED Membersz El Subscription Consuitant [j CmferencerRegIstratiomNon EAP Honouan?um Employee Reimbursement Z-UEEJ: 07.1" I 3.75 29.): 53:32 SEE TION: . Contractual reimbursement; invoice attached. April 2015. ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $114.31 .f-H?h "n .5 4 . -1 HOLD CHECK Mal] Chedc tdathhed: [3 Send Amthments with check T?tal $11 CALL 31'3- 71795 to Payee to Department 592cm INSTRUCTIONS: DeRiOnne P. Pollard I Suzanne Bedding REQUESTOR NAME EXT. ACCOUNT MANAGER Office Of the President DEPARTMENT NAME (Please Type) APPROVAL r313 LJ stagger-fares r. of} ?ts? it tics. St! P: ?was. I an [Date . gore Notice of Payment Due I 071?:ch 1 "r . 004720 0005 D, DERIONNE 0101-1000 Information e. . A. . 1004-429 143163 203 01-30-2015 Thanks for letting us serve you! SFPP Accourtt 5 Power To Pay Mobile Your Way Dmynioad our PecketAgentapp an is; mobile devices . rue gtateser-at Accounthoider: POLLARD, DERIONNE SFPPAccountNumber: Amount Due; $273.69 Please pay by April 20, .207? 5 Make payment to State Farm Due By: if you .heVe any questions or woutd like to discuss other State (Farm products, your agent is ready to assist youE-E. Page 1 of 2 State Farm Payment Plan: Acoountholder Name: Total Amount Due: .f 1.7% Cal! your Agent: 301082-4101 1, Automated Line: Key node: 7541112315 2: POLLARD, JNES, $273.59 - April 20, 2015 - Agent Mark Spitale 11801 Fingerboard Rd Ste Monrovia MD 21770-90?it Phone: 301082-4101 'State Farm? cares about the security of your information. We have recently enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account online or cell into our contact center. Changes and payments made after April 3, 2015 will be re?ected on a subsequent billing notice. fin-J C225 a: r: I -u than lM-w L. . ,4 .44: C- c: 21, 7" . Fara: ~33Prepared April 3, 2015 Walk In See your 7: State Farm Agent If you have moved, please contact your agent. insurance Support Center Box 588002 North Metro, GA 30029?8002 Cor Of?ce Use Only -'4954 SFPP em 0608 $273.69 DOOQBQEZ OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE - CHECK REQUEST DIRECT PAYMENT FOR Note: This check mquesrpagrmem?m may be medfor requests-for memberships due; empfoyee reimbursame over $50. conference and registrations no! related to EAP, contra cred services under $1500 Inclu?ng Consu?ants and Horloran?um paymenfs. A completed W-9 form and contracf must be a?ached to con?actedser?oes. Con?acfedservfces ovor$1500 must be forwarded to Prowremeor 1m}: 0 {orig requisition. W-P?am and contract . Print and complete offline 9; complete onlino and then print. Send ihe compieted form to Accounts Pavabie. MKE 230. Payment Requested for: [Required Attachmenm Original InvoicefReceipLs: 2 a completed Wa9fom1for of! vendors} .PAYABLE T0: Dr. DeRionne p. Pollard DATE: 06/09/15 VENDOR EMPLOYEE ADDRESS LINE 1 EMPLOYEE M20323809 . i ADDRESS LINE 2 ADDRESS LINE 3 a. I. . . VENDOR FED ii (including zip code) . CHECK AMOUNT: $1,005.26 . Membership Subsu-iptlon ConferenceJRegIstmtion-Non EAP CI HonorarIUm Employee Reimbursement 1?year only NO 143 WILL BE REIMBUREED TIFICATION: Reimbursement of car? payment for Infiniti Jx35 $798.90; Gasoline expense $20 6 . 36 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT HOLD CHECK Mail Check Mail Check send med; Tetal 1 Q05 2 6 CALL 71795 to Payee to Department DeRionne . Pollard 717? 9'5 Stephen D. Cain REQUESTOR NAME . EXT. ACCOUNT MA7AGER (PRINT NAME) Office of the President I DEPARTMENT NAME (Please Type) - APPROVAL SIGNATURE . 0 1:5 PM: BILLING SUMMARY Statement Date April 20, 2015 - . 0007;13:111er To avoid a late charge ofIEES?yiryoir? aymeht must be received before 05/27/2015. 1 Accounlr IN FORMATION Description Amount - Tax Total Current Rent Amount .90 I a - easel? it?; Total Amount Due sm$ 79 .90 Payment Due Date -05 [15 Dale Account Number Last Transaction Amount -$798.90 Last Transaction Date 04/10/2015 Payoff Amount $32,966.48 Payoff Amount Good Until 05/10/2015 The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on?line at in?niti?nance.com or by calling Customer Relations. CONTRACT INFORMATION Contract "ma 01/ 1 2 Vehicle Description issue 005 la Vehicle 10 i i. Maturity Deiltei'fa'AI - 09/11/15 'l my ?ha a 5.0000? D. ?90 Customer Relat Automated Response 24 hours, 7 days a week Agents Available Monday Friday 7am-7pm CST Mail Payments to: lnfiniti Financial Services P.O. Box 9001133 Louisville, KY 40290-1133 Miscellaneous Fees or Charges May be Sent to: Infiniti Financial Services P.O. Box 66057? Dallas, TX 75266-0577 47' ?Eii\_ an: RE. - a ?543 if": i For Correspondence Only: In?niti Financial Services PO. Box 660360 Dallas, TX 75266?0360 M. 3 GET THE 4TH TIRE FOR inn}. on? 04310510? only: (?fin-1t reels. rm 3! h: um}: [Jrh??b :1 ?(has no: Hrr?. Is cakes?;- apple: ably: lid r-?lld w: Alt-d r: Wei hr (at bra-d :vrn' M111 lull-0n I1: we: 011- TI ?Eli'- Imr no {4'91 =1 [anus-.010; til-134$ I'mr-rmu union; is?: n] no man- 1m? 09., :m all. at 0:331 mink ?rm. 0 rim-ill Hulls: knulz?gh El! friar- Irl-Ers'hl UN in brasllu- :?lrl am menu rm 00' In? warm-ale. all new twill-:00 In mam-rs wreath Dr Immi- I-?r MW Inst nag-{gall Mina] inn-41w highw- my; mu Liar. mummies tit are?my? I 01.1 km! Mm?i?J?l 1.. on:- one rule: I rev: th- anemone of lor luv-Ewe Go Paperless and Enterto Win a $500 Gift Card a - Log in to ln?niti?nance.com' to go paperless and enter to win N0 ruldeaI-o rEqul ed. See olntlai gamma; I islet ?all! what: pull-L! l?ed. - is Please detach and return this coupon along with your payment 53 r?c Infiniti Financial Services? i 1- PO. Box 660360 Dallas, Texas 75266?0360 INFIN a01026 5213582 002 008143 DERIONNE POLLARD 01026 5213505 061023 32054 0000000001 or} 8900 Freeport Parkway Customer Name DERIONNE Account Number Payment Due By 05/11/15 Total Amount Due 798.90 Amount Enclosed L5 El Changes? If you are making changes to your address, check the box at left and opmplele the reverse side. MAIL PAYMENTS TO: In?niti Financial Services PO. Box 9001133 Louisville, KY 40290~1133 I 3656 El'iggs Ehaney ?uad Silver Spring 16 26966 MC LEDD SUNS, IHU SPRIH, MD 1 . nu +19? 34?; v; H: g; EHUDICE ua?196 q-E 11 1; SLpteme l15.5f 7 $3.17, ETFUELJEQTQL H9.86 49-86 6; . u?h_uu . E4. Purchase/Eapture If 2:2556; ?i_?i??xrlw3?g Dr. DeRjonne P. Pollard Gasoline Expenses May 2015 (receipts attached) -ELEUEH MD inHE TURE #34143 to: 89873414391 1 EBIT :cr TYPE 92338 93 353 i/34/2815 IHDE PUL 17,95 - 3.93, IEL SHLE 51,; 333353 SEQ #-933354 IG/Honor J. SUHOCU 019486f600 L324272796901 19235 ROAD GERMANTOWN MD 20876 05/14/2015 666415636 0?:41:20 PM VI P0 IH AU PUHFE ULIRA CR 63.344u PRICEJGAL $3.049 ?wry 40 69 Total TEEPIT 33039 i6??6666f56?65??f 'nlchase/Capture eguence Number 3 30 PPRUVED 079874 ii; a; g; E: ?u?qgiift'F Dr. DeRjonne P. Pollard Gasoline Expenses May 2015 (receipts a?ached:?uwa UHHIJUEIU HUM HUMMSHUM: 0H3 HIGHER SHH J0 1313?: 3H 5W3 Hm?: EN 55"] 335115 _11%ai?pxn 5131 saluhdi_saax . 45:2 54.: -AKE exxun a ca??wnsu 443 FREDERICK nus -ITHERSBURE HD (391) 999-494- code is 48358 txpires 5/81 3 #51 5 31K WELCOME DATE 131531213115 1 FDREST I - - 25=1125331551 r. . PREM- mp EHUIWS: 11 ?L?fgxaals 735319 PHLEXE 1,113.11. DEBIT 1 CE 5431 57 Primal-y 1.1 i: 4 357955 Pluth. 295338 ?5'13Heap Etude: Term ?Jwg?g?ES BEFURE Stan meaumr? game. Trace 11': TUTAL 17 ..thL9: 9REMIUH HASH SUE 19.aa 37 nmar-vantiuated PurchaseXBapturl ?2 Eff 3:13; imaber 1 - :9 Number 5?145 E4 Buy Car Hash Today and (B-t?f #Glf? Save 18 Cents Per Gallon at the Pump 23:: a 3 5 :5 Quur car ua? a; . paJr? elf [13325113199 2 OFFICE OF BUSINESS SERVICES CHECK REQ UEST DIRECT PAYMENT FORM A completed to Pmrrentenr with a long reqrsisfrfon, and comma More: This check requesrpaynenrfarm may be usedfor membership regisgra?ons not related to EAP, contracfed services unders 1500 Including Consulfanrs and Honoran?um payments. form and contra of must be attached to connected sem?ce's. Contracted services overS?fSOO must be foma rded dues, employee refmbursenmm over 350. conference and - PAYABLE TO: I _DeRionne P. Pollard Pn'nt and compiete of?ine 91 compiaie unIIne and then print. Send the comnleied form to Accounts PavabIe, MKE 230. it? I a we Payment Requested for: [RequiredJ-I?achmenm (I Originaf lnvoicefReceers: (2) a compIerea? W-?fonnfor new vendors} I DATE: egos/1439;; s?wum Hm ADDRESS LINE 1 El VENDOR EMPLOYEE ADDRESS LINE 2 EMPLOYEE M013: ADDRESS LINE 3 CITY-STATE VENDOR FED (Including zip code) CHECK AMOUNT: $112.13 Hembe?hip El Subscription El Conwitant El EAP El Honorariurn [3 Employee Reimbursernmt 1?year only Ho 11:: HILL BE 123135303535 Contractual reimbursement; invoice attached. May 2015 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $112.13 HOLD CHECK Hail Check [3 Mali Check Send Attachments . I T013511 $112 - 13 Ext? 31755 to Payee to Department SPECIAL IR STRUCTIONS DeRionne . Pollard 71796 ?lzanne Redding REQUESTOR NAME EXT. ACCOUNT MANAGER Office of the President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL I v? (?If a, v: imp-(M? Cit-i ?vr? :1 ?If?{fie . f7?, BeesState Farm Payment Pie-n Path A . ww\ PO Box 44110 . .. I 3 61L i Notice of Payment Due Jacksonville FL 32 231?4110 a i State Farm Payment Plan: AT1 0:224? 0006 10993-761621 20-9A4E Accouniholder Name: POLLARD, DERIONNE D. DERIONNE - Total Amount Due: it: ?g (ii .3 Due By: not: 09201., m- m? Agent Mark Spttaie 11801 Fingerboard Rd Ste Monrovia MD 217709011 Phone: 301?882?4101 3 Information State Farm? cares about the security of your information. We have recently enhanced how customers are veri?ed. You may be asked {is-new questions to verify your identity when you access your account ontine or cail into our contact center. j; Changes and payments made after April 29, 2015 wilt be re?ected on a subsequent notice. tf you have anyouestions or wouldiike to discuss other State Farm products, your agent is ready to assist you. 9 Tiffhenks for letting us serve you! Page 1012 Pre??red April 29, 2015 Dot-mined our Ontine mess PCor Mobile .1 I lTIO'Dile de?ces Power To Pay . Your Way DERIONNE leg! - I lam ~s Siege Accountholder: POLLARD SFPP Account Number: AmOunt Due: $271.51 Please pay by I?ey 2?0, 2ch Make payment to State Farm . it?lease foid and tear beret . Cali yourAeenti 3013524101": I Automated Line: 1-800-440-0938}; aches. "its; Key cede: t541622764 - Insurance Support Center PO. Box 588002 I North Metro, GA 30029-8002 For Of?ce Use Only SFPP Bill Account Summary I Billed $273.09 Last Ampunt Paid APR 20, 2015 273.59 9- 4 Current installment . 268.51 . A service Charge 3110 Total Amount Due By MAY 20. 2015 $271.51 5 Policy Details Policy.Number Descriptibn Installment 8: Current Changes Amount 145 2012 HONDA installment $80.47 145 2013 9* installment $112.13 - its Change in v?hioie rating group for comprehensive coverage. Vehicle safety discount changed. 20-BL-8235-B PERSONAL UMBRELLA - he installment $12.83 250000 SELECT TERM - 20 installment $63.08 JONES, ROBYN A When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you wiil not receive your check back from your ?nancial institution. 1 SFPP Account 1099?7616-21 Prepared April 29, 2015 Page 2 of 2 sesseesesse . . .u ?1 . 1 - Luf-z. ,pf'i" - - 71.172.333.54: 5733' case's-T'Ni'b- OFFICE OF BUSINESS 1 ?7 ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM :5 0 L39 tr; Note: This dred- request payment form may be tseo??r reqrresrs?n- membeth dues. enrpt'o?e reimbursements over-$50. conference and registrations not retated to EAP, contracted services under$1500 tnctuc?ng Consultants and payments. A comptered W-Q form and contract must be attached to all contracted services. Contracted senn?ces over$1500 must be forwarded to Procurement "with tong IP19 fonn amd contract. Print and compiete offline 9; complete oniine and then print. Send the com?Dieted form to Accounts Paueble. MKE 230. Payment Requested for: [Requtred Attachments: (I Original trrt?ofcer?ecenitt.? 2 0 completed H?-9fonnfor at! new vendor-I} PAYABLE TO: Dr. DeRicnne P. Pollard DAT-E: 07/0 9/15 Cl VENDOR EMPLOYEE ADDRESS ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE (including zip code) - 9 CHECK AMOUNT: 1,016.85 EMPLOYEE VENDOR FED [3 Membership [3 Subscripticm Consultant EAP chorarium Employee Reimbursement 1-year only I NO TAX WILL BE TIFICA TION: Reimbursement of car payment for Infiniti Q70 $849.00; Gasoline expense - $167.85. FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 849.00 167.85 CI HOLD CHECK Ma? Check Man Check [3 Send Mammy?; with T?tal Ir? 1 0 1 6 :35" cm Ext: 71795 to Payee to Department SPECIAL INSTRUCTIONS: Michelle T. Scott Stephen D. Cain UNT I If/ . efjee?w (for) DeRicnne P. Pollard Office of the President DEPARTMENT NAME (Please Type) \Hh??r?x SUPERVISOR APPROVAL MANAGER 5 uh Li?? y15 IA Buck DM Ma R2013-NBRE, INFINITE ff BILLING SUMMARY Statement Date May 31, 2015 Description Tax Total Current Rent Amount at! 9.00 Total Amount Due AW 3 8419.00 Payment Due Date 1'15 gasp?=2 To avoid a late charge of $25, your payment must be received before 07/05/2015. 5 ACCOUNT IN FORMATION Account Number $349.00 Last Transaction Amount Last Transaction Date 05/10/2015 Payoff Amount . $58,808.95 Payoff Amount Good Until 06/18/2015 The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on~line at infiniti?nance.com or by calling Customer Relations. CONTRACT INFORMATION Contract Date Vehicle DESCFIPEEDH Vehicle ID - Maturity Date/mt: i 05/10/15 JUL. - 9,2015 Cust Automated Response 24 h0urs,_7 days a week Agents Available Monday Friday 7am-7pm CST Mail Payments to: Infiniti Financial Services P.O. Box 9001133 Louisviller KY 40290-1133 i in. Miscellaneous Fees or Charges May??e Sent to: Infiniti Financial Services, - PD. Box 660577 . Dallas, TX 75266-0577 1? For Correspondence Only In?niti Financial Services PO. Box 660360 - - 3 Dallasr TX 75266-0360 . lnrnooucme ,7 l?vCall 1.800.662.6200 for complimentary towingto i i l. the nearesiln?niti Certi?ed Collision Repair Shop". iniiniticoilislonnetwork.com C. is no REPAIR NETWORK Help protect your with an Ellie Vehicle Service Contract Visit your local in?nitl Retailer or ownerslniinitiusa.com/Ellte for delailsl Please detach and return this coupon along with your payment - Infiniti Financial Services? P.O. Box 66:03:60 Dallas, Texas?7526640360 lee-.3: egg-genie 501383 5335297 003 008143 DBSTELL DERIONNE POLLARD 01333 5335297 001388 002??0 0000000001 8900 Freeport Parkway Irvmg, Texas 75063~2438 Customer Name DERIONNE POLLARD Account Number oo;19;15 - Payment Due By Total Amount Due 849.00 Amount Enclosed L5 Ifyou are making changes in youraddress, check the box al Jen and complete the reverse side. Changes? MAIL PAYMENTS TO: Infiniti Financial Services PO. BOX 9001133 Louisville, KY 40290-1133 - ?g.0 ?1800 00 0000 0 13'? MD . uh 05/00/20 2 07:21:4812?l65d 01075 PntLa 1000 0- 125 050T53 15 11 It?: 3.: I 13% FUEL TOTAL 0 30.29 'mtu CREDIT _35.29 4032 3 umhm PPRUVEU 078154 Dr. DeRionne P. Pollard Gasoiine Expenses June 2015 . 31943 HI 3R5UN MD 3 -IRE 4 ?343 .-4: 333334143?: 33 - {#:3353435 1- 7101? TYPE 33? 3333 33333 33 313 3 --3P 5 3HDE PUL I 13.433 3 3.333 EL. 5r 3 43.33 ugpnuuer 333339 .;33 3E3 3 353333 All} fr? 1.7? EUEN 315:3 HEHDERSGH CUR MD PHONE 33315283535 STORE #34143 TID: 33373414331 3% EBIT . ACCT TYPE Dun -REF3 93333 13 334 4 36/36/3315 13:56:53 1 PUMP GRADE PUL 13. $9 3&194 FUEL 9-- RDUED 395393 gig? 9pm 3 Qid?l? 1n Cnrporatian 34 3989331 311 LREDERICH RUHD CHUILLE, MD 853 322/2315 :31:16 PM 5a XDERIDHHE PH UDICE 355354 TH 96933? 9 preme 13.3433 $3.359 EL TOTAL 5 43.83 43.33 Fur0h35E/C??tnre E: 8888680884?35638 Number 1 2000 Nuuber 42544 IFED OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM ?5 {3 I Note: This check may be :oedfor reqnemfor memberships o'nes, InIbscrIjIJIions-lyeor. emplo?e reimbursemean over 356'. conference and registrations not related to EAP. contracted sem?ces under31500 Including Consultants and Honoran'um payments. A completed W-Q farm and contract must be attached to all contracted sem'ces. Contracted services overSfErGO must be fomarded' to PmnIrenIeanI'tholong requisition Hi?fonnondconn-ocl. g' I Iraq, .Hj Print and comple?e of?ine 9: complete unline and ?hen print. Send the comnleted form to Accounts Pa?rable. MIKE 230:: if t1: I I 3 ?We Payment Requested for: [Required Attachments: (I Original (2) or completed HCSIfoml?Ir new vendors} PAYABLE TO: DeRionne . Pollard DATE: VENDOR EMPLOYEE - ADDRESS LINE 1 EMPLOYEE Mth: ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED (including zip code) CHECK AMOUNT: $124.91 Membership Subscriptbn Consultant El CmferaxelRegistra?owNon EAP HWrium Emponee Reimbursement I 1-year only I NO HIEI. BE REDEURSEE TION: Contractual reimbursement; invoice attached . June 2015 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT I $124 . 91 I 9 - HOLD CHECK Ma? Check Check [3 Send Attachments with Check T?tal Ext- 71795 to Payee to Department SPECIAL DeRionne P. Pollard Suzanne Redding REQUESTOR NAME EXT. ACCOUNT if} AFER (PRINT NAME) I - . Office of the President . . r" DEPARTMENT NAME (Please Type} SUPERVISOR APPROVAL Mom SIGNATURE .gr/ . . 7? .5- x; it, {fat :Lgl? 3313,? tr, -- tacos ti State Farm Payment Pia-n ?a 3 r?f?uw TL. max? PO Box 44110 Notice of Payment Due Jacksonville FL 32231-4110 {Daxei I areState Farm Payment Plan: "i Accountholderixiame: nun-u ammo-r ?mm?I'M AT1 013241 0006 POLLARD, a .. . Total Amount Due: $334.17 -- 3 Due By: June 20, 2015 as a t. Agent Mark Spitaie 11801 Fingerboard Rd Ste Monrovia MD 217709011 Phone: 301-882-4101 Important Information 0 State Farm? cares about the security of your information. We have recentty enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account oniine or call into our contact center. e. I Changes and payments made after June 1, 2015 will be re?ected on a subsequent billing notice. if you have any questions or wbuid like to discuss other State Farm produbte, your agent is ready to assist you. 1004-429 143163 203 01-30-2015 Thanks for us serve you! Page 'i of 3 I. Prepared June 1, 2015 Account Gait yourAgent: 301e02?4101 Watt: In Power To Pa}! Unline Mobile I Your Way PC or 5: Download our '4 Automated Lino: 1-8004400990 5' See your mobile devices Key code: T542223259 State Farm Agent Pocket Agent app if you have moved, ptease contact your agent. t" . I: IET: r3: (siege-l r?L - - 7 and?Wg, a: s? . Accountholder: POLLARD, DEREONNE a JONES, insUrance Support Center SFPP Account Number . Po. Box 588002 Amount Due: 5334 1? . North Metro, GA 30029?8002 Ptease pa ?Sf June 20. m??Wm? Make payment to State Farm For Of?ce Use Only SFPP Biti $334.17 0808 013851 Account Summary $271.51 :3th - Difference 9.99 - Current installment 291.88 ?3 as Policy Changes 39.29 Seryice Charge 3.00 4' Total Amount Due By JUN 20.2015 $334.17 Poticy Details Potioy?Number Description Installment 8 Current Changes Amount 2015 9' lnstatlment $91.08 . ts?- Rattng Change - Change of vehtcle. Vehicle safety 17.65 discount changed. Difference in premium from the effective date of the change to the current due date is included in the total amount due on this bill only. 145 2015 ta installment $124.91 Rating Change "Change of vehicle. - Difference in 21.64 premium from the effective date ofthe change to the current due date is included in the total amount due on this biti only. PERSONAL UMBRELLA installment $12.83 When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaclion. When we use information from your check to make an electronic funds transfer. funds may be withdrawn from your account as soon as the same day we receive'your payment, and you will not receive your check back from your ?nancial institution. SFPP Account 1099461821 Page 2 of 3 he; 543:4 .. .. ?1 -- Prepared June 7, 2015 .- 3211.3: H. . 3'51!" H?s" eftw?gtc "tri=4. k-a-grL??E. 2? Hovv?d i The things you said you'd ?never? do became the things you never want to be without. Let your State Farm_""? agent hetp protect them. rm OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM 0 2.4/0 Note: This check wgnestpaynentfonn may be :Ocdfor requests for does. subscriptions-tyrant. emptqee reimbursements over S50. conference and registrations not related to EAP, contra cteo? senrtces under $1500 Including Consottents ano? Honoran?um payments. A compteted W-Q fonn and contract must be attached to alt contracted services. Contracted services overSf?OO must be fonverded to Promremenr with a long reqni?tton. HWfonn and contract. Print and complete o??lina onilne and then print. Send the completed form to Accounts Pavebie. 230. aym ent Requested for: {Required Attachments: (1) Original In'rotcevittecegou; (1) connatetea' Hi9?mr?r 0H Heir vendors] PAYABLE TO: - Dr. DeRionne P. Pollard DATE: 08/11/15 VENDOR EMPLOYEE EMPLOYEE ADDRESS LINE1 ADDRESS LINE 2 ADDRESS 3 CITY-STATE (including zip co?de) CHECKAMOUNT: $945.34 VENDOR FED Membemhip El Subsaip?on Consultant mnfermceJRegistration-Nm EAP El Honorarium Employee Reimbursement lwyear only I No WILL BE TIFICA TI ON: Reimbursement of car payment for Infiniti Q70 $849.00; Gasoline expense $97.34. ACTIVITY FUNDING FUND ACCOUNT PROGRAM CODE GROSS AMOUNT 8 4 9 . 00 97 .34 Krill-h I HOLD CHECK Mail Check [3 Mail Check Send Attachments with chad T?ta1 Ext- 71795 1&0 Payee to Shepartment "yrs-"W SPECIAL INSTRUCTIONS: DeRionne . Pollard '717?96 Stephen D. Cain REQUESTOR NAME EXT. ACCOUNT I . Office Of the President - 1 . DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL ?ccou?R?T MANAGER SIGNATURE . hud- '31" v15 ELBuol-t DM Ma r? . BILLING SUMMARY Statement Date Description June 29, 2015 Current Rent Amount TotalAmount Due Amount Tax Total . memo fg? gee-??gss?oo - - owes. 15 Payment Due Date Date 3l?ll0 is before 08/04/2015. ACCOUNT INFORMATION Account Number Last Transaction Amount Last Transaction Date Payoff Amount Payoff Amount Good Until may not include applicable sales tax. calling Customer Relations. CONTRACT INFORMATION I Ethel? f- To avoid a late charge of $25, yclur payment must be received .-. ~$849.00 06/1 9/201 5 $58,121.79 07/18/2015 Thepayoff estimate above is for informational purposes only and' You can obtain your actual . payoff amount and instructions on-line at infinitl?nancecom or by Contract Date Vehicle Description Vehicle ID Maturity Date lice of the Preid I 05/10/15 Account Manager Account/Ea Numbermm??r Customer Rel Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 7am-7pm CST Mail Payments to: Infiniti Financial Services PO. Box 9001133 Louisville, KY ?40290-1133 Miscellaneous Fees or C?arges Maylbe Sent to: Infiniti Financial Services - If. P.O. Box 660577 Dallas, TX 752660577 For Correspondence Only: Infinitl?nancial Services' . P.O. Box 660360 Dallas, TX 75266-0360 60 Paperless and Enterto Win a $500 Gift Card Log in to inflnitifinancemm to go paperless and enter-to win tier Cali1.80o.662.6200 for at? complimentary towingto 1 l. the nearest in?nili Certi?ed .7 or a: 5-: r: Collision Repair Shop*. in?nilicoilisionnelwork.com COLLISION REPMP. NEEWORK Pleasa detach and return this coupon along with your payment t. DERION POLLARD Infiniti Financial Services? PO. Box 660360 Dallas, Texas 75266v0360 01414 5425030 001417 002830 00001l?0000'l 8900 Freeport Parkway Irving, Texas 75063-2438 Custerner Name DERIONNE POLLARD Account Number Payment Due By 07/19/15 Total Amount Due 849.00 Ifyou are making changes to your address. check the box at left and complete the reverse side. Amount Enclosed L5 D?Changes? HAIL PAYMENTS To: Infiniti Financial Services PO. Box 9001133 Louisville, KY 40290-1133 Dr. DeRjonne P. Pollard Gasoline Expenses - July 2015 (receipts attached) 5% HENDERSON en: MD HE 1113815235525 . #34143 .5 TID: 3587341433]. DEBIT 92933 14 352 a a #2815 31:11:34 ii i 5 k~iv PUL 4H5 15.91: ere 4 3.23? 51'51' 818333 SEQ 4 942444 ?4:73555501 :15 555555 .5 ROAD (5551055 . 3x5 331 5015 555457075 :35:42 PM -LARD PA IUICE 029252 fH 05175? r55 13.9255 Icr $3.259 TOTAI 45.50 :tamer~aetlvated _.nchase/Capture iggnce Number OEIZBE OFFICE OF BUSINESS SERVICES 7L i 13 ACCOUNTS PAYABLE CHECKREQUESTWRECTPAYMENTFORM 3oc9g?574 Note: This check may be medfor reque?sfor membership: dues. employee reimbnnenrenfs over 350. can creme and registra?ons not relaled to SAP, contracted services under31500fnCr'udfng Consultants and Honoran?um payments. A compler?d W-9 form and contract must be ah?ached to all contracted services. Contracted sem'ces over31500 must be forwarded to m'rh 0 long mqm?sfnon, HWfozni and contract. Print and complete of?ine 95 compietc cnline and ihen print Send the completed form to Accounts Pep-able. 230. Paym ent Requested for: [Required A Hochmanl-s: (1) Original Invoicev?Recegals; (2) congnlered Hi9?armfor of! new vendors} PAYABLE T0: DeRionne . Pollard DATE: 08/11/15 VENDOR EMPLOYEE ADDRESS LINE 1 ADDRESS UNE 2 ADDRESS LINE 3 CITY-STATE (inciuding zip code) CHECK AMOUNT: $124.91 EMPLOYEE VENDOR FED 1] Membership CI Subsmwon Consuitant ConferenceJRegista?on-Non EAP Honoran'um 1-year only I Employee Reimbursement NO WILL BE RED-.EBURSED PURPOSEIJUS TIFICA ON: Contractual reimbursement; invoice attached; July 2015. . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 12 4 . 9 1 HOLD CHECK. Mai} Check Man med-z Send Attachments with Check I T?ta1 $12 4 9 CALL Ext- $1795 to Payee to Depaxtment R~Wm~ff SPECIAL INSTRUCTIONS: DeRionne P. Pollard Suzanne Redding' REQUESTOR NAME EXT. ACCOUNT MAN NAME). Office of the President A DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL L?j?fcoum mama SIGNATURE . cl if"! -er x? Jun.? ?r - A a xechg//tx/ If," J, 7's! as? w? 3?s. '3 gig?me. State Fatm Payment Plan . Hz"? - ?Emma-M5 PO Box 44110 . Date . cm; Notice of Payment Due A Jacksonvr?e FL 32231-4110 our? State Farm Payment Plan: Accountholder Name: POLLARD, AT1 00620? 0006 OLLARD, Total Amount Due: . $294.88 Due By: July 20, 2015 Agent Mark Spitale 11801 Fingerboard Rd Ste Monrovia MD 21??0?9011 Phone: 301682-4101 lmportaat littoi'mattoa 0f State Farm? cares about the security of your information. We have recently enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account online or call into our contact center. 9 Changes and payments made after June 30, 2015 will be re?ected on a subsequent hitting notice. 0 lf?you have any questions or would like to discuss other State Farm products, your agent is ready to assist you. l004429 l43153 203 01?30?2015 Thanks for letting us serve you! Page rer2 Prepared Jane 30, 2015 SFPP Account Call your Agent: 301-362?4101 Automated Line: LEGO-44040993 f. "?22 Key code: 7542806923 State Farm Agent Mobite Download our Pocket Agent app Power To Pay Your Way If you have moved, please contact your agent. Accountholder: POLLARD, DERIONNE FPP Account Numberlnsurance Support Center P.O. BOX 588002 North Metro, GA 30029?8002 Amount Due: $294.88 - ., . 5 Please pay by gaze go, Make payment to State Farm . Formica Use my SFPP Bar $294.88 0907 I 100525000029488 480109976162?rt1321? 003501 3.: if: 3?4 3:3; '17 out. 2-, . Account Summary 3 . "Esra": "aunt Billed $334.17 Egg-15:1: Eire Last Amount Paid JUN 23, 2015 034.1? Difference - 0'00 31.. tie-?36 Current installment 291.88 $2??ffiggm?ggm Service Charge 3.00 Total Amount Due By JUL 20, 2015 $294.88 1 Policy Details- Poltcy Number Description lnstaliment 8: Current Changes Amount 145 20151NFiNth 3* lnstaltment $91.06 i 45 2015 installment $124.91 PERSONAL UMBRELLA . the lnstaitment $12.83 250000 SELECT TERM - 20 9* Installment $63.08 JONES, ROBYN A When you provide a check as payment, you authorize us either to use the information from your check to make a one?time tunottransfer from your account or to process the payment as a check transaction. When we use in formation from your check to make an electronic funds transfelj' tunds may be withdrawn from your account as soon as thesame day we receive your payment, and you will not receive your check back from your ?nancial institution. SFF?F?Account 1099-7616-21 Page 2 of2 Prepared June 30, 2015 . Riva; :3 4?51 h; Egye?ts?i gig?agif?? a J: that happen, The't?ht?rtgs yet: said you?d never? (in became the things you never want to be without. - Let your State Farm? agent help protect them. - OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM. Nora: 777:} check mquesTpaJa-neniform may be med?ar regisewfor memberships dues. empioyee reimbursements over $50. conference and registrations no! (o EAP, contracted services under $1500 incluc?ng Consuiranis and Honoran?um pa ymenfs. A compfefed I0 Procurement mm a long requisition, W?Pform and conrroa. Print and compiete offline compiete online and then print. Send the completed form to Accounts Pauabie. NIKE 230. W-Q form and contract must be attached to contra cred services. Contracted services over?1500 must be fonvaro?ed Paym ent Requested for: {Required A?ochmems: (I Original Invoice/Receipts: compfefed Wa9formfor of! mm vendors] PAYABLE TO: ADDRESS ADDRESS LINE 2 ADDRESS LINE 3 CITY-SUITE (inciuding zip code) CHECK AMOUNT: $124.91 DeRi onne . Pollard DATE: VENDOR EMPLOYEE 08/21/15 EMPLOYEE VENDOR FED Membership Subscription Conwilant GOnfErencelRegistm?orrHon EAP Honorarium 1 -year only Employee Reimbursement I TM WILL BE TIFICA TI ON: Contractual reimbursement; invoice attached; August 2015. . ACTIVITY FUNDING FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 1 2 4 . 9 1 HOLD Mail 016d: [1 Mai: Check [3 53nd ?Emu; with Check mtcum Ext. to Payee to Department w: SPECIAL INSTRUCTIONS: DeRionne P. Pollard Suzanne Redding REQUESTOR NAME EXT. ACCOUNT MANAGER NAME) gf?rpy Office of the President DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL Accounmn?AGER SIGNATURE State Farm Payment Plan PO Box 44110 Jacksonvfl'le FL 32231-4110 008203 0006 POLL Dl DERIONNE :3 I) '3 :3 .3 I Important Information 1004429 143163 203 01?30?2015 Thanks for letting us serve you! Account Mobile Downioad our Pocket Agent app Online PC or E- mobse devices "t ower To Pay ?our Way SFPP Account Number: Amount Due: $294.88 .jlease net" 5?er Autisti- 33:! i-xtake payment to State Farm 1099-7616?21 20-9A4E Notice of Payment Due State Farm Payment Plan: Accountholder Name: POLLARD, r3: JONES, Total Amount Due: $294.88 Due By: August 20, 2015 x; Wk AM If Agent Mark Spitale 11801 Fingerboard Rd Ste Monrovia MD 21770-9011 Phone: 301?882-4101 6 State Farm? cares about the security of your information. We have recently enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your accountonltne or cail into our contact center. 9 Changes and payments made after July 31, 2015 will be re?ected on a subsequent billing notice. a it you have any questions or would like to discuss other State Farm products; your agent is ready to assist you. Page 1 of 2 Prepared July 31, 2015 Anastasiatsetse; g; u. Walk In See your State Farm Agent Cailyour Agent: 301438241101 Automated Line: 1-300?440-0993 Key code: 54393153 9:.an are If you have moved, please contact your agent. insurance Support Center PO. Box 588002 North Metro, GA 3002943002 *or Of?ce Use Only 494 SFPP Bit! 1008 $294.88 OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Nora: TH: check may be medfar requesufor nlembemhbm dues. empfowe reimbursemems over 550? con?rence and registra?ons not reIated to EAP. contracted servic?s under $1500 Inefua?ng Consultants and Honoredum payments. A completed we form and coneacfmusfbe a?ached (a contracted services. Contracted servIces over31500 must be fonvarded to Pro?ts-amen! 195:}: a fang requismon. W-Pfann and contract Print and complete of?ine gt: compiete online and then print Send the compieted form to-Accounte Payable. HIKE 230. Payment Requested for: [RequiredA?achmemsr Originaf Involce?ece?au: a con?icted W9form?ir all new vendors} PAYABLEITOL Dr. DeRionne P. Pollard DATE: VENDOR EMPLOYEE LINE 1. ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE (intiuding zip code) CHECK AMOUNT: $1,032.99 EMPLOYEE M20323809 VENDOR FED ape 08/21/15 El Membership CI Subscription CI Cansul?int ConfermceXRegisbatiorrNon EAP Homrarhlm legear only Employee Reimbursement I ifO TAX WILL BE TIFICA now: Reimbursement of car payment for Infiniti Q70 - $849.00; Gaspline expense REQUESTOR NAME $18 3 . 9 9 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT .rrzf?we HOLD CHECK Mai! {hack Mantheck Send Rt? 3 1 0 32 cm Ext. 71795 to Payee to Department I SPECIAL INSTRUCTIONS: DeRionne . Pollard Stephen . Cain ACCOUNT MANAGER (PRINT EXT. Office of the President DEPARTMENT NAME (Please Type) sue?ig?n?bw??mm. [Accoeef?gge?e?e SIGNATURE I - uv 6" t: I fie/H R2013-NBRE (7 BILLING SU MMARY July 29, 2015 Statement Date' Description Current Rent Amount Total Amount Due Payment Due Date ?To avoid a late charge of $25, your payment must be received before 09/04/2015. ACCOU NT IN FORMATION Account Number Last Transaction Amount $849.00 Last Transaction Date 07/17/2015 Payoff Amount 1" $57,432.72 Payoff Amount Good Until 08/18/2015 The payoff estimateabove is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on-iine at in?niti?nancecom or by calling Customer Relations. CONTRACT INFORMATION 05/10/15 15 INFINITI Q70 Contract Date Vehicle Description Vehicle ID Maturity Daze A I. Office of tePresiden are ,5 ?Accountf Manager Account/P. 0. Hum er becgw LOP alto/21:7 03/19/13 Costume Relations - 000.627.4437 Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 7am?7pm CST Mail Payments to: In?niti Financial Services P.O. Box 9001133 Louisville, KY 40290-1133 Miscellaneous Fees or Charges May be Sent to: In?niti Financial Services PO. Box 66057? Dallas, TX 75266?0577 For Correspondence Only: ?1 Infiniti Financial Services P.O. Box 660360 Dallas, TX 75266-0360 IIHAHCIAL 1 Fl Ni TI 00% a? .2'5 -- s: Ci 3 111.} 1-: Get Ready For Greater Service And Convenience From ?ah. --.-. inf-Lentil; Efszt?ich?tirk: Schedule on-line payments, at nocosltoyou Set accountaierls and reminders to better manage your account .1. Receive correspondence documents through your new masage center a? 1M . using your mobile device or tablet Heip protect your iniiniti ivilh'an Elite Vehicle Service Contract Visit your iocal lnfiniti Retailer or ownersin?nitlusa.comiEiile . for details! Please detach and return this coupon along with your payment Infiniti Financial Services? 00426 9509 000213.? 000355 00001/00001 i I i PO. Box 660360 Dallas, Texas 75266-0360 >00426 5519509 003 008143 DERIONNE PDLLARD 11900 FrEEport Parkway Irving, Texas 75053-2433 Customer Name DERIONNE Account Number .. . . Payment Due By 08/19/15 Total Amount Due 349.00 Amount Enclosed [1 changes? if you are making changes to youraddress, check the box at iel'l and complete the reverse side. i MAIL PAYMENTS TD: Inflniti Financiei Services PO. Box 9001133 Louisvilie, KY 40290?1133 Dr. DeRionne P. Pollard I GASOLINE EXPENSES ~August 2015 SHELL - - xv": -A g?am? FREDERICK HUA 1LB4E HENDERSON RH Egmam?ww MEMmema HD 1WE75 -40HE #3315285525 - PURE #34143 1 ??awig?i7gh1' EB . - 123mmawmw 1 ,w?,f11mHH 21883 FREDERICK ROAD DDFI EEWMN 92933 85 92B 4 E3x11/za15 17:31:42 If}. INUDICE 1112059 wde?;2E1: ?9119315? 11- AUTH 353819 GREENE mu PUL 13.935 . w; I 3&149 HHEH We ?x EMH SRLE 43 73 ugng: CF: 15.13% I GAL $3.15 E397?b INWIEE 395334 a 989845 EEFEHE Mr $43.11?: 3 ultlmatug?? CH 1'1 PRIME . :PHIEEXGRL $3.25? - 3% 12 t? Ultnm . - . 1 11 a LHHEUIEN DRIL FUEL TUTHI i 03'b 91:29 MD - . ?5 [Egon x1 '15xza15 533351 ?rm?. .. I '3 "11! WE I: ?rms? our best {east ("lihafhiE-J; fuel.. [mt Warm) fuel 31351233393 .cl E?rglne pm eati?n 1'qu can get. jj; at twil?? {in g. 4. PREMIUH 13.1243 3.199 33 if I - FUEL, 4.1. .93 ?111.15); 4L3'w?Ef-?r Cal? #93511 RE 1.98 a DIT 4 code 13 115.1th Expires kw-ki *4:ws:w "a OFFICE OFBUSINESS SERVICES ACCOUNTS PAYABLE I '9 CHECK REQUEST DIRECT PAYMENT FORM 92$ 7 Nora: 3713': check reqrre? payriremfonn may be usedfor reqrrestsfar membership: dues, subscripffom-Iyear, empfayae reimbursemems over 550, con?rence and norreiafed lo EAP, conLracfed services under $1500 Incfua?ng Consultants and Honoran'um paymenis. A mmpfeted form and confracfmusf be attached to all cone-cl cfed sem?ces. Contracted services over$1500 must be forwarded to Proarremenr with a Iohg reqrrirr?rfon. 1159 fem: and comma. Print and complete Of?ine 95 complete on?ne and then print. Send the complafed form to Accounts Payable MKE 230. Payment Requested for: [RequiredA?achmener I ,1 Original Invoice-?ecefpu; 2 a completed HW?Jnnfor all new vendors] PAYABLE TO: Dr . DeRionne P. Pollard DATE: 1 0/2 6/1 5 VENDOR EMPLOYEE fir-rial ADDRESS LINE 1 EMPLOYEE Miaoazsaos ADDRESS LINE 2 ..-- ADDRESS LINE 3 VENDOR FED {including zip code) a I CHECK AMOUNT: $1,071.83 I-?IErnbersI?p Subscriph?on Consultant [3 CunferencejRegista?on-Non EAP Hmarium Employee Relmburserrmt 1-year only I ND 5111: HILL BE HEREBURSEE- I TION: Reimbursement of car payment for Infiniti Q70 $849.00; Gasoline expense f- $222.88; ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 849.00 fwd-?Irw- HOLD CHECK Man (heck Mail Check Send Au},me mm ?tall 1 I 07 1 88 Cm Ext- 71795 to Payee to Err-apartment . SPECIAL INSTRUCTIONS: DeRionne P. Pollard Stephen D. Cain REQUESTOR NAME EXT. ACCOUNT -- . I 1? Office Of the President -- DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL IACOOUNT MANAGER SIGNATURE yd. I E, I ulilii??s-?v??w?w?w? 1r; 5. Luv-L 3M: .317; If} jammy=iiv?wm w?ml??h:?9ww$ I (EHWEER 9i?i4 e1e?:il 3D SHELL 21388 FREDERICK HDF MD 28876 aggazxgawa Hm 313:}: IHUDIEE 2?2?12 RUTH 843395 -PUWEH EH 1? EBB $3.13 FUEL CREDIT aq.q {image 3n911 1-9912: ??m?awm?mnmwum gt waEYExEErwd'E?'?txn. Dr. DeRiomle P. PoHard Gasoline Expenses - September 2015 ELL. 5435??189 9 DRIUE UNT HIRE HD TT1 6883684? ?39131 RH ?x XHXH HHKH BR UDICE 191213 PH ?P$k 2 EHIUM 14.553! EL 41.9, EDIT 41.9. wnml??wHMA FridericL HB Beraantcan Ha SHELL Baa FREDERICK ME 29375 39(11x2915 E9123: RM INEUICE 35353 HUTH 5 CR 5. FUEL TUTHL 25 CREDIT {11.34339 Ell Him-:3 tatal 5*}ine pf?t?iilz? EL ii". til :?ifi. mh,, ELL '543577133 ?3 LFIHEUIEN DRIUE LIHT HIRE 1 MD 1?71 #15/3915 638373511. 157:4? m" 7 Date: October 13, 2015 at 4:07:35 PM PDT To: Subject: YourTuesday afternoon trip with Uber :51 muT5. r1. ills". I. a; 3; Laban-171:6; T1153 1.1. Map data 3131:: (Boogie 03:59pm 100? 51h Ave. San Diego, CA ,71 04:07pm 1 Market Pl. San Diego. CA OCTOBER 13, 2015 ?anks 1'01 choosing Uber, DoRionno FARE BREAKDOWN Base Fare Distance Time Subtotal Safe Rides Fee Personal MW 9596 1.85 1.19 1.48 $4.52 1.75 $6.27 Subject: Fwd: Your Tuesday evening trip with Uber From: DeRionne Pollard (dppollard@comcast.net) To: Date: Tuesday, October 13, 20:5 11:13 PM Begin forwarded message: From: Uber Receipts Date: October 13, 2015?at 6:12:19 PM PDT To: dppollard@comcast.net Subject: Your Tuesday evening trip with Uber u} FARE BREAKDOWN g; 5 Base Fare :32 s? Distance me- Subtotal Safe Rides Fee Map ?at-51213015: Google CHARGED . Persona} MW 9596 06:04pm 448;Wesl Market Street. San Diego, CA a 0611 1pm if? 1014 5th Ave. San DiegO: CA OCTOBER 18, 2015 ?anks for Choosing Uber, DeR?tonne 1.85 1.07 1.56 $4.43 $6.23 Subject: Fwd: Your Tuesday evening trip with Uber From: DeRionne Pollard (dppollard@oomoaet.net) To: robynzeta@yahoo.com; Date: Wednesday. October 14, 2015 12:27 PM Begin fox'Warded message: i a From: Uber Receipts Date: October 13, 2015 at 9:59:41 PM PDT To: dppoll ard@comcast.net Subject: Your Tuesday evening trip with Uber L. $1111 - (3..) i if.) ?33. . -- . Map data 2015 Boogie: 08:52pm 1055-107?; 5111 Ave, San Diego, CA 08:59pm . 1.079 51h Ave, San Diego, CA OCTOBER 18, 2015 ?anks. for Choosing Uber, DeRionne FARE BREAKDOWN Base Fare Distance Time Subtotal Safe Rides Fee CHARGED Personal MM 9596 1.85 1.17 1.36 $4.38 '1 .75 $5.13 Subject: Fwd: Your Wednesday morning trip with Uber From: DeFlionne Pollard (dppollard@comcast.net) To: robynzeta@yahoo.com; Date: Wednesday, October 14, 2015 2:18 PM Begin forwarded message: i 3t From: Uber Receipts Date: October 14, 2015 at 11:04:07 AM PDT To: dppollard@comcast.net Subject: Your Wednesday morning trip with Uber OCTOBER 14, 2015 I Thanks for choosing Uber, DeRionne I r: U, FARE BREAKDOWN its-I: Base Fare 1 f. - a' a; Distance . 1 .22 E. :3 Time Subtotal $4.72 (3 St [3 St I safe Rides Fee . 1'75 {35? I. :jj?H-Lfi?a a i Map data vi 3015 [Soc-gle i Personal MM 9598 $5.47 10:55am i? . 100? 5th Ave. San Diego, CA 5 11 1 :OSam eao-sm Harbor Dr, San Diego. CA OFFICE OF BUSINESS ACCOUNTS PAYABLE I CHECK REQUEST DIRECT PAYMENT FORM 5 hole: This check may 62 usedfor requestsfar membem?ps dues. employee al?er 350. con?renca and registrations r101I related to EAP, connected services unders 1500 Includ'mg Consu?'ants and Honomn?um payments. A complaied form and connect mustbe attached to erlcanbadedsem?ces. Connected sem?ces? over 51500 must be forwarded Io a long requirfn'an. H?s'?arm and contract Print and complete offline complete onllne and then print. Send the form to Accounts Payable. MKE 23D. Payment Requested for: [RequiredAHac-hmenu: Original InvoiceIRecegm: (2) a completed HEDfomifor all nmvvendars] PAYABLE TO: Dr . DeRionne' . Pollard DATE: 12 07 15 El VENDOR EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE (including zip code) . CHECK AMOUNT: 5 1022.4 VENDOR FED Cf Manta-ship El Subscription El ConfermcexRegistra?on-Non EAP El Honomrium Empbyee Relrnbursernent 1-year only TION: Reimbursement of car payment for Infiniti 970 - $849.00; Gasoline expense $173.49. I NO in): HILL BE REEBURSED ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 84 9 . 00 173.49 -HDLD CHECK Mail Cred: Ma? Cneck send with 013$ metal Rae-? - 1 3' 9 33"" '31-?95 to Payee to Department SPECIAL INSTRUCTIONS: . Michelle . Scott (for) DeRionne P. Pollard Stephen D. Cain REQUESTOR NAME EXT. ACCOUNT MA (PRINT - I A. Office Of the President DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL [Accounmmeea SIGNATURE Ha; M4WI mgr: "rill: . {1?1 B143C1X50LAUNCH BILLING SUMMARY Statement Date October Description Amount Tax Current Rent . ?1 .- Total Amount Due . Payment Due Date': H- i cm Date Y0 ved? To avoid a late chargeof before 12/05/2015. payment must be recei 1 ACCOUNT IN FORMATION Account Number may not include applicable sales tax. payoff amount and instructions on-line at in?niti?nance.c calling Customer Relations. CONTRACT IN FORMATION 29,2015 Total ?mrqjmo? $349.00 11/19/15 Last Transaction Amount w$849.00 Last Transaction Date 10/23/2015 Payoff Amount $55,353.93 Payoff Amount Good Until 11/18/2015 The payoff Estimate above is for informational purposes only and You can obtain your actual om or by Contract Date Vehicle Description 15 INFI 05/10/15 NITI 7D Vehicle ID I Maturity Date Office of the President 1? 3 \Jt?Ilu' .l :5 Account Manager 55'; 8/19/18 PD. Box 660577: PO. Box 660360 Automated Response 24 heurs, 7 days a week Agents Available Monday - Friday 7am~7pm CST Mail Payments to: infiniti Financial Services P.O. Box 9001133 Louisville, KY 402904133 Miscellaneous Fees or Charges May be Sent to: Infiniti Financial Services Dallas, TX 75266-0577 For Correspondence Only: In?niti Financial Services Dallas, TX 75266-0360 OF THE EXPERTS En-Hx??uq? 3 KULJ -. - 531'}? COLLISION REPAIR NETWORK Account/HQ. Number so nitra'lqclius sins?u'wticetir?isd Please detach and return this coupon along with your payment . . . . . . 00457 5?91852 000450 000915 Infinltl Financml Servaces? MASTER TH SEASON FEEL IN THE HANDS GENUINE SERVICE ll PARTS lease CosseumenmevTowwc . Call 1.800.662.6200 for complimentary towingto the nearest ln?niti Certi?ed Collision Repair5h0p*. i i a i Po. Box 660360 Dallas, Texas 75266-0360 DBSTILL DERIONNE POLLAPD Customer Name Account Number Payment Due ?y Total Amouni? Due 8900 Freeport Parkway Irving, Texas 75063-2438 DERIONNE POLLARD 11/19/15 349.00 Amount Enclosed 55 Changes? MAIL PAYMENTS TQ: i if you are making changes lo your address, check the box at left and complete ihe reverse side.? Infiei?ci Financial Services PO. Box 9001133- KY 40290-11? i 11!! :3 11 3: :1 1 user}; am: 3212313 p?33p?%31ag2 uauH We 233194131?pr 11338: Vle 13 wawwmimimw S?ju?g snug; mamgmm Em [a 3 EH- IN 17"} IWHLUL Wa?d H3 #awnd wa FBEELELQFEL LLSEE aw Maya NEUMDMS 113H3 Haemamnw uxE?a amen 922214 idmw?i??lv ?xd?e e1qyj?aa 01 .5231 Jomrw?wnm; 1e Elan?an {?413 Um!? EWUEQME GilElE Hl?? Em w, 0 5553?. an?! aim?. LIUEHS, WHLUL TERA H3 #dW?d mm ESiegimL FQEEFLSLE OW a @333 wa?mumz 113H3 5103 sasuadxg QLQEOSBD QWOFHQG '1(1 W?is; aHi WHLUL 13nd WHEXIG SHJUM amxwanj ganjaa SLMHUJSIU agg'a$ wnlwaad S#$md wd LEELEELBZ ELBEE aw UHDH HEELS 113H3 Ll 9:333 03 mimuwajagm mg?mugy IIGHE 01 551 A 1203 BM mm: Ff}: Dr. DeRioIme P. Pollard Gasoline Expenses November 2015 I Welt-was to Ehell SHELL 12181 FARM MD 238?1 1246?3?28a? 1?f18f2815 EFB152621 PM ?2 ESP: ?I?l $2 . FUEL TUTAL 3-.35 3E.35 mm 9513?: VISA HRH WEED 1W Ems Swim}; Jilin Fuel Heard; at fuelreaardamm m" text ESP to 331335 ??f?liit? rates- apply at leaat 13.831931 33391 when swiping I. :3 Fuel Rea-eds; card Please C1269 again 59911::er {53 Shell SHELL 12131 EMDWDEN FARM CLAHKSEUHB. MD EESF1 1345r3?2834 11;24;2@15 2?915?331 12:34:33 PM 3 CH PHICEIGHL $2.515 FUEL TEITHL 12:21.43 CREDIT 28.43 33-11". E53729. EM 5? '61 MH 11:32? Esme Ewing; Fuel Flew-1rd: at fueireeylianzm or test ti: 33-835 grandam rate; amid}- nt 1332:: awe-j khan wiping 3 I191 keen}; card OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Nora: Tht?s check may be medfar requemfnr membership: dues, empiayee over $50. conference and registrations nnl.l related to EAP, contracted sendces under $1500 Incluc?ng Consultants and Honoran'um payments. A completed W-Q fonn and canned must be attached to all connected sennbes. Contracted services averSiSOO must be forwarded fu'PfOC?f?emEIU u?ffh a long regnbirfan. and contract Print and complete offline 9_r compiete oniine and then print Send the comnleied form to Accounts Pavable. 238. Payment Requested for: {Required Attachments: Original InvoiceVRecefpu: 2 a completed HWfonnfor new vendors] PAYABLE TO: Dr. DeRionne . Pollard DATE: 12/07/15 El VENDOR EMPLOYEE EMPLOYEE M20323809 ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED rm: (inciuding zip code) I CHECK AMOUNT: 5 1022.49 1 Membemp El Subsa'iption El Consultant [1 CohferenceJRegistm?on-Non Hana-a?urn Employee Rekrnbursemmt 1wyeer only I HO rm: PILL BE TIFICA non: Reimbursement of car payment for Infiniti Q70 - $849.00; Gasoline expense $173 . 49. . ACTIVITY - FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 849.00 173.49 HOLD Man Check El Ha? Cneck [3 Send mm Total 1 022 - 4 9 31"" 71795 to Payee to Department SFECIAL INSTRUCTIONS: Michelle T. Scott (for) DeRionne P. Pollard T1796 Stephen D. Cain REQUESTOR NAME EXT. ACCOUNT MA GER Office of the President DEPARTMENT NAME (Pleasa Type) SUPERVISOR APPROVAL Wooum?rhmmen SIGNATURE OFFICE OF BUSINESS SERVICES CHECK REQUEST DIRECT PAYMENT FOR ACCOUNTS PA YABLE A completed Nara: This check mqnufmenrfonn may be :uedfor reqnemfor membeth dyes. employee carer 550. conference and registrations not related to EAP, contracted sen?ces under $1500 Including Consultants and Honora?um pa ymenls. W-Q form and con?rm-Imus! be attached to all contracted sem?ces. Connected sem?oes overSf 500 must be fonvardea? r0 Promramenr a long requfst'non. W-P?mn and contract Print and complete of?ine compiete unIine and then print. Send the comnletea? form to Accuunte Payable. HIKE PAYABLE TO: Pollard VENDOR EMPLOYEE ADDRESS LINE 2 ADDRESS LINE 3 CI TY-S TATE .(incIuding zip code) CHECK AMOUNT: $100.99 Payment Requested for: (I Original jnmicemece?pu; 2 a completed HLPJ'bm-rfor all mm vendors} DeRionne P. DATE: 12/07/15 EMPLOYEE M20323309 VENDOR FED Membership CI Subsa'ionn 1-year only ConsuItant Conferawej?egistm?on-Non EAP El Honoranum Emp-ioyee Reimbursement I NO TAX WILL BE TIFICA TION: Contractual reimbursement; invoice attached; November 2015. ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $100.99 HOLD CHECK Hatlmeck El Ma?m Send cm E?t- 71755 to Payee to Belaartment SPECIAL INSTRUCTIONS DeRionne P. Pollard REQUESTOR NAME I Office of the President DEPARTMENT NAME {Please Type} Suzanne Redding GER PRINT NAME) SU PE RVISOR APPROVAL Eccoum SIGNATURE a I - . l; -J If}! ?57 State Farm Payment Ptan I PO BOX 441 f0 Notice of Payment Due Jacksonviite FL 322314110 - y: 0% State Farm Payment Plan: Fa AT1 011507 0005 10997515021 AccounthoiderName: POLLARD, DERIONNE .2 ..- Total Amount Due: $270.95 3 Due By: November 20, 2015 ,3 .qq .1. out in?at-qr ?jg; . ?we? a: Agent Mark Spttaie WM: 44 11801 Fingerboard Rd Ste - i080 {be A Monrovia MD 21770-9011 in Phone: 301-882-4101 ?important Information . . 9 State Farm cares about the security of your information. We hate recently enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account onitne or cali into our contact center. 6 Changes and payments made after November 3, 2015 wilt be re?ected on a subsequent billing notice. 0 It you have any questions or? would like to discuss othe? State Farm products, your agent is ready to assist you. 1004429 143163 203 0130?2015 Thanks for letting us serve you! SFPP Account Page ?i of 2 Prepared November 3, 2015 E?owerTo Pay Your way Automated Line: 08004400908 Key code: 7545188394 Downioad our Pooket Agent app if you have moved, please contact your agent ff; F?s-st; :3 e3:- POLLARD, DERIONNE 8t JONES, SFPP Account Number: insurance Support Center PO. Box 588002 North. Metro, GA 30029?8002 Amount Due: $2?0.96 Please pa by Nova E0, 20?? 5' Make payment to State Farm :or Of?ce Use Only SFPP an $270.96 0108 2002 OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABEE. CHECK REQUEST DIRECT PAYMENT FORM More: 1771': check requejrpajmemfam may be med?r requemfor membership: dues, reimbursement: over $50, conference and registra Hons correlated to EAP, contra cred semr'ces under31500 inaudan Consu?anrs and Honora?um payments. A compiered to Promremen! with a long reqyin?rfon W-Pfomr and ccmraci Print and complete offline 93; complete oniine and then print. Send the completed form to Accounts Pavable. MKE 230. PM form and contract must be a?ached to ab' contracted sem?ces. Contracted services over $1500 musf be forwarded 50! Payment Req [185th for {Required Attachments: (1 Originaf Invoice-Remap?: a completed of! new random} PAYABLE TO: ADDRESS ADDRESS LINE 2 ADDRESS LINE 3 DeRionne . Pollard DUENDOR EMPLOYEE DATE 05f23/16 EMPLOYEE M20323309 VENDOR FED {Dial (including zip code) 1 CHECK AMOUNT: $00.99 DMembership EAP DHonOrarium Employee Reimbursement 1?year only I NO E311 FELL EB REILEURSEE TIFICA TION: Contractual reimbursement; invoioe attached; April 2016. . ACTIVITY FUNDING INDEX FUND ACCOUNT PROGRAM CODE GROSS AMOUNT $1 0 0 . 9 9 DHOLD CHECK Maif Greek Mail Check [35% Attachments with Check ?'31 $1 0 0 99 CALL Ext- "1795 to Payee to Department SPECIAL DeRionne . Pollard Suzanne Redding REQUESTOR NAME EXT. NAME) Il?v'l' a - ?L?w Offlce Of the Freeldent DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL [choum MNMGER SIGNATURE :10 (21/7 .L- L) f/ a. r} ww?w ?.mwwaw?w?? . ii; fig-Pagoxag?gymen an 55310 - . Notice of Payment Dare Jacksonvii'ie FL 32231?4110 Lil?; I mind i hw?q? State Farm Payment Plan: - . AT1 012753 0006 10991-761621 20-9A4E Accounthoider Name: POLLARD, 1 Total Amount Due: - $209.83 3 Due By: Aprii 2.0, 2010 Agent Mark Spitale 11801 Fingerboard Rd Ste Monrovia MD 2130?9011 Phone: 3010824101 Important informatisn a We appreciate the way you consistently pay your account. 9 State Farm cares about the security of your information. We have recentiy enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account online or call into our contact center. 9 Changes and payments made after'April 1, 2016 be re?ected on a subsequent hilling noticeyou have any questions orwouid iike to discuss other State Farm products, your agent is ready to assist you. Thanks forfeiting us serve you! Page 1of 2 Prepared April 1, 201's SFPP Account _tPlastererstastiest- Power To Pay Dntine Mobile Matt CatlyourAgent: 1301-0024101 Waitrtn Yourway PCor Download our Send us Automated Line: 10004400998 See your $35.31: mobile devices . Pocket Agent app acheck Keycode: 7545237994 State-Farm Agent if you have moved, piease contact your agent. 4' f'lt'dtr'qf. I: t? Fq?t 3:4 65:3 f? 1" 73.333 a. g- Accounthoider: POLLARD, 8r JONES, insurance Support Center SF PP Account Number: PO. Box 588002" 0 1 Amount DUB: North Metro, Please pay by Make payment to State Farm $269.83 0608 For Of?ce Use Only Biti 013-467 Account Summary Billed $269.83 Last Amount Paid MAR 18, 2015 269.83 . Difference . I. Current Installment 266.83 4 Service Charge I 3.00 Total Amount Due By APR 20, 2015 $269.83 I I Policy Details Policy Number Description Installment 8: Current Changes - Amount 145 2015 INFINITI 3* Installment $80.93 145 2015 Ev Installment $100.99 PERSONAL UMBRELLA a? Montth Instatlment I $12.33 LF-2429-7202 250000 SELECT TERM - 20 9 Installment $63.08 JONES, ROBYN A - When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your ?nancial Institution. SFPP Account 1099~7616-21 . Page 2 of 2 Prepared April 1, 2016 . up Au?" . - - aria-35;. a gamma? ?casts-,1: OFFICE SERVICES ACCOUNTSPAYABLE: CHECK REQUEST DIREOT PAYMENT FORM 3 5759 3 Note: 71:35 check reqne? Marnenrfonn may be :rsedforj reqnem?n- membership: dues. mbsc?pnom-beor. empioyee mimbm'senlem: over $50, conference and registrations not related to EAP, contra-clad sem?ces under $1500 Including Consultants and Honoran?um payments. W-Q fonn and contract must be attached to all contracted seMceS. Contracted services over51500 musi be fonvarded A 3 KM . A completed to Promremenf ?Nb 9 long rzqnix?fon. Iii?fom: and contract. Print and complete Of?ine complete oniine and then print Send the completed form to Accounts Payable. NIKE 233. Payment Requested for: [Required Attachments: Original Invoice?hcwp?: (2) a EOJIIpl'eted H19 form ?ar a? new vendors} PAYABLE TO: Dr. DeRionne P. Pollard EMPLOYEE DATE: EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS ONE 3 VENDOR FED {in?cluding zip code) CHECK AMOUNT: 950.93 4 UHonoran'um Empfoyee Reimbursement DMembership DSubsm?ption UConsulIant UCOnferencefRegist'a?on?Non EAP lvyear only NO TAX WILL BE PURPO TION: Reimbursement of car payment for Infiniti Q70 $849.00; Gasoline expense $111.98. ACTIVITY FUNDING FUND ACCOUNT PROGRAM CODE GROSS AMOUNT 849.00 111.Ike?.- CI Mail to Department DHOLD CHECK ?lack DSend Attachmean mm Check mm CAI-L Ext. 71795 to Payee SPECIAL DISTRUCTIOHS: Michelle T. Scott (for) ?1?96 Stephen D. Cain ACCOUNT MANAGER (P INT NAME) SUPERVISOR SIGNATURE DeRionne P. Pollard . REQUESTOR NAME EXT. Office of the President DEPARTMENT NAME (Please Type) I I 3 I. -mg?L IFS 2080 12(10. BILLING SUMMARY Statement Date April 28, 2016 Description Amount Tax Total Current Rent Amount 849.00 5 849.00 Total Amount Due ?rmed-=5 349)!)0 Payment Due Date ?9 ?3 19 15 yea? 3 Dale CKIE ?3 ml 1' lie or; one, To avoid a late charge of $25,?i,?oas= before 06(04f2016. a ACCOUNT IN FORMATEON Account Number Last Transaction Amount Last Transaction Date Citing/2016 Payoff Amount $51,143.81 Payoff Amount Good Until 0318/2016 The payoff estimate above is for informationai purposes only and may not include appiicabia sales tax. You can obtain your actual payoff amount and instructions on~line at lnfiniti?nance.com or by calling Customer Relations. -$a49.oo sea :34 . -- Customer Reiations - 880621443 Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 7am?7pm CST Mail. Monthiy Payments to: Infiniti Financial Services P.O. Box 742657 - Cincinnati, OH 452742657 Miscellaneous Fees or Charges May be Sent to: In?niti Financial Services PO. Box 66057? Dallas, TX 75266-0577 For CorrespOndence Only: Infiniti Financial Services PO. Box 660360 Dallas, TX 752680360 PORTANT YOUR PAYMENT ADDRESS HAS CHANGED If you are mailing your payment or using electronic biil pay, please note the new address above and below. To view your payment address online visit and click on Payment ?Options and lthen??y wait.? . CONTRACT INFORMATION Contract Date Vehicle Description - 7. Vehicle ID Maturity Date Drives"; 85-: Federai lav.J requires like? ILA. personal information. - our policy practices with respect to your personal information an Coma or wili mail you a free copy upon request If you call us at 8086214413]. i Please detach and return this coupon along with your payment @is 03339 5349222 003344 005532 In?niti Financial Services? I I I I P.D. Box 660360 Dallas, Texas 75266-0360 8800 Freeport Parkway Irving, Texas 75063-2438 .. .. A . . - .- In DERIONNE OLLARD Customer Name POLLARD Account Number - 05/19z15 Payment Due By Total Amount Due 849.00 Amount Enciosed I 8 Changes? if you are making changes in your address, check the box at lei! und complete the reverse aide. HAIL PAYMENTS T0: Infiniti Financial Services PO. Box 742657 Cincinnati, OH 4527493557 Go . Turn off your paper statements using one of these options: 1. Register online with the In?niti-Financlal Services (IFS) Oniine Account Manager at infiniti?nancecom and . follow the instructions to turn off paper statements. 2. Enroll in E-Biil through your bank?s website. A email will then come from your bank advising when your statement is available for viewing and payment on your bank's website. Details can be found at GHEEH abillpiaceLOH?i. ENROLL FOR AUTOMATIC WITHDRAWAL ONLINE OR BY MAIL Enroll online for Automatic Recurring Payments Simply log on to in?niti?nancecom. Click Payment, and then Recurring Payment. Once enrolled, you can choose the payment date and amount. It is secure, ?exible, and hassle-free! . Don?t have internet access? No Problem. Call 800.627.4437 and request a form through our automated phone service. Once enrolled, will automatically withdraw your payment from your checking or savings account, safely and on time, every month. . SCHEDULE RECURRING PAYMENTS Log on to in?niti?nancecom and schedule recurring payments its ?exible and free! i . To pay?by phone using a credit card, ATM/Debit a?n 'eiE?tr'B?nic check, call Bill Matrix at 800.603.7385. Transaction fees may apply. . IMPORTANT CUSTOMER NOTICES WE MAY REPORT IN FORMATION ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE, MISSED PAYMENTS OR OTHER DEFAULTS ON YOUR ACCOUNT MAY BE REFLECTED ON YOUR CREDIT REPORT. WE MAY ELECTRONICALLY MONITOR ANDXOR RECORD ANY TELEPHONE COMMUNICATIONS WITH YOU. Failure to include the remittance coupon with the account number on your payment, or mailing it to an address other than the address on the coupon, may delay its posting. Wire Payments made after 1:00 PM Central lime may not post until the next business day. - IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS If your obligation to pay any debt listed in this statement has been discharged in bankruptcy, or is presently the subject ofa bankruptcy court proceeding, bankruptcy court?approved lan or bankruptcy court order, we are not, through this document, attempting to collect any ?personal liability, and will only pursue any rights we have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or correspondence, use the following address: Infiniti Financial Services, Bankruptcy Department, PO. Box 660366, Dallas, TX 75266?0366. INSURANCE . Insurance coverage is required by your lease agreement. You will provide us with proof of coverage at our request. Your insurance policy must provide us with at least 30 days notice ofany cancellation, reduction or other material change in cove rage. 5795413? You appoint us as your attorney-in?fact to arrange for and procure payment of insurance loss proceeds directly with your insurance carrier(s) and to endorse; present and collect insurance loss proceeds checks. For leases owned by Nissan~Infiniti LT In?niti Financial Services acts as Servicer. Infiniti Financial Services is a division of NisSan Motor Acceptance Corporation. CHANGE OF ADDRESS r?ou can update your address at in?niti?nance.com or complete the form below and mail it with your payment. i understand that by providing my phone number(s), I am giving my consent to In?nftf Financial Services to contact me on any of the numbers Jrovided, by any means IFS selects, including an automatic telephbne dialing system, text messaging, and/lair an artificial or prev-recorded voice. This permission supersedes any previously revoked consent to contact me and any registration on any goVernment "Do Not Call List?. .- aia-icem - a .. Phone Numbers: Na me: Personal: Street/Apt - "City/State/Zl Email Address?int-Hesse? ?nk" nassecitas?jw Enter Address where Is located If different from new mailing address. . . - Vehicle Informatlon: - ?remisqseeaa ism - Na rne: . Street/Apt #i License Plate City/State/Zip: License State: . n. w- Haltme to Shall SHELL 12181 FHHM CLERKSBUHG, MD 28871 2?9323952 39:54:5? HM ER 12.2988 $2.599 FUEL TOTAL 33.1? CREDIT 33.1? Hm TRUTH 63424? 183935 Emm?wm? Save 38.251931} Jain Fuel Emmi. today at [Iffer ends 1E1. Tama- and tmditiorrs apply. Pleas-.2 Ef?e again Dr. DeRionne Pollard Gasoline Expense May 2016 (recerpts attached) an. ww?sw, 13:3 1 'nf?'kiwi?r'r tar??- Waltz?; {313119335513 21 Frederick Fm [Erwin-m Mi? 23916 SHELL 211313113! FREDERICK a? 353?21 IBM #3 HM PREMIUM LR $2.939 EUEL 733.33 DEBIT 'ii . TB Der-it sum FIN Fume Ezeirrga $323131 -aira Fuel ?ew-is. tears; .rztral ?ffer an); 555:1 E?b 1d13133 un?a ma?a: ?ame to Shell (331 )9?2-5513 21633 Frederitt an Eeraantmn Hi] 23316 SHELL HERD MD EBBTE 85/3832315 82:33:81 PM 5 CR 12.?136 $3.15a FUEL ?3.35 CREDIT 43.35 em: 1-1311. 1902*: $1311 NEH muaw?m; Em}; Brings. 3m Jain Fuel Ht'??lfdi- twig at [Iffer errii- E-f?fi?. Tara;- and (Miriam-s apply. $16335 again OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE 0 CHECK REQUEST DIRECT PAYMENT FORM 5 (062$; Note: This check requesfpaynemfmm may be medfor- requmsfor memberships employs reimbursement: our 550. coty?arence and registrations not related to EAP, contacted services underSf?OO fnciudfng Consu?anrs and Honorarfum payments. A campfeted W-S form and contra cfmusr be attached to at! contracted services Connected services over $1500 must be forwarded to \ria'h a fang requism'on. W-Pfann and comma. Print and complete offline 9; compiete onllne and then print. Send the completed form to Accounts Pavable. MKE 23D. Payment Requested for 1 [Required Attachmems: Original INVOICE Receipts; 2 a campiered II?-9form??r a? new vendors) PAYABLE T0: DeRionne . Pollard DATE: 06/21/16 EIVENDOR EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 EMPLOYEE M20823809 CITY-STATE VENDOR FED ?3 (including zip cede) I CHECK AMOUNT: $103.38 ElMembership CISubsuip?on UCmferencelRegIstration-Nm EAP DHonorarium Empbyee Lye-ax: only I No m1: WILL BE 12211431114531) Contractual reimbursemen t; invoi ca at tachedACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $108.38 ff DHOLD CHECK Mail CI'Ieck Mail Check mend with Check T?tal 4?7 1 0 8 3 8 EXP- 71795 to Payee to Department ?war? SPECIAL INSTRUCTIONS: hh-M?M DeRionne P. Pollard 717?96 Suzanne Re dding REQUESTOR NAME EXT. ACCOUNT MANAGER NAMEOffice of the President x" DEPARTMENT NAME {Please Type) SUPERVISOR APPROVAL t?I?Tmccoulxir mm?eER SIGNATURE ,r (5 L.) . it {ll .44 Hi?! I a; ~12Wu,? L. 1?21. .. 3? 3. 3 I fin?2:3 '8 Jr M?wM-nwmuu State Farm Payment Plan Data Notice of Payment Due PO Box 44110 e" i 1 r, '9 Jacksonville FL 322314710 State Farm Payment Plan: 1 . .. AT1 008261 0006 1099-7616-21 20-9A4E Accountholder Name: POLLARD, JONES, POLLARD, DERIONNE . Totat Amount Due: $27 122 Due By: May 20, 2016 . I 0 ?mm . Agent Mark Spitale 11801 Fingerboard Rd Ste Monrovia MD 21770-9011 Phone: 301?882-4101 ?Fm; .ngaw important information We appreciate the way you consistently pay your account. questions to verify your identity when you access your account oniine or call into our contact center. Changes and payments made after May 2, 2016 will be reflected on a subsequent billing noticeyou have any questions or would like to discuss other State Farm products, your agent is ready to assist you. Thanks for letting us serve you! SFPP Account Page 1on power To pay Onitne Mail Call your agent: 301-882-4101 Your Way {It} PC or 5' Send us Automated Line: 13004400998 mobile devices a check Key code: if you have moved. please contact your agent. Accountholder: POLLARD, DERIONNE SFPP AccountNumber: insurance Support Center P.O. Box 588002,~ 9 2 Amount Due: North GA 0002 ~800 t: Ptease pay foyaiay -.. . Make payment to State Farm I State Farm cares about the security of your information. We have recently enhanced how customem are veri?ed. You may 1. Prepared May 2, 2016 Waik In See your it; State Farm Agent SFPP Bitl For Of?ca Use Only $277.22 003539 Account Summary Egri?t?l?i??imtbnied' $269.83 Last Amount Paid APR 20, 2016 269.83 Difference 0.00 . aesrggaagzg?ey Current installment 274.22 Service Charge 3.00 {Total Amount Due By MAY 20, 2016 $277.22 Policy Details Policy Number Description Installment Current Changes Amount 20r5 9 Installment $89.93 2015 t3)- Monthiy installment $108.38 Rates have been changed. Change of vehicle rating group for collision coverage. Vehicle safety . discount changed. PERSONAL UMBRELLA Be Installment $12.83 250000 SELECT TERM - 20 lnstaliment $63.08 JONES, ROBYN A When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction. When we Useim?ormation from your check to make an electronic funds transfer. funds may be withdrawn from your account as soon as the same day we receive your payment, and youwili not receive your check back from youriinancial institution. SFPP Account 1099?7616-21 ta see asst . . .. - - eases?? - ?es-i? Wee-em- Page 2 of 2 f'ia'? . 4 . .u,i 3,131.55; 3:15.51: .?hcumund-?r? E?rE?h?a?l?i?? . - 417?.? Prepared May 2, 2016 OFFICE OF BUSINESS SERVICES ACCOUNTS PA YABLE CHECK REQUEST DIRECT PAYMENT FORM Nora: This check requcsmcIJ-memfonn may be qedfor requests?ar dues. employee reimbursements over 550, conference and registrations no! related to EAP, contracted services undcr$1500 including Consultants and Honoranum payments. A compfered f0 Procnremen! a long W?F?ann and comma. W-Q form and contract must be attached to all contracted sem'ces. Contracted services over$1500 must be fan-Jaded Print and complete of?ine complete onllne and then print. Send the comnleted form to Accounts Pavable. MKE 230. fax [Cg-1 I Payment Requested for: [RequiredA?acthenL? (1) Original Invoice-Ream: a new vendors} PAYABLETO: DVENDOR ADDRESS LINE 1 gr. DeRionne P. Pollard EMPLOYEE ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE (inpiuding zip code} CHECK AMOUNT: 1,731.9? DATE: EMPLOYEE M20823309 VENDOR FED 10!? 08/10/16 USubsc?p?on ?ea: on 1.1- DHembership DCmferenceJRegIstra?on-Non EAP UHonom?um Employee Rehnbursernent I NC TAX ELL BE REBEEJRSED TIFICA TION: Reimbursement of car payments (June and July, 2016). for Infiniti Q70 - 1,698.00. Gasoline expenses - $39.97. FUNDING INDEX FUND ACCOUNT PROGRAM CODE GROSS AMOUNT 1,698.00 39 . 97 "m EIHOLD CHECK Mail am El Man Check DEW Attachments W1 check T?tal CALL Ext" 1 795 to Payee to Department SPECIAL INSTRUCTIONS: DeRionne . Pollard Stephen . Cain REQUESTOR NAME Office of the President EXT. APPROVAL ACCOUNT MAN GER NA DEPARTMENT NAME (Piease Type) 5? R2015 NBRE BILLING SUMMARY 0'1 in 30, 201 -. Statement Date Description ArLout?tt Tax Total Past Due Amount 349.00 349.00 Current Rent Amount 'l 049.00 is 049.00 Total Amount Due 1,698.00 06/19/16 Payment Due Date If prior past due billing has been mailed please accept our thanks. ACCOUNT INFORMATION Account Number .- -. - -$349.00 test Transaction Amount Last Transaction Date 04/19/2016 Payoff Amount $51,234.25 06/18/2016 Payoff Amount Good Until The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on-line at in?niti?nancecom or by calling Customer Relations. . Customer'R 4437 Automated Response 24 hours, 7 days a week Agents Available Monday Friday 7am?7pm CST Mail Payments toi Infiniti Financial Services PO. Box 742657 Cincinnati, OH 45274-2657 Miscellaneous Fees or Charges May be Sent to: In?nlti Financial Services P.O. Box 660577 Dallas, TX 75266-0577 For Eorrespondence Onlyr? Infiniti Financial Services PO. Box 660360 Dallas, TX 75266~0360i 41' fr: '1 ?vi 'r Amount Enclosed DERIONN POLLARD Customer Name Account Number Payment Due By CONTRACT IN FORMATION Contract Date 05,10,15 Office of the President Vehicle Description 15 Q70 Vehicle ID a girls? 3i? - Maturity Date 03/19/13 35:110. at.? .- ouni Manager ?unl/R o. Number/Mi" (?95 Privacy Notice Federal law requires us to tell you how we collect, share, and protect your personal information. Our privacy policy has not changed and you may review our policy and practices with respect to your personal information at or we Will mail you 3 inset copy Upon request if you call us at 000627.467.) Please detach and return this coupon along with your payment r? 01334 043542000133? 0020r000001r00001 Infiniti Financial Services? i I P.O. Box 660360 Dallas, Texas 752660360 3900 Freeport Parkway Irving, Texas 75063-2433 OLLARD 06/19/16 Total Amount Due 1,698.00 l:l Changes? lfyou are making changes to your address. check the box at left and complete {he reverse side. MAIL PAYMENTS To: Infiniti Financial Eervices PO. Box 742657 Cincinnati, OH 45274-2657 Lu 0: ED to C) 0: BILLING SUMMARY Statement Date . Vl't a De - i: i net. 9 Traf?c Ticket $1550 1.50 Current Rent Amount 849.00 849.00 Total Amount Due 850.50 07/19/16 Payment Due Date To avoid a late charge of $25, your payment must be received before 08/04/2016. 1 ACCDU NT IN FORMATION Account Number . .- -$849.00 Last Transaction Amount Last Transaction Date 06/17/2016 Payoff Amount $49,726.21 Payoff Amount Good Until 02/18/2016 The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain "your actual payoff amount and instructions on-line at infiniti?nance.com or by calling Customer Relations. CONTRACT Ih ?3 Contract Date Ema a W1 @35/10/15 Vehicle Descriptic Of?ce Of the Q70 Vehicle ID JN18Y1PR6FM831213 Maturity Date frame 08/19/18 -- . Account Manager Account/HO. Number bl rut?"a ILz-ic?M no? ?inert?n.? . a . ?were; Federal law requires us to tell you how We collect, share, and protect your personal information. Our privacy policy has not changed and you may review our policy and practices with respect to your personal information or We will mail you a free copy upon request if you call us at 800.627.4437.) Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 7am-7pm CST Mail Payments to: Infiniti Financial Services PO. Box 742657 Cincinnati, OH Miscellaneous Fees or Charges Mariette Sent to: Infiniti Financial Services PO. Box 660577 Dallas, TX 75266-0577 For Correspondence Only: Infiniti Financial Services PO. Box 660360 Dallas, TX 7'5266-0360 yua- - tr m" 60 Paperless and Enterto Win a $500 Gift Card Log in to in?nitifinance.c0m to go paperless and enter purchase ?oured. Se-co?ldalsweao?fggigh 5.: INFINITI ATYOUR GET THE Download the QuickGuide App for 105 and Android?. Learn aboutyour speci?c vehicle videos, tutorials and step-by-step instructions. ti 55? ~11 Please detach and return this coupon along with your payment Infiniti Financial Servicesel PO. Box 660360 Dallas, Texas 75266?0360 POLLARD 00415 6522350 000413 00033200001l00001 8900 Freeport Parkway Irving, Texas 25063-2438 Customer Name DERIONNE POLLARD Account Number . Payment Due By 07/ 19/16 Total Amount Due 31?: 850.50 Amount Enclosed Changes? if you are making changes to your address, check the bow: at left and complete the reverse side. nan PAW-1 ENTS TO: Infiniti Financial gervices P.O. Box 742657 Cincinnati, OH 45274-2657 Dr. DeRjonne Pollard Gasoline Expense June 2016 (One receipt attached) ?2 42/ ?'eelcme t5 ?ned} SHELL 121131 CLAHKSBUHE, MD BEEF1 12d??3?28@d 85:53:22 PM 2 ER 13.5836 $2 . FUEL TUTRL IT 32? 39-53[43913.3 1 T. 1w :r 5334?:- i" 391:: 7- . Benng Saving; Jain fuel and earn 33.161931 when you bug 311911 I -- V-Pa?e{ b?lf?r See Lt f?f termsic?nditigna - ?ffer Efdi 1312. Flea-3E (me again -x OFFICE OF BUSINESS SERVICES .. . ST DIRECT - Nora: This Eheck reques! pa?nenrfomr my be requemfor membership: dues. subsc?p?om-Iyear, employee reimbursements am- 550, mn?rence and ragfs?a?ons none-fared Ia EAP. contracwa? Services under51500incfudfng Consuh?anfs and Honamrfum payments. A complefed #9 form and contract must be attached to contra cfed senfcea Contraclea? services over31500 must be forwarded r0 Procuremam a long requistme W-?fam: and contract. Print_and offline online and then print Send the emulated form to Accounts Pauahle. 2313. i Payment Requested for: [Required A trachmenls: Original Invoice??ece?rm; (2) a compleled W?9formjar aH New Tenders] - PAYABLE TO: DeRionne P. Pollard DATE: 08/10/16 DVENDOR EMPLOYEE EMPLOYEE ADDRESS LINE 1 ADDRESS LINE 2' ADDRESS LINE 3 CITY-STATE VENDOR FED IDIIE (inciuding zip code) CHECK AMOUNT: 216.76 DHembarship DSubso-iption Eltonsullant DCmferatefRegEh'a?on?Nm CIHonora?um Empree Reimbursement 1-1783: only I TELL 52 - Contractual ralmbursement; invoices for June and July, 2016 attached. ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 2 1 5 '7 6 . 2.x UHOLD CHECK Check Mail Check mend Attachments with Check Total ff 2 1 CALL Ext. to Payee to Department SPECIAL INSTRUCTIONS: DeRionne . Pollard 71*3'5 Suzanne Redding i REQUESTOR NAME EXT. (PRINT 3 . . . 3. If Office of the Pres 1dent DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL '?IAccoum Mn?m?n SIGNATURE State Fan'n Payment Plan PO Box 44110 Jacksonvir'te Ft. 3223f-4110 edit-5 008265 0006 POLLARD, DERIONNE 1 01014 000 SI.- -. Important Information 1004429 143163 203 01?30-2015 Thanks For tie-fungus serve you! SFPP Account 1099?7616-21 Due Ely: mimm m" Notice of Payment Due State Farm Payment Pian: Accountholder Name: Total Amount Due: ?mm?W POLLARD, DERIONNE 8t JONES, $277.22 June 20, 2015 Agent MarkSpitale r'tsm Fingerboard Rd Ste Monrovia MD 21770-9011 Phone: sot-3324101 - so We appreciate the way you consistentiy pay your account. 0 Changes and payments made after June 1, 2016 wilt be reti acted on a subsequent notice. Page 1 of 2 ayata?t?d? ?mi-1 2? 0 State Farm cares about the security of your information. We have recently enhanced how custOmers are yeri?ed. .You may be asked new questions to verify your identity when you access your account ontine or call into our contact center. a it you have any questions or woutd to discuss other State Farm products, your agent is ready to assist you. Prepared June 1, 20? 6 Power To Pay Oniine Your PC or as mobtte devices Ld': as) i? a eff- m1 -. Accounthoidet: POLLARD, DERIONN 8: JONES, SFPP Account Number: Amount Due: $277.22 Please pay by Jen-c Make payment to State Farm that! Mitt-? Send us g: acheck if . 3 Call your Agent: 301?832-4101 ftutomated Line: 1-300440?0993 if. Key code: 7549457995 Wait: In 5' See your State Farm Agent If you have moved, ptsase contact your agent. insurance Suppott Center PO. BOX 588002 a North Metro, GA 30029?8002 For Of?ce Use Only 10854? SFPP Bit! $277.22 osoe Account Summary W??t Billed $277.22 Last Amount Paid MAY 20, 2018 27722 Difference 0.00 5 Current installment 274.22 - Service Charge 3.00 - Total Amount Due By JUN 20, 2018 $277.22 Policy Details Policy Number Description Installment 8 Current Changes Amount 2015 iNFiNiTt 9 Installment $89.93 2015 lNFiNlTl installment - $108.3? PERSONAL UMBRELLA e? installment $12.83 . 250000 SELECT TERM 20 9 lnstaitment ?b $63.08 JONES, ROBYN A When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a?check transaction. When we use information from your check to make an electronic funds transfer; funds may be withdrawn from your account as soon as the same day we receive your payment, and you witl not receive your check back from your?nancial Institution. SFPP Account 1099-7616-21 Page 2 of 2 Prepared June 1, 2016 I I State Faun mw?mwawe-Mu ,H?M?m"7f? .. Datfg - . [Chit .. .. -. Th2. a . - "1:3 . -. e?l?ggizzemg?oimi 5 a "Ila-tote FarmPefkow?enitjtertPOLLARD, DERIOINNE r. . I 335?? . 4. -- - Totett?i?tn?:oent?ue:- -- awn?an}- I {I3??IsIg . ItAgent Mark Spitztte - 11001 Fingertoem Monrovia '22 I . Phone: 301-082-410?! . . ., - -.-- - . - '4 a We appremete the way you oonSIste-?itly pay . State Farm cares about the oeounty of your information. We have recently enhat'icednom customers are 139315.00. You may re asked ramueetmne to vertfo 'O'Jr'tdettlt wnen ou acceoe vnureccomt ontme or co}: Into ouroonteet center. - Ctsa?gee end payments rnede_afterJune 30, 2-316 bere?eoteo' on a amazement h?tmg notice. I3. I ,II'it you have anyoues?arione nrwouid like'to?tfsouse other State Farm prooucte your z-tgentie tee-o?y to assist you. Thanks; forte??ftog'ito some you! . page 10m I ProbaredJune 30,2016 -- - -- 7 LPteaeefotd and tear herePower 'g?o Pg}: Mobile Mal! Cast yeurl?goat: 301002-4101 .f Watktn 11.). Downtoad our 1* .3 Sendvs hutnsnat': -. tine: 1-300-440-0098 Seeyour Your Way LL ?i'hf'i? mobtte device; IE pockemgantapp 1, 3'35: acheek 5 Key code: ?5rt?'000034 z. 53619 FHWAQEN If you have move-5?, please contact your agent. . I ?Fir eg?izf??'a?? . Accounthotder: POLLAD DERtONt-eii?t JONESinsurance Support Center 7.90. 803588002 - - I oum'Du?. "$23.75? North Metro, .GIA 30029?8002 MakeIpaymentIto State . I . I . .I . Account Summary Bllied $277.22 a Last Amount Paid JUN 28, 2016 277.22 II Difference 0.00 steam Current installment 274.22 Service Charge 3.00 Total Amount Due By 000 20, 2010 $277.22 Pollcy Details Policy Number Description installment it: CUrrent Changes Amount 1w-eoa-20E 2015 a installment $89.93 . asst-rowan 2015 0? installment 7 PERSONAL UMBRELLA Eb Installment $12.83 250000 SELECT TERM - 20 installment $63.08 JONES, ROBYN Av When you provide a check as payment, you authorize us elther to use the information from your check to make a one-time electronic fund transfer from your account or to process the payment as a check transaction; When we use Information from your check to make an electronic funds tra nsfer,-funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your ?nancial institution. . SFPPAccount 1099-2131021 Page 2 of 2 . Prepared June 80, 2016 ?ggi? E5 a-e aerate Ea 5:2 as g; Emeg??k 51% so at e, Let's metre ue your insurance is keeping Up with alt nis in your me. Your State Farn'lE' agent is here to hate life go rr'ght.TIM . .-. r. -- y- 'rjt?r. .u ?ft'UT t-tl?tz? team 3331113506}. i . OFFICE OF BUSINESS SERVICES ACCOUNTS PA YABLE CHECK REQUEST DIRECT PAYMENT FORM A completed ADDRESS LINE ADDRESS LINE 2 Note: This check request poJmentfonn may be med?ur taguemfor memberships dues, subscriptions-1 year. employee Nintbm-sements over 550. con?uence and registrations notrefafed to EAP, contracted semices under $1500 t?ncluc?ng Consuttants and Honomn?ttrn payments. W-B form and conned must be attached to at! contracted services. Contractedset?cos overSfSOD musfbe tomatded a We. I to Proatretnent with a long requisition H?v?fonn 0nd contract. Print and complete offline compiete on?ne and then print. Send the completed form to Accounts Pavable. HIKE 230. Paytnent Requested for: (I Origino! Int?ot'ce?ecet?ptr; (2) or completed W-Qforntfor a? new vendors} PAYABLE TO: Dr. DeRionne P. Pollard, CIVEN DOR EMPLOYEE ADDRESS LINE 3 CITY-STATE (including zip code) CHECK AMOUNT: 1,371.45 DATE: 09/16/16 EMPLOYEE M20823809 VENDOR UMembership USubscrip?on Dfonsultant EAP 1 -year only DHonotarium Empbyee Reimbursement I No TAX HILL BE REMURSED TIFICATION: I Reimbursement of car payments {August 2015) for Infiniti Q70 849.00. Gasoline expenses $83.25.Reimbursement for airfare to ACCT, New Orleans $439.20. ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 439.20 DHOLD CHECK Mam Check El Man med: [35m Attachments with Chad: T?ta1 1 3 7 1 4 5 71795 to Payee to Department SPECIAL INSTRUCTIONS: DeRionne P. Pollard 71796 Stephen D. Cain EXT. ACCOUNT MANAGER (PRINT NAME) REQUESTOR NAME Office of the President DEPARTMENT NAME (Please Type} "3r '7 SUPERVISOR APPROVAL MANAGER SIGNATUR 5 ?n We, (2:3 (73-, :91; on En CDL at: Lore] {3:14 in ?Im 01?- ?1 ."Ti - :35: Dr. DeRionne P. Pollard Gasoline Expenses - August, 2016 (receipts attached) 131912522 to 52211 . SHELL 12121 5222222 5422 2L22252252, 22 22571 12457372224 2572272215 272452222 23:24:13 22 22222 4 52 15.4712 PHICEIGHL $2.899 FUEL TUTFEL 35 4435 IDEBIT 44-85 MHH $8521 1W 11' 828433 PIN USED 8222 Savings Join Fuel and saw $13.1?lgal 11th yuu buy Shell . 11-13212 2122+. S27. 22.222212452-1 for 19251224412223 - ?ffer ends 1312. P121192 {22229312 2812516 If: Shell SHELL 12121 5222252 F422 MD 22271 12457272224 2572552215 272455755 22:25:45 PM 9 PLUS CH 14.??58 $2 .599 FUEL TOTAL 3 .42 CFIEDIT E18. ilEl NW. 112?} . 22 $295} ?l?H 83345 211252 Eli E12223 $411492 Join Fuel F2122. .. and 22m 34.121941 I when you My Shell 7 Homer 12121.4. 522 12242217512113.1312 31:? for terms/21501525 1 {Iffer ends 1812. Please 422 again federal law requires us to tell you how We 00 ed. 5 are. and Pf? BILLIN SU MARY Statement Date July 31, 2016 Description Amount Tax Total Current Rent Amount Tweogg UVn?sdatoo Total Amount Due View 843.00 Payment Due Date Date (dig; Wr/l? 0/1 ?3 Ar may? To avoid a late charge of $25, your payment must be received before 09/04/2016. ACCOU NT IN FORMATION Account Number 2900 9308 278 Last Transaction Amount -$850.50 Last Transaction Date 07/19/2016 Payoff Amount $49,012.19 Payoff Amount Good Until 08/18/2016 The payoff estimate above is for informational purposes only and may not Include applicable sales tax. You can obtain your actual payoff amount and instructions on-llne at ln?niti?nance.c0m or by calling Customer Relations. CO NTJRACT IN FORMATION Contract Date 05/10/15 Vehicle Descriptlo Vehicle ID Maturity Date SEP 9 E?i? Account)" 43 1 personal information Aha-gym}! our policy and with resnerl lo nce.c0 m/servlet/servlet. FileDownioad?filez 0 1550000001 kw n: . ur syn-?eet? as. . inform? tion at or we will mail you a free copy upon request if you call us at 600.627.4437.) Customer Automated Respons?ea'tijhours, gays a week Agents Available CST . Mail Payments ria- In?niti Hnancial?Service?sE?, P.O. Box 742657 - .21.. . Cincinnati, OH 4527432657 f-v' Miscellaneous Fees or Charges Mag be Sent to: Infinlti Financial Services P.O. Box 660577 Dallas, TX 752660577. "l ?1 For Correspondence Infiniti Financial 5355305 P.0. BOX 650350 Dallas, TX 75266-0360 Go Paperless and Enter to Win a $500 Gift Card Log in to infinitifmance.com to go papedess and enter ptuthase quuir ed. 5 12: of?cial Wee: slates rule: {or details. Void where pull-Inked. Please detach and return this coupon along with your payment Infiniti Financial Services? PO. Box 660360 Dallas, Texas 75266-0360 >01365 6616149 003 006143 DERIONN 01355 5515149 001370 002734 000011010001 8900 Freeport Parkway Irving, Texas 75063?2438 Customer Name Account Number Payment Due By 03/19/16 Total Amount Due 849.00 Amount Enclosed I I: Changes? If you are making changes to your address, check the box at left and complete the reverse slde. MAIL PAYMENTS TO: Infiniti Financial Services PO. Box 742657 Cincinnati, OH 45274?2657 Print I Subject: Fwd: eTIeket Itinerary and Receipt for Confirmation From: DeRionne Pollar To: Date: Tuesday, August 23, 2016 4:48 PM Sent from my iPhone . i; :93: Begln forwarded message: i E13 - m) - From: "United Airlines, Inc." I I Date: August 23 2016 at 4:48:05 PM EDT a. To: 5?1 Sub eTicket Itmerary and Receipt for Con?rmation DIPSRX Receipt for con?rmation A numwoe United logo link to home page 23, 2016 . Con?rmation: DIPSRX Check?In Traveler information eTicket NumberFrequent FlyerNumber Seats Traveler Premier Silver FLIGHT Day, Date Flight Clty and Arrival City and Time AircraftMeal Wed, UA6159K WASHINGTON, DC (3le Purchase OSOCT 16 (IAD DULLES) 8:45 NEW ORLEANS, LA 700 aboutbiank Page 1 of 7 Print . - erzme, 9:18 AM Baggage check?in must occur with United or United EXpress, and you must have valid MileagePlus Premier? Silver membership at time of check?in to qualify for waiver of the service charge for the ?rst checked bag (within speci?ed size and weight limits). .39 MileagePlus Accrual Details Date n1 From/To mid PQM PQS PQD mks/20166159 magpgton, DC (IAD Orleans, LA 637 954 1 91 10/9/2016 6221 New Orleans, LA (MSY)~Washington, DC (IAD 2051 954 1 293 Damn I. Award Miles PQM PQS PQD Derionnepdr?s MileagePlus Accrual totals: 2688 1908 2 384 Important information about MileagePlus Earning Accruals vary based on the terms and conditions of the traveler?s frequent ?yer program, the traveler?s frequent ?yer status and the itinerary selected. United MileagePlus? mileage accrual is subject to the rules of the MileagePlus program 6* Once travel has started, accruals will no longer display. You can view your MileagePlus account for posted accrual I 9 You can earn up?to 75,000 award miles per ticket. The 75,000 award miles cap may be applied to your posted ?ight activity in an order different than shown, .1, PQD are a Premier status requirement for members in the US . at Accrual is only displayed for MileagePlus members who choose acc?riie to ?eir MileagePlus account. co i OJ Additional Baggage Information" 3 .1 e? The above amounts represent an estimate of the ?r 113 second checked baggage service charges that may apply to your itinerary. a If your itinerary contains multiple travelers, the service charges may vary by traveler, depending on status or memberships. aboutzblank Page 3 of 7 Print aboutblank 8f24f16, 9:18 AM a If ?ight segments are not flown in order, your reservation will be cancelled. Rebooking will be subject to the fare rules governing your ticket. For the most current status of your reservation, go to our Flight Status page. Your eTicket is non transferable and valid for 1 year from the issue date unless otherwise noted in the fare rules above. Refunds Within 24 Hours . When you book and ticket a reservation through United .com, the United mobile app, the United Customer Contact Center, at our ticket counters or city ticket of?ces, or if you use MileagePlus? miles to book an award ticket, we will allow you to cancel the ticketed reservation without penalty and receive a 100 percent refund of the ticket price to the original form of payment if you cancel the reservation within 24 hours of purchase'and if the reservation is made one week or more prior to scheduled ?ight departure . Customer Care Contact information i (ifwelcome your compliments, comments or complaints regarding [Skirted an a U111th travel experience. 57?; F43, . i You may contact us using our Customer Care form :Hazardous materlals Federal law forbids the carriage bf hazardous materials on board aircraft in your luggage or on your person. A violation can result in ?ve years imprisonment and penalties of $250,000 or more (49 U.S.C. 5124). Hazardous materials include explosives, compressed gases, ?ammable liquids and solids, oxidizers, poisons, corrosives and radioactive materials. Common examples of hazardous materials/dangerous goods include spare or loose lithium batteries, ?reworks, strike?anywhere matches, aerosols, - pesticides, bleach and corrosive materials. Additional information can be found on: unitedcom restricted items page FAA website Pack Safe page TSA website Prohibited Items gage Page 5 of 7 Print aboutbiank Bf24f16, 9:13 AM Notice of Boarding Times For Domestic ?ights, customers must be at the boarding gate at least 15 minutes prior to scheduled departure. For International ?ights, customers must be at the boarding gate at least 30 minutes prior to scheduled departure. The time limits provided by United in this Notice are minimum time requirements. Customer and baggage processingtimes may differ from airport to airport. Please visit united .com for information regarding airport? speci?c boarding times. It is the customer?s responsibility to arrive at the aitport with enough time to complete check?in, baggage, and security screening processes within these minimum time limits. Please be sure to check ?ight information monitors for the correct boarding gate and the departure time of your ?ight. Failure to be at the boarding gate by the required time could result in the loss of your seat without compensation, regardless of whether you are already checked in or have a con?rmed seat and boarding pass. Advice to International Passengers on Carrier Liability Passengers on a journey involving an ultimate destination or a stop in a country other than the country of departure are advised that international treaties known as the Montreal Convention, or its predecessor, the Warsaw Convention, including its amendments, may apply to the entire journey, including any portion thereof within a countiy. For such passengers, the treaty, including contracts of carriage embodied in applicable tariffs, governs, and may limit the liability of the Carrier in respect of death or injury to passengers, and for destruction or loss of, or damage to, baggage, and for delay of passengers and baggage. Notice - Overbooking of Flights Airline ?ights may be overbooked, and there is a slight chance that a seat will not be available on a ?ight for which a person has a con?rmed reservation. If the ?ight is overbooked, no one will be denied a seat until airline personnel ?rst ask for volunteers willing to give up their reservation in exchange for compensation of the airline?s choosing. If there are not enough volunteers, the airline will deny boardingto other persons in accordance with its particular boarding priority. With few exceptions, including failure to comply with the carrier?s checknin deadlines, which are available upon request from the air carrier, persons, denied boarding involuntarily are entitled to compensation. The complete rules for the payment of compensation and each airline?s boarding priorities are available at all airport ticket counters and boarding locations. Some airlines do not apply these consumer protections to travel from some foreign countries, although other consumer protections may be available. Check with your airline or your travel age tn?, - i i ?ri i Fax: 53. cm i Us Thank you for choosing United Airllnes 55: Lg - 11111 ted.com -r h? Legal Notices. Privacy Policy t: Copyright United Airlines, inc. All rights reServed,?? as Please do not reply to this message using the reply I?ia?ddress. For assistance, please contact United Airlines via telephone or via e~mail.2016 Page 7 of 7 MONTGOMERY COLLEGE Office of Business Services Date: April 21, 2016 - To: Rockville Campus Cashier From: Joanna Kong Check From Silver Spring Chapter of the Links Inc #1142 Term Post/Deposit to Account Detail Code AMOUNT Optional REIMBURSE DR CORP CARD FOR OVERPAYMENT OF LINKS DUES $128.00 TOTAL - $128.00 Additional Instructions: Return Receipt to Joanna Kong Thank you! SILVER SPRING CHAPTER 01-73 . 1142 - OF THE LINKS INC - 4 . Ej PO BOX ?457 5393 .. SILVER MD 20902?7457 DATE .32! 0?10 /57 AY 1? dill/UL . . 42er (M 576? w? WW jab?Lid? - ji?? A a BankofAmerica?? . 3R297?1rm6 7);)435 {Dy/rm era-Ll, I542 r' ?lo! REQUESTOR NAME ACCOUNT MANAGER GENT .- gm mm Office of the President DEPARTMENT NAME (Please Type) OFFICE OF BUSINESS SERVICES {11 r- ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM a; I Note: This check reqlmqumenffonn may be wed?or reque?sfbr member-sham dues, employee mimbinsements over $50, con?rwce and I I registrations Hermie-"ted to EAP, contracted sendces under$1500 Including Consultants and Honatanum payments. A completed W9 and canbaafmusr be attached to al.? contracted senvfces. Contracted sen?ce's over$1500 must be fomam'ed Io W-P ?lm: and contract. 4} Printand compiete of?ine complete onIIne and then print. Send the commisted form to Accounts Pavabfe. 230. j; I, . l. Payment Requested for: {Required Attachments: (I Onginaflnvoice/Receipu: (2) a conwlefed W19 fonn all new vendors} PAYABLE TO: Dr. DeRionne . Pollard DATE: Olfll/16 [j VENDOR EMPLOYEE ADDRESS LINE 1 . . . . . EMPLOYEE MCAI ADDRESS LINE 2 4 i? ADDRESS LINE 3 . CITY-STATE VENDOR FED (incIuding zip code) I CHECK AMOUNT: 952.48 Subsc?ptbn El Consultant CI Honovariurn Employee Remmursenmt 145a: only I No Em: mu. BE REMURFEI- TION: Reimbursement of car payment for Infiniti Q70 - $849 . 00; Gasoline expense 103 . 48 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT (.3 84. 9. 00 ?3';ng 1333 . 4B \k "1 Wt:- 952 '3 HOLD CHECK [3 Maggie? SendAttadTTnentswim Check TORI Emir-4??" cm Ext-u 73-755 to Payee 12:: Department E?E?f??r SPECIAL msmucmous: . . - LD DeRlonne . Pollard 2 Stephen D. Galina Accour??n?mdar? SIGNATURE 1 Par? 1" 14/ . KT Ln? R201 B-NBRE f, BILLING SUMMARY Statement Date November 30, 2015 Description Amount Tax Total Current Rent Amount 849.00 .00 r? w. Total Amount Due i (3-, ?453.00 Payment Due Date I [193/15 - a 8 lei/ibis- mime .1 To avoid a late charge of $2F5Tyourrpa before 01/04/2016. ACCOU NT IN FORMATION Account Number Last Transaction Amount $849.00 Last Transaction Date 11/19/2015 Payoff Amount $54,652.12 Payoff Amount Good Until 12/18/2015 The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on-iine at lnfiniti?nance.com or by calling Customer Relations. CONTRACT INFORMATION 05/1 0/1 5 15 Q70 Contract Date Vehicle Description Vehicle 10 Maturity Date mu". 4-H ??teeo? Office of the President Privacy Notice Federal law requires roll-r1? personal information. Our privacy policy hat. not cl?aooed and you may our policy and mm." wold/mm?: Fa Hamming. .. it your review kaEiq or We will mail you a like copy upon quucst if you call us at 800.037.4431.} anon Automated Response 24 hours, 7 days a week Agents Available Monday Friday 7am-7pm CST Mail Payments to: In?niti Financial Services . - . PD. Box 9001133 Louisville, KY 40290-1133 Miscellaneous Fees or Charges May be Sent to: Infiniti Financial Services P.O. Box 66057? Dallas, TX 75266?0577 For Correspondence Only: In?niti Financial Services PO. Box 660360 Dallasr TX 75266?0360 (Sky:- i F-I Be ReadyforWhatthe I Season hasin Store 4- . c- .1- "7:11. - A 0135.110 rig-'eR on Head to your Retailer or?ojgo {'11 ~45 if} Cur . GETSHE . r: 001th Gunde App focZDE?and Ar?gmid'?. Learn about your?s?ljecilic vehicle :tti-ith videos. tutorials and step-by-step instructions. if? 1" Please detach and return this coupon along with your payment tea: . Infiniti Financialgeryices?g i i 1 PD. Box 660360 Dallas, Texas 75266-0360 DERIDNN PDLLARD 01325 5895712 001330 002654 0000000001 8900 Freeport Parkway Irving, Texas 75063-2438 Customer Name DERIONNE POLLARD Account Number Payment Due By Total Amount Due Amount Enclosed i$ D'Changes? 12/19/15 speeoo if you are making changes lo your address, check lhe box al Iell and complete the reverse side. MAIL PAYMENTS T0: Infiniti Financial Services PO. Box 9001133 Louisvilie, KY 40290?1133 5511:1159 tt: Shell 12181 SNUWDEN FARM CLARKSBURG, MD 233?1 1245?3?2304 12x1qyge15 2?91??@23 RM 2 U-PDWEH ER 11.3555 $2.4?9 FLIEL TOTAL 28.15 CREDIT 28.15 I 1111121 Km - VISA NIT at Hit? 3 Ems 551111115 Join Fuel Rteards at fuelrwardg .t-mz or text ta magi-late: rate; apply ht least 543.133ng 5.3131 grit-in; 51 Fuel Hamma- can] Plaza my? again Dr. DeRjonne P. Poliard Gasoline Receipts December 2015 D910 Hickman: [115.301] WEIR HHSHIHGIUH Sf RDCHUILL IEI 23355 Thanks for Fouur Business IHC 29!] ST RUCHUILLE 25856 3591881128 52:3?:u8 PM Uisa INUIJICE HUTH 0626113 PUMPH 3 Supreme 12.?215 PRICEXGHL $2.929 FUEL TDIHL 3 3?.25 3?;26 tustmr-actiuated Purchase/Capture Shift Number 1 Sequence 53833 RPFWED 16151:: Thanks far Your Business Have a Nice Day Relate}. te $19.11 ZSHELL 12131 CLAHKSBUHB, MD gee?1 12a5?3?2334 1gxgaxga15 2?g~ 32:36:19 PM [r U-PDWEH EH 1a PHIEEIGHL e: FUEI TUTHL CREDIT X31116 1:321: it 839135 1th 1'1? 31111111 Savings bin Fuel Reward; at fuelrmar?dacim or text t1 mutate rates. apply at least 53.631311 22113-1 when saipmg 3 Fuel P15115115- cave} P193513 ii?? 1' (41f? OFFICE OF BUSINESS SERWCES . ACCOUNTS PAYABLE I CHECK REQUEST DIRECT PAYMENT FORM 3 I b, 0 7. None: 1711': check regret: manifom may be medfor reqnem?ar dues. mbsc?p?omdyear, employee reimbursement: over ?50. conference and registrations not related to EAP, contracted services under$1500 handing Consultants and Humanism payments. W-Q form and contract musfbe artached to at? conbacfed seMces. Contractedsendces overs1500 must be forwarded I I A completed to Promrernenf with a long requisition. H??fom and contract. Print and compiete'of?ina complete onlina and then print. Send the compisia? farm to {Accounts Pauabla. 230. Payrn ent Req ll ested for: [Required A [Jackal-ante (I) Origina! Imuice/Recegpu; a canipkted W-9famrfar of! new vendors} DeRionne P. Pollard DATE: - 01/11/16 CI VENDOR EMPLOYEE PAYABLE TO: ADDRESS LINE 1 ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED (including zip code) I CHECK AMOUNT: $100.99 5 Membership SubSoiptbn El Consultant ConfermcejRegisu'a?on?Nm EAP El Honorariurn Empbyee Relmbursement 1?year only I NO FILL BE I invoice attached; December 2015. Contractual reimbursement; ACTIVITY FUNDING FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 100 . 9 9 HOLD CHECK Mai! Check Mail Check Send Attachments Wm] check T?tal $100 9 9 Ext- 371795 to Payee ?bepartnent SPECIAL INSTRUCTIONS: I Suzanne Redding (PRINT NAME) H, DeRionne Pollard REQUESTOR NAME EXT. Office of the President . DEPARTMENT NAME (Please Type) SUPERVISOR "lA?ccoum SIGNATURE "{81? I 13': 3 - (II =1 3 an {Pt . A, ?mm?mm?Notice of Payment Due Jacksonv?te FL 32231-4110 . - oi w. .. 3325115. State Farm Payment Plan: I . F1: 01179:? 0006 POLLARD, POLLARD, DERIONNE . Total Amount Due: $27035 E. Due By: December 2.0, 2015 3 9 5" Ag ntMarkS lt'ate . Important Information 1004429 143163 203 [Tl-304015 Thanks for letting us serve you! 11801 FingerboardeSteB .. Monrovia MD 21770-9011 Phone: 301?882-4101 a Changes and payments made after December 3, 2015 will be re?ected on a subsequent billing notice. - a If you have any questions or would like to discuss other State Farm products, your agent is ready to assist you. 53?;772?131?233 .t 0 State Farm cares about the security of your information. We have recently enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account online or call into our contact center. SFPP Account Page 10f2 lfeperert?DecemberS, 2015 Power'ro Pay Matt Call your Agent: 301.5324101 Walkln Your Way i Send us I Automated Line: 1-80044040998 II See your 5. -i a check . Key code; 1?545303791 State Farm Agent Ir ii Accountholder: POLLARD, a Jones, SF PP Account Number; Amount Due: Please f! . Make payment to State Famt For Of?ce Use Only :?12244 It you have moved, please contact your agent. Support Center insurance PO. I30): 588002 North Metro, GA 30029-8002 Ettih $270.96 0207 1 SFPP Bit! Account Summary Billed $270.96 . Last Amount Paid NOV 20, 2015 -2703: w?g? Difference 0.00 Was-sages .Current installment 257,95 Service Charge 3.00 Total Amount Due By DEC 20, 20151 $270.96 I Policy Details Policy Number Description installment Current Changes Amount 145 BSQO-BOB-ZOE 2015 installment $91.06 45 Will 0* lnstaliment $100.99? PERSONAL UMBRELLA a? Monthiy installment $12.33 LF-2429-T202 250000 SELECT TERM 20 Installment $63.08 JONES, ROBYN A When you provide a check as payment, you authorize us either to use the information from your check to make a one-time electronic tund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic funds transfer, funds may be withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your ?nancial institution. SFPP Account 1099-7616-21 Page ?iers?5b? - -r :43439.? mums; si?f?? monster-th .- Jun-Prepared December 3, 20 5 d?K-mrcma OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM 9; a (0 {3007 I A completed to fromreznent with a long requisition. and contract. PAYABLE TO: UVENDOR ADDRESS LINE 1 . EMPLOYEE ADDRESS LINE 2 ADDRESS LINE 3 Note: This check request may be madfor requech?r membership: dues, subsmp??ons-bear. employ: reimbursements owi- 550, cotyt?rence and regisbations not related to EAP, contracted services under $1500 Including Consonant: and Hanoran'um payments. W-Q tom] and contract must be attached to at! contracted cenrices. Conhac?zd services over51500 mustbe fonvarded Print and com of?ine or com Iete online and than ")l'Il'Ii Send the comma-tee? {arm to Accounts Pavabie. NIKE 230. i Payment Requested for: {Required A ttochmenls: (I ,1 Original tnvoicdRecerpts: 2 a completed W-9fomfbr of! new vendors} DeRi onne . Pol lard DATE: 02/12/16 EMPLOYEE NIGER VENDOR FED 1~yeaz only CITY-STATE (including zip code) CHECK AMOUNT: $100.99 I DMembership DSubsuip?on DCon?JItant DConferenceIRegisua?cn-Non EAP EIHonoa-arium . Emphyee Reimbursement I No BE TION: I Contractual reimbursement; invoice attached; January 2016. DEPARTMENT NAME (Please Type) -. .F I If 125,11?1/ {Elf/- If ACTIVITY FUNDING INDEX FUND . ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $1 0 0 . 9 9 Mail Check Hail Check gm Attachments with Gm T?tal I $1 0 0 9 9 CALL Ext. T1136 to Payee to Department N. ./If SPECIAL INSTRUCTIONS DeRionne . Pollard i Suzanne Bedding REQUESTOR NAME EXT. ACCOUN AGER Office of the President {1 SUPERVISOR APPROVAL ?3 II ?Twp 1 .13" "it gt ?a Wm rate Farm Payment Pian Lee?w?- Me. Mr I PO BOX 44110 . 151319.. Notice of Payment Due Jacksonville FL 32231-4110 rum-w tate Farm Payment Plan; if". AT1 612413 0000 1099701521 20-912145 - Aocountholder Name: OLLARD Total Amount Due: . $269.83 Due Byi January 20, 2016 3,Agent Mark Spltale 11801 Fingerboard Rd Ste Monrovia MD 21770-9011 Phone: 1501?8824101 Important Information a State Farm cares about the security of your information. We have recently enhanwd how customers are veri?ed. You may be asked new 'questions to verify your identity when you access your account onlineor call into our contact center. W9. Changes and payments made after January 4, 2016 will be re?ected on a subsequent billing notice. a it you have any questions or would titre to discuss other State Farm products, your agent is ready to assist you. 1004429 143163 203 01-30-2015 Thanks for Iettr?ng us serve you! lit-x :77 . Ftepared January 4, 2016 i 1 J- Account Page 1 of2 I 9" Ea tower To Pair Mobile Catt your Agent: 301-3324101 war: In {our Way i" 1 Download our Automated Line: 10004400000 .: A See your - ?5513: mobile devices - PooketAgent app . -. Key code: 7545404025 I State Farm Agent 11? you have moved, please contact your agent. rim?I. firm- .9341 . 1 Li?: 1 1 if- Accountholder: POLLARD, 8; JONES, SF PP Account Number: insurance Support Center PO. Box 588002 Amount Due; $259.33 North Metro-GA 30029-8002 Please pay 25:: Make payment to State Farm For Of?ce Use Only SFPP an: $269.83 0309 ?2943 OFFICE OF BUSINESS SERVICES I ACCOUNTS PA YABLE CHECK REQUEST DIRECT PAYMENT FORM I A cornpfered Nora: This check requeslpogmemfom may be usedfor requesufor member-shim dues. employee rennbru-semenls over 5m. cmy'erence and registrations notrelared to SAP, contracted services under $1500 Winding Consultants and Honorerrum payments. W-Q form and contract must be attached to at! contracted services. Connected sem?ces over $1500 must be rewarded fa Proaneniem with fang requisfn'om W-S?fcnn and comma-I. Print and complete offline 9; complete online and then print Send the comoleted form :0 Accounts Pavahte. i?r?iKE 230. PAYABLE T0: Dr. ADDRESS LINE 1 EIVENDOR EMPIDYEE ADDRESS LINE 2 ADDRESS LIN 3 CITY-STATE (inciuding zip code) CHECK AMOUNT: 5 1,005.99 Payment Requested for: [RequiredA?achmenm (J Originalln?oice?hce?m: 2 a conajpfefed W?9jbmifor mar vendors} DeRionne P. Pollard DATE: 02/12/16 EMPLOYEE M633: M20823809 VENDOR FED CI MembershIp DSubsc?p?on 1 -year only DConsullant Registra?onvh'on EAP DHonotar'um Empbyee Reimbursement I HILL BB 113359353?! TIFICA TION: Reimbursement of car payment for Infiniti Q70 - $849.00; Gasoline expense -- $157 . 99 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 849.00 157.99 . IZIHOLD CHECK Mail Check Man {heck mend Attachment; check T?ta1 1 00 6 993/ Ext- T1795 to Payee to Department SPECIAL INSTRUCTIONS: DeRionne P. Pollard Stephen D. Cain REQUESTOR NAME EXT. ACCOUNT MANAGER (PRINT NAME) Office of the President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL Accour?f MANAGER SIGNATURE age}, TI. 33 \zj/ .1 i? ca at: (If? E54 [e?pi LLI Eli ED 1: no D: K. BILLING SU MMARY Statement Date December 29, 2015 Description Amount Tax Total Current Rent Amount - $78? 9.00 Total Amount Due a'fl?mm'flt. blames 8 9.00 Payment Due Date 16 Li/Z??l To avoid a late charge of $25, your payment must be received before 02/04/2016. IN FORMATION Account Number Last Transaction Amount $849.00 Last Transaction Date 12/18/2015 Payoff Amount $53,958.37 Payoff Amount Good Until 01/1 8/2016 The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on-line at infiniti?nance.com or by calling Customer Relations. CONTRACT INFORMATION rm" . Prise Notice Federal law requires us personal information. Cu rivacy agirr has not 6 our policy. and A, 06193. ?maniac. unload?. {it w>IEq or we will mail you a free may upon if you call us 21 ?011.327.4437. Contract Date Vehicle Description Vehicle ID Maturity Date Office of the'resid alit?l [Hindu 1; ocean praciic :2 05/10/15 .. i Customer Relations Automated Response 24 hours, 7 days a week Agents Available Monday Friday 7am-7pm CST Mail Payments to: In?niti Financial Services P.O. Box 9001133 j; Louisville, KY 40290-11993; '3 Miscellaneous Fees or Chacge?s Maj?be Sent to: Infiniti Financial PD. Box 660577 33;: Dallas, TX 75266?0577 on For Correspondence Only $5.51 a; Infiniti Financial x- I Dallas, Tx 75266-0360 791:. i=0 . Log in to in?nitl?nance.com I to go paperless and entertowm i No required. Snow: LII ?ee-paink? rules for rial ails Void when prohibited"f2: . .. a ?mu; Visit your local ln?niti Retailer or - 2:2" for details} . Please detach and return this coupon along with your payment HInfiniti Financial Services?:9 PO. BOX 660360 Dallas, Texas 75266-0360 >004.48 5993709 002 008143 DBSTILL DERIONNE POLLARD 00448 5993759 000451 000890 00001l00001 8900 Freeport Parkway irying, Texas 75053-2438 Customer Name DERIONNE POLLARD Account Number . . . Payment Due By 01/19/ 16 Total Amount Due 849.00 Amount Enclosed I: ChanEleS? lfyou are'making changes lo your address, check the box of left and complete the reverse side. MAIL PAYMENTS To: Infinitl Financial Services P.O. Box 9001133 Louisville, KY 40290-1133 0130 eta Shel] r000 . 3000, 00 ,1 12004 2010 279200310 SAL 11.3390 $2.419 27.43 REPRTNI REPRINT ?7 33 v11 1 001820 0 B6813 T.q?m .Juin -0001102 .qwarJa.com I lhd3 6/5/161 and condlt10n8 n. 111 REPRINT 111 REPRINT 11* Dr. DeRionne P. Pollard Gasoline Expenses - January 2016 1 :0 I 19?? 21001 F000. [1000100110 10075 SHELL 21000 FREDERICK 0000 MD 1000200000? 0131102010 201000001 11:33:53 131111 00000 0 10 1000 PRICEIGHL 3:30 FUEL TOTAL 0 0? 00 CREDIT 0 2180 IWENBH 801102 ?010.10; Save $3.2?jgallv00in F001 8000003 t0day at 001110100300 Effer 0003 035110. T0113. and 0002111000 01113;. P100: :00 again D9154: HH1LL LHHEUIEH W0 HI [4/2815 00:05:38 EH 30-3": XHHX I I. 510d 855530 3 PREHIUM 11.1 we me FUEL ?1 01 CREDIT ?i a; 2% E33. 5? 31 EB Gnul ..-- 55.23 20;; 90 ?it? ti p.31 4 . Dr. DeRionne P. Poilard Gasotine Expenses ?January 2016 1191:1119 to 511911 SHELL 12131 FARM ELAHKSBURB, MD a r. 99h? MD ?1f1Eif2El?l? 1219239415 1113.115. 113315236525 91:55:15 PM #34143 529? an u; ij#6 Qigi?$gxgm?n? CF. 13.55513 .1: I 1 ?0 o? arvw 92888_47 95? HILEIJHL ?ij??f?la 13:19.41 FUEL TUTHL 31.91 - 5 (49:15.35 549 51112011 31.9.1 :an 01113 14- 2.129 .. yugL SELF: 31. 91152 APPRDUED IEHH SEQ 93612 ?442335 It; "Honar- -- re. :21 us Savings; - 3 Jain . rug i Rewards tthjay [3?3 ?Lelrem?dam gm 1 ends. 5/5/15. - and tann?ticmg ms? main OFFICE OF BUSINESS SERVICES fa Procuremem with a long requisition. mpfom and centred. . ACCOUNTS PAYABLE Note: This check requestmenffom may be med?r regue?s?vr membership: dues, .rubsc?prfonsJyeer. emplowe reimbursements over 550. conference and not related to EAP. canbacz?ed sew-ices unders 1500 Lucindan Consu?ents and Honors-Hum payments. fa f- A mmplefed W-Q form and mnhac! must be e?ached to all contracted ser?ees. Contracted services over$1500 mustbe forwarded I 'k I x1. Him Print and compiete offline complete online and then print. Send the commeied form to Accounie Parable. 23%. x. 010120 PAYABLE TO: CIVENDOR ADDRESS LINE 1 DeRiOnne P. Pollard EMPLOYEE - ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE (including zip code) CHECK AMOUNT: 1,062.18 Payment Requested for: [Required Attachments: Im'arce/Recelpn; a completed of! new vendors] Dr . DATE: EMPLOYEE MCII: - 03/11/16 [Membership DSubsc?ption 1 1mm anlv DConmhant DConfe'encefRegisha?onNon EAP EIHonorarium Employee Reimbursement HO PM WILL BE TIFICA TION: Reimbursement of car payment for Infiniti Q70 - $849.00; Gasoline expense REQUESTOR NAME Office of the President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL $112.19. . . FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 849.00' 112.19 I ?(Fl-v EIHOLD CHECK Mali Check Hall Check 55m Attachments Wm. check ??31 '9 6 1 1 CALL 717:: to Payee to Department nerve-"F. SPECIAL INSTRUCTIONS: DeRionne P. Pollard Stephen D. Cain EXT. ACCOUNT MANAGER NAME) IACCOUNT SIGNATURE ?Iw.? I kt; -I . hh INF BILLING SUMMARY Statement Date Description Current Rent Amount Total Amount Due Payment Due Date Account Number Last Transaction Amount Last Transaction Date Payoff Amount Payoff Amount Good Until CONTRACT INFO RM Tax . .1 l_ Ania-W ii (Ki? .1 nuwa-u?\ i ACCOU NT IN FORMATION January 31, 2016 Total Es 049.00 02/09/15 alltl it Jinn-H To avoid a late charge of $25, your payment must be received before 03/06/2016. 01/19/2016 $53,257.57 02/18/2016 The payoff estimate above is for informational purposes only and may not include applicable sales tax. payoff amount and instructions on-line at infiniti?nance.com or by calling Customer Relations. You can obtain your actual %I%ll sea sea .-. - 2:3 Customer Relations - 800.627.4437 Automated Response 24 hours, 7 days a week Agents Available Monday Friday 7am-7pm CST Mail Payments to: Infiniti Financial Services .. I . . P.O. Box 9001133 Louisville, KY . -c Miscellaneous Fees or Charges May be Sent to: lnfinlti Financial Services . PO. Box 6605?? . Dallas, TX of: For Correspondence Only-g. Infinitl Financial Services; PO. Box 660360 Hg:- Dallas, TX 75266-0360 :15; m4 ff?? 5? . '51- A. -. a [51:2 feta-ski ll 0:35? .3 IE. ICE. 5-if." [a lo?- {-11 12.. ll 1 11:: 53?; For more details, visit lniin iilUSAxorn/aner?vehi {1?0 06666.5fo? TO ENTER oat/111. our policy INITE Vehicle Description Vehicle ID Maturity Date persona-l miormstics. 5110 Office of the . Accounl?Manager ?9.13 to": . Contract Date Lu} Q7 08/19/13 lean ka50 or we will mail you a free corly upon request if you call us at 000.627.4437. .5 . Account/RQrNumber {lo-r 310 (23018006626200 for are complimentarytowmgto I'La'ei 'g?luulu'; .. . Federal requirzs to tell you how WE collect, share, and protect your T: the Warestln?nithefl?ed prlvacy policy has not changed and you may review 2371?? RepaIrShop . 5'5505?35 With Named to your personal information at infinllicollisionnetWoriccom -: {$111} in?liil??ilia??ai?hhm? also; Please detach and return this coupon along with your payment Infiniti Financial Services? Po. Box 660360 Dallas, Texas 75265-0360 >01320 0092000 003 008143 DBSTILL DERIONNE POLLARD 01325 6092600 001331 002556 00001100001 8900 Freeport Parkway Irving, Texas 75063-2438 CUStomer Name DER ONNE POLLARD Account Number Payment 02/19/15 Total Amount Due 349.00 Amount Enclosed I 9; {3 Changes? If you are making changes to your address, check the box at hall and complete reverse side. MAIL PAYMENTS TD: Infiniti Financial Services P.O. Box 9001133 Louisville, KY 40290?1133 96001 5 ROAD 1- MD 1: IHH /02/2015 655535547 1:05:15 PM I 1 Customer?activated Purchase/Capture Seguence Number 24 58 APPROVED 020240 DR. P. POLLARD Gasoiine Expenses February 2016 I SHELL 549 LAKEUIEN DRIUE HIRE HD 21??1 BB/l?f??l? 583453418 33:11:58 AM UISA IHUDIBE 883389 RUTH BBEBED PUHPE PREHIUH 9.1?98 PRICEKGAL 2.599 FUEL TOTAL 23.83 CREDIT 33.93 NELCOHE S?nuco ?99 Hungeanrd_Dr. ?ockuille Md 95850 DHTE 92(17316 11:03 TnaHn 9838?38 PUHPH us SERUICE LEUEL: SELF ULTRH EHLLOHS: 19.31? P?lu?f?c 2.659 FUEL SH.E 21.59 -CREDIT $2?.59 $139 1 Ruth Resp Code: 0 Stan: 02831Bu?22 Invoice H: 115880 ID: 01 HHUE NICE ?Gaspiine Expenses - February 2016 RECEIPTS ATTACHED- 333 fkii? 10H 393% :39 i?li?i id13333 E??i 931 ?elccie to 'S?frall amwa??s MESS Frederic-L; Fil ?ermartaan :49 SHELL FREDERICK MD EBEYE 3333 ., DUMP. 5 ,w 12.25:* $2.a?m 1. mgg1mxga1a 2313322?u ii; 33 37:52:53 mm aw: 3; ?l FUEL TUTHL EELS . $3 7&7; i - I CREE: IT . Er 163;}: Kira ?g E??ai? EHsz Baa-1&9; 3?3 Fu? may; at fuelrax-z-r 13.05: OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Nora: This check reqnenpa}menrfann may be med?r requestsfor membership: dues, employee reimbursements over 350, cory'erence and registrations no! nefated to EAP, contracted seMces under $15001ncmc?ng Cansuitants and Honorarfum payments. A compfefed W-Q farm and contract must be affached to all contracted seMces. Conn-acted services nver$1500 must be fnmarded fa Pmrremenf with a Iongrequfsi?on. W-Pfonn and contract. Print and complete of?lne compiete onIIne and then print. Send the completed form to Accounts Pavebte. NIKE 230. 7: ,vrn? ta .1) :3 Payment Requested for: {RequiredA?nchmentx (1) Original Ingorco?Recefpu: 2 con?icted W-P?irmfor a? new vendors] 1-year only PAYABLE TO: DeRionne . Pollard DATE: 03/ 11/1 6 DVENDOR EMPLOYEE ADDRESS LINE 1 EMPLOYEE ADDRESS LINE 2 ADDRESS LINE 3 CITY-STATE VENDOR FED (including zip code) CHECK AMOUNT: $100.99 I DHembership DSubscrip?m IZIConsunanr Dmnra-encemegisua?muon EAP IZIHanm-arium Employee Reimbursement I NO BE TIFICA TION: I Contractual reimbursement; invoice attached; February 2016. ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $1 00 . 99 .xx?f?mqi ., EIHOLD CHECK Mail Check Ma? Check Amman? with Check ?"311 1 0 0 9 3? Ext- 717's? to Payee to Department SPECIAL INSTRUCTIONS: DeRionne . Pollard 17 7 Suzanne Redding REQUESTOR NAME EXT. ACCOUNT MAN GER NAME) f" Office of the President DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL LIACCOUNT MKNAGER SIGNATURE . H: in? 3:3 ?13? . a bit-l. at: - P3 3053211?? an Notice of Payment Due Jacksonville FL 32231-4110 - wig" . State Farm Payment Plan: AT1 003505 0005 1099-7616-21 20-9A4E Accountholder Name: POLLARD, DERIONNE PLARD, DERIONN I Total Amount Due: $259.83 3 Due By: February 20, 2016 Fwe?g i Agent Mark Sprtale . Me, 11801 Fingerboard Rd Ste Monrovia MD 21770-9011 . i Phonez301?882?4101 var-H- linportant information 9 - State Farm cares about the security of your information. We have recently enhanced how customers are veri?ed. You may be asked new questions to verify your identity when you access your account online or call into our contact center. Changes and payments made after February 2, 2016 will be re?ected on a subsequent billing notice. a if you have any questionsorwouid like to discuss other State Farm products, your agent is ready to assist you. 1004429 143163 203 01-30-2015 Thanks for letting us serve you! r1: SFPP Account Page 1 of 2 Prepeced Februagr 2, 2016 - Power To Pay Mail Call your Agent: 301-832?4101 Walkin Your way Send us Automated Line: 1?800-440-0998 See your Lif? a check Key code: ?54?001255 i State Farm Agent you have moved, please contact your agent. 6% a? 51:15 i. if Accountholder: POLLARD, DERIONNE 8: JONES, SF-PP Account Number: insurance Support Center PO. BOX 5880020 3 Amount Due: $259.83 North Metro, GA please pay Febfg?shcy. is: 23?: Make payment to State Farm For Of?ce Use Only SFPP Bill $269.83 0409 '05?896 OFFICE OI: BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM A (0 Procurement urn}: a long requisition, W-P?z-rm and contract Print and complete of?ine complete online and then print. Send the cempIeted form to None This check may be medfor mamberxh?os dues. emponee reimbursement: over $50. conference and registrab'ans noIl related In EAP, contracted senr?iCes under $1500 IncIudfng ConsquanIs and Honoranum payments. form and centres! must be attached to a?canbected serrate: Canhacfedser?ces over$1500 must be [awarded Accounts Pavable. NIKE 230. PAYABLE TO: DeRionne P. Pollard Payment Requested for: {Required A Irachmenu: (1) Original InvoicefRece?ws; 2 a completed new vendors} DATE: 04/13/16 I Dveneok' EMPLOYEE ADDRESS LINE 1 EMPLOYEE ADDRESS LINE 2 ADDRESS LINE 3 VENDOR FED (including zip code) CHECK AMOUNT: $100.99 Pun? ,4 . r. DMembershIp USLbSUiption DConsuitant DCmfeencelRegish'a?owNun EAP DHomrarium EmeYee Reine-PursenE?tl?Sfl" 1?year only I no me er: m?geuesze TIFICA non: . Contractual reimbursement: invoice attached; March 2016. -, 1 $3 1.2.: Le - ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT $100 . 99 DHOLD CHECK Man Check [3 Man Chad: Um Attachments PM Check T?tal $100 9 9 . cm Ext- 71795 to Payee to Department SPECIAL INSTRUCTIONS: DeRionne P. Pollard 13173-3 Suzanne Redding REQUESTOR NAME EXT. PRINT NAME) Office' of the President DEPARTMENT NAME (Please Type) SUPERVISORAPPROVAL Lr hecbunr MAnAege?srennTune 5339 - I I - 1 State Penn Payment Pian .mf" . PO Box 44110 Notice of Payment Due Jacksonv?ta FL 32231-4110 "?tate Farm Payment Ptan: Accountholder Name: POLLARD, DERIONNE ti JONES, . - AT1 012364 POLLARD, Total Amount Due: $269.83 a; Due By: March 20, 2015 3% He?d; Agent Mark Spitaie 11801 Fingerboard Rd Ste Monrovia MD 21770?9011 Phone: 301?882?4101 1115111: important Information a_ . . State Farm cares about the security of your information. We have recentiy enhanced how customers are veri?ed. You questions to verify your identity when you access your account online or caii into our contact center. 3' Changes and payments made after March 1, 2016 wilt be re?ected on a subsequent notice._ '3 if you have any questions or would like to discuss other State Farm products. your agent is ready to assist you. 71': I 1004429 143163 203 01-30-2015 Thanks forfeiting us serve you! 1: 1:1; Account 1099?7616421 . . Page 101' 2 Prepared March 1, 2016 . Power To Pay Ontina Mobile nan CaiiyourAgent: 301-5524101 f'j j? Walk In Yourway 151? PCot Download our {1 Send us Automated Line: 10004400990 :33: Seeyour mobiio devices 3:4 Pocket Agent app t1; .1. acheck Key code: 1541610542 State Farm-Agent . if you have moved, piease contact your agent. ?52.61: 1 '3 Accountholder: POLLARD DERIONNE 8: JONES, SFPP Account Number: nsurance uuppo Pg. Box 588002? mount Due: 1.11 Metro, GA 00029~8002 Pfease ?33? - Make payment to State Farm. . . .- 0508 For Of?ce Use Only SFPP 012935 - Account Summary we ?1 . asi Amoirni $269.83 iw??w?g Last Amount Paid FEB ?19. 2016 -269.83 Difference 0.00 I I Current installment 268.83 I Service Charge 3.00 Total Amount Due By MAR 20, 2016 $269.83 i Policy Details Policy Number Description Installment 8: Current Changes Amount 2015 rnrrum installment $89.93 2015 l? installment $l00.99 PERSONAL UMBRELLA Er Installment $12.83 250000 SELECT TERM 20 lnstallment $53.05 JONES, ROBYN A When you provide a check as payment, you authorize us either to use the information from your check to make a one?time electronic fund transfer from your account or to process the payment as a check transaction. When we use information from your check to make an electronic funds transfer, funds may be Withdrawn from your account as soon as the same day we receive your payment, and you will not receive your check back from your ?nancial institution. SFPP Account 1099-7616-21 Page 2 of 2 r' . 3:59? . 333.3}. ".333: i mm t? Prepared March 1, 2016 . . .. OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM Note: This check request pojmemfomr may be used)?? reqrrew/or membersh?o: dues, year. employ: refnrbersemems over $50. mn?mnce and Dr. registrations norrelated to EAP, contracted semfces under $1500 Including ConsquanIs and Honomn?um payments. A completed form and conbaotmusr be a?ached to 33 connected services. Contracted sem?ces 012381500 must be forwarded to Proarremem? m?rh tong requisition. W-Pfonn and contract. Print and comPIete of?ine complete online and then print. Send the completed form to Accouan Pavable. mliE 230. DeRionne . Payment Requested for: [Required Attachments: (1 ,1 Original Invofczr?ecei?ws.? (2) a congeIered HWformfor a? new vendors} PAYAB LE T0: Pollard 56? .3 *1 r) .-- ADDRESS LINE 1 LINE 2 ADDRESS LINE 3 CIVENDOR EMPLOYEE DATE: 04/13/16 CITY-STATE (including zip code) CHECK AMOUNT: 5 873.20 VENDOR FED 4 [:lrdembership EISubsm'p?on EIConsuItant EAP ElHenorarium Employee Reimbursement 1-year only I No TILX WILL BE ILEDEURSED TIFICA ON: Reimbursement of car payment for Infini ti Q70 -- $849 . 00; Gasoline expense $24 . 20 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 849.00 2 4 . 2 DHOLD CHECK ?Bum CISend Attad'lments with mack T?tal CALI- Ext- 71795 to Payee to Department 393cm INSTRUCTIONS: DeRionne . Pollard 71"; REQUESTOR NAME Office of the President DEPARTMENT NAME (Please Type) EXT. APPROVAL Stephen D. Cain ACCOUNT MANAGER (PRINT NAME) .3 . IACCOUNT MANAGER SIGNATURE 31 Ea? r, BILLING SUMMARY Statement Date February 29, 2016 Description Amount Tax Total Current Rent Amount more.?3e E3 %3 Total Amount Due life-c ?ame-:1 Payment Due Date 3 to); To avoid a late charge of $25Wo?0'r? :5er "Lent must be received before 04/04/2016. ACCOUNT IN FORMATEDN Account Number Last Transaction Amount -$849.00 I Last Transaction Date 02/19/2016 Payoff Amount $52,555.02 Payoff Amount Good Until 03/13/2015 The payoff estimate above is for informational purposes only and may not include applicable sales tax. You can obtain your actual payoff amount and instructions on-line at in?niti?nancecom or by calling Customer Relations. CONTRACT IN u. Hn$lu It?llme Contract Date 1am Vehicle Description Vehicle ID - 1 ?32: 6615661213 Maturity Date Office of the ?ee: APR orig? Account Manager-,,_ Account?ze. l?xlu?ibe Federal Ear.- recuircs mil-1H "?lial? personal information. Our privacy policy [12:5 not changed arm you. may review our pet?s; ant Lectures with respect to your personal inforTrmilnn at FileDolavlaloadE?filc-n 01650000001 gin-z wart, rig? El. ?are J?sg. -- 4 Customer Relations - 800.62.443 Automated Response 24 hours, 7 days a week Agents Available Monday - Friday 7am-7pm CST Mail Payments to: Infiniti Financial Services P.0. Box 9001133 Louisville, KY 40290?1133 Miscellaneous Fees or Charges May be Sent to: In?niti Flnanciai Services PO. Box 66057? Dallas, TX 75266-0527 For Correspondence Only: 5 . In?nlti Financial Services P.0. Box 660360 Dallas, TX 75266-0360 and or}, g1 your UVXSCI or We will mail you a free copy upon request if you call us at ?fl??lla?lj ?9 .4is: 1?1 rag-J - are? .3. 1: rel-e; .a a, .- Ni: Eu? ?53? 2 Erie}. ELF (to 5.: t? 3" For caste details, visit no i?ei?iCiZS?u??t? ?50 ENTER Git tail-so? Please detach and return this coupon along with your payment . Infiniti Financier!Services? I. I I 1- Po Box 660360 Dallas, Texas 75266-0360 Customer Name Account Number Payment Due By 01330 513'9294 001385 002754 00001i00001 1nu?1; mH- 1- m?'m 6900 Freeport Parkway Irving, Texas 75063-2438 DERIONNEPPOLLARD 03/19/15 Total Amount Due 849.00 Amount Enclosed Liam - Changes? >0138'0 0179294 003 008143 DBSTELL DERIONNE POLLARD HAIL PAYMENTS TO: Enfiniti F?neecial Services Po. Box 9001133 Louisville, KY 402904133 .- .- if you are making changes to y?uf??dress, check [he box at left and complete the reverse side. r".l so Turn off'your paper statements using one of these options; 1. Register online with the In?niti Financial Services (IFS) Online Account Manager at in?niti?nancecom and . follow the instructions to turn off paper statements. MT: 2. Enroll in E?Bili through your bank?s website. A email will then come from your bank advising when your statement is available for viewing and payment on your bank?s website. Details can be found at ebillplace.com. ENIROLL FOR AUTOMATIC WITHDRAWAL ONLINE OR BY MAIL Enroll online for Automatic Recurring Payments Simply log on to in?niti?nancecom. Click Payment, .and then Recurring Payment. Once enrolled, you can choose the payment date and amount. It is secure, flexible, and hassle?free! . - Don't have internet access? No Problem. Call 800.627.4437 and request a form through our automated phone service. Once enrolled, will automatically withdraw your payment from your checking or savings account, safely and on time, every month. SCHEDULE RECURRINC PAYMENTS Log on to in?niti?nance.com and schedule recurringpayments - it?s ?exible and free! To pay by phone using a credit card, ATM/Debit check, call Bill Matrix at 800.603.7385. Transaction fees may apply. IMPORTANT CUSTOMER NOTICES WE MAY REPORT INFORMATION ABOUT YOUR ACCOUNT TO CREDIT BUREAUS. LATE, MISSED PAYMENTS OR OTHER DEFAULTs ON YOUR ACCOUNT MAY BE REFLECTED ON YOUR CREDIT REPORT. WE MAY ELECTRONICALLY MONITOR RECORD ANY TELEPHONE COMMUNICATIONS WITH YOU. Failure to include the remittance coupon with the account-number on your payment, or mailing it to an address other than the address on the coupon, may delay its posting. Wire Payments made after 1:00 PM Central Time may not post until the next business day. IMPORTANT NOTICE FOR BANKRUPT CUSTOMERS If your obligation to pay any debt listed in' this statement has been discharged in bankruptcy, or is presently the subject of a bankruptcy court proceeding, bankruptcy court-approved plan or bankruptcy court order, we are not, through this document, attempting to collect any amounts from you as personal liability, and will only pursue any rights we have in the bankruptcy courts to the extent allowed by law. For all bankruptcy notices or correspondence, use the following address: In?niti Financial Services, Bankruptcy Department, PO. Box 660366, Dallas, TX 75266~0366. INSURANCE Insurance coverage is required by your lease agreement. You will provide us with proof of coverage at our request. Your insurance policy must provide us with at leas_t__3_0? days noiti?ce?orfnagy cancellation, reduction or other material change in coverage. r? You appoint us as your attorney-in?fact to arrange for and procure payment of insurance loss proceeds directly with your insurance carrier(s) and to endorse; present and collect insuraRCe loss proceeds checks. For leases owned by Nissan-Infiniti LT Infiniti Financial Services acts as Servicer. Infiniti Financial Services is a division of Nissan Motor Acceptance Corporation. . . CHANGE OF ADDRESS You can update your address at in?niti?nance.com or complete the form below and mail it with your payment. 1' understand that by providing my phone number(s), I am giving my consent to Infiniti Financiai Services to contact me on any of the numbers provided, by any means IFS selects, including an automatic telephone dialing system, text messaging, and/or an artificial or pro?recorded voice. This permission supersedes any previously revoked consent to contact me and any registration on any government "[10 Not Cail?List". g?Tf?? . .. .. . v' Phone Numbers: Name: . Personal: Street/Apt Business: 3 City/State/Zi I Email Address: Enter Address where vehicle is located if different from new mailing address. . . . . Vehicle Iniormatlon: Name: ?ts-Jagger .2435 Street/Apt #3 License Plate City/State/Zip: License State: Dr.DemonneP.PoHani - Gasoline Expense~March, 2016 i ?elcame Shell SHELL 121w1 FARM CLAHKSBUHE, MD 2?92?3?ag 31:4?:35 PM a CH 9.9245 $2.439 FUEL TOTAL 24.25 CREDIT 24.28 Savings Save $8.25fgal! Jain Fuel Reward; taday ?ffer enda 3/5/15. Term and :m??ms q?y Si? [nae again c;3 OFFICE OF BUSINESS SERVICES ACCOUNTS PAYABLE CHECK REQUEST DIRECT PAYMENT FORM A magni?ed W-Q form and contract must be a?acheo' to all connected sen?cea Contracted services over $1500 must be fomarded Io Prowmnenl with a long requisition. and contract Print and complete of?ine complete onllne and then print Send the oomoleted formic Accounts Payable. HIKE 230. Nola: ?le check may be meo'for requesls?armembemh?n dues, employs reimbursement: over 5?50. con?wnce and not related to EAP, contracled sendees under $1500 including Consultanls? and Honom?om pa ymenls. ADDRESS LINE1 ADDRESS LINE 2 ADDRESS LINE 3 Paym I: Req nested f0 r: [Required A trachmems: (1) Original Invoicer?Recefpu; a compleled H19 ?lm: ?ar all new vendors} PAYAB Dr. DeRionne Pollard DATE: 05/20/16 EMPLOYEE EMPLOYEE MOSH ?120823309 1?year only VENDOR FED a (including zip code). 1 CHECK AMOUNT: 890.86 [membership DSubscrip?on DConsuhant EAP DHonorarIum Employee Reimbursement I N0 TM FELL BE REDEDIREED TIFI CA TION: Reimbursement of car payment for Infiniti Q70 - $849.00; Gasoline expense -- $41 . 8 6 . ACTIVITY FUNDING INDEX FUND ORGANIZATION ACCOUNT PROGRAM CODE GROSS AMOUNT 849.DHOLD CHECK Ma?mem DMa?med-t DSendAMm Wm, Check T?tal 890 - Ext" T1795 to Payee to Department SEECIAL DISTROCTIONS: DeRionne P. Pollard Stephen D. Cain REQUESTOR NAME EXT. ACCOUNT MANAGER (PRINT NAMEOffice of the President 9 DEPARTMENT NAME (Please Type) SUPERVISOR APPROVAL IACCOUNT MANAGER edge/77?7?17 fad-?5 1.x" I CONTRACT Theorems-sore fr . a: 4.. BILLING SUMMARY Cuomer Relations - 300.627.3 Automated Response 24 hours, 7 days a week Agents Available Monday Friday 7am-7pm CST ,Statement Date March 2'3, 2016 Description Amount Tax Total Current Rent Amount, 849.00 849.00 Ma? Montle PaYmenis . infiniti Financial Services Total Amount Due i Li '4 {34900 PO. 80): 9001133 at 1 Louisville, KY 40290-1133 Payment Due Date w?r?bt?i? 19/16 . j'ta: Miscellaneous Fees or Charges May be Sent to: i - 5 CKr[Hut Infiniti Hnancral Servrces To avoid .a late 5% Burnpayfnentamustubwecel?ed P.O. Box 660577 before 05/05/2016. Dallas, TX 75266-0577 For Correspondence Only: infiniti Financial Services P.O. Box 660360 Dallasr TX 75266-0360 ACCOUNT INFORMATION Account Num ber . Last Transaction Amount $34900 Last Transaction Date Payoff Amount $51:550'Payoff Amount Good Until 00h TiFiEs imam} Ton-sf if hlarch 1 lhruugii Multan. 2016 The payoff estimate above is for informational purposes only and. . . may not include applicable sales tax. You can obtain your actual payoff amount and instructions on-line at lnfiniti?nancexom or by calling Customer Relations. i . {a??ut 1 mt nil II more one a ram {orig . hm in we; 5% i Contract Date El g5 ~51 0/15 in {i Hip; game Of?ce of the pr rvrliorlrion water CE Maturity Date no 23 on? Account Manager Account/PO. Number find your retailer and schedule service nl In?niilusnxomilocnte has;an- . Federal law requires us to tell you how we collect, share, and protect your personal Information. Our pn?vacy policy has not changed and you may review our policy and practices with respect to your personal information al or WC will mail you a free copy upon request Ii you call us at Infiniti Financial Services? I I I I PO. Box 660360 Dallas Texas 75266?0360 Please detach and return this coupon along with your payment 00412 52525?0 000415 000826 0000000001 8900 Freeport Parkway Irving, Texas 75063~2438 Customer Name POLLARD Account Number Payment Due By 04/19/16 Total Amount Due 849.00 Amount Enciosed El Changes? liyou are making changes lo your address, check the box at [all and complete ihe reverse side, >00412 6262570 002 008143 DERIONNE POLLARD MAIL PAYMENTS To: Infiniti Financial Services PO. Box 9001133 Louisville, KY 40290-1133 rm!? Dr. DeRjonne Pollard Gasoline Expense April 2016 ?receipr launched) 'E?l?i?lf? . -JIEFJB 333i 9hi$i I n. . .. - Frec?rict 31W HUHD SF MD 1h33?33533? m4x1sxem1a 2313955?3 PM EH $2.313 .aunm;g FUFLINL Worha Dix?a. FUEL THTH: i. The W?rhs 13.83 E: 41.35 CHEDIJ 9 SE HE mm s: ?53? - -- - ?U?fi 7i. d? Tit- In