Department of Reporting and Regulatory Accountability MONTGOMERY COUNTY PUBLIC SoNOOLS INDEPENDENT ACTIVITY FUNDS oct, Mayan 20850 INSTRUCTIONS: Submit both copies to the school office for verification of availabilty of funds and authorization to proceed with the purchase. Upon authorization, a copy will be returned to the requester. To be paid, the original detailed billing documentation, ‘such as invoice or register tape (For school purchases ONLY) must be submitted to the schoo! office and attached to this request Hf reimbursement will be requested {rom MCPS, a photocopy of that billing documentation must be made and attached to this PART A: TO BE COMPLETED BY REQUESTER senoot Number: FALE . Request Date: HL 13 107. SuppienNendor Name SAT JNMSQT Requested, Di Reynolds amount of tis requests Sa XL. OD ‘Account tobe charged-__Qf Balance in this account: Reason for and description of purchase: Check Date: Jf eB 124 chock Number! 440 check Amounts 2/0 81. 60. Original detailed biting documentation sent to MCPS: _/____ Reimbursement received from MCPS:__J_J_ Date Date Office of Shared Accountability MONTGOMERY COUNTY PUBLIC SCHOOLS INDEPENDENT ACTIVITY FUNDS—TRANSFER, Rockville, Maryland 20850 Schoo! Namo Walter Johnson High Schoo! _ Date 10,14, 09. TransterNumber 15 ‘Account Name(s) Increase Decrease ‘Sponsor's Approval i applicable) $36,000.00 $6,000.00. ¢ 92- AP - — 91 -PSAT/Testing Assistance -§ 8. 8. 8. $ $6,000.00, 8. 8. 8, 8, 8 8, 8. 8: TOTALS Reason for Transfer: Pay for PSAT exams 7 10,14) 09 AON 09 ; Prt Shitt 10/14) ppprovessy (fr _| eae fgnature Date ee ‘Signature,JPrincipal Dato MCPS Form 281-46, Rev. 2/01 DISTRIBUTION: ORIGINAL/Schoo! financial agent; COPIES/To each sponsor listed