WASHINGTON

DC TRIP FOR MAY 2010 Ticket Price 284.40

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Traveler Supervisor Gloria Molina Amy Luftig Viste Martha Jimenez Supervisor Mark Ridley-Thomas Peter Hong Supervisor Zev Yaroslavsky Alisa Katz Supervisor Don Knabe Kurt Pedersen David Sommer Richard Velasquez Supervisor Antonovich Kathryn Leibrich Lori Howard Glassgow Anaid Pembdjian Sachi Hamai

$
<I'

.p

An

$ $ $ $ $ $ $ $ $

318.40 279.38 319.40 299.40 299.40 960.10 960.10 438.40 318.40

Travel Dates May 4-6, 2010 May 3-6, 2010 May 3-6,2010 May 4-10,2010 May 4-8, 2010 May 3-6, 2010 M~. 3-6, 2010 May May May May 3-6,2010 3-6, 2010 2-6, 2010 3-6, 2010

$ $ $ $

339.40 377.40 389.40 294.40

May 2-6, 2010 May 2-6, 2010 May 3-6, 2010 May 4-6,2010

WASHINGTON

DC TRIP FOR MAY 2010 Ticket Price 284.40 .3Q9.40 318.40 Travel Dates May 4-6,.2010 May 3-6, 2010 May 3-6, 2010

Traveler Supervisor Gloria Molina Amy L.uftig Vis"te Martha Jimenez

$ $ $

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County of Los Angeles To: Martha Jimenez
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&--, 1t:J-I-'t:N::>1::

CLAIM

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District

Department: Headquarters:
~':I,Y .) ~ F.,l,

First Supefvisorial

856 Hall of Administration

JOO West Temple Street, No. 856. '" Los Angeles, CA 90012
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S:

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Date of Claim: 05/19/10 Period of Claim: May 3 - 6,2010

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ITEMIZE IN DETAIL
PLACE WHERE INCURRED AMOUNT

SHOW PURPOSE OF TRIP

DATE DESCRIPTION OF EXPENSE D.C.

Annual BOS Trip to Washington, 05/03/10 Grand Hyatt Washington Tax Incidentals Meals 05/04/10 Grand Hyatt Washington Tax Incidentals

$ 329.00 $ 47.71
$ 67.25

$ 64.00 $ 329.00 $ 47.71 $ 67.25 $ 64.00 $

9.00

Meals

1
05105/'10

Taxi (From Hotel to Capitol) Taxi (Back to Hotel) Grand Hyatt Washington Tax Incidentals

$ 10.00 $ 329.00
$

47.71

$ 67.25 $ 64.00 $ 67.25

05/06/10

Meals Incidentals

TOTAL
I HEREBY CERTIFY THE ABOVE EXPENSE WAS NECESSARILY INCURRED IN THE PERFORMANCE OF MY DUTY

$1610.13

EXPENSE CLAIM (004(/k( County of Los Angeles

fD

Department: First Supervisorial District

,.-.,

To: Amy Luftig Viste 500 West Temple Street, No. 856 Los Angeles, CA 90012

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L./\ Headquarters: 856 Hall of Administration

5:

'")'·1

n I Date of Claim:

05/18/10

~i"\~;: Period of Claim: May 3 - 6, 2010

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. SHOW PURPOSE OF TRIP DATE DESCRIPTION OF EXPENSE Annual BOS Trip to Washington, D.C.
05/03/10

ITEMIZE IN DETAIL PLACE WHERE INCURRED AMbUNT

Grand Hyatt Washington

Tax

$ 329.00 $ 47.71 $ 67.25

Incidentals Meals Super Shuttle (From Horne to LAX) Luggage Fee Taxi (From Airport to Hotel)
05/04110

64.00

$ 27.00 $ 25.0( $ 37.00 $ 329.00 $ 47.71 $ 67.25 $ 64.00 $ 329.00

Grand Hyatt Washington Tax

J ncidentals

.-

Meals
05/05/10

Grand Hyatt Washington Tax Incidentals Blackberry Repair

47.71

$ 67.25 $ 26.49 $ 11.50 $ 15.00 $ 67.25 $1,669.12

05/06/10

Breakfast Lunch
incidentals

TOTAL
I HEREBY CERTIFY THE ,A,SOVEEXPENSE WAS j·,ECESSARIL Y I~JCURRED IN THE PERFORMANCE OF MY DUTY. AS [Insert Tillej CLA.IM IS HEREBY MADE FOR REIMBURSEMENT

AS ITEMIZED

l ()

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EXPENSE CLAIM ~?unty of Los Angeles

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. .. ,thY 1 9 - ·?~p~.rtrrr1nt: SupervlsonarlDjsfrict First

, I' ,'~' !_,

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Gloria Molina

Headquarters:
"

500 W. Temple St., #856

ioa

West Temple

Street, No. 856

,',

.. Date of' ClaiM: 5/13/10

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_~.·:~:'~'~JI;:!~t;lM~ ·.bf;Cl~tm:5/4/10
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II.

r- .- , - ~

1-..\';-0_.:

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- 5/6/10

SHOW PURPOSE OF TRIP DATE DESCRIPTION OF EXPENSE Meetings with Government officials In Washington, D.C. 5/4 Hotel Hotel Tax Meals Incldenta,!s 5/5 Hater Hotel Tax lncldsntals 5/6 Meals Incidentals

ITEMIZE IN DETAIL PLACE WHERE INCURRED AMOUNT

$ i 92.00 47.71 37.50 67.25 192.00 47.71

6725 ~
52.50
67.25

._

C:l
C,

.._ ,

C::)

"-

, ,,..:. ~~~ .---;-:

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TOTAL CLAIMED
RE8Y CERTIFY THE A80V~ EXPENSE WAS NECESSARIL '( INCURRE!.D IN THE PERFORMANCE OF MY DUTY,

$771.17

. E FOR REIMBURSEMENT

AS ITEMIZED ABOVE.

APPROVED

Tille

WASHINGTON Traveler

DC TRIP FOR MAY 2010 Ticket Price Travel Dates

Supervisor Mark Ridley-Thomas Peter Hong

$ $

27ft 38
~19AO

Ma_y4-10,2010,
fyta1'_4-6, 20'10

EXPENSE CLAIMS
COl._:NTY OF LOS ANGELES
TO Peter 1 long ------~~------------------------')00 Wesr Temple, Room ~6!i Los ;\ I1gc:l~$, (/\ 9()() 12

DEPARTMENT HEADQUARTERS DATE OF CLAIM PERIOD OF TRIP OF CL'UM ITEMlZE IN DETAlL .i()U \V. Temple
SlCCCl, 1(0(1111 ,')6(,

ADDRESS

06/0'-l';!(j

SHOW PURPOSE

5/4/2U

[0

Room

Grand

HVfLtt W:n~hlOf~IOE1

W;;rshineturl

$3:29.flO
-17.71 37.50

5/.j nO 10 5/5/20 5/S/20 5/5/2010 I0 10

1\00111 Tnx Drnncr ivlu.:tiog

R()('Hl1 -

Grand

(·ly'.111

WnshlOglOn

329()ll

Room T~x Breakfast Room .. Grnnd Hptt\X1ashingum Room Tax

C;rand Cart': Lunch
GUl'oS l'lCCtli1P:

·rI.7! Washington 11.50

5/6/7..010 5/6/20}l) 5/(j/~Oto

5/7/20 IU

Washiugt011

·1'7.71

wuh

MRT

W.'asbjngLon

JS.O()
1)').00

5/7/1010
5/7 /20'10 5/7/20IU

Room Grand Hyau

Roo!l1 T:tx

14.36
10

Feclcx sent
10 Business

rIO/\-

SW:ll1k

Audio Visuals

W ashingLO n \.'{Iashingtoll
\.\I :tshitig~on

1:'..llO 12.72 I ).o() 1 1.0(1

5/8/~O
S/R/20
5/8/2010

Center

Internet

io

Taxi to AicE_(.JtI
Breakfastt\Jrl)01T

>Jational

Grill

\\i'1l.S

lungrou

I III':-:YW,

i~I~1(TiFI"li;l\TTIIf;. 1\'1': !.\ I'J·.:'i~;,'::(.VI\:) .u« I:--JC1.l/UtUJ I.',' 1'1IE !'t'Jlh-'i\;,J.I!·'CH u/'I-n' lJilT,',

'<::
TOTAL CLAIMED

r·:h::l.'SSARiU

i~l ;;;;~~$:fi.~;~~:

CL·\llVl IS ,·IEREBY .-\B(IVE.

I\L·\DF !'OR ItF1MHURSEMENT

:\$ ITEl\llZED

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TITLE

EXP-CLM

(0 (4

(:.0

EXPENSE CLAIMS
COU:-,rTY

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UP LOS Al"JGELES jvUIRK IUDLEY-TtIOMJ\$

DEPARTMENT HEADQUARTERS
D.I\:r E OF O_AIM

061 - j)r,d.n:l of Supervisors

TO

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n.r;. 1'"1

111"1 l.V

SHOW pumJOSE

OF TRIP

['n~MIZE IN D£TAIL

412010

Grand HrJt1: 'Hotel

W<lSWnglon DC
\llashingtOD DC

$1,547.20
24.07

-----------------------------~--------------------~f~~~(r\~-{=§---------._------~ -.;.... ~_ _:;:::'.; ~r!,!--4:;;:::;;-. ---01--------------- --------1'., ~,_.: ~ ~ 1-------1--------- -------,,--------__\--------------------.::.;.~"':~r.:,,,.. __ __,-

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~--------\I-----------------------·------------~--------------------------·---~~--.--------I
- ---~ -------,--------------~------------------_+~~-----.---'-----------------------~------.---------------I. -1

i
i HEREBY
C£R11FYTHAT11-lE ABOVE

1--------

EXf'Et-.'SE

WA..S

NE CESSAR1L Y INQJRRED IN -n-IE PER1'ORMA.Na. OF MY DUTY, C:;;'\l!v! is HEREBY MJ·DE FOR RED.1BUPSEMENT A~ ITE~DZED i\i.OVE.

TOT AI. CLAIMED

APPROVED

'I""I£-'':") IJ.!_"'

~ikl_~
~ GAIl"tA.i'-{[

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WASHINGTON

DC TRIP FOR MAY 2010 Ticket Price 299.40 299.40 Travel Dates May 3-6, 2010 May 3-6, 2010

Traveler Supervisor Zev Yaroslavsky Alisa Katz

$
$

EXPENSE CLAIM
COUNTY OF LOS ANGELES
Alisa B, Katz
DEPARTMENT
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00

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ID

HEADQUARTERS DATE OF CLAIM PERIOD OF

HaH of Administration

ADDRESS

500 W. Temple Street Room 821

Los Angeles, CA 90012
OF TRIP OF EXPENS~

20'0 ["lAY 1:3 M1 II: or1

.,;:5::,./1.:..1.:..:./.::20=..1.:..0=--

CLAIM.£;\)'~f~I;i1 o-5riiA;~Jl;~;
CC!.I,lTT1;:-;·
1F-'J'~':; -:-:,""-"; ~.-------.,.;-:-~ ..

SH0W,PURPOSE DATE

ITEMIZE IN DETAIL PLACE WHERE INCURRED AMOUNT

DESCRIPTION

5/2-5/6

80S Annual Trip to Washington

DC

05/02110 Incidentals 05/03/10 05/03/10 05/04/10 05/05/10

05/05/10 05/06/10 Grand Hyatt Hotel

Los Angeles, LAX Washington DC

Washington DC DC DC DC DC

18.00 376.71 26.65 376.71 376.71 18.00 16.41

Meals
Grand

Hyatl

Hotel

Washir)Qton Washington Washington Washington

Grand Hyatt Hotel Incidentals

Meals

>

'.

I HEREIlY INCURREO AS

CERTIFY

niAT

THE ABOVE EXPENSE WAS NECESSIIRlL OF MY DUTY.

IN THE THE PERFORMI\NCE

TOTAL CLAIMED
APPRoVED

{:,.::: H'~"~!J;;r,'-Pj~
CLAIMANT

1,209.19

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~,

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.....

TIrt.E

76E928

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EXPENSE CLAIM
COUNTY TO ADDRESS OF LOS ANGELES ZevYaroslavsky, 500 W.Ternple Employee
DEPAR11'IIENT

Board of Supervisors Hahn Hall of Administration

# 432885
OA.TE:OF CLAIM F'ER1000F CL,A!M

Sl., Room 821

6/11/2010 5/3/10-51'6/10

Los Angeles, CA 90012

ITEMIZE IN DETAIL DATE DESCRIPTION OF EXPENSE PLACE WHERE INCURRED AMOUNT

5/3-5/6

Annual BOS Trip

Washington

D.C.

05/03/10

Hotel Room Taxi/Transportation

Grand Hyatt Hotel

376.71 70.00

05/04/10

Hotel Room Meals

Grand

fiyatt

Hotel

376.71

45.05

05/05/10

Hotel Room Meals Incidentals

Grand Hyatt Hotel

376,71

64.00
33,92

05/06/10

Meals

46.22

I 11EREcBYCE'UIFY II,CUHRED

THAT THE ABO'/E EXPENSF WAS NECESSM~:t OF MY DUTY,

IN T11ETHE PERFORMMJCc

TOTAl
APPROVED

CLAIMED

$1,389.32

AS

County Supervisor
1\3 ITEMIZED .~BOVE

CLAIM IS HEr,EOllY MADE FOR REIMBURSEMENT

.'

SIGHED
~.

ClAIMANT

./

TITI.E

76E928

WASHINGTON

DC TRIP FOR MAY 2010 Ticket Price 960.10 96u.10 438.40 318.40 Travel Dates May 3-6, 2010 May 3-6, 2010 May 2-6, 2010 May 3-6,2010

Traveler Supervisor Don Knabe Kurt Pedersen David Sommer Richard Velasquez

$
$ $

,(

,
;: [7 ~

EXPENSE CLAIM

:OUNTY OF LOS ANGELES '0 IDDRESS Don f<nabe 822 Hall of Administration

-. ~~r\CI\ }:-.~. DEPARTM.EN.T· '- ,; C6Ci:<~l:d..df Supervisors :...... :~ '--:-'d I /\

,.o fY

CI-,! j.:7

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........

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HEADQUARTERS

383 Han of Administration

SHOW PURPOSE OF TRIP DATE OESeRI PTION OF EXPENSE

ITEMIZE IN DETAIL PLACE WHERE INCURRED AMOUNT

05/04/10

Hotel accomrnodati in WashinQlcin DC

ons to attend Board mtg

Grand Hyatt Washington

s s s
$ $

329.00

05104/10 05/04/10 05/04110 05/05[10

Room Tax
Meals Incidentals Hotel accommodations in Washih@ton DC to attend Board

Grand Hyatt Washin· Washinqton Washington DC DC

47.71
64.00 67.25

mtm

Grand Hyatt Washington

329.00

05/05/10 05/05/10 05/05/10

Room Tax
Meals Incidentals Meals Incidentals

Grand Hyatt Washington Washington Washington Washington Washington DC DC DC DC

$ $
$ $

47.71 64.00 6725

64,00 67.25

05/06/10

"-,,,05/06/10

f"
'l
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00

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I HEREBY INCURRED

CERllFY

TH.~

r THE

ABOVE EXPEI,SE

\VAS r'IECESo;N<ILY

IN THE THE pERFORMANCE

OF MY DUTY

As Supervisor ,~,. ts "'"'~

~";o<"

_~~"'M""

MW'

SIGNEe

~.~ ,(1~"M'",

c;rb~
TOTAL

CLAIMED

1,147."11

TITLE

]28

i 0 fv1 cOLfEXPENSE CLAIM

)UNTY OF LOS ANGELES Rick Velasquez )DRESS 822 Hall of Administration

,;o 0 CJ-.L./-! .f..7Ln

SHOW PURPOSE OF TRIP

-,
OF EXPENSE PLACE WHERE INCURRED AMOUNT

DATE 05/03/10

DESCRIPTION

Hotel Accomodatlon to attend Board Washingtpn, Room Tax M~als Incidentals D,C. meetin:g

Grand Hyatt Washington

329.00

.s
$ $

47.71 64.00 67.25

05/04/10

Hotel Accomodation to attend Board Washington,

Grand Hyatt Washington

329.C'·'J

D.C. meeting .$
$
$

Room Tax

4771 64,00
G7.25

~.
'"

Meals
.1 ncidentals

05/05/10

Hotel Accomodation to attend Board Washington. Room Tax

Grand Hyatt Washin_g_ton

s
$

329.00

D.C. meeting
47.71 64.00 67.25

Meals
Incid entals

s
$

05/06/10

Meals Incidentals Parking Long Beach Airport

s
$

64.00 67.25 44.00

jERr,SY CUI~RED

CERTIFY IN THE

THAT

THE AOOVECEXPENSE WAS NEC"SSAI~IL or- MY

'rHE

PERFORMANCE

DIJTY, t,80VE.

nLCLAIMED
APPROVED

$1,699.13
I

, Supervisor _'\;M :S HEREBY r.l ADE FOR REIMBURSEMEI~T AS ITGMIZED

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L)

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V~~'L)
,13AIII..ANT

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EXPENSE CLAIM
:OUNTY OF LOS ANGELES Mr. David SOlT)ftjers

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. (or?

ci.>(f / 1110

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I

,DEPARTMENT HEADQUARTERS DATE OF CLAIM PERIOD OF CLAIM

061 - Board of Supervisors Hahn Hall of Administration 5/6/2010 05/03/10 - 05/06/10

l .6..
......." _,

JRESS

500 West Temple Street. Suite 822 _', rv ~! 1V ") C 'i.J;>.f ): orl l"~ \ .... '. .. Los Angeles, CA 90012

f_

t:i("i;'~D 0·1: SUPER/r;" , ... ,:" .,,-~~ r SHOW PUR?Q~t;r\{, llftll'\ f..i··"L.,_

nc::.

lTEM~ZE IN DETA~L pLACE WHERE INCURRED AMOUNT

DATE 05/02/10 05/02/10 05/03/10

05/03/10 Flight to DC

QESCRIPTION

OF EXPE.NSE

From Long Beach, CA to Washington From Long Beach ..CA to Washington Washiri_gton, DC Center Grand HyatL, Washington, Grand Hyatt, Washington, Grand Hyatt, Washington. Grand Hyatt, Washington, Grand Hyatt. Washington, Washingtoil, DC DC DC DC DC DC DC DC DC DC DC

DC DC

199.70 238.70 75.00 329,00 47.71 44.97 10.. 0 6 1,00 64.00 67.25 329.00 47.71
9.99

Flight to Lono Beach Taxi Ride from Airport to DC Hotel Accommendatior'is Room Tax Room Internet Business Portage Meals Incidental EX_E_ense at Washington Center Genter Internet at Washington

$
$
$

05/03/10 05/03/10 05/03/10 05/03/10 05/03/10 05f03/10 05/04/10

s
$

s
$ $ $ $ $ $ $ $

Washington,

. /04/10

Hotel Accommendations Room Tax Room Internet Portage· Meals Incidental EXj:lense

Grand Hyatt, Washington, Grand Hyatt, Washington, Grand Hyatt, Washington, Grand Hyatt. Washington, Washington, Washington, DC DC

05/04110 05/04/10 05/04/10 05/04/10 05/05/10

1.00 64.00 67.25 329.00 47.71 25.97 1.00 64.00 67.25 8.30 67.25 64.00 2,271.36

Hotel Accommendations

at Washington

Center

Grand Hyatt, Washington, Grand Hy.atl. Washington. Grand I':!~att, W~sI11ngton. Grand

DC DC DC DC

$ $ $ $ $ $
$

05/05110 Room Tax 05/05/10 05/05/10 05/05/10 05/05/10

Business Center Internet

Pbrtag6
Meals Incidental Expense (Metro)

Hyatt,

Washington, DC DC DC DC DC

WaShington. Washington, Washington, Was'hinglon, WashlngtQn,

WAS t<ECESSARILY

Transportation

05/06/10

Incidental

Expense

05,106/10 Meals
HEREBY 'NCURRED CE.RTIFY THAT THE ABOVE EXP~NSE I~~THE THE PERFORMANCE

s
TOTAL CLAIMED

A.S Sooior D~PlJty

'~ J""'~
SIGNED

JIl1'D'"' ~
OF MY DUlY ~

,]A;

(/(J)tJ j ~
f
/I I

(pavia scm

1?rd r; A]

""'."AO<N'

APPROVE~

I)A
~

.
CLAIMANT

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......
TITLE

~~urtP~~

.:::-PQ..-r/"'1

WASHINGTON Traveler

DC TRIP FOR MAY 2010 Ticket Price Travel Dates

Supervisor Antonovich Kathryn Leibrich Lori Howard Glassgow Anaid PembdJian

$
$ $

339..40
377.40 389.40

May 2-6, 2010 May 2~6, 2010 May 3-6,2010

"

'.
"
"

...

, /1:'_SD,<9 fCUD
( rq(0(_~!?S

"

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TOT f;L C.LAI M

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$1300;.88.

"I

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•

EXPENSE CLAIM
COUNTY OF LOS ANGELES DEPARTMENT

f f) ~O"

r s:

s-

MAY192010

I , '0

80S 061
ROOM 869

TO ADDRESS

Anna Pembedjian
5TH District 500 W. Temple st #869, LA

HEADQUARTERS DATE OF CLAIM PERIOD OF CLAIM

05/12/10
05/01/10

to 05/0710

SHOW
DATE DESCRIPTION

PURPOSE
OF EXPENSE

OF TRIP

ITEMIZE IN DETAIL
PLACE WHERE INCURRED AMOUNT

Travel to Washington, legislators. 5/03 Porterage Breakfast,

D.C., with Supervisor

Antonovich DC DC DC DC DC DC DC

to meet with

Washington, Lunch, Dinner night night Washington, Washington, Washington, Washington, Washington, Lunch, Dinner Washington,

5/03 5/03-06 5/03-06 5/04 5/05 i5/06 5/06

5103-06

Hotel @ $329/per Breakfast, Lunch Breakfast, Porterage Parking

Hotel Tax @ $47.71/per Lunch, Dinner

Long Beach, CA Long Beach, CA

00 64 00 987 00 143 13 64 00 15 00 64 00 1 00 60 00
1

-_
-

..

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IN

.
OF MY DUn'.

I HEREBY CERTIFY THAT THE ABOVE EXPENSE VJA..'S NECESSARILY INCURRED I~, THE PERFORMANCE

~IM
APPROVED

$1,399.13

____________________________
Claimant

C_h_iefDepu~
1ITI.E

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COUNTY

EXPENSE CLAIM
OF LOS At'JGELES DEPARTMENT HEADQUARTERS DATE OF CLAIM PERIOD OF CLAIM

(to (iJC LV ~

BOS 061
ROOM 869 05/07/10
05/01/10 to 05/07'10

TO ADDRESS

Kathryn Barger-Leibrich
5TH District 500 W. Temple St #B69, LA

SHOW PURPOSE
DATE
DESCRIPTION OF EXPENSE

OF TRIP

ITEMIZE IN DETAIL
PLACE WHERE INCURRED

AMOUNT

Travel to Washington, legislators.

D.C., with Supervisor

Antonovich DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC DC

to meet with

5J02
5102 5/02-- . 5/0~:,O6

gprterage

r
.:",

Washington,
_, •

axi T-P 0-": Dinne,"{J <..

I

1 00
20 00 50 00

Washington, Washington, Washington, Washington, Washington, Dinner way Washington. Washington, Washington, Washington, Washington. Washington, Washington, Washington, Washington, Washington. Expense Washington. Washington, Washington, Expense

Hotel Hetel

5/0~£t6 5/0~ 5/03 5103

"5/03

@ $329/night '!9:S~@$47.71/night
\~ Et'=:,

37 1.316
190 1

84
00 30 25 00 90

~rtero9e'~~ ~akfaSBunch,

M'etro @
Incidental Porterage Breakfast

64 00
3
67 1 23 67

$165/each Expense

5/04
5/04

5/04 5/04 5J05

5/05

Lunch, Dinner Incidental Porterage Lunch Taxi Incidental Breakfast Porterage Parking

52 50
25
00 00 00

5/05
5/05 5/06 5/06 5/02-06

1 15 10
67

25

Los Angeles, CA

23 90 1 00 93 27

,
~.'" : _: '",.,: • : I

I HEREBY

CERTIFY

THATTHE

!\80VE

",XPENSE

w~~rF:.",' "'[.""~('H-f'\i! ,~. )

_ • J_

..

~, t'Jr;(\'j
~ .... ~ l.;o...:

NECESSARILY

INCURHED

INTHE PERFORMANO:O

OF

-MY

DUTY- ',""

TOTAL CLAIM A

$2,056.96

AS

Chief

Deputy,

Fifth District

fiG :8 ~N I I , ~H,DiUl

EP~6"" M'\DE FOR REIMBURSE~'1r:NTS IlI:M~Z€D "B(~.~ A

.~I i=1 ""I

\

l<dLhryn Barger

Leibrich

Claimant

I_!j__~

'/J~~

Supervisor
-

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