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C 0 EPco33 <br />Cardholder: GGrdon,Paul <br />PROCUREMENT CARID TRADNSACTIOII SUMMARY (LOG) <br />Description (specify item purchasedlcusinass <br />Trans Date.: Vendor Name <br />purpose) <br />06/2512014 JERRYS HOME ' EUGENE Hardware :or Signs <br />4 1 AMAZON MKTPLACE PLATS I Pump for Sprayer <br />12014 I SURECRCP FARM SERVICE i Herbicide - OBOT <br />Total Statement Summary <br />i, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials fumished, services rendered, expense incurred, or <br />Other item of indebtedness as charged in the foregoing bill is a true and correct charge against the City of 'Eugene; that the claim is just and due;. and that payment for <br />these charges has not been requested or made from petty cash, department order or other method. <br />Statement Date: 07/17/2171 <br />For lost/stolen cards, call: - Cardholder's Signature Date <br />Revie +ued and Approved by; <br />Sank of America: (80C) 305 -7735 <br />Treasury Office: 582 -5027 <br />Account Nhr: 0698 <br />0712212014 4:24Mfv1 <br />5upeM'isor's Signature <br />Date <br />Transactiorl <br />Amount <br />General LedgerAccourit No. <br />-Accci[tnt <br />Fund <br />C1rg:: _ <br />Pam <br />.'Grant <br />Projedt <br />$28.13 <br />61739 <br />536 <br />9630 <br />41 <br />3100.44 <br />51739 <br />535 <br />I 9830 <br />41 <br />$256.25 <br />61739 <br />535 <br />� 9630 <br />41 <br />� 21 <br />5upeM'isor's Signature <br />Date <br />