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coePOass PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Higgins,Teri Account Nbr: 9381 <br />02/21/2008 2:~1RNf <br />7 : ~S° <br />._:i< <br />" <br />. , .. . <br />. . ' ,...r ....: . ~. ,.` ~ ~ . .'.':, Y...,._. t ~ ~i~ +`~', <br />~'G~!B~ ~: : r, <br />8Ti11 Le(1gCt,~1.CCOl'~ y ~y r G "X s <br />~~r~9n.,,,;~.t~.... . <br />~ <br />_ ~ <br />k ,~ <br />~ 7 } N'w - , . <br />;Qeacrl ~i~~n a ~eclfy ifem:purch~sedlbusin$.~s~ <br />.:.. <br />~ ~ <br />~ ~ Transac~ion <br />.. " ~ }~7 <br />~ <br />r <br />~ <br />'",~,P <br />- . ,~" <br />e <br />' <br />V ' , ~;Y„ ~ <br />s~t,Y :. ~ .: S. <br /><r :. ".~ <br />. <br />, <br />:'q <br />s;. -; <br />~ .. <br />" <br />~~ <br />~ <br />~' <br />~' <br />~ <br />.. <br />• ~x~~}~ 4.,5' <br /> <br />a <br />~ <br />~ 1 D .v <br />... <br />~ <br />, Lli <br />. '; <br />t- ~r. <br />r..~,y~ 3 <br />~ <br />' . e ~ <br />~,.(,^.w,N~~,.va. . .;'Si ~c~ <br />z .~E~,?~~~!~!Ra.~-8~. '~/~a'v-`.'[ <br />..=.,. <br />~ , ok~.n r. <br />S'~.~,.~Ra;.~.3Y~G.'a~ <br />.~"~n:'~.7~~..nh <br />3'4:.~p~ <br />+~'.~~s' '.'+~knr .v, <br />~~' ..: ~~~~.~k.x:~E ~I1 <br />. <br />'~,.C . .l~.~Tv, <br />~. ~~ r, <br />~9~,+..,. A~7~~ ~~w'.l? <br />' L <br />1I22/2008 SAHARA CARAVAN CAFE #4417-World Conc Trng Lunch KO TH $20.00 62900 512 9334 97 965223 <br />1I23/2008 FLAMINGO TROPICAL BF2ZZ #4417-Worid Conc Trng KO TH Breakfast $30.38 62900 512 9334 97 965223 <br />1l23/2008 SAHARq PACOS BAR #4417-World Conc Trng Dinner KO TH $27.27 62900 512 9334 97 965223 <br />1/24/2008 FLAMINGO HOTEL LAS VEG #4417-World Conc Trng - Room $357.57 62900 512 9334 97 965223 <br />Total Statement Summary: ~4s5.« <br />I, the undersigned, do hereby certify under penalty of perjury, that the materials furnished, services rendered, expense incurred, or other item of indebtedness as charged <br />in the foregoing bill is a true and coRect charge against the City of Eugene; that the Gaim is just and due; that no part of the same has been paid; and.that I am authorized <br />to sign for the payee. <br />Statement Date: 02/15f2008 ~ ~~" 2. 2i( ~~~ <br />' 1 ~ <br />Cardholder's Signature Date <br />For IosUstolen cards, calL• <br />Bank of America: (800) 305-7735 i ~Z <br />Traaci w f)ffirc• RR~_Ff197 ~ ~ wS JC <br />v c.~ <br />Supervisor's Signature Date <br />