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COEPOOa3 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 06/02!2005 5:57PM <br /> Cardholder: Clark,Debbie Account Nbr: 6770 <br /> ~ Y~t^~ General Ledger Account No: <br /> ' Descrlptior,~ (specify tram purchtanaed/bustness T ~ ~ - , . . <br /> ' ~ ~ ~t "'s , ,':'1' Amouot'~ 'Ac ~ d O P m Gront Pro act <br /> Trams Date Vendor flame .`-.~r ~ rpoae) _ . ,r ~ t: g. ) <br /> 5/05/2005 REGISTER GUARD GJN 4243 RG AD $5.04 61731 531 9332 97 945176 <br /> 5/05/2005 REGISTER GUARD GJN 4243 RG AD $117.60 61731 531 9332 97 945176 <br /> 5/05!2005 REGISTER GUARD GJN 4243 RG AD $45.36 61731 531 9332 97 945176 <br /> Total Statement Summary: S7,901.77 <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 correct charge against the City of Eugene; that the claim is just and due; that no part of the same has been paid; and that I am authorized <br /> to sign for the payee. f~y,~~ LL <br /> Statement Date: 05/17/2005 C~ <br /> Cardholders Signature Date <br /> For lost/stolen cards, call: <br /> Bank of America: (800) 305-7735 ~ ' '3 ~ p <br /> TrAae~mi Offira• RR9_Fn97 <br /> SupervisoYs Signature Date <br /> <br /> r <br /> <br />