COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 06/02/2005 5:57PM <br /> <br /> Cardholder: Clark,Debbie Account Nbr: 6770 <br /> r~ ~ ~ ~ , ; r t~ ~ <br /> n~.~` : ~ {IpUO~} (specify ltem pu {i/}a11 tt ~ rA~ c~~1 ~ ~'»Genoml l.ed er Account No. <br /> Trans Date Vendor Name -~.-a~» T~?pose)~'r:'.~ "::~TM sr ~ ~ ,..Am Account" Fund P m Grant .Project <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: 1,901.77 <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 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 /> ~ <br /> Statement Date: 05/17/2005 <br /> Cardholders Signature Date <br /> For IosUstolen cards, call: <br /> Bank of America: (800) 305-7735 ~ 13 ~ ~ .c-- <br /> Traacnni (lffirn• RR9_Fn97 J <br /> Supervisors Signature Date <br /> <br />