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COEP0033 <br />Cardholder: Claric,Debbie <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Account Nbr. 6770 <br />06/02/2005 5:57PM <br /> <br />. -: y <br />f ''• <br />_, ._ <br />r- tx ~ ~ ~,q~•-'CY . --~r .l ~. f.r `t '~rY~'~ -~a. ~~.._ "h yfr' <br />,.a. ~' :; ' <br /> <br />_? D~tiorf (specify Rent ''~i ~~? ~S e ~`~ Q ~., <br />,~',`'' <br /> <br />T <br />sa <br />~ <br />- <br />.,,Y <br />71r ~.. <br />,~~r ,~; .. .. :• ._, -1 - _ <br />{Gen@ra{ L@d ACCUu <br /> <br />9@r nt No.- <br /> <br /> <br />Tram Dafe _ <br />-~.« <br />Vendor lJarrw - ~.~: , <br />'"~ ,~ s a ~ rr '~~ -~'~•t ; <br />'`^ pur <br />o~ <br />' ran <br />c <br />k <br />~~i ,„ ~r~ <br />~~ : x''~` ; ~~ ,.,,.r, <br />r <br /> poa <br />~. <br />_ x x~r,. ~t«,rT `.~ rM-~x+.ry-~E <br />`y 3-_ r .. Amount r AGCOU .fttAd _?-0 <br />•. Pgm ~Grap~ ProjQCt=- <br />5/05/2005 REGISTER GUARD GJN 4243 RG AD $5.04 61731 531 9332 97 945176 <br /> <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 />r orar ~wtement summary: a~,yui.~7 <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 />Statement Date: 0 5/1 712 0 0 5 <br />Cardholders Signature Date <br />,^ <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />Troacuni (lf6rc• RA9_Fn97 <br /> <br />C. ~3) ~~ <br />Supervisors Signature Date <br /> <br />