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coePOa~ PROCUREMENT CARD TRANSACTION SUMMARY (LOGS osrozrzoos s:srPM <br /> <br /> Cardholder. Clark,Debbie Account Nbr. 6770 <br /> y 4L by ~~i4 ~ !-J S ~ fJ 4 <br /> i~ ~ raw ~'r"- kl_ M ' °"M ea ' y ,ir~ GBDBral t.8dg@f Aeeount No <br /> a~~~la~ecffy item purcf~As~~lbuiirreu ~ Tramactlon.~ <br /> Tr3g3 Ddjp. VBJltjOr None ';w r ' »-n„~ u`:' U x1S' r~ ~y~ a ~ _ yA~ 1 ~ ~ .tan r a~ f , ~ <br /> P ! .,~r,. ~,~i`. . Amounir« ~AccWm IRUnd .x 0 " 0 Gram , ett <br /> 5105!2005 REGISTER GUARD G]N 4243 RG AD $5.04 61731 531 9332 97 945176 <br /> 5105!2005 REGISTER GUARD GJN 4243 RG AD $117.60 61731 531 9332 97 945176 <br /> 5105!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 famished, services rendered, expense incurred, or other item of indebtedness as charged <br /> in the foregoing bill is a true and correct charge against the Ciry of Eugene; that the daim is just and due; that no part of the same has been paid; and that I am authorized , <br /> ~ ~ ~ <br /> to sign for the payee. yy~~ J/~~ <br /> Statement Date: 0511712005 C~~' <br /> Cardholders Signature Date <br /> for IosUstolen cards, call: <br /> Bank of America: (800) 305-7735 C' 3 ~ ~ <br /> Troac~m/ flffira• RA7.Fn97 <br /> Supervisors Signature Date <br /> <br />