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<br /> - ~ <br /> PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br /> David Roth <br /> General Led er Account No. <br /> Trans. Transaction <br /> Date Vendor Name Description (specify item purchased/business purpose) Amount Account Fund Or Pro ram Pro'ed <br /> 06/20/07 Albertsons ~ -f-Qn~~ ~p;y1~; $7.98 ~ l 3/ Z °/33Z %7S~ ~ <br /> 07/12/07 March of Choice #9 ,rvL Cfl,,.,~, $37.96 ~7 3/ Z 33Z ~ SZ,e~ G~/V ~y 3b ~ <br /> Total Statement Summary: $45.94 <br /> I, the undersigned, do hereby certify under penalty of perjury, that the materials furnished, services rendered, expense incurred, or other <br /> item of indebtedness as charged in the foregoing bill is a true and correct charge against the City of Eugene; that the claim is just and <br /> due; that no part of the same has been paid; and that I am authorized to sign for the payee. <br /> Statement Date: 7/17/2pp~ `4 n /J_ ~ b'~ <br /> For lost/stolen cards, call: and H I ture Date <br /> Bank of America: (800) 305-7735 ~ ,3t <br /> Treasury Office: 682-5027 Supervisor's i nature Date u T" <br /> <br />