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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) osrovzoo5 5:s7P~r <br /> <br /> Cardholder; Clark,Debbie <br /> Account Nbr: 6770 <br /> ~ . <br /> 4esc~gt7on (apecHy Item purchase4UyuaJneses~ a k : s ' 'General Ledger Account No. <br /> 5l05l2005e REGISTER ~ ~ " N d f ~ r s~. , T ~ Transac~on~ t.W <br /> Pu e 2t'.:r_~.~.-: w ~ Amount.. ~il'ccount. Fu~f Org : . Pgm Giant Protect <br /> GUARD GJN 4243 RG AD $5.04 61731 531 9332 97 945176 <br /> 5105!2005 REGISTER GUARD GJN 4243 RG AD <br /> $117.60 fi1731 531 9332 97 945176 <br /> 5/05/2005 REGISTER GUARD GJN 4243 RG AD <br /> $45.36 61731 531 9332 97 945116 <br /> Total Statement Summary: 51,901.77 <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 tme and correct charge against the Ciry of Eugene; that the claim is just and due; that no part of the same has been paid; and that I am aulharized <br /> to sign far the payee. ~~A~~~' ~ ~ , <br /> Statement Date: 05117!2005 ~j(~,~,Le ~,(,GIIV ~~~'~%//L~'" <br /> Cardholders Signature Date <br /> For IosUstolen cards, call: <br /> Bank of America: (800) 305-7735 <br /> Traacnnif)ffirn• RA2F097 f'3~ p,l" <br /> Supervisors Signature Date <br /> <br />