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COEpp033 <br /> Cardholder. <br /> Clark,pebbfe pRGCV <br /> REMENT CARD TRgNS <br /> trans date `vsncior N pc-- ACT <br /> l0~ ~UMM'4RY (COG1 <br /> 5/OS/200 REGIS att~, , <br /> TER GUARD tea; r, ~~Ptloq {s Qcl t ~ ocuo <br /> 5/05/ purpoaa} _ ~ t: P fY Item pur~h ~ Q ~ h Acco~~t Nbr: 6770 2/2005 s.s~pM <br /> 2005 <br /> RE G,);N ~!4usfness ~ ; <br /> LISTER GUARD 4243 RG AD ° ~ r~ ~ tf~a~~ <br /> S/2005 REGISTER GUA G11y 4243 RG AD amount ~qc~ Wit: F ~ nart Led erAcc°unt No. <br /> RD G $5.04 61731 53 d ~g3 . P,. m ~m~t pro <br /> ~ 4243 Rr, AD 32 97 ~t <br /> 1, the under ' $117.60 61781 945176 <br /> signed. <br /> to s 9n for the' payees a trueband come <br /> `der penalty ofPerju Total $45.36 531 5332 97 9 <br /> charge a the Cr that the riels ~ S~~t??ent ~ 61731 45178 <br /> gainst mate sum 531 9332 <br /> Statement ty of Eugene; mished, services r rY• 97 <br /> date: that the antlered, x a~'g01'77 <br /> 05/1.,~7/2~5 claim is just and 545176 <br /> due; that a Pease incurred <br /> For tosvstot n0 Part of the sarnehas er item of indebtedn <br /> en cards, cap: <br /> bank of'q?neri 'men Paid; and that 1 ~ as charged <br /> <br /> rrF'ac~in, ~s^or..a. (6pp) 305-7735 , ~ ~ am authorize <br /> Dardholdsrs Sl ~t ~ ~.L~~a <br /> gnature <br /> Date <br /> SuPsrvisors ~ / 3 y ~ <br /> Signature / <br /> bats <br /> <br />