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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 06/02/2005 5:57PM <br /> <br /> Cardholder: Clark,Debbie Account Nbr: 6770 <br /> F ~ ~ ~ - ~ ~~~St ~ ~ +±y~'~»K: ' : ~ General lAd er Account No. <br /> _ k. { s. .q y,. <br /> Trans Date Uendar Name " . ccou~ Fund ~ <br /> w~a P ~qa' ~nEnt Pro ect <br /> 5!05/2005 REGISTER GUARD GJN 4243 RG AD $5.04 61731 531 9332 97 945176 <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 /> Total Statement Summary: 51,901.77 <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 con'ect 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: 05/17/2005 <br /> Cardholder's Signature Date <br /> For IosUstolen cards, call: <br /> Bank of America: (800) 305-7735 ~ ~ 3 ~ p <br /> Traaenni (lffirP• RR9-Fn97 <br /> Supervisor's Signature Date <br /> <br />