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~ ~ 1 <br /> ~v g ~c~ <br /> PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br /> Procurement Card Account No.: 5405823193396657 <br /> General Ledger Account No. <br /> Trans. D. Vendor Name Description (specify item purchased!! Transaction Amy Fund DVSW Object Category Activity <br /> 3/11/04 Kinko's sample catalogs $126.42 2 <br /> i, <br /> L <br /> 2/19/04 Oregon Gallery PW Day poster framing $40.00 Qrt30 l02 9va <br /> Total Statement Summary: $166.42 <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 t am authorized to sign for the payee. <br /> <br /> • Statement Date: l ~ / lY~~ _--~~_~1i^n _ ~J Q <br /> 'CEORDR number / ~~1 <br /> Card holder's S' Date <br /> i For lost/stolen cards, call: <br /> Bank of America: (800) 305-7735 ~ 3 p <br /> Treasury Office: 682-5027 ~ L.(' j3~'7 Supervisor's Sign ure Date <br /> ~ C~-~i-`t-c-c.~ - 03-25-04A09:25 RCVD <br /> <br />