COEP0033 <br />Cardholder. Mast,Kim <br />Wes' 'y/f-~ ~ r~'~' 8~~ .~. <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Account Nbr. 6657 <br />-r 4~s~1/ <br />10/18r100411:01AM <br />9232004 KINKO'S #0902 ~-_ ..Depot booklets $206.71 82900 011 8920 87 <br />9282004 BORDERS BOOKS 01002872 graphic magazine $6.00 62300 131 8920 87 <br />9282004 BORDERS BOOKS 01002872 graphic magazine $3.75 62300 534 8920 87 <br />9282004 BORDERS BOOKS 01002872 graphic magazine $3.75 62300 535 8920 87 <br />0/132004 FWP'PRINT MAGAZINE PRINT MAGAZINE $22.66 62300 131 8920 87 <br />0/132004 FWP'PRINT MAGAZINE PR1NT MAGAZINE $14.17 62300 534 8920 87 <br />0/132004 FWP'PRINT MAGAZINE PRINT MAGAZINE $14.17 62300 535 8920 87 <br />01132004 OREGON ART SUPPLY OREGON ART SUPPLY $1.50 62900 535 8921 87 <br />Total Stabment Summary: iZ7Z.71 <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 d~9ed <br />in the foregoing bill is a true and correct charge against the City of Eugene; that the daim 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: 10/152004 V{.y1 b <br />Cardholder's Signature Date <br />For IosUstolen cards, call: - <br />Bank of America: (800) 305-7735 ~~ /O <br />TfPAQ11N rlf6rtn• RR9.FM7 <br />._.~- <br />Supervbor's Slgnatu Date <br />c_ <br />~~ <br />~ ti~~ <br />,~ ,~, <br />