, <br /> COEP0033 <br /> Cardholder; PROCUREIIAENT CARP <br /> Jancaifis,Jean E r~NSAC71pN <br /> --~.M., <br /> SUMMARY (LOG) <br /> 07H2/2006 5:56AM <br /> 7rarrs pad, Vetldor (Maple Descri t; Account Nbr: 6251 <br /> Purposejon {specify item P~rchasedlbusiness <br /> 1, the undersigned, do Transactiop Gene <br /> in the fore hereb Total Statement Summary; ral ledgQr Acc°u»t No. <br /> Y certify under penalty of Perju Amount q <br /> going bill is a true and come ry, that the materials furnished, ccount Fund <br /> to sign for the pa ee. ct charge a 5357.46 Org P <br /> Y gainst the Ci services rendered m Grant Pr°Ject <br /> ty of Eugene; that the claim is • ~ eXPense incurred, <br /> Statement Date: lust and due; that no or other item of indebtedness as <br /> 06/106 Part of the same has been paid; and that 1 a charged <br /> For lost/stolen m authorized <br /> Bank of cards, cap; <br /> America: (800} 305-7735 <br /> <br /> Traaq~ry hff;~ Cardholders SI <br /> Fay-Fm~ gnature <br /> Date <br /> Supervisor's Signature <br /> . ~ Date <br /> 'J <br /> t <br /> ~1 " <br /> t <br /> ~_1 <br /> <br />