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coePOO~ PROCUREMENT CARD TRANSACTION SUMMARY (LOG) osrnnoos rsznM <br /> <br /> Cardholder: Jancaitis,Jean E <br /> Account Nbr: 6251 <br /> , <br /> t <br /> ~,.-..;r_..,~ ,~4~~~b~~w',tau~'as,~c1(hus;n~'~~ .~,.Transa ~~u I <br /> a , ,r, ~ ~,cY ,*t r mss; <br /> Total Statement Summary: 5357.46 <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 charged <br /> in the foregoing bill is a true and correctcharge against the City of Eugene; that the Gaim is just and due; that no part of the same has been paid; and that 1 am authorized <br /> to sign for the payee. <br /> Statement Date: 06/16/2006 ~ , ~ <br /> Mholders gna paw <br /> For IosUstolen Ards, call: <br /> Bank of America: (800) 305-7735 <br /> rrPaa~irvClffirm~ RR~ ~n~~ <br /> Supervisor's Signature pate <br /> <br />