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PaOCUREMENT CARD TRANSACTION SUMMARY (LOG) <br /> Procurement Card Account No.: 5405823193396657 <br /> General Ledger Account No. <br /> Trans. D. Vendor Name Description (specify item purchased/I Transaction Amy Fund DVSW Object Category Activity <br /> 3/1 1 /04 Kinko's sample catalogs $126.42 2 , <br /> ' 2/19/04 Oregon Gallery PW Day poster framing $40.00 S Qrj,3p 6Z `Io0 <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 I am authorized to sign for the payee. <br /> <br /> • Statement Date: l ~ S i~~~--- ? ~J Q <br /> 'CEORDR number Card holder's S' Date <br /> i For tosUstoten cards, call: <br /> Bank of America: (800) 305-7735 ~ ~ - ~ ~S'~ <br /> Treasury Office: 682-5027 ~ L-(~J3~'7 Supervisor's Sign ure Date <br /> ~ ~ ~ <br /> )'Yti~,~-e f ~ ~ ~ - <br /> ~ - 03-23-04A09~25 RCVD <br /> <br />