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PROCUREMENT CARD TRANSACTION SUMMARY (LOG) ~ <br /> Card holder Name OIANE L BISHOP Card Number ~ ~3 3 oZ B20 <br /> General Ledger Account No. <br /> <br /> Trans. Description (specify item purchasedlbusiness Transaction <br /> Date Vendor Name purpose) Amount Account Fu~,d, Org Program Project <br /> 01122103 Parties To Go $215.00 Z 9 <br /> 01129103 Full Cit Coffee Roast r~ $38.00 Z 9 <br /> Total Statement Summary: $253.00 <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 /> Statement Date: February 18, 2003 <br /> D Order Number Card Holder's Signature Da <br /> For lostlstolen cards, call: <br /> Bank of America: (800) 305-7735 <br /> Treasury Office: 682.5027 Supervisor's Signature <br /> C:luserlpurchasecardlpclogfrm.xls <br /> i~.- <br /> <br />