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by ~E ~ '~~ ~ . <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) :D <br />Procurement Card Account No.: __ ~j ~fo5 $231 X353 coq ~(~ _ f~a,~dQl <br /> General Ledger Account No. <br />Trans. <br />Date <br />Vendor Name Description (specify item <br />purchased/business purpose) Transaction <br />Amount <br />Fund <br />DVSW <br />Ob'ect <br />Pro ram <br />Grant <br />~- -a~- G ~ a~>e c~~c-c (~ c m~T o-s - I Pf ~1.~7 f 1 ZYa 6zb~ <br />- L G o~~1'S Cs~'1J ~7l 'lq, oZ l 31 2 0 00 <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />1 otat Statement Summary: $ <br />I, the undersigned, do hereby certify under penalty of perjury, that the materials furnished, services rendered, expense incurre~J, 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 c im is u t 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: ~'~$- 0 2 ~ Z <br />*CEORDR number ~ Card Ider ignature Date <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 upervisor Signature <br />