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coePOOSS PROCUREMENT CARD TRANSACTION SUMMARY (LOG) oz/zoizoos t:oaPM <br /> <br /> Cardholder: Loy,Karen J Account Nbr: 9405 <br /> General Ledger Account No. <br /> Description (specify item purchasedlbusiness Transaction <br /> Trans Pra ndor N me purpose) R A ntt Accqun Fund Org Pgm Grant Project <br /> ,r <br /> 1/30/2009 OFFICE MAX Chair mats for PWA $716.92 62300 011. 8910 87 r <br /> 2/03/2009 SURVEYMONKEY COM Monthly membership fee $19.95 61739 011 8910 87 ~ <br /> 2/04/2009 REGISTER GUARD Lega Ad -Airport $161.28 61731. 511 9140 55 ~ <br /> 2/04/2009 REGISTER GUARD Legal Ad - SDCs $65.52 62300 332 9322 51 ~ <br /> 2/13/2009 BI-MART #649 00006494 Tools/kitchen supplies for PWA $111.30 r 62300 011 8910 87 ~ <br /> Total Statement Summary: $2,523.11 <br /> I, the. undersigned, do hereby certify under penalty of perjury, that the materials furnished, services rendered, expense incurred, or ther item of indebtedness as charged <br /> in the foregoing bill is a true and correct charge against the City of Eugene; that the claim is just and due; that no part of the sam as been paid; and the I am authorized <br /> to sign for the payee. <br /> Statement Date: .02/17/2009 ~ ~v ' <br /> Cad older's Sig ? Date <br /> For lost/stolen cards, call <br /> Bank of America: (800)305-7735 ~ ` tl~ s~'~~~~~ <br /> TraacurvllfFra• RR9-Fn97 1)V~- <br /> Supervisor's Signature Date <br /> <br />