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coePaoss PROCUREMENT CARD TRANSACTION SUMMARY (LOG) o~iioizoos ~oasAnn <br /> <br /> Cardholder: Jones,Eric R , Account Nbr: 4732 <br /> General Ledger Account No. <br /> Description (specify item purchased/business Transaction <br /> Trans Date Vendor Name purpose) Amount Account Fund Org Pym Grant Project <br /> 7/08/2009 ACT*GOPRSA PRSA meeting $15.00 61711 011 8920 87 <br /> Total Statement Summary: $15.00 <br /> I, the undersigned, do hereby certify under penalty of perjury, that the materials furnished, services rendered, expense incurred, or other 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 same has been paid; and that I am authorized <br /> to sign for the payee. <br /> Statement Date: 07/17/2009 <br /> Cardholder's Signature Date <br /> For lost/stolen cards, call: <br /> Bank of America: (800) 305-7735 <br /> Traacrrrv nffirp• RR~-.ri(197 ~ ~ ! V ~~C~~~- ~T_ <br /> Supervisor's Signature Date <br /> <br />