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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Brogden,Frances L Account Nbr: 2086 <br />12/30/2009 4:18PM <br />,j h <br />if <br />D <br />i <br />t <br />~ <br />it <br />h <br />i <br />T <br />i <br />General 'Ledyer <br />Account No, <br />Trans Date <br />Vendor Name <br />escr <br />p <br />ion (sj <br />~c <br />y <br />em pur.-. <br />as <br />ua <br />ness <br />purpose) <br />ransact <br />on <br />Amo int <br />Accoura <br />Fund <br />Org <br />J <br />Grant <br />Project <br />Total Statement Summary: $996.04 <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials furnished, services rendered, expense incurred, or <br />other 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 due; and that payment for <br />these charges has not been requested or made from petty cash, department order or other method. a <br />Statement Date: 12/17/2009 <br />Cardholder's Signatur Date <br />For lost/stolen cards, call: Reviewed and Approved by: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Supervisor's Signature Date <br />