COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Brogden, Frances L 2086 <br />Account Nbr: <br />01/25/201010:48AM <br />a tc <br />Vendor N e <br />Description (specify item Purchasedlbusinees <br />purpos <br />Transactiun <br />107- <br />Account <br />General Ledger AccoLmt No. <br />Fund Org P m Grant Project <br />1211512009 <br />REGISTER GUARD <br />GJN 4669 RIG AD <br />$270.90 <br />61731 <br />531 <br />9332 <br />97 905502 <br />12122/2009 <br />REGISTER GUARD <br />SDC RIG AD <br />$63.00 <br />62300 <br />332 <br />9332 <br />97 <br />)1/04/2010 <br />DAILY JOURNAL OF COMME <br />GJN 4669 DJC AD <br />$302.38 <br />61731 <br />531 <br />9332 <br />97 905502 <br />Total Statement Summary: $636.28 <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. <br />Statement Date: 01/15/2010 <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Cardholder's Signature Date <br />Reviewed and Approved by: <br />Supervisor's Signature Date <br />