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r• 14 <br />COEPM33 <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />05/202010 845AM <br />Cardholder, <br />Jones,Eric R Account Nbr 4732 <br />pX .r* b A <br />Yt <br />Y 5 +xj TW A^ 4 Y 4'4J v'F+x~W{ <br />e !•✓im ve b„r';- <br /> <br />Ai <br />v, <br />:Gene7di Ledger Aar <br /><.a~~u <br />2r.,✓.c',a'wi<e <br />' <br />, a <br />rc <br />µ <br />" <br />escri urchasedlbu sii(ess <br />P PHon'sPecirY dem <br />r <br />, <br />u P +r <br />jlhaaGtlon <br />r <br />s <br />,r <br />, r* W;:m <br />to +),a <br />TaS$;Date <br />k <br />Vendor Name,.a <br />;k? <br />4,, <br />Y.p,. <br />w <br />,Aeoailttt <br />fund <br />121/2010 <br />BRADFORDS HOME ENTERTA <br />Audio cord for data projector <br />$900 <br />62900 <br />011 <br />8920 <br />87 <br />30/2010 <br />SEVEN FEATHERS HOTEL <br />OR APWA Spring Conference <br />$32076 <br />61711 <br />011 <br />8920 <br />87 <br />5/0412010 <br />POC"PROQUEST ARCHIVE <br />R-O news archive subscription <br />$995 <br />62300 <br />011 <br />8920 <br />87 <br />Total Statement Summary $339.71 <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the matenals furnished, services re it it 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 a due a it that payment for <br />these charges has not been requested or made from petty cash, department order or other method <br />Statement Date 05/17/2010 <FI - e 5112012ela <br />Cardholders Signature Date <br />For lost/stolen cards, call Reviewed ved b <br />Bank of Amenca (800)305-T735 <br />Treasury Office 682-5027 59 <br />t o <br />S parmisoes Signature ate <br />SCANNFTD-PWA 5 got 0 t <br />DATE._,._. 5 TAG? '1f' vo <br />INITIALS _ 1 <br />