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COEPM33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Eva,Kathy AccountNbr: 4652 <br />05/202010 915AM <br />4 uM' .J+Y <br />!y ,.,4 <br />v,:^ ".i' .w N,:" fl Sn+ <br />s°fya 14111 <br />ib w "FN7.Sm:" Y W WS .M1Vi X.: t ;Ay""Y`A"TP'"S 4 <br />k-#,e~+rK,; <br />5"+`L':^, 4 Y x X.J""'': <br />(,fr ,TX^' e4f'S <br />''"Ll w,s <br />ral L*dg^e <br />w Y'S :+T+ <br />r ACtoO <br />h ?^M' yW N <br />nt~l0 r r~•~,.; <br />~~5 ay <br />"11i Y <br />r s <br />yr *'w*Y^.'`'"rv <br />~ <br />RFien Specify Rem pth'chil" (6usimiss b^§ <br />"M n:R SAM r x <br />'jrrlg <br />"A. <br />Tre rn5r. <br />° w^ :hl?t <br /> <br />` 1'!`, <br />A"xi'. <br />" <br />' <br />^i~ <br />Trans Data, <br />cYendorNamq s, <br />WOW, <br />T <br />~ <br />y{ <br />rposay4xc <br />o <br />» , AMaune , <br />, <br />, ncc4pM„ l <br />'hnfl <br /> <br />"Y' <br />big <br />Pow <br />d <br />mnt <br />PraieCtl <br />. <br />. <br />, <br />, <br />. <br />34/23/2010 <br />S01 THE DUCK STORE <br />nucrophonc <br />$2300 <br />62300 535 <br />8921 <br />41 <br />29/2010 <br />OFFICE DEPOT #2716 <br />office supplies <br />$2597 <br />62500 <br />535 <br />8921 <br />41 <br />Total Statement Summary $48.97 <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 0511712010 <br />For lostlstolen cards, call <br />Bank of Amenca (800)305-T735 <br />Treasury Office 682-5027 <br />Date <br />Reviewed and proved b <br />Supervisor's Signature Date <br />/.~Prnucd 5 ao io c~-t <br />SCANNED-PWA <br />DATE: S /O <br />INITIALS <br />