COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 05119/2010 11 03AM <br />Cardholder: Corey,Kurt <br />Account Nbr' 8582 <br />M5*.u""x"., y ° <br />Yp.M.7. <br />*'+Mlx~aT <br />ti yr'RAF M14a ~s ~y~i "r::* N ,y15~r' W k.~~r <br />k k, p:X^ 5„ ff. e 5f'+ <br />v: ,A^`"f vSv,: ;y 1 Y'"yf~i; qJj~ N"vrN, 'rhY^ <br />TNvGtitxrf~'^ Mi✓. f"y <br />±x + ~"tp 1`'i' <br />85M{"Vt^.''~ <br />1 <br />h*0a1}d/t <br />n <br />l <br />C <br />L <br />{t~h <br />1f <br />~ <br />3pA i 4...yX~ ^.m <br />5 x > F*. <br />t3~' ~1,Ti'm"5jlXr ±M1 <br />'Et <br />t <br />~^.AS <br />'~"0.rX .F% <br />JW^"#r <br />Ys" <br />94 <br />rwI~f K <br />rt~ep8 <br />* <br /> <br />ra14 gf <br />i, d .'4N 1 <br />V m 5-' f', J )X <br />rAW,e0U11t Nf1l:n <br />drl~ <br />+ <br />r <br /> <br />"fG <br />r <br />"x';.rp,V'4'":M1,,~~{~N(j~A <br />~ <br />4> <br />• <br />A <br />' + <br />~ <br />' <br />" <br /> <br />" <br />y, <br /> <br />Y <br />Ur <br />/ <br />a <br />na <br />[ <br />e <br />6 <br />l <br />r'^11 r"fn",tlAn;'HAG"OtrV...:p 4Srn~~/'^SrMrh.N'}v.'R.Y}'4.45'r5 <br />¢7~' <br />4 N <br />a <br />a <br />" <br />i° <br /> <br />` <br />` <br />' <br />` <br />- <br />#Arv'1n <br />,{ijdwrVn$ne <br />;u <br />A!yrp <br />2" <br />~F'dcc <br />f <br />r!. ;a~ <br />d <br />FY <br />„.;y~ <br />NMF"J'rk <br />Or <br />N <br />A~ <br />vJrU <br />P" <br />Gra <br />riojct; <br />t <br />" <br />D <br />Tf YtS <br />+ <br />. <br />, <br />s <br />,,w <br />ander k <br />o- <br />t <br />aMen„ <br />0, » : <br />° <br />• r,,, <br />>.at, <br />a, <br />,tpurposel <br />.Sfu„r,,;q <br />f <br />: , <br />q <br />. <br />, <br />S <br />?ti% <br />mount <br /> <br />„ <br />,;a <br />. <br />1n <br /> <br />9a~ <br />, <br />n <br />: <br />; sF <br />30/2010 <br />SEVEN FEATHERS HOTEL <br />AI'WA Ore Chapter Spring Conference <br />$9612 <br />61710' <br />011 <br />8910 <br />87 <br />5/12/2010 <br />APPLEBEES 762301540194 <br />'1 om Poage meeting <br />$2986 <br />62200 <br />011 <br />8910 <br />87 <br />Total Statement Summary $125.98 <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 05117!2010 ...5• ~O <br />C rdholdoes Signature Date <br />For lost/stolen cards, call viewed and Approve <br />Bank of America (800) 305-7735 <br />Treasury Office 682-5027 <br />_ - _ ~rLr to <br />Supervisor's Signature Date 5w%0 15 11do <br />'Y~ <br />SCANNED-P A <br />DATE'- Ill <br />INITIALS <br />