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COEP00a3 <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />06l1M0101047AM <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: 06/17/2010 <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Cardholder's Si 1 ture Date <br />RevieVRd'IDd V 'roved by: <br />rvisoe ignature Date <br />p~,r G~~ bf <br />1N 1Ti P.l_S. <br />Cardholder. Donahue,Tammy Account Nbr• 9773 <br />