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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 07/28420101030AM <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 Rem of indebtedness as charged in the foregoing bill is a true and coned charge against the City of Eugene; that the claim is j tend and that ent for <br />these charges has not been requested or made from petty cash, department order or other method. <br />Statement Date: 07/16/2010 Q <br />For lost/stolen cards, call: RelkfvGed p ved . <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />S rvisor's Signature Date <br />~f <br />`l 1 <br />Cardholder: Brintnall,Schkara Account Nbr: 5557 <br />