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pvc, <br />COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 05/06/2010 4:31PM <br />W <br />Cardholder: Darnell,Kelly Account Nbr: 6695 <br />General Ledger Account No. <br />Transpate <br />Vendor Name <br />Description (specify item purchased/business <br />purpose) <br />Transaction <br />Amount <br />- <br />Account <br />Fund <br />Org <br />Pgm! <br />Grant <br />Project <br />3/17/2010 <br />PAYPAL *AFF TROPHIE <br />Hero Dinner Trophies - EPF Reimbursed <br />$228.30 <br />62900 <br />187 <br />9335 <br />97 <br />935662 <br />3/31/2010 <br />REGISTER-GUARD <br />Nuisance Vegetation Ad <br />$497.70 <br />61731 <br />535 <br />9631 <br />41 <br />3/31/2010 <br />PAYPAL *EUGPARKSFDN <br />One Hero Dinner Table <br />$120.00 <br />61861 <br />011 <br />7605 <br />35 <br />3/31/2010 <br />PAYPAL *EUGPARKSFDN <br />One Hero Dinner Table <br />$360.00 <br />61861 <br />011 <br />9610 <br />42 <br />Total Statement Summary: a I,cuo.uu <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: 04/16/2010 <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Cardholder's Signature Date <br />Reviewed and Approved by: <br />Supervisor's Signature <br />Date <br />