PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Lunch Meeting with Johnny Medlin & Steve Lee SRRP & <br />Total Statement Summary: <br />Account Nbr. 8582 <br />$43 85 1 62900 1 011 1 8910 1 87 <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: 01/17/2011 <br />For lost/stolen cards, call* <br />Bank of Amenca (800) 305-7735 <br />Treasury Office 682-5027 <br />-Z,15- <br />Date <br />1~~/ -Z / y <br />Supervisor's Signature Date <br />01128/2011 12 51 PM <br />