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GOEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 121062010 316PM <br />I, the undersigned card holder, do hereby certify under penalty of pequry, 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 correct charge against the Cdy of Eugene, that the claim Is j nd that nt for <br />these charges has not been requested or made from petty rash, department order or other method <br />Statement Date: 11/17/2010 <br />For lost/stolen cards, call <br />Bank of Amedca (800) 305.7735 <br />Treasury Office 682-5027 <br />Cardholder: Brintnall,Schkara Account Nbr: 5557 <br />