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CoEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 1IMIIZ010 318PM <br />1, 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 plavmant for <br />these charges has not been requested or made from petty cash, department order or other method 1 /n/ , M <br />Statement Date: 10/15/2010 <br />For lostistolen cards, call, <br />Bank of Amenca (800) 305-7735 <br />Treasury Office 682-5027 <br />JP n/3 <br />Signature Date <br />Cardholder: Bnntnall,Schkara AccountNbr: 5557 <br />