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COEP0033 <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />1, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials furnished, <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 f <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 882-5027 <br />Rehewd n prove d by. ) / <br /> <br />i^~ ( / I <br />Su 's ig lure Date <br />1 P L/Y <br />01292011 220PM <br />rendered, expense incurred, or <br />EB.and thaWayment for <br />Cardholder. Bnntnall,Schkara AccountNbr: 5557 <br />