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CDEPOM PROCUREMENT CARD TRANSACTION SUMMARY (LOO) <br />Cardholder. Diller,Della M AecountNbr: 9154 <br />e1/18MII mall,! <br />f <br />i <br />General Account No. <br />Trans Date <br />Vendor Name <br />Description (speci <br />tem prrchasedraushass <br />y <br />purpose) <br />ThAnsaction <br />Amount <br />Account <br />Fund <br />Ong <br />Pgm <br />Gram <br />Project <br />22112010 <br />SHRM ORG <br />SHRM ORG - Annual Membership Dues <br />$180.00 <br />61861 <br />011 <br />8930 <br />87 <br />1/102011 <br />LCHRA <br />LCHRA Meeting Registration for Della <br />f $15.00 <br />61711 <br />011 <br />8930 <br />87 <br />1/10!2011 <br />LCHRA <br />LCHRA Meeting Registration for Tracy <br />✓ $20.00 <br />61711 <br />011 <br />8930 <br />87 <br />Total Statement Summary: 215.00 <br />I, the undersigned cad folder, do hereby certify under penalty of perjury, that, to the best of my Mowledge, the materiels 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 die claim is just and due; and drat payment for <br />these charges has not been requested or made from petty cash, department order or other method <br />statement Date: 01117/2011 L(~Lf 1-4 <br />l <br />eardh3Mers SlgnaWre Date <br />For bet/stolen cards, call Reviewed and Approved by: <br />Bank of America (7700) 305.7735 <br />Treasury Office 682-5027 <br />Supervisors Signature Date <br />1 Ay,~ <br />Iv <br />~lZ1~ <br />Spy, <br />