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COE130033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Diller,Della M Account Nbr. 9154 <br />127100010 1 36PM <br />item <br />tion (s <br />ecif <br />urehesedtb <br />Descri <br />i <br />T <br />ti <br />General Ledger Account No. <br />Trans Data <br />Vendor Name <br />p <br />y <br />p <br />p <br />us <br />rtess <br />purpose) <br />ransac <br />on <br />.Amount <br />AZurd <br />Furrd <br />Org <br />Pgre <br />Grant <br />Project <br />1/192010 <br />OREGON RECREATOO OF 00 <br />Recruitment Advertising- POS Veg Enforcement <br />$2000 <br />61731 <br />011 <br />9631 <br />42 <br />1/192010 <br />BOXWOOD TECH <br />Recruttment Advertising- POS Veg Enforcement <br />$149 00 <br />61731 <br />011 <br />9631 <br />42 <br />Total Statement Summary- 169.00 <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials furnished, sernces 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 lust 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: 12117/2010 <br />For lost/stolen cards, call, <br />Bank of Amenca (800) 305-7735 <br />Treasury Office, 682-5027 <br />Icy t"ti /eZ •.9O • /J <br />Cardholder's Signature Date <br />Reviewed and Approved,, rrby- <br />klt"T /a,.yI -,W/o <br />Supervisor's 5 ature Date <br />4! )V roved <br />tzr C/I'I( o <br />