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COEP0033 <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />11/1"10 10 13AM <br />I, 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 clan 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 I AAA r n / A <br />Statement Date: 11/17/2010 <br />For lost/stolen cards, call, <br />Bank of America, (800) 3057735 <br />Treasury Office 682-5027 <br />1111V16 <br />RFz <br />roved p / Supervisor <br />'s symat re Date <br />~mp~6.AJ <br />Q1R2 ti o;, <br />AjqI <br />Cardholder. MAST STROUD,KIM Account Nbr. 6657 <br />