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COEP0039 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 03109/2011 a 15AM <br />Cardholder: Corey,Kurt <br />Account Nbr: 8582 <br />~_..n v->'9.. <br />.p;.•.>1$ <br />#~:2~ ~d.k.T',p'Spn't..:1ty W...:fmx'•'~.:aT, <br />y <br />_v <br />+z <br />mi.. :~i.:', <br /> <br />^a. <br />'::,xY+Si. x:i:'%'.. „'t ^,::'N"i <br />' <br />S!S <br />. ,Yis it.t <br />Y <br />* <br />• <br />t";~ <br />. <br />is <br /> <br />a <br />. <br />fi' Asa., ,7o-s..* y..yl,,.,,,,s <br />-tabGal%teES'i <br />Cienerel LeAgerAccouhYNo!' <br />i~m <br />- <br />~ <br />rs, <br />x. q:. <br /> <br />+x' <br />::4Pn. i.S <br />b <br />4~^t~ yp:+ey~...3 , <br />, b <br /> <br />~ . <br />, <br />. <br />{'~:'~C:' `~ri <br />' <br />y.- <br /> <br />~ <br />. <br /> <br />: <br />, <br />: is <br />„ <br />y <br />, <br /> <br />.rv <br /> <br /> <br />i <br />,.°P n <br />t3iarSt' ~.Pmjeet.. <br />/2212011 <br />AMERICAN PUBLIC WORKS <br />APWA Oregon Sprmg Conference <br />$250.00 <br />62900 <br />011 <br />8910 1 <br />-771 <br />1 <br />Total Statement Summary: $250.00 <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knovAedge, the materials furnished, services rendered, expense incurred, or <br />other item of indebtedness as charged in the foregoing bill is a true and coned charge against the City of Eugene; that the claim is just 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: 02/17/2011 <br />For IosVstolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />3' l <br />Car holder's Signature Date <br />Re 'ewed and Approved <br />Supervisor's Signature Data <br />" I <br />~r1~1~u <br />i <br />