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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Corey,Kurt Account Nbr. 8582 <br />09120/201012:05PM <br />DELTA 00682232492675 DELTA - Baggage Fee for flight 1 $25.00 61711 011 8910 87 <br />WESTIN BOSTON WATERFRO I Hotel for APWA Conference in Boston 1 $1,081.55 1 61711 1 011 1 8910 1 87 <br />Tn{al Sbhmsnl Summarv• <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 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: 09/17/2010 <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />20-( d <br />holders Signature Date <br />Reviewed and Appro y: <br />Supervisors Signature Da k. <br />IZ <br />