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Co~fflm PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Tintle,Robert Account Nbr: 0277 <br />091202010 9.47AM <br />rv <br />' <br />i <br />: <br />: <br />" <br />:kIP'rv.~i~.rCfiiij;! <br />`S~~G+:''d7i~ <br />;i~~f~;;Ciertaiet <br />A~touM-Na. <br />a <br />N <br />I <br />wa- <br />:ec <br />~ <br />Item <br />pd <br />Q <br />aCHMt <br />d <br />Dt9 <br />~'""°7. r <br />a,F <br />6r it <br />S <br />t <br />or, <br />o <br /> <br /> <br />. <br />y <br />i <br />. <br />8/2612010 <br />OFFICE MAX OPs <br />Admin Computer Supplies-flash drives/mouse <br />$99.95 <br />62510 011 <br />8910 <br />87 <br />Total Statement Summary: $99.95 <br />1, the undersigned card holder, do hereby cer1Ry under penalty of perjury, that, to the best of my knowledge, the materials furnished, services rendered, expense incurred, or <br />other Rem of indebtedness as charged in the foregoing bill is a true and correct Charge against the City of Eugene; that the claim and due; and that payment for <br />these charges has not been requested or made from petty Cash, department order or other method. 'i1 <br />Statement Date: 09117/2010 -1k" <br />CaWbooldees Signature Date <br />For lost/stolen Cards, call: Reviewed and Approved by: <br />Bank of America: (800) 3057735 _ --7 <br />Treasury Office: 682-5027 ( -'Zony~ <br />Su rvisor's Signature Date [t <br />~\\b <br />