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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />06/182010 8:22AM <br />Cardholder. Tinlle,Robert AccountNbr. 0277 <br />}'y <br />i. - a . <br />e;~ ? i a : ti <br />.3tteSWttlffen{Sl,. <br />@d~bnSlrl@5S'xl <br />s•. 71 <br />& CeE <br />~ <br />,1;f;~ <br />' <br />° n <br />, <br /> <br />. <br />k <br /> <br />i <br />, <br />„y/." <br />'u~i ate- L `k'syw <br />' <br />(ik <br />antt etE3 <br />712212010 <br />NORWICH UNIVERSITY <br />WA program <br />$400.00 <br />61711 <br />011 <br />8910 <br />87 <br />Total Statement Summary: $400.00 <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials fumished, 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: 08/17/2010 <br />For lost/stolen cards, call: <br />Bank of America: (800) 305.7735 <br />Treasury Office: 682-5027 <br />Cfirdholdees Signature Date <br />Reviewed and ved by: <br />P 3d-~~ <br />S visors Signature Date <br />l/' _ <br />of Ida <br />rs <br />/t , <br />