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COEPM33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder" Carlson,Becky A Account Nbrr' 2263 <br />0313 V2009 1'37PM <br />. <br />.e,.r„., - <br />G <br />` <br />" <br />" <br />" <br />- <br />I[ <br />u <br />lie <br />dlb <br />eh <br />s' <br />i <br />4 <br />' <br />r <br />( <br />f <br />T <br />i <br />iis <br />d <br />enerat <br /> <br />r <br />ctourd Plo:; <br />i•';- <br />s: <br /> <br /> <br />" <br />s <br />- <br />etll;p <br />rc <br />ae <br />tj <br />te <br />s; <br />p <br />( <br />G <br />t <br />[>aSCr <br />aP~ ~ <br />Y <br />a <br />ac <br />t <br /> <br />. <br />: <br />- <br />. ..-..v:_ ` :~-3:r . <br />~..~>rAinouitt" <br />:Aeboriii{. <br />Ftiitt! <br />8r.Org <br />; <br />3/01@009 <br />TARGET 00006122 <br />supplies for new kitchen setup <br />$24.97 <br />62900 <br />011 <br />8910 <br />87 <br />3101!2009 <br />FRED-MEYER #0325 <br />supplies for new kitchen setip <br />$24.27 <br />62900 <br />011 <br />8910 <br />87 <br />Total Statement Summary: $49.24 <br />I, the undersigned, do hereby certify under penalty of perjury, that the materials famished, services rendered, expense incurred, or other item of indebtedness as charged <br />in the foregoing bill is a true and correct charge against the City of Eugene; that the claim is just and due; that no part of the same has been paid; and that I am authorized <br />to sign for the payee. ,.n <br />Statement Date: 03/17/2009 ewJ_ ~LJCY1 - ~!3vcq <br />Cardholders Signature Date JJJ <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />TrP.R.irv n firw AR2-rn97 <br />Su isoes Signature ate <br />