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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 03/23/201112:39PM <br />Cardholder: Corey,Kurt <br />Account Nbr: 8582 <br />y. <br />4k <br /> <br />~ <br />+ <br />A <br /> <br />. <br /> <br />t <br />Y <br />` <br /> <br />j•~k: ~/r: <br />~'~D <br />Bidrt Hi <br />§ <br />8fli <br />si <br /> <br />Y <br />~~~y`~~ <br />i~ <br />' <br />'~`~`:*i: <br />~ <br />~ <br />. <br />vT <br />a atiti <br />'y1r <br />`:#.:tht::. &et"terai lbdgeiAccGriM'Nti .Wt,;.. <br />, ; <br />: <br />,.4 <br />•'r,l~. <br />1..."i <br />" <br />' <br />~ <br />C <br />,s <br />„ <br />5n r <br />, <br /> <br />,1, <br />. <br />„ <br /> <br />~ <br />.P ~ 'Y ~..ii~r, <br />v NP IY"-~ r i~n Y t a: <br />'s <br />' <br />~ <br />C <br />¢r <br />e <br />s <br />. <br />p <br />m <br />lt <br />r <br />~ <br />.4 <br /> <br />w <br />~Y,. ,'.Wf. <br />Y~~'~ •.a. :k1'i2j ^ <br />4i Y3 i1.~3u .:a • M`a:.`,: , <br />Y <br />= <br />^ <br /> <br />` <br />r <br />b <br />, <br />o,rAi:s. 1:~..u',„« T, <br />A <br />.r. <br />y', <br />iw <br />. <br />f~ <br />.1 <br />' <br />P <br />' <br />` <br />ra9a <br />4 <br />t <br />e~ <br />Yandor:Naafi <br />,c:"c°: <br />:..':..;;;e?r. <br />0, <br /> <br />: <br />~N.:P. <br />?~I.:'xa~,•:c':.t•~~::.~ <br />p <br />'lip <br />.k.,. <br />mb1~M~~; <br />lCrico <br />rt <br />z <br />3 <br />{,erg <br />- <br />` <br />ct <br />~6ranf: <br />: <br />3/1412011 <br />STEELHEAD BREWERY QPS <br />Lunch W/ Sonny Checkering ODOT <br />$22 60 <br />62200 <br />011 <br />8910 <br />87 <br />Total Statement Summary: $22.60 <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: 03117/2011 <br />For lost/stolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Cardho er's Signature Date <br />Reviewed and Approved by: h70, L-7O <br />Supervisor's Signature D to <br />