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cospwn PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Donahue,Tammy Account Nbr: 9773 <br />02119/2010 956AM <br />y _ <br />+ <br />j <br /> <br />" <br />" <br />' <br />~ <br />" <br />4 <br />• <br />z <br />- - <br />t <br />`It4trt~ <br />~ <br />Jbtla9@dtt)t9(t1E9$ <br /> <br />dr' <br />~;:Gertei+alt:edge <br />t <br />Ix«a <br />No...,:= <br />tit <br />it <br />.re <br />o <br />r'A <br />, <br />. <br />..y ..:..er <br />k3 <br />V <br />' •x ';t V :.v'iFa, <br />" <br />' <br />.,4.. `l i.il~. <br />a ~ <br />r <br />~ <br /> <br />; ~ <br /> <br />` ' <br />a <br /> <br />.i;~• <br />^ <br />~ ` <br />cedunt <br />rg, <br />Frrd <br />~ <br />~ <br />. P9rib ; <br />ist <br />ject. <br />211012010 <br />LCHRA <br />Monthly Meeting <br />$15.00 <br />62900 <br />011 <br />8930 <br />87 <br />Total Statement Summary: $15.00 <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 Dettv cash, department order or other method. <br />Statement Date: 02/17/2010 <br />For lostistolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Cardholder's Signature Date <br />Revie~ed and Approved by. <br />Supervisor's Signature Date <br />