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COEPWn PROCUREMENT CARD TRANSACTION SUMMARY (LOG)
<br />Cardholder: Eva,Kathy Account Nbr: 4652
<br />07/222010 9'52AM
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<br />1/2112010
<br />ASSISTANCE LEAGUE OF E
<br />table cloths,tow•els for home show booth
<br />$16.00
<br />62900
<br />535
<br />8921
<br />41
<br />1/21/2010
<br />FRED-MEYER#0417
<br />duct tape
<br />$4.29
<br />62900
<br />535
<br />8921
<br />41
<br />2108/2010
<br />BORDERS SKS&MU01002872
<br />reference material
<br />$24.99
<br />62300
<br />535
<br />8921
<br />41
<br />2108/2010
<br />BORDERS BKS&MU01002872
<br />reference material
<br />$26.00
<br />r62300
<br />535
<br />8921
<br />41
<br />Total Statement Summary: $71.28
<br />I, the undersigned card holder, do hereby oe" 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: 02117/2010
<br />For lost/stolen cards, call:
<br />Bank of America: (800) 305-7735
<br />Treasury Office: 682-5027
<br />towL~ cZd0 //Q
<br />Cardh Idees Signa0e Date
<br />Reviewed and Approved by:
<br />z~zy~0
<br />Supervisor's Signature Date
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