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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Donahue,Tammy Account Nbr: 9773 <br />01/1912010 1223PM <br />.n i:•-• <br />' <br />~ <br />~,m;c ;,°xm;y:.;,,~°; - <br />~ <br />xz <br />* <br />n*-a ~:eiS~i:~ `:.5~.,:_ r:::. <br /> <br /> <br /> <br /> <br />: <br />` <br /> <br />~ <br /> <br />p.~x <br />y " <br />` <br /> <br />::;Cat,...» . <br />.:s~:~n <br />_ <br />o <br />~ <br />~ <br /> <br />u:S:,.? <br />, <br />ye <br />n <br />v.. <br />.~r:;,. <br />'r~...a <br />"a; <br />w <br />L: <br /> <br /> <br />" <br />.A <br />•a <br />. <br />< <br />,.:,~s; <br />, <br /> <br />Descrlption <br />(sPec <br />fY <br />item purchaseillliltsmess <br />; <br />~ <br /> <br />w <br />~Transsetton <br />^ <br />LeilgerAccou <br /> <br />. <br />^ <br />nt N <br />.-xa._.•:~ <br />. <br />- <br />: <br />1•_a,x <br />+ <br /> <br />. , <br />~ <br />s <br />. <br />s'v+'.r.KY-T Sa `~Y-.§z~i" <br />y, <br />R <br />F <br />, <br />! <br />, <br />, <br />. . <br />y^"~ <br />).r'2ci4:v'1id.b%-~'F <br />(.x <br />2:1 £ <br />F <br />• <br />~ <br /> <br />.+W:.at. <br />` <br />ts<, fix <br /> <br />~ <br />g <br />."`J".. <br />4 <br />' <br />:f <br />. <br />x•} <br />: t <br />, <br />_ <br />:A <br />eeouM <br />. <br />Fund <br />0 <br />et <br />areM? rPioJeetl <br />1/05/2010 <br />NATIONAL PUBLIC EMPLOY <br />NPELRA membership <br />$175.00 <br />61861 <br />011 <br />8930 <br />87 <br />1106/2010 <br />SHRM ORG <br />SI RM membership <br />$160.00 <br />61861 <br />011 <br />8930 <br />87 <br />1111/2010 <br />LCHRA <br />LCHRA mtg <br />$15.00 <br />62900 <br />011 <br />8930 <br />87 <br />Total Statement Summary: $350.00 <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 hem of indebtedness as charged in the foregoing bill is a true and correct charge agamsl 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: 01/15/2010 / Jh122 j1 i&)'I j L( <br />Cardholders Sig um Date <br />For lostfstolen cards, call: Reviewed and Approved by <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 l U l Kurn /19 nrm. 1 _ 1!'t - 1.d n <br />Supervisors Signature Date <br />