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CC 011510 Corey
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CC 011510 Corey
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Entry Properties
Last modified
4/13/2011 8:13:03 PM
Creation date
4/13/2011 3:14:39 PM
Metadata
Fields
Template:
PW_Operating
PW_Document_Type_ Operating
Credit Card
Fiscal_Year
2010
PW_Division
Administration
GL_Fund
011
GL_ORG
8910
Identification_Number
011510 Corey
External_View
No
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coEKQn PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Corey,Kurt AccountNbr^ 8582 <br />01/192010 10:12AM <br /> <br />=r...._. -ts~:a~±'.~?-.e'c_ .5."'.::r _ <br />e1.'='-~e,.*T.y?.'r::_ ~T ";~...~,eu.⢠w~TC= <br /> <br />_ <br />'F:,=; <br />_ - 1::F <br />- _ - L <br />:-,`M' aa_ zā~__ _ _ <br />ms.~_:,~ <br />} <br />e= <br />~ <br />: <br /> <br />3__.; d-_;", <br />; <br />? <br />v <br /> <br />, <br />.:.r-- <br />-"DescrtPt(ory {Spec1 ~7r.rteat.it : urehesealbusiss~=-~--, _ <br />-T.;t"' <br />p_;a <br />=TranseWon <br />, o <br />~w"ā <br />r_. <br />_ <br />r :=n~_.. <br />: <br />_ <br />. <br />. <br /> <br />;s <br />s <br />r <br />: <br />V <br />- <br />r <br />4'~'::e <br />k <br />~ <br />, <br />o <br />_ <br />1i°- . <br />~ <br />t <br />Tre Date <br />andacName;;: <br />i, j, ⢠<br />Purpose);.... O <br />~~L~ <br /> <br />^.Amourd <br />Aec <br />, <br />Fund <br />.;~Org r;: "P.gm:'Gian <br />i <br />:P.rdpeet'. <br />1/06/2010 <br />SWEET BASIL THAI CUISI <br />lunch w/ Betty Taylor <br />$30.75 <br />62200 <br />011 <br />8910 <br />87 <br />Total Statement Summary: $30.75 <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: 01/15/2010 <br />For lostfstolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />I? -!o <br />C rdholdees Signature Date <br />viewed and Approved <br />Supervisor's Signature C Date <br />
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