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GOEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Eva,Kathy Account Nbr: 4652 <br />01/1912010 9'49AM <br />,Kb, <br />- <br />Va .t' Z5: Ex➢ <br />:~A .:.1Y; <br />~ <br />• <br />ykry, <br />:,Rx'°gS <br />if+ 's <br />,.i <br />A <br />r <br /> <br />;.w,, <br />.,.._"s: _ _ <br />- . " ~ <br />' <br />*:+DascS~ ' <br />s' hadle <br />OR 11@1/1 <br />riB~: <br />~xi;i <br />'s <br /> <br />~."TYBtladed~i <br /> <br />Nbt.= <br />ccount <br />lie <br />- <br />; <br />, <br />.y <br />( <br />B <br />.,~L Z±. '.Rtr '..C~` <br />:i..,X <br />` <br />i <br />Fla <br />e <br />ne <br />' <br />'>1^ <br />` <br />~ <br />~ <br />, s;^.~.p y <br />,.v <br />' <br />e <br /> <br />e <br />tl~ <br />~ik~C r°..~T <br />~.:~s <br />~d-p9_c <br /> <br />ra%1$„t <br />; <br />V <br />r <br />dor; <br />f <br /> <br />:i <br />, <br />7 <br />pas <br />y <br />4t <br />d{, <br />1/07/2010 <br />ACT`GOPRSA <br />Advertising, media presentation <br />$25.00 <br />535 <br />8921 <br />41 <br /> <br />wh~~ <br />1/09/2010 <br />BORDERS BKS&MU01002872 <br />wall calendar <br />$3.99 <br />62300 <br />535 <br />8921 <br />41 <br />1/10/2010 <br />1 <br />FRANKLINCOVEYPRODUCTS <br />planner <br />$30.90 <br />62300 <br />535 <br />8921 <br />41 <br />Total Statement Summary: 559.89 <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 ✓L~~~///lTI/~( ~g-~~ <br />For loststolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Cardholder's <br />Reviewed and <br />4e,7/e <br />Supervisor's Signature <br />Date <br />