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COEPM33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: McFadden,Morgan J Account Nbr: 9973 <br />01/292010 9'05AM <br />- <br /> <br />1 <br />` <br />` <br />- <br />rF'A <br />Sf'"'.. <br />k x <br />' <br /> <br />t <br />>i i <br />.s.:' <br />' E <br />; <br /> <br />' O <br /> <br />: <br /> <br /> <br />" <br />. G, - <br />_ <br />_ <br />. <br /> <br /> <br />; <br />-s <br />. <br />y.~y <br /> <br />. <br />r <br />:..,!5:<- <br />a: <br />. <br />f <br />k <br />s <br />k: e <br />: <br />, <br /> <br />. <br />sc <br />- <br />a <br />e <br /> <br />_ <br />;Geneisl Ledger,ACeouM No.:~ <br /> <br />-De <br />h <br />on(specifyitem:Purch <br />s <br />dltiusiness~± <br />.sn- <br />a fi=r. <br />' <br />~ <br />rt <br />;trans Date: <br />:Vendor Name- : -°-s-- - - <br />g <br />: %PgrPOSe) <br />- <br />Amowd: <br />C - <br />A <br />~Aicoviitr Fund Ong = Pgm Giant! <br />PrvjCit <br />'iProject; <br />1/1212010 <br />OFFICEMAX CT'IN#945137 <br />office supplies <br />$115.10 <br />62300 <br />011 <br />8910 <br />87 <br />1/1412010 <br />OFFICEMAX CT'IN#012392 <br />office supplies <br />-$1.15 <br />62300 <br />011 <br />8910 <br />87 <br />1/14/2010 <br />OFFICEMAX CT'IN#072568 <br />office supplies <br />v 51.02 <br />62300 <br />011 <br />8910 <br />87 <br />;iin <br />c <br />11142010 <br />OFFICEMAXf8T9N#992925 <br />plinter <br />for Uul. Administration <br />. $48.26 <br />62300 <br />533 <br />8924 <br />40 <br />. <br />i 1 ' <br />~ <br />1/142010 <br />OFFICEMAX CT•IN#992925 <br />printer for Util. Administration <br />✓ $48.26 <br />62300 <br />534 <br />8924 <br />40 <br />.r. <br />1/142010 <br />OFFICEMAX CT'IN#992925 <br />: <br />printer foil L. Administration <br />I $48.271' <br />62300 <br />535 <br />8924 <br />41 <br />mow <br />1!142010 <br />SPEEDI SIGN <br />.'!1 C' <br />Sign y= C~0v logo for podium <br />$28.00 <br />62900 <br />011,1 <br />8920 <br />87 <br /> <br />Total Statement Summary: $1,205.68 <br />jv.~ 11 <br />1, 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 />1 <br />other item of indebtedness as charged in the foregoing bill is air <br />a tine and corned 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 fr m petty cash, department order or other method. A Z~ <br />Statement Date: 01/15/2010 2&4t )k)AI, 477 <br />Cardhol Ys Signat re Da <br />For lost/stolen cards, call: Reviewed and Approved by: <br />Bank of America: (800) 3057735 <br />Treasury Once: 682-5027 t to u lewn..m- / p~/p~(~ ,t„R a 1 1l <br />lJ 1`~ <br />Supervisor's Signature lu'lwceu~~ `Date <br />211 <br />