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00EP 33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: MAST STROUD,KIM Account Nbr: 6657 <br />1V180009 11 04AM <br />~iJ'-.} <br />> <br /> <br />:t. ._:~vrr ^'~.~k.3:~':- '-m...iY a':.~'`~,"~L,' e'J <br />t <br /> <br /> <br />' <br />" <br />' <br /> <br />~ <br />' <br />.'~-e,.. } .~b_,ya <br />" <br />' <br />~ <br /> <br /> <br />1""~ <br />u <br />'3 <br />a <br />`n <br />-F_~_1=n 'v`... <br />~ <br />r::.k'-sue <br />9 <br />a'~r(rt({'~~ ,W.. <br />C: <br />Trans Date <br />; yy.•. _ <br />;~g? <br />: <br /> <br /> <br />.:.i~:, <br /> <br />P~ <br />? <br />t s, ,ot,.., <br />,.Vendor.Name.:. <br />-D <br />r <br />' <br />~ <br />tpticn(specl(y,item PtrchasedlbuslnescF <br />as <br />, < <br />. <br />u se a..; • .at- <br />•Ttans <br />dNo <br />~,a. <br />- <br /> <br />F <br />Fund <br /> <br />,.1Org:y <br /> <br />P <br />gm <br />Partt° <br /> <br />'Prolact <br />1210812009 <br />OREGON GALLERY LTD <br />Lyle display <br />$37.78 <br />62300 <br />535 <br />9310 <br />41 <br />2/08/2009 <br />FEDEX KINKO'S #0362 <br />Lyle display <br />$39.99 <br />62300 <br />535 <br />9310 <br />41 <br />2/16/2009 <br />ISTOCK *INTERNATIONAL <br />subscription <br />$61 <br />62900 <br />011 <br />8920 <br />87 <br />2/1612009 <br />ISTOCK *INTERNATIONAL <br />subscription <br />$66.00 <br />62900 <br />535 <br />8921 <br />41 <br />Total Statement Summary: izuv r t <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 fo <br />these charges has not been requested or made from petty cash, department order or other method. <br />Statement Date: 12/1712009 <br />Cardhol Ys Signature Date <br />For loststolen cards, call: Reviewed and Appro <br />Bank oAmerica: (800) 305-7735 <br />Treasury Office: 682-5027 <br />Supervisors Signature Date <br />