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COEPM33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Peterson,Tlsh Account Nbr: 2676 <br />0622/2006 5 07PM <br /> <br />-D <br />ft <br />i t <br />bigi`..„ <br />ti <br />'pb <br />haseil <br />` <br />s <br />ri <br />. <br />Tran <br />tio <br />, <br />a <br />'GebemtC:edgei'ACCtiun£No:...,.~ <br />Thims Date, <br />'Vendor Name. IF <br />on (epee <br />y <br />rc <br />l <br />e <br />em <br />c <br />p <br />ne <br />w <br />-putp'ose) <br />n <br />s <br />c <br />,Ameuirt <br />`A'icount'. <br />Fund <br />,"ar9: <br />W Pgm, <br />Grairt <br />PrCjetit <br />5/2312006 <br />ERGOGENESIS, LLC <br />ERGOGENESIS, LLC Tmr"~, C~ <br />1~^ <br />$200.00 <br />62310 <br />131 <br />8990 <br />87 <br />5/232006 <br />ERGOGENESIS, LLC <br />ERGOGENESIS, LLC <br />` r <br />$200-00 <br />62310 <br />535 <br />8990 <br />87 <br />51232006 <br />ERGOGENESIS, LLC <br />ERGOGENESiS, LLC <br />$199.41 <br />62310 <br />534 <br />8990 <br />87 <br />Total Statement Summary- $599.41 Al <br />I, the undersigned, do hereby cemty under penalty of perjury, that the materials furnished, seroces rendered, expense incurred, or other item of indebtedness as charged <br />in the foregoing bill is a true and correct charge against the City of Eugene; that the claim is just and due; that no part of the same has been paid; and that I am authorized <br />to sign for the payee. f <br />Z I p~ <br />Statement Date: 06/16/2006 I'z <br />a oldks Signature Date <br />For lost/stolen cards, call: <br />Bank of America, (800) 305-7735 <br />Tr.ac.. v nffi,, FA9_5n97 <br />` 1 a Cdr (Of -~L>/tom <br />Supervisor's Signature Date <br />06-26-06A06:45 RCVD <br />~1 <br />