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COEP0033 <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />06/22/2006 11 58A <br />Cardholder: <br />Clark,Debbie <br />Account Nbr: 6770 <br />Y . <br />. , - - <br /> <br />_ <br />ti <br />p <br />f <br />It <br />h <br />/b <br />rt <br />s <br />u <br /> <br />: ~ <br />s <br />-GeneialLedger Account No. <br />- <br />re <br />Descrip <br />on (s <br />eci <br />y <br />e <br />r urc <br />s - <br />ased <br />us <br />Tr <br />nsactwn _ <br />. . , <br />. ~ <br /> <br /> <br />Trans Date <br />YendorName <br />purpose)" - <br />'Amount ~ <br />Aceounf <br />Fund <br />Org , <br />. _agm <br />Grant <br />Projear: <br />Total Statement Summary: $2,205.27 <br />I, the undersigned, do hereby certify under penalty of perjury, that the materials furnished, services 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. <br />Statement Date: 06/16/2006 ~12 d6I <br />er' ignature L/ Date <br />For lostistolen cards, call: <br />Bank of America. (800) 305-7735 <br />T~cac„rv nm~a eav_s097 <br />Supervisor's Signature Date <br />