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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 08/05/201311.19AM <br /> Cardholder: STEECK,DIANE Account Nbr: 4558 <br /> ererat edgier Accourff No. <br /> Description (specify item purchased /business Transaction <br /> Trans Date Vendor Name purpose) Amount Account Fund Org Pgm Grant Project <br /> 33/13/2013 USAIRWAY 03772133361916 PLANE FARE FOR NATIVE SEED CONFERENCE IN NM $479.40 61711 531 9335 97 915562 <br /> 33/13/2013 TRAVELOCITY. RESERVATION FEE FOR FLIGHT TO CONFERENCE $9.99 61711 531 9335 97 915562 <br /> 33/13/2013 PAYPAL *APPLIEDECO REGISTRATION FOR NATIVE SEED CONFERENCE $340.00 61711 531 9335 97 915562 <br /> Total Statement Summary: $829.39 <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 /> 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: 03/15/2013 <br /> Cardholder's Signature Date <br /> For lost/stolen cards, call: Reviewed and Approved by: <br /> Bank of America: (800) 305 -7735 <br /> Treasury Office: 682 - 5027 <br /> Supervisor's Signature Date <br /> • <br /> sl1.ou -C-d <br /> fi� Ft t� e 1: <br />