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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 06/20/2013 11:25AM <br /> Cardholder: STEECK,DIANE Account Nbr: 4558 <br /> General Ledger Account No. <br /> Description (specify item purchased /business Transaction <br /> Trans Date Vendor Name purpose) Amount Account Fund Org Pgm Grant Project <br /> 35/31/2013 BEST BUY 00006007 2 MONITORING TABLETS, 1 CASE, 1 SCREEN PROTECT $464.95 62510 536 9630 41 216326 <br /> 36/01/2013 FRED -MEYER #0417 1 ZIPPERED CASE FOR NEW MONITORING TABLET $24.99 62900 536 9630 41 216326 <br /> 36/08/2013 STAPLES 00104646 1 STYLUS FOR MONITORING TABLET $14.99 62900 535 9630 41 216326 <br /> 06/10/2013 PHOTODON 2 ANTI -GLARE SCREEN COVERS FOR TABLETS $32.80 62900 535 9630 41 216326 <br /> 36/13/2013 REI COM 1 GARWIN OR 650 GPS $480.00 62900 535 9630 41 <br /> Total Statement Summary: $1,017.73 <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 for <br /> these charges has not been requested or made from petty cash, department order or other method. <br /> Statement Date: 06/17/2013 <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 /> 3(0 - Q1' - (, ae100 - a-( 3 c — 0 24. qq <br /> 54t - R(n3o - ( D - 021 (v3 D-IP • - 'f (04 • 67 5 <br /> 5(6 — x II 1O + 89 .94 <br /> - X - Il - VI ,91- <br /> 5 35- 9ro30 (p510 4 <(-C if. es <br /> 635 agoo a(('3 c-(0 q9 <br />