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ucL wl 1, a 5-et L6 -ev. 3 c(/j j C ' <br /> - / <br /> COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 06/18/2013 3:01PM <br /> Cardholder: STEECK,DIANE Account Nbr: 4558 <br /> Description (specify item purchased /business Transaction General Ledger Account No. <br /> Trans Date Vendor Name purpose) Amount Account Fund Org Pgm Grant Project <br /> 35/31 /2013 BEST BUY 00006007 c MO nr / O Yy# t4 /QV,S � c $464.95 C Q/� <br /> / SC/Yen &T iecf�r / jr• & k <br /> 6zsla "� `L� ` +L3�c <br /> 36/01/2013 FRED -MEYER #0417 / --/ a.rect _ cast_ zra''` 4c.%) $24.99 Z,pL 53,r gtc3u Zi <br /> 36/08/2013 STAPLES 00104646 / S & /u .GA-- rnoniterrrg fzt6(ef- $14.99 (..;2.41co 535 cioc z t4.3 <br /> 36/10/2013 PHOTODON o 2 an 9 SC./seen ee C W€ $ $32.80 coicipo 5,i ' qt,,3 p <br /> 214:32(.: <br /> 7''T' 7 ( Q <br /> )6/13/2013 REICOM / Cavvr(/n 2, Q 650 &rS $480.00 G.Z c L v <br /> �3� l 3 <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 's just and due; and at payment for <br /> these charges has not been requested or made from petty cash, department order or other method. �+ <br /> Statement Date: <br /> 06/17/2013 q h'i r ! 6-1 7 - /-3 <br /> Card older's Signature Date <br /> For lost /stolen cards, call: Revi: wed and Approved by: <br /> Bank of America: (800) 305 -7735 <br /> Treasury Office: 682 -5027 ) / l , 6.- /�� � <br /> Supervisor's Signatu !, re Y Date <br />