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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) o7rosr200a s:o2AM <br /> <br /> Cardholder: Clark,Debbie Account Nbr: 6770 <br /> t3ensraE Led er Account No. <br /> Dsacrtptiorr(spectfy Item purchaaed/buslneas Yransactton <br /> Yrsns Dete -Vendor Name purpose} Amount Account Fund O P m G t Pro ect <br /> 5/19/2008 REGISTER GUARD GJN4506 Inv #3279648 $176.40 61731 334 9332 97 922 985015 <br /> ti <br /> 5/19/2008 REGISTER GUARD GJN4506 Inv #3279648 -$10.08 61731 334 9332 97 922 985185 <br /> 5!27/2008 REGISTER GUARD GJN4402 Inv #3289371 $152.88 61731 336 9335 97 975102 <br /> /09/2008 LANE COUNTY PUBLIC WOR GJN4514 Permit #080313 $450.00 61731 334 9332 97 985055 ~ <br /> Total Statement Summary: 5769.20 <br /> I, the undersigned, do hereby certify under penalty of pery'ury, 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 t at I authorized <br /> to sign for the payee. <br /> Statement Date: 06/17/2008 ~ J ~ <br /> r er's Signature Date <br /> For IosUstolen cards, call: <br /> Bank of America: (800) 305-7735 ~ ~ p~ <br /> TrPacl w nffirp• RR~-.rin77 IS ~ C~~~~J~ 1 ~j Q~ ~ry~ <br /> Supervisor's Signature Date <br /> <br />