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i <br /> coePOOSS PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 04/21/200810:14AM <br /> Cardholder: Clark,Debbie Account Nbr: 6770 <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 /> i <br /> I Total Statement Summary: X1,767.91 <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 pa o he same has been paid; and t t I am authorized <br /> ' to sign for the payee. <br /> I <br /> ~ t <br /> Statement Date: 04/17/2008 j ~ ~j ~ ~ <br /> Ca~rdJl der's Signature ~ Date ~ ~ <br /> For lost/stolen cards, call <br /> Bank of America: 800 305-7735 <br /> Trcacurv rlffirp• RR9_Rn97 ~ / ~ ( v~ <br /> 'j <br /> i upe isor's Signature Date <br /> 1 <br /> i <br /> <br /> i <br /> <br />