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coePOOSS PROCUREMENT CARD TRANSACTION SUMMARY (LOG) osiosizoos s:aaPM <br /> <br /> Cardholder: Clark,Debbie Account Nbr: 6719 <br /> Description {specify'~item purchasedlbusiness Transaction Gaper 'Ledger Account No. <br /> Trans Date Vendor Name purpose) Amount Accounf Fund O~{g Pgm Grapt Project <br /> Total Statement Summary:. -$3,748.50 <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 part of the same has been paid; and that I am authorized <br /> to sign for the payee. <br /> Statement Date: 05/15/2009 <br /> Cardholder's Signature Date <br /> For lost/stolen cards, call: C, <br /> Bank of America: (800) 305-7735 ~ ~ ~ o <br /> Treacurv llffira• RR9-Fn97 <br /> up rvisor's Signature Date <br /> <br />