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CC 081710 Brintnall
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CC 081710 Brintnall
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Entry Properties
Last modified
3/21/2011 8:17:01 PM
Creation date
3/21/2011 3:27:23 PM
Metadata
Fields
Template:
PW_Operating
PW_Document_Type_ Operating
Credit Card
Fiscal_Year
2011
PW_Division
Administration
GL_Fund
011
GL_ORG
8910
Identification_Number
081710 Brintnall
External_View
No
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COEPaa33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) „ " 09m1rzo10 319PM <br />Cardholder. <br />Bnntnall,Schkara <br />Account Nbr. 5557 <br />727/2010 <br />USPS 40285506534008OPS <br />Stamps for madmg return envelopes <br />$17.60 <br />ma <br />61430 <br />n <br />011 <br />= <br />8910 <br />= <br />87 <br />Se <br />lo <br />7282010 <br />OFFICEMAX CTIN#325830 <br />Office Supplies - SO Card <br />$39 01 <br />62900 <br />011 <br />8920 <br />87 <br />7282010 <br />OFFICEMAX CT"IN#325830 <br />Office Supplies - SD Card <br />$39.01 <br />62900 <br />535 <br />8921 <br />41 <br />7282010 <br />OFFICEMAX CT"IN#430503 <br />Office Supplies <br />$395 <br />62900 <br />011 <br />8920 <br />87 <br />7282010 <br />OFFICEMAX CT'IN#430503 <br />Office Supplies <br />$394 <br />62900 <br />535 <br />8921 <br />41 <br />72812010 <br />OFFICEMAX CT"IN#430503 <br />Office Supplies <br />$2413 <br />62300 <br />534 <br />8924 <br />40 <br />7282010 <br />OFFICEMAX CTMN0430503 <br />Office Supplies <br />$16.90 <br />62300 <br />011 <br />8910 <br />87 <br />6/032010 <br />NEW DAWN BAKERY <br />Lunch for Wastewater Interview Panel <br />$6.50 <br />62200 <br />533 <br />8710 <br />40 <br />81042010 <br />OFFCEMAX CT'IN#520724 <br />Office Supplies <br />$10805 <br />62300 <br />011 <br />8910 <br />87 <br />Total Statement Summary: <br />$259.09 <br />I, the undersigned card holder, do hereby certify under penalty of pequry, that, to the best of my knowledge, the mate nals furnished, se ces rendered, expense incurred, or <br />other Rem of indebtedness as charged in the foregoing bill is a true and correct charge against the City of Eugene, that the daim is f a e rid that for <br />these charges has not been requested or made from petty cash, department order or other method / <br />Statement Date: 08117/2010 I l /O <br />rdhol s t re Date <br />For lost/stolen cards, call we a roved by <br />Bank of Amenca (800) 305-7735 <br />Treasury Office. 682-5027 <br />R~Z~~v <br />
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