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COEP0033 <br />Cardholder, <br />Corey,Kurt <br />r <br />0 <br />1 <br />EM, <br />STEELHEAD BREWERY <br />1n3012 <br />0 <br />10 <br />AMER SOC CIVIL ENGINEE <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />ASFME Relations Lunch with Knsue Hammitt and Rick <br />AMER SOC CIVIL ENGINEE Membership Renewal <br />Total Statement Summary: <br />Account Nbr: 8582 <br />$36 10 1 62200 1 011 1 8910 1 87 <br />$225 00 1 61861 1 011 1 8910 1 87 <br />1 IA1/2010 938AM <br />I, the undersigned card holder, do hereby certify under penalty of pequry, that, to the best of my knowledge, the matenals 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 is lust and due, and that payment for <br />these charges has not been requested or made from petty cash, department order or other method <br />Statement Date: 10115/2010 <br />For lost/stolen cards, call. <br />Bank of America- (800) 305-7735 <br />Treasury Office. 682-5027 <br />holder's Sign. u Date <br />r <br />ewewed and App&Ad by <br />k&&g6W' /-2-zoo <br />Supervisors Signature Date <br />~1~6 <br />