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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Flowers,Jeffrey Jane Account Nbr: 2739 <br />Reviewed and .(lpprovIV by <br />General Ledger Account No. <br />Trans Date <br />Vendor Name <br />Description (specify item purchasedrbusiness <br />purpose) <br />Transaction <br />Amount <br />Account <br />Fundl <br />Org <br />P <br />Grant <br />P 'ect <br />9/17/2010 <br />LOWES #02940' <br />materials for Displays <br />$2677 <br />62900 <br />535 <br />8921 <br />41 <br />9/20/2010 <br />EXHIBITS NORTHWEST OR <br />panel connector repl memenls <br />$4300 <br />62900 <br />535 <br />8921 <br />41 <br />Total Statement Summary: $6977 <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials furnished, services rendered, expense incurred, or <br />other item of indebtedness as charged in the foregoing bill 1s a true and correct charge against the City of Eugene, that the claim is just 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 10/15/2010 <br />For lost/stolen cards, call <br />Bank of Amenca (800) 305-7735 <br />Treasury Office 682-5027 <br />1012812010 11 23AM <br />/0/50~/Q <br />Supervisors Signature <br />b <br />Date <br />Date <br />