COEPOM PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Donahue,Tammy AccountNbr: 9773 <br />Date <br />`'D0ttt1 <br />M ~1 n <br />~ .iv?rs C'3:. <br />+'.N9ndo :::<.;'q:. <br />t. .z ~ c,A. 1 <br />;S:f:??,,. ,v -:T~'w%u,.,..,,-,,~„ize.~ <br />aPlnAos?-:.z.:.:k~„-,s`="`s: ~i?""".~~n;~ s:r' <br />G <br />tr.,. c <br />d,~ <br />eg <br />ME I <br /> <br />ete ~ <br />=r~,.' .i^ <br />eA aM Nash <br />a'1P a0tan <br /> <br />P'r!M' <br />7222010 <br />TRACK TOWN PIZZA <br />Transportation TIP Lunch <br />$72.05 <br />61711 <br />131 <br />9410 <br />54 <br />7/22/2010 <br />TRACK TOWN PIZZA <br />Transportation TIP Lunch <br />$72.04 <br />61800 <br />131 <br />9310 <br />54 <br />7122/2010 <br />FRED-MEYER #0325 076 <br />Transportation TIP Supplies <br />$8.99 <br />61711 <br />131 <br />9410 <br />54 <br />7/22/2010 <br />FRED-MEYER #0325 076 <br />Transportation TIP Supplies - <br />$8.98 <br />61800 <br />131 <br />9310 <br />54 <br />8/092010 <br />HUMAN RESOURCE CERT IN <br />SPHR Exam Fee <br />$375.00 <br />61711 <br />011 <br />8930 <br />87 <br />Total Statement Summary: $537.06 <br />1, 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 is 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. I <br />Statement Date: 08/17/2010 <br />For lost/stolen cards, call: <br />Bank of America: (800) 305.7735 <br />Treasury Office: 6825027 <br />Reviewed <br />by: <br />Signature <br />pr M <br />q~vl" <br />08118201010:16AM <br />0-18-2670 <br />Date <br />