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co5pwn PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder. Donahue,Tammy Account Nbr: 9773 <br />01123/2011 4.47PM <br />i <br />q <br />µ = <br />h..: <br /> <br />.,..e;, th -y...-~ <br />- <br />t <br />' - - <br />ai'+ \ c+~ <br />x5.:r S° <br />j"-a.v'E' '.r.,;'3.°E'y«c.e ,.r .c°~._.: n.'..=:, <br />_TS;Y.': <br />*_.c "?e <br /> <br />° <br />: <br />us <br />B <br />r'e%':v4 <br />.aYf, . es <br />o <br />4 <br />: `~'s' <br />_'.S <br />.:;:r;s;. <br />• °•A'. . <br />iieraLedge <br />.c~Cxmral eouiK NO: =.:..:arz- ' <br />. y <br />°y, n,. <br />mae •:a:fi <br />:Trani Date, <br />a <br />_ .r ; <br />3*~'--i - <br />,.Vemltlt.Nametr; = ' <br />h <br />DescdpUOn( <br />purchasedib <br />lness,'>.._. <br />Ped1/:item <br />a.k,=:a: ::,*y-w^svd'W'r=Py,.''°-n'Yv~t*_"..i•".?~.:._:';;t' <br />Wposel~' ' '40'A= a*,-;. <br />Tratnactl <br />n <br /> <br />i`M~..,ry„.` <br />vnt;.. <br />'Aeeount-' <br />Fund <br />h".Or9~?' <br />'aPgmi <br />:.Giant <br />P,ro sett <br />1/18/2011 <br />LCHRA <br />LCHRA-Exellence Under Pressure <br />$15.00 <br />61711 <br />011 <br />8930 <br />87 <br />2104/2011 <br />NATIONAL PUBLIC EMPLOY <br />NPELRA -NATIONAL PUBLIC EMPLOY <br />$595.00 <br />61711 <br />011 <br />8930 <br />87 <br />2x04/2011 <br />UNITED 0162119970116 <br />UNITED AIRLINES travel NPELRA <br />$577.50 <br />61711 <br />011 <br />8930 <br />87 <br />Total Statement Summary: 4,1,15/.ou <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 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. <br />Statement Date: 02/17/2011 0 5 ' <br />Cardholder's Si nature Date <br />- <br />For Iostfslolen cards, call: <br />Bank of America: (800) 305-7735 <br />Treasury Office: 682-5027 <br />by: <br />Signature Date <br />