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COEP0033 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />Cardholder: Bnntnall,5chkara Account Nbr: 5557 <br />041112011 e'32AM <br />n <br />- <br />- <br />/ <br />= <br />e - <br />- <br />- <br />Descrlpg <br />n <br />e <br />eeg <br />ha <br />dthu <br />i <br />tt <br />T <br />n <br />l <br />n <br />` <br />Geneial Led rAcoount No. - <br />- <br />r <br />o <br />_ ( <br />p <br />y <br />em pum <br />se <br />ness <br />s <br />sagt <br />o <br />. <br />ro <br />. _ <br />- <br />Trans Date <br />Vendor Name <br />Purpose) - <br />Amount' . <br />Account' <br />Fudd <br />O <br />login <br />Grant <br />• <br />`Pro ecV <br />Total Statement Summary: a2,228.47 <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. / . /7- , d _ <br />Statement Date: 03/17/2011 <br />For lostistolen cards, call: <br />Bank of America: (800) 305.7735 <br />Treasury Office: 682-5027 <br />it / 7$11 <br />IAppmvedb <br />Signature Date <br />~Pr <br />