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COEPOO33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) M19r2010 11 50AM <br />Cardholder: MAST STROUD,KIM <br />Account Nbr: 6657 <br />c ,,VF <br />n <br />"n N <br />'+1 <br />'C <br />' <br />' <br />a <br />° <br />` ' <br />- <br />_ <br />, x~ <br />p <br />d <br />em <br />6ha <br />d <br />i <br />' <br />n <br />a <br />en <br />Geralle <br />ger Aiwunt No: <br />. ~ <br />. ^ <br />a <br />, <br />• <br />. <br />r <br />~Descri <br />ti <br />n (specify it <br />pur <br />se <br />lbus <br />ness <br />Tra <br />s <br />ction- <br />, <br />, <br />Dat <br />T <br />e n <br />r. <br /> <br />V <br />nd <br />n <br />N <br />n <br />a. r <br />' ;v' <br />a <br />:Purpose) <br />' <br />f <br />mount" <br /> <br />Acco'unt' <br />und <br />. <br />" <br />Oi <br />? <br />_ <br />nt <br />G <br />. <br />Pr <br />j <br />t <br />ranr <br />" <br />e <br /> <br />e <br />. <br />or, <br />a <br />le: <br /> <br />p <br /> <br />. <br />i <br /> <br />ao ; <br />, <br />. <br /> <br />g: <br />gm; <br />ra <br />o <br />ec <br />. <br />1/15/2010 <br />OREGON ART SUPPLY <br />Good F.arth HS supplies <br />$9.49 <br />62900 <br />535 <br />8921 <br />41 <br />1/20/2010 <br />FRED-MEYER #0328 <br />Street Review Panel <br />$1273 <br />62900 <br />131 <br />8910 <br />54 <br />1/2612010 <br />ALBERTSONS #570 O <br />Street Review Panel <br />$21.99 <br />62900 <br />131 <br />8910 <br />54 <br />Total Statement Summary: $44.21 <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 rash, department order or other method. (y <br />Statement Date: 02/1712010 <br />a holder's Signature Da4 <br />For lost/stolen cards, call Reviewed and App y <br />Bank of America: (s, ca 305-7735 ell <br />Treasury Office 682-5027 ~ <br />Supervisor Date <br />