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GOEP0033 <br />PROCUREMENT CARD TRANSACTION SUMMARY (LOG) <br />01/19/2010 1 35PM <br />Cardholder: MAST STROUD,KIM <br />Account Nbr: 6657 <br />u <br />n <br />U <br />' <br /> <br />- General Ledger.Aecounf No. .v. - <br />Trahs'Date, <br />_ - , <br />Neridorkirrieq~' <br />on (specify <br />item purchased/b <br />3i <br />ess <br />Descdp <br />,.Purpose)" _ . }-tt..,. <br />Transaction <br />"Amount <br />Account, <br />Fund <br />Orgr <br />Pgm <br />Gianf,, <br />Project <br />1/12/2010 <br />ISTOCK *INTERNATIONAL <br />Stock photos-Good Earth HShow <br />$170.00 <br />62900 <br />535 <br />8921 <br />41 <br />Total Statement Summary: 4,1 /u.uu <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials famished, 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. Y <br />Statement Date: 01/15/2010 ' f 1 q <br />Cardholder's Signature Date <br />For lost/stolen cards, call: Reviewed and Approved by. <br />Bank of America: (800) 305-7735 <br />) <br />Treasury Office: 682-5027 O <br />Supervisors Signa Date <br />