C>OEPW33 PROCUREMENT CARD TRANSACTION SUMMARY (LOG) 01104/2010 10 25AM <br />Cardholder. Corey,Kurt <br />Account Nbr: 8582 <br />~ <br />a <br /> <br />, <br />` <br /> <br />r <br />ar;: ......r:. :x,,i.,. <br />~ <br />a <br />T <br />D <br />1116 <br />b <br /> <br /> <br />t <br />5` <br />.5•~ <br />;.~a@nerbfL+fdger <br />ACeounf NoY1 <br />s <br />~ ' <br />:e' l <br />r <br />t' 4; `'1 .4 ~ <br />v <br />1 g~ ~.a$ rt <br />ed/ <br />tlSle$$' <br />oser Will <br />' <br />:z ,c'4 <br />S.:n ~ A <br />) ' <br />r <br />ranaac <br />tort-:' <br />- f: C:i <br />'y.:. <br /> <br />•{.x^ n^ <br />:'i; <br />Trams Date <br />'yerrillorName' `:1^.E./:= ;5,'. <br />: <br />.:-P!e~~':i*~ "~4:'",t~' Y.is'•. <br />rU <br />a~Airi'oont, <br />.;Aci»iieit:: <br />~nr1Q <br />:«.Or9 <br />m <br />Grat1£% <br />+profect <br />1118/2009 <br />WINGS BAR AND GRILLOPS <br />lunch mtg w/ Jim Hanks <br />$25.70 <br />62200 <br />011 <br />8910 <br />87 <br />1123/2009 <br />STEELHEAD BREWERY <br />lunch mug w/ Alan Zelenka <br />$23.60 <br />62200 <br />011 <br />8910 <br />87 <br />2/1012009 <br />STEELHEAD BREWERY <br />lunch mtg w/ George Rm. <br />$21.60 <br />62200 <br />011 <br />8910 <br />87 <br />Total Statement Summary: $70.90 <br />I, the undersigned card holder, do hereby certify under penalty of perjury, that, to the best of my knowledge, the materials fumished, services rendered, expense incurred, or <br />other item of indebtedness as charged in the foregoing bill is a true and coned 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: 12/17/2009 <br />For lost/stolen cards, call: <br />Bank of America: (800) 3057735 <br />Treasury Office : 682-5027 <br />v <br />C dholder's Signature Date <br />R ewed and Approved <br />Supervisor's Signature Date <br />