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06 -03 -09 <br />John Nestler <br />Folio No. 65750 <br />Room No. <br />223 <br />102 Lakewood Cir <br />A/R Number <br />Arrival <br />05 -31 -09 <br />Vicksburg, MS 39180 <br />Group Code <br />Departure <br />06 -03 -09 <br />us <br />Company Headwaters Corporation <br />Conf. No. <br />66688793 <br />06 -02 -09 <br />Membership No. PC 496501627 <br />Rate Code <br />IGCOR <br />Invoice No. <br />Page No. <br />1 of 1 <br />Date I Description I Charges I Credits <br />05 -31 -09 <br />Accommodation <br />05 -31 -09 <br />State Tax - Room <br />05 -31 -09 <br />Bed /Occupancy Room Tax <br />06 -01 -09 <br />Accommodation <br />06 -01 -09 <br />State Tax - Room <br />06 -01 -09 <br />Bed /Occupancy Room Tax <br />06 -02 -09 <br />"Accommodation <br />06 -02 -09 <br />State Tax - Room <br />06 -02 -09 <br />Bed /Occupancy Room Tax <br />06 -03 -09 <br />Visa <br />XXXXXXXXXXXX0239 <br />Thank you for staying at the Holiday Inn Express Hotel & Suites Cheyenne. Qualifying points <br />for this stay will automatically be credited to your account. To make additional reservations <br />online, update your account information or view your statement please visit www. <br />priorityclub.com. We look forward to welcoming you back soon. <br />109.99 <br />6.60 <br />4.40 <br />109.99 <br />6.60 <br />4.40 <br />109.99 <br />6.60 <br />4.40 <br />362.97 <br />Total 362.97 362.97 <br />Balance 0.00 <br />Guest Signature: <br />I have received the goods and / or services in the amount shown heron. I agree that my liablity for this bill is not waived and agree to be held <br />personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If <br />a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. <br />Holiday Inn Express Hotel and Suites <br />1741 Fleischli Parkway <br />Cheyenne, WY 82001 <br />Telephone: (307) 433 -0751 Fax: (307) 433 -0761 <br />