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WARWICK <br />rri.nvra uirntt. <br />MRS Darcy Pickard <br />Ap 302 288 E 8th Ave <br />Vancouver BC V5T4F8 <br />INFORMATION INVOICE <br />Booking No. <br />Group Code 2703PR <br />Company Name Headwaters Corporation <br />Room No. <br />Arrival <br />Departure <br />Page. No. <br />Folio No. <br />Conf. No. <br />Cashier No <br />0904 <br />03/26/12 <br />03/28/12 <br />1 of 1 <br />199604 <br />3057185 <br />30 <br />03/28/12 <br />etAG 6 %— <br />Date <br />Description <br />Charges <br />Credits <br />03/26/12 <br />Randolph's Dinner Food <br />28.57 <br />Room# 0904: CHECK# 1059867 <br />jn <br />03/26/12 <br />Room Charge <br />139.0010 <br />03/26/12 <br />03/26/12 <br />Room Tax - City 10.75% <br />Room Tax State 4.0% <br />14.94 <br />- <br />5.56 <br />03/27/12 <br />Room Service Breakfast Food <br />- D jCf dc3 <br />24.11 <br />Room# 0904: CHECK# 1038371 <br />Charge <br />03/27/12 <br />Room <br />(�{ /,� <br />139,00 <br />03/27/12 <br />Room Tax - City 10.75% <br />�" <br />14.94 <br />03/27/12 <br />Room Tax - State 4,0% <br />5.56 <br />03/28/12 <br />Mastercard <br />371,68 <br />XXXXXXXXXXXX4423 XX/XX <br />-v <br />1 <br />Total 371.68 371.68 <br />Balance 0,00 <br />Guest Signature <br />I agree that my liability for This bill is not waived and agree to be held <br />t personally liable in the event that the indicated person, association, or <br />rotnpanv % rill 10 pdWfar any part or the fill unrnunl ofthese ehurges. <br />Phase ieave 4 our room key at the fi-ow desk upon departure. <br />Thtrnk You for slcryin; al Warwick Denver Holel. <br />We look Jorward to .serving you again in the near fixture. <br />.,,,,,,;;,,,,,,i <br />L <br />Grant Siree:, Denver, C*O S0203 GSA ' Phone: i30,i 8u1 -2400 ' Fax: t303.) 532 -0320 ` r W <br />u•wv..wary ickitotcf s.cmn <br />1� <br />