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Date <br />Description <br />102 <br />0714 -10 <br />David Gatat <br />Follo No. : 5008b <br />Roam No. : <br />322 <br />3961 Ct 259 Rd <br />AIR Number <br />Arrival : <br />137 -12 -10 <br />Fulton MO 652SI <br />Group Code "W1 <br />Departure : <br />07 -14-10 <br />us <br />Company <br />Conf. No. : <br />62671894 <br />Membership No.: PC 726599171 <br />Rats Coda ; <br />iMGOV <br />Invoice No. <br />Page No. <br />1 of 1 <br />Date <br />Description <br />Ghaf9" <br />Credits <br />07 »12.111 <br />'Accommodaylon <br />70 «00 <br />07.12 -10 <br />State Tax - Room <br />365 <br />R <br />07 +12 -10 <br />City Tax -Room <br />1.0.5 <br />07.12.10 <br />Lodging Tax- Room <br />6,07 <br />07.13 -10 <br />'Accommodation <br />7Q 1- <br />07 -13 -10 <br />State Tax - Room <br />9.85 <br />07.13.10 <br />City Tax • Room <br />1.05 <br />07 -13-30 <br />Lodging Tax - Room <br />5.07 <br />07.14.10 <br />MasterCard XXXXXXXXXXXX6076 <br />18 &,9d <br />Thank you for staying at the Holiday Inn Express Hottti 6 Suites Kearney. Qualifying points Total 158,54 159,94 <br />for this May will automatically be credItud to your 4ccount. To make additional roasrvaltons <br />online, update your account Information or view your statement please visit -www. <br />grlotttyetub,com. Wo look forward to welcoming you.back soon. Balance 0.04 <br />Guest Signature: <br />t have'recelved the goods and t or services In the nmount shown heron. I agree that my I' blity for this bill is not waived and agree to be held <br />peraonmlly fiable in the event that the atdimtod pemon, company, or aismiats laity to pay far any part of the full amount of these charges. If <br />a credit card charge, I funttoragree to perform the ctAgatksns set Will In the cardhofder`s agreement with the issuer. <br />Holiday Inn lxprasrl Hotel & Sultest <br />508 2nd Ave S;t <br />Koamoy, NE 688471 <br />Toloohone: (908) 234.8100 Fax: 1308) 338-0892 <br />