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I, <br />WARWICK <br />N f"I R 110f l <br />0810 <br />03/01/11 <br />03/03/11 <br />1 of 1 <br />153651 <br />2427465 <br />21 <br />03/04/11 <br />Room No. <br />MRS Darcy Pickard <br />Arrival <br />Ap 302 288 E 8th Ave <br />Departure <br />Vancouver BC V5T4F8 <br />Page. No. <br />13.87 <br />Folio No. <br />INFORMATION INVOICE <br />Conf. No. <br />Booking No. <br />Room Charge <br />Group Code 0103HE <br />Cashier No. <br />Company Name Headwaters Corporation <br />13.87 <br />0810 <br />03/01/11 <br />03/03/11 <br />1 of 1 <br />153651 <br />2427465 <br />21 <br />03/04/11 <br />Total 296.32 296.32 <br />Balance 0.00 <br />Guest SIgnature <br />1 agree that my liability for this bill is not waived and agree to be held <br />personally liable in the event that the indicated person, association, or <br />company fails to pay for any part or the full amount of these charges. <br />Please leave your room key at the front desk upon departure. <br />Thank You jor slaying at Warwick Denver Hotel. <br />We look forward to serving you again in the near future. <br />r, <br />WARWICK <br />1776 Orant Street, Denver. CO 80203 USA • Phone: (303) 861 -2000 ' Fax: (303) 832.0320 <br />www.wary ickhote)s,ruat.— _ <br />Description <br />Charges Credits <br />/11 <br />Room Charge <br />129.00 <br />/11 <br />Room Tax -City 10.75% <br />13.87 <br />/11 <br />Room Tax - State 4.10% <br />5.29 <br />/11 <br />Room Charge <br />129.00 <br />/11 <br />Room Tax -City 10.75% <br />13.87 <br />/11 <br />Room Tax - State 4.10% <br />5.29 <br />/11 <br />Mastercard <br />296.32 <br />XXXXXXXXXXXX4423 XX/XX <br />, %< N <br />Total 296.32 296.32 <br />Balance 0.00 <br />Guest SIgnature <br />1 agree that my liability for this bill is not waived and agree to be held <br />personally liable in the event that the indicated person, association, or <br />company fails to pay for any part or the full amount of these charges. <br />Please leave your room key at the front desk upon departure. <br />Thank You jor slaying at Warwick Denver Hotel. <br />We look forward to serving you again in the near future. <br />r, <br />WARWICK <br />1776 Orant Street, Denver. CO 80203 USA • Phone: (303) 861 -2000 ' Fax: (303) 832.0320 <br />www.wary ickhote)s,ruat.— _ <br />