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. T: <br /> Iola €ynn <br /> Express <br /> ies <br /> 29 06-11-14 <br /> Dave Marmorek Folio No. - Room No. : 314 <br /> 1111 A/R Number Arrival : 06-09-14 <br /> Cheyenne WY 82001 Group Code Departure : 06-11-14 <br /> United States p <br /> Company : Headwaters Corporation Conf. No. : 60007438 <br /> Membership No. : Rate Code : IGCOR <br /> Invoice No. • Page No. : 1 of 1 <br /> Date Description Charges Credits <br /> 06-09-14 *Accommodation 139.99 <br /> 06-09-14 State Tax-Room 8.40 <br /> 06-09-14 Bed/Occupancy Room Tax 5.60 <br /> 06-10-14 *Accommodation 139.99 <br /> 06-10-14 State Tax-Room 8.40 <br /> 06-10-14 Bed/Occupancy Room Tax 5.60 <br /> 06-11-14 Visa <br /> 307.98 <br /> Total 307.98 307.98 <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 Fleischti Parkway <br /> Cheyenne,WY 82001 <br /> Telephone: (307)433-0751 Fax: (307)433-0761 <br />