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; f r Holiday Inn <br /> `s - Express <br /> 25 07-27-14 <br /> Miles Yaw Folio No. • Room No. 105 <br /> 425 W 8th St A/R Number • Arrival 07-22-14 <br /> La-Center WA 98629-5451 Group Code : Departure : 07-27-14 <br /> United States <br /> Company P y Conf. No. : 65655944 <br /> Membership No. : PC 149340463 Rate Code : IMGOV <br /> Invoice No. • Page No. : 2 of 2 <br /> Date Description ( Charges ( Credits <br /> Thank you for staying with us! Qualifying points for this stay will automatically be credited to <br /> your account. Please tell us about your stay by writing a review here- Total 512.87 512.87 <br /> www.ingrewardsclub.com/review. We look forward to welcoming you back soon. <br /> Balance 0.00 <br /> Guest Signature: <br /> I have received the goods and/or services in the amountlshown 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 chargds.If <br /> a credit card charge, I further agree to perform the obligations set forth in the cardholder's agreement with the issuer. <br /> � I <br /> Holiday Inn Express Hotel&Suites <br /> 508 2nd Ave S. <br /> Kearney, NE 68847 <br /> Telephone: (308)234-8100 Fax: (308)338-0892 <br />