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rateys <br /> 44 `# HalidayInn <br /> Express <br /> &Suites <br /> 117 07-22-14 <br /> Thomas Smrdel Folio No. : 103366 Room No. : 120 <br /> 919 Vanderbilt Ct A/R Number : Arrival : 07-21-14 <br /> Fort Collins CO 80525-1853 Group Code • Departure 07-22-14 <br /> United States Company • Conf. No. 68654572 <br /> Membership No. : PC 324667378 Rate Code : IMGOV <br /> Invoice No. Page No. 1 of 1 <br /> Date Description Charges I Credits <br /> 07-21-14 *Accommodation 108.00 <br /> 07-21-14 State Tax 7.56 <br /> 07-21-14 Lodging Tax 3.24 <br /> 07-21-14 Occupancy Tax 2.16 <br /> 07-22-14 Visa XXXXXXXXXXXX3244 I 120.96 <br /> Thank you for staying with us! Qualifying points for this stay will automatically be credited to Total 120.96 120.96 <br /> your account. Please tell us about your stay by writing a review here- <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 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 /> Ad1/6■1S 10e.c344 , <br /> icAloctgougl-64i <br /> Holiday Inn Express Lexington <br /> 2605 Plum Creek Parkway <br /> Lexington, NE 68850 <br /> Telephone: (308)324-9900 Fax: (308)324-7000 <br />