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s <br /> � nlnliday lnn <br /> ; Exress <br /> t std: <br /> 25 07-27-14 <br /> Thomas Smrdel Folio No. : Room No. : 207 <br /> 919 Vanderbilt Ct A/R Number • Arrival : 07-22-14 <br /> Fort-Collins CO 80525-1853 Group Code • Departure : 07-27-14 <br /> United States Company : Conf. No. : 64675232 <br /> Membership No. : PC 324667378 Rate Code : IMGOV <br /> Invoice No. : Page No. : 2 of 2 <br /> Date Description I Charges I Credits <br /> Thank you for staying with us! Qualifying points for this stay will automatically be credited to Total 512.87 512.87 <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 /> Holiday Inn Express Hotel &Suites <br /> • <br /> 508 2nd Ave S. <br /> Kearney, NE 68847 <br /> Telephone: (308)234-8100 Fax: (308)338-0892 <br />