Laserfiche WebLink
--- <br /> 4 <br /> z r7 <br /> M Holiday Inn - <br /> . :.- Express <br /> 7 :{:' &Suites <br /> 101 07-22-14 <br /> Jim Medlen Folio No. : 103363 Room No. : 303 <br /> 21266 Birlington Ln AIR Number Arrival : 07-21-14 <br /> 926463 Group Code Departure : 07-22-14 <br /> United States Company Conf.No. : 64508199 <br /> Membership No. : Rate Code : IMGOV <br /> Invoice No. Page No. : 1 of 1 <br /> Date Description Charges I Credits <br /> 07-21-14 *Accommodation 83.00 <br /> 07-21-14 State Tax 5.81"'"" <br /> 07-21-14 Lodging Tax 2A9 `119' G Y <br /> 07-21-14 Occupancy Tax 1.66--- <br /> 07-22-14 Visa XXXXXXXXXXXX1072 92.96 <br /> Total 92.96 412T9 '6 <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 /> D 0 , )V ` <br /> f2cli2-1—/ <br /> Holiday Inn Express Lexington <br /> 2605 Plum Creek Parkway <br /> Lexington,NE 68850 \<, <br /> Telephone: (308)324-9900 Fax: (308)324-7000 <br /> 1,. <br /> http://ttcdalmvapp3.tetratech.com:8888/mvasvue/ultralite/PrintPreview?eid=5372885:1&etype=MVDOC&parentse... 8/7/2014 <br />