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y <br /> rYa$ S <br /> 08-08-14 <br /> Scott Therkildson Folio No. : 210900 Cashier No. : 25 Room No. : 147 <br /> United States A/R Number • Arrival 08-04-14 <br /> Group Code Departure : 08-08-14 <br /> Company • Conf. No. : 61105468 <br /> Membership No. : Rate Code : IMGOV <br /> Invoice No. • Page No. : 2 of 2 <br /> Date Description Charges Credits <br /> Total 379.28 379.28 <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 /> Midtown Holiday Inn <br /> 2503 South Locust Street <br /> Grand Island, NE 68801 <br /> Telephone: (308)384-1330 Fax: (308)382-4615 <br />