01-28-09 ElaineJohnson Po Box 340246 Sacramento,CA 95834-0246 US
FolioNo. A/R Number GroupCode Company Membership No. InvoiceNo.
RoomNo. Arrival Departure Conf.No. Rate Code PageNo.
1772
PC
707435575
Gharges
Description
Date
402 01-26-09 01-28-09 61335721 IDAAA 1 o f1
01-26-09 *Accommodation
Gredits
81.00
01-26-09 StateTax - Room
3.65
01-26-09 CityTax - Room
2.43
01-26-09 Bed/OccupancyRoomTax
4.05
01-26-09 CountyTax
o.41
01-27-Og SuiteShop
coKe
2.00
01-27-09 SuiteShop 01-27-09 *Accommodation
banquetdinner
2.O0 8'1.00
01-27-09 StateTax - Room
?46
01-27-Og CityTax - Room
2.43
01-27-09 Bed/OccupancyRoomTax
4.05
01-27-09 CountyTax
0.41
01-28-09 SuiteShop
post adj
01-28-09 AmericanExpress
XXXXXXXXXXX1OO3
Thank you for staying at Holiday Inn Express-Altus. Qualifyingpoints for this stay will automaticallybe credited to your account. To make additional reservationsonline, update your account information or view your statementpleasevisit www. priorityclub.com. We look forward to welcoming you back soon.
-4.00 183.08
Total Balance
183.08 0.00
GuestSignature: I have receivedthe goodsand / or servicesin the amountshownheron.I agreethat my liablityfor this bill is not waivedand agreeto be held personallyliablein the eventthat the indicatedperson,company,or associatefailsto pay for any partor the full amountof thesecharges.lf agreementwith the issuer. a creditcard charge,I furtheragreeto performthe obligationsset forthin the cardholder's
HolidayInn Express-Altus 2812 East Broadway Altus,OK73521 (580)480-1212Fax:(580)379-4551 Telephone:
183.08
Account: 126283820
ComfortInn (OK414)
Date: 1t29t09 Room/Plan: 1 1 O L C L C ArrivalDate: 1l2gl09 Departure Date: 1t29/O9 C h e c kI n T i m e : ll29log 7:03 PM CheckOutTime: Frequent TravelerlD:
4625NE 120thStreet O k l a h o mC a i t y ,O K 7 3 1 3 1 (405)478-7282 g m . O K 441@c h o i c e h o t e l s . c o m CORPORATE I-ODGINGCONSUI.TANTSI A/R ACCT# 168
You werecheckedout by:
J o h n s o nE . laine
You werecheckedin by:
3478 Bandera Rcl
aheil.ok414
Total BalanceDue: 5 0 . 1 1
F t W o r t h ,T X 7 6 11 6
Post Date
Description
Comment
1/28/09
RoomCharge
# . 1 0 J o h n s o nE, l a i n e
1t2B/09
StateTax C t i ' ' C c L r r rT t va x
STATETAX
3.69
CITY/COUNTY TAX
z-qz
1t28,t09
Amount 44.00
Fofio Summary 1l28l09- 1l28l0g 44.00
RoomCharge :itate Tax
3.69
(-lity/ County Tax
z.4z
B a l a n c eD u e :
50.11
0.00 will be billedto: Account 137288
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