1-31-2009 Expense

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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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RCCoUNT *1003 RPPROVRL $5032{2 TRRITS ID . VRLII)RTION PRY}IENT SERVICE CHANGE DUE

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