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AMOUNT

CATEGORY
CRPLR
Page 1 of 1

28000224297
ACCOUNT
159.00
NLDD
2 / 0
Room Number:
DaiIy Rate:
Room Type:
No. of Guests:
DATE ROOM NO. DESCRIPTION REFERENCE
SELF, RACHEL
09/09/2013
ARRIVAL DEPARTURE
09/10/2013
CREDIT CARD
XXXX XXXX XXXX 2001
RATE PLAN
CLlNlQ
$159.00 09/09/2013 NO SHOW NO SHOW
$14.31 09/09/2013 OCCUPANCY/ClTY TAX OCCUPANCY/ClTY TAX
$9.54 09/09/2013 OCCUPANCY STATE TAX OCCUPANCY STATE TAX
($182.85) 09/09/2013 AMERlCAN EXPRESS AMERlCAN EXPRESS
($159.00) 09/27/2013 NO SHOW incorrect dates
($14.31) 09/27/2013 OCCUPANCY/ClTY TAX OCCUPANCY/ClTY TAX
($9.54) 09/27/2013 OCCUPANCY STATE TAX OCCUPANCY STATE TAX
$182.85 09/27/2013 AMERlCAN EXPRESS AMERlCAN EXPRESS
TOTAL DUE: $0.00
TERMS: DUE AND PAYABLE UPON PRESENTATlON. l AGREE THAT MY LlABlLlTY FOR THlS
BlLL lS NOT WAlVED AND AGREE TO BE HELD PERSONALLY LlABLE lN THE EVENT THAT THE
lNDlCATED PERSON, COMPANY OR ASSOClATlON FAlLS TO PAY FOR ANY PART OR THE FULL
AMOUNT OF THESE CHARGES.

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