PRODUCTS AND SERVICES RECEIPT FOR LUCIANA PENAVALENZUELA

OrderId IssueDate DocumentNumber

ACVRG5 29th January 2023 230 0018 420 475

PASSENGER DETAILS
Name Frequent Flyer # Star Alliance Status

LUCIANA PENAVALENZUELA

PRODUCT AND SERVICE DETAILS - Electronic Miscellaneous Document Information

In connection with: 2306775734145

Product/ Service Flight Date From To
23 Kg / 50 Lbs (1) CM831 30 January 2023 CALI CO CLO PANAMA
CITY PA PTY
23 Kg / 50 Lbs (1) CM395 30 January 2023 PANAMA SANTIAGO CL SCL
CITY PA PTY
ENDORSEMENT/RESTRICTIONS:
The following conditions apply for Travel certificate:
Valid for tickets operated by Copa Airlines
Not valid for taxes
Valid 1 year after issuance
Non refundable
Non transferable
Valued in local currency at the exchange rate of the issue date.

Payment Details

Currency Used Amount Tax amount(Value Added Tax)

CLP 28140 CLP 1407

PAYMENT METHOD:
Credit Card CAXXXXXXXXXXXX6464 CLP 29547
Expiry Date: 0625
Authorization Code: 360334
FOID: Passport
Sales issued in CL:RUT 59.063.490-5
Law No: 20.831
Aeronautical transport code and rights in Cl: http://www.copaair.com/sites/cc/es/informacion-de-viaje/pages/ley-num-20-831-de-
chile.aspx

Law No: 20,831 amending the Aviation Code relating to Carriage of Passengers and their rights in Chile

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