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C~ oo Ealet 0th Avenue • Eu ens OR 97401 <br /> ~ V • ~ Phon¦ (s41) 342.2000 Fax (641) 302•®000 <br /> ~~tOI1 Rosorvotlons <br /> Name 5 Address e ~ Coufe3'eAC+e C.~n6eP www,hilton.cpm or 1 BOD HILTONS <br /> DANIELS,ANN Room 1132/K1E <br /> 868 PEARL ST D <br /> perltuDretD®ka 06/21/0~10;57AMM I <br /> EUGENE, OR 87401 <br /> U5 AduldChlld 1ID <br /> Room Rata 159.00 LV8 <br /> RATE PLAN ~ ~ ^ ' <br /> HH# U <br /> AL: <br /> CAR; <br /> CONFIRMATION NUMBER : 33D73@4436 <br /> O@/23/0@ PAGE 1 <br /> DAT$ REFERENCE D&9CRIPTIQN AMOUNT 1 L1Gi7J.l~~y <br /> 05/17!08 1781045 PARKING $7,pp <br /> 05117/08 1761046 QUEST ROOM $158.00 `C!i'it <br /> 06M7/08 176104@ COUNTY LODflINfl TAX $15.11 ~iX'L+plll, <br /> 06117108 1781048 STATE LODGING TAX $1.59 <br /> 05!15108 1762078 PARKING $7.00 <br /> 05!18/08 1782080 GUEST ROOM $968.00 <br /> 06/18/08 17@2080 COUNTYI.ODflINaTAX $15,11 conRAe' <br /> 05!18/08 1782080 STATE LODGING TAX ffi1.69 <br /> 05/19/08 1783013. PARKING $7.00 <br /> 06/19/D8 1783D14 GUEST ROOM $169.00 <br /> 00119/08 17@3014 COUNTY LODGING TAX $16,11 <br /> 03/19/08 1T8301A 3TAT~E ~aDCs11NOTAX $1.69 Dou1~ITA1P <br /> 05/20!0@ 1763466 "Bi;C.'RIVE~i GI~ILLiw ; , ; ~ $23,00 <br /> O6/20IQ8 1784024 PARKING $7.00 <br /> 06/20108 1784025 QUEST ROOM ffi159.D0 <br /> D6I20108 9764026 COUNTY LODGING TAX ~ $16.11 <br /> ".....r ww,. <br /> 06/20/08 1704026 S'TA1'E LODfl1Nfl TAX I ~ $1,.59 <br /> 06/21108 1708677 t:XT•~913a @773390022 0089 07:38 <br /> 05121/08 1784@39 MC "9405 (ffi758.70 2 <br /> • BALANCE • • $O.OD <br /> -~~h~p - ~7~0~ ~ 3~~~35 <br /> 5~S ~~r(? ~-~`~OC~ <br /> ACCOIht~Nt~94O5 CHARCIH P FIF.fA( NO, IirandVlaaa9onsCh~b <br /> CARD MGM86R NAM$ At1TNQRIZATIQN INITIAL <br /> DANIELS, ANN 2p@8g <br /> 69TA8LI9HM6N7NO,A~LOCA710N ~T~~~M~~~~~'~T+1nR»ttsTR-0xfupT'mc.R~IRIMRRIpfRPAYMIPR PI.fRCNAS~R&8L'RVICHS A <br /> WE WANT YOUR STAY TO BE A "10"I <br /> TAXES <br /> T~Ps s M19C. <br /> CARD MP.ivtegR'S SIGNATiJRR <br /> Ta'!'AL AMWNT _75g,7D O,~Cia~ Sponsor <br /> <br /> MtiR~NAN~IaR AND~dR iARVkRf PUA~NARRD CN TNI7 CARD 7NALL tNT AA R{IIG{A DR RATYRNAD PDR A CA7H AAPUND. PAYMRffP ILIA; UPON RACA07 • IR IN:R MONTH INPANY,I7P CHAR{IE WO.L AR APPLIRO <br />TO Ald. PAAP OUR INYOICNN. <br /> l 'd ~Z61'°N ~ui~unoaay 'u°}l!H aua~n3 Wd~~~6 8002 '~Z'un~ <br /> <br />