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C~ 06 EosR 6th Avonue • Eugene, OR 87401 <br /> ~ll~~n Phono (541)34 Reaervatlona (641) 302-8800 <br /> Name 8. AddreBS >~ugane ~ COnferenCO Center www.hilton.oom or 1800 HILTONS <br /> FAIN, DAVI© Room a10/Q2 <br /> 858 PEARL ST Arriv®I Deta 05117/OB 2:24PM <br /> Departure Dete 06121l061:26PM R <br /> EUGENE, OR D7401 <br /> Ug Adult/Chltd va <br /> Roorn Rate 139.00 LV6 <br /> R~E PLAN <br /> AL. <br /> CAR, ~ - <br /> CONFIRMATION NUMBER : 330738443@ @ , 1.,' ~ <br /> td"" <br /> 08/23108 RAGE 1 <br /> OATH REPHRENCH D1iSCRYPTION AMOUNT ~J[].lJl~y <br /> 06/17108 1761126 GUEST ROOM $139.00 <br /> 05/17108 17®1120 COUNTY LODCi1NG TAX $13.21 `Lvt <br /> 05/17/08. 17@1128 STATE LODGING TAX $1.39 Hilton <br /> OS/18/08 1.781.848 "BIG RIVER GRILLE $17.00 <br /> 06H8I08 1762147 GUEST ROOM $139.00 <br /> 06118108 1762147 COUNTY LODGING TAX $13.21 <br /> 05/18/08 17@2147 STATE LODGING TAX $9,39 co <br /> Anna' <br /> 05/19!08 ~ 17@2613 •81~ RIVER GRILLE $5.00 <br /> 05/98/08 17@3103 t3UES7 ROOM $139.00 <br /> 06/19/DB 1783103 COUNTY l-ODGINO TAX $13.21 <br /> 06/19/08 1783103 STATE LODGING TAX $1.39 <br /> 03/20/08 '106 GUEST ROOM ~ $139.00 DaVa~RTxe>' <br /> 05120/08 COUI+JTY I,dbi3lNt~:T•AX ~ $13.21 <br /> 06/20/08 17~ 'TE LOD0INO TAX $.t39~ <br /> 06/21/08 178k~ '06 ($640.40) <br /> l ~ RrvA~RT w~TRt <br /> • • BALANCE R R $D.DD YOTY4R~ <br /> _~~ii~-~~ ~ ~ <br /> ~3~ ~ ~ ~Do <br /> AGCOtIIAF~'N'~405 CHAROQ F HSpK N0. GFantl~~~ialrtCttF;~f <br /> CARD MBMBBR NAMB AiJTHORIZATION INITIAL ~ <br /> FAIN, DAVID @5923 ~ <br /> eurras <br /> HSTABLISHMRNTNO.del.OCATION {N7ARA4MRI+fAf1Rlllli7/l'rRANRMYM'hil'ANRik)I,AYAP{YIPAYMHNT PURC~IASBS&SBRVICBS aolnq <br /> WE WANT YOUR STAY TO BE A "10"I <br /> TAXQB <br /> TIPS & MISC. V V <br /> CARD MEiMBHR'S SIGNATURB <br /> TOTAL AMOUNT -640.40 <br /> X O,,~ciad 8ponsar <br /> <br /> MSACHANDITN ATN)/OR BNNYICN9 PUNC?M7pp oN THIRGItn SN~LL NOT flN N9BOL0. QA 0.NTUNNNO FOR A CASH R6PYN6~ PAYMANT DVR UMN ARCRWi 1'R PRR MONeH IMRRNRI'. CHANCE WH.I. N8. APTI.IC~ <br />Til AGI. PAlPf Ilt714 INYKfICkn, <br /> ~ 'd ~Z61 'oN ~u i ~uno~ay `uo~ ~ iH aua~n3 Wd9S ~6 sooz ~~i 'un(' <br /> <br />