Hotel Reservation Worldwide - Receipt / Invoice https://lm.hotelclub.net/common/invoice.asp?rid=37108492&pwd=400...

RECEIPT / INVOICE

HotelClub Head Office (Rates To Go is part of HotelClub)

ABN 85 092 445 442

Invoice To: Ridwan Siregar

Address:
Invoice No: 37108492
Invoice Date: 08-Oct-2009
Tour Name: 37108492 SIREGAR 091009
Hotel: Maya Ubud Resort & Spa Bali
Hotel Address: jl. gunung sari
peliatan ubud

p.o. box 1001 ubud

bali 80571 indonesia

Travel Dates: Check in: 09-Oct-2009, Check out: 11-Oct-2009

Invoice
Accommodation
Number Number
Service Rate Total
of Nights per Night*
Superior Room Double 2 1 USD 261.00 USD 522.00
Total USD 522.00
Payable To Hotel Directly USD -459.36
Accommodation Total USD 62.64

Fees
Fee Total
Booking Fee USD 3.00
Fees Total USD 3.00

Grand Total: USD 65.64

* This is the number of services, as shown in the "Service" column - NOT the number of people

Receipt
Purchase Charged
Date Payment Method Number
Amount Amount
09-Oct-2009 MasterCard 548117...546 USD 65.64 USD 65.64
Total USD 65.64

HotelClub Head Office (Rates To Go is part of HotelClub)

Level 29, 680 George Street, Sydney NSW 2000, Australia

Please note, this payment will appear on your credit card statement under one of the
following names: HOTELCLUB.COM ENQUIRIES@HOTELCLUB.COM,
HOTELCLUB.COM HELP@HOTELCLUB.COM.

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