bank of the west expense account current card … · bank of the west expense account october 2012...

BANK OF THE WEST EXPENSE ACCOUNT OCTOBER 2012

CURRENT CARD HOLDERS STATEMENT Receipts/Substantiation Account# Account Description Amount

ACTIVITY Provided Phillip Kapler Yes See attached 7265 Office Expense $ 38.83

See attached 7415 Staff Travel 1,911.66 Subtotal - Kapler 1,950.49

Becky Van Wyk Yes See attached 7564 Investment (Due Diligence) 1,229.75 Elizabeth Avalos No Activity No Activity -

Total withdrawis on account $3,180.24

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BANKR&WEST P.O. Box 2530, Omaha NE 68103-2830

lujIIlJIlIjIIIjl III JJlIiijijfqi loll iIiiiIiiIiitIiiiiiIJIijIuiIui >004398 7853827 0001 008230 IOZ FRESNO CO EMPLOYEES RETRMT ASSOC OFFICE EXPENSE ACCOUNT

- OFFICE EXPENSE ACCOUNT a- 1111HSTREET

FRESNO CA 93721-2515

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WELCOME TO YOUR NEW STATEMENT Check this new message area each month for information including important notices, changes to your account and special offers.

Finding information on your monthly statement just got quicker and easier. Our new design helps you better manage your finances by providing an easy-to-read overview of all your important account Information.

Account Statement October 1, 2012- October 31, 2012

Page lot 4

At your service

IN bankofthewest.coryi

9 1-800-488-2265

Banking just got easier with your new statement. The account and earnings summary sections provide a snapshot of account information. The activity detail lists Your transactions In chronological order, along with a running balance.

BASIC BUSINESS CHECKIN -,

FRESNO CO EMPLOYEES RETIRMT ASSOC OFFICE EXPENSE ACCOUNT

ACCOUNT SUMMARY Beginning Balance $20,000.00 Total deposits and additions 0.00 Total withdrawals and subtractions -3,180.24 Ending Balance $16,819.76

EARNINGS SUMMARY .;

Interest this statement period $0.00 Interest credited year-to-date $0.00 Annual percentage yield earned 0.00% Average monthly balance $19,066.00 /2

RECEIVED NOV 13 202, \

r7L(ç 14 q11.

Fresno County Employees i

\J\ IAtP

For your protection: Examine this statement promptly. Any discrepancy must be reported within 30 days. Consumer customers: A discrepancy regarding an electronic payment or line of credit must be reported within 80 days.

Member � In South Dakota, Bank of the West operates under the name of Bank of the West California.

BANK$&WEST Account Statement October 1 2012- October 31, 2012

Page 3 of 4

BASIC BUSINESS CHECKING xxx-xx3585 (continued)

ACTIVITY DETAIL

Transaction Detail

onto Ondflption == D EBIT CMDPO -- -$26.07 $18793.42 UNITED 01629291750376 HOUSTON TX ON 121021 #9269

- 10/22 DEBIT CARD PUS -62.00 18731.42 NORTHERN FLORIDA iRAN JACKSONVILLE FL ON 121021 #9259

- 10/25 DEBIT CARD PUS 95583 17 77559 EXPEDIA*SALESRNAL800-367-3476 NV ON 121026 s(?s Ccrc1

10/26 DEBIT CARD PUS Ka Ut1 95583 1681976 BQEDJAtSALES FINAL 800-367-3476 NV ON 121026 #9343

Totals Mqrk-L’t S

$0.00 -$3,180.24 Ending Balance $16,819.76

74c ,� s

bankofthewest.com 1-800-488-2265

itinerary: Loews Hollywood Hotel, Hollywood

Loews Hollywood Hotel, Hollywood Tue Nov/13/20 12- Fri Nov/16/2012 Itinerary #1516-4938-3086

Loews Hollywood Hotel rue Nov/1312012 - Fri Nov/16/2012

Page 1 of

C Expedia ltinemry# 15164936-

BOOKED 3086

Confirmation # 8444330

Price Summary Loewa Hollywood Rater

1155 North Highland Avenue, Hollywood, CA, 90028 United

States of America

For questions about your reservation or payment details, please contact Expedia. For MrL "ad byeda

special requests or questions about the property, please call the hotel directly at

Tel: I (323) 8664200, Fax: 1(323) 856-1206 n,u.

3 nights

Taxes & Fees Check-in Information

At prices quoted in uso.

$955.83

$955.83

$279.00 might

$11883

Your reservation is booked. No need to call and reconfirm this reservation.

� Minimum chedc4rn age is 21

� Check-in time starts at 4 P

� Your room will be guaranteed for late arrival

Important Hotel Information

Although Expedia does not charge a fee to change or cancel your booking, Loews Hollywood Hotel may

stilt charge a fee in accordance with its own rules & regulations.

� Cancetations or changes made after 4:00 PM (Pacific Daylight Time (US & Canada): Tijuana) on 12 November, 2012 are subject to a hotel tee equal to the first nights rate plus taxes and fees,

� Cancellations or changes made after check-in on 13 November. 2012 are subject to a hotel fee equal to 100% tithetots amount pad for the reservation.

Award points and airline mileage may not be awarded when booking an Expedia Special Rate hotel

Room Deluxe One King Bed

Confirmation 30

ReserverC ’ nz

I adult

ng Bed, non-smoking room Requests

Additional Rules & Restrictions

Eady departure tee charged

Maximum number of pets per room 2

Check-out time,. 11 AM

Caters to singles

Calera to couples

Caters to seniors

Caters to families

Caters to groups

All special requests (such as in-room amenities, bed type, and smoking preference) are shared with the

hotel, but requests are not guaranteed and may incur additional charges. We recommend you confirm

Them directly with the hotel before travel.

The list of fees presented above may not be comprehensive. Fees and deposits may not include tax and

are subject to change.

The price above DOES NOT include any applicable hotel service fees, charges for optional incidentals

(such as minibar snacks or telephone coils), or reguletory surcharges. The hotel will assess these fees,

charges, and surcharges upon check-out.

Guest Charges and Room Capacity

- This property considers guests story age to be an adult.

� Availability of accommodation in the some property for extra guests is not guaranteed.

Additional Hotel Services

Unless otherwise indicated, the charges below are not included in tine overall room price. If not included in the overall room price, they will be charged by the property at check-in or check-out. Charges can vary, for example, based on length of stay or the room you book. This property told us they will charge you for the following:

Tourism fee: USD .20 per accommodation,

per night

We have included all charges provided to us by the property. However, charges can vary, for example, based on length of May or the room you book.

The following feet and deposits are charged by the property at time of service, check-in, or check-out.

Buffet breakfast fee: USD22 per person

(approximately)

Fee for in-room wireless Internet: USD

12.95 per day (rates may vary)

Fee for in-room high-speed Internet

(wired): USD 12.95 per day (rates may

vary)

Fee for wireless Internet in public areas:

USD 12.95 per day (rates may vary)

Fee for high-speed Internet (wired) in

public areas: USD12.95 per day (rates

may vary)

� Fee for wireless Internet in business

center USD 12.95 per day (rates may

vary)

� valet parting fee: LJSD 29 per day

� Deposit: USD 50.00 per stay

The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.

https:1/www.expedia.eoni’itinerary-details?itineraryNumber=l 516493 83086&qqry=qscr... 10/24/2012

itinerary: Loews Hollywood Hotel, Hollywood Page 1 of 2

Loews Hollywood Hotel, Hollywood Tue Nov/1312012 - Fri Nov/1612012 Itinerary #1516-4973-4085 SExpeclia

Itinerary #1516-4913-4085

Loews Hollywood Hotel BOOKED

Tue Nov/13/2012 - Fri Nov/1612012 Corfirmatiori #8443833

Your reservation is booked. No need to call and reconfirm this reservation -. - ...,. - .. .

Price Summary

ULoews Hollywood Hotel

CCIleltd

1755 North Highland Avenue, Hollywood, CA, 90028 United States of America $955.83

For questions about your reservation or payment details, please contact Expedia. For Expedia

special requests or questions about the property, please call the hotel directly at

Tel: 1(323) 856-1200, Fax: 1(323) 856-1205 Room Price $955.83 3 nights $27900 might

Check-in Information Taxes & Fees $118.83

All prices quoted in usa � Minimum check-in age is2l

� Check-in time starts at 4 PM

� Your room will be guaranteed for late arrival Additional Hotel Services

Important Hotel Information

Although Expedia does not charge a fee to change or cancel your booking, Loon Unless otherwise indicated, the charges below

Hollywood Hotel may are not included in the overall room price. If still charge a lee in accordance with its own rules & regulations. not included in the overall room pre, they will

be charged by the property at check-in or � Cancellations or changes made after 4:00 PM (Pacific Daylight Time (US & Canada); Tijuana) on 12 check-out Charges can vary, for example,

November, 2012 are subject to a hotel fee equal to the first nights rate plus taxes and fees, based on length of stay or the room you book. This property, told us they will charge you for

� Cancellations or changes made after check-in on 13 November, 2012 are subject to a hotel fee equal the following: to 100% of the total amount paid for the reservation.

Award points and airline mileage may not be awarded when booking an Expedia Special Rate hotel.

Room

Co9 Æ’ion #

R served for

R

on*

Deluxe One King Be

8443833

MARTHA SMITH

I adult

One King Bed. ooa-em6o room

We have Induced all charges provided to us by the property. However, charges can vary, for example, based on length of stay or the room you book.

� Tourism fee: U8D .20 per accommodation,

per night

The following fees and deposits are charged by the property at time of service, check-in, Or check-out.

� Buffet breakfast fee: USD22 per person

(approximately)

� Fee for in-mom wireless Internet: USD

12.95 per day (rates may vary)

� Fee for in-room high-speed Internet

(wired): USD12.95 per day (rates may

vary)

� Fee for wireless Internet in public areas:

1)50 12.95 per day (rates may vary)

� Fee for high-speed Internet (wired) in

public areas: 1180 12.95 per day (rates

may vary)

� Fee for wireless Internet in business

center: uso 12.95 per day (rates may

vary)

� Valet parking fee: USD29 per day

� Deposit: USD 50.00 per stay

The above list may not be comprehensive. Fees and deposits may not include tax and are subject to change.

Additional Rules & Restrictions

Early departure fee charged

Maximum number of pets per room 2

Check-out time is 11 AM

Caters to singles

Caters to couples

Caters to seniors

Caters to families

Caters to groups

All special requests (such as in-room amenities, bed type, and smoking preference) are shared with the

hotel, but requests are not guaranteed and may incur additional charges. We recommend you confirm

them directly with the hotel before travel.

The list of fees presented above may not be comprehensive. Fees and deposits may not include tax and

are subject to change.

The price above DOES NOT include any applicable hotel service fees, charges for optional incidentals

(such as minibar snacks or telephone calls), or regulatory surcharges. The hotel will assess these fees,

charges, and surcharges upon check-cut.

Guest Charges and Room Capacity

https://www.expedia.com/itinerary-details?itineraryNumber= 151 649734085&qqiyqscr%3Dopen%26iti... 10/24/2012

THE Srlh;4\ THANKS YOU,

RADIOSHACK THE FREbNO CENTER

4421 WEST SHAW AVE FRESNU, CA 93722-6210

(ESS) 211-0527

Valid Day for Return is 11/15/2012, back ci receipt for full return polii1

$4.99 ?H 4 PK ALKALINE ENERCELL L2 - Alkaline ($4.99)

Price p4 AI4Jj6 iut49 Aü 0411

$0.00 $499

H 4 PK ALKALINE ENERCELL - Alkaline ($4.99)

Price $0.00 ii)(1850 $4.99 HA 4PK ALKALINE ENERCELL 00850 $4.99

HA 4PK ALKALINE ENERCELL H 1158 $12.99

IERCELL 392 3PK WATCH BAT[ ERY t11758 $12.99

ERCELL 392 3PK WATCH BATTERY

HFotal $35.96 7.875% $2.87

$38.83

fttterCard $38.83 ITANGE $0.00

l kit al It SnlrJ: B

ard number: ************9343 N ran 1117631147

ikothcji izat ion 215637 Host Captured V $38.83

Savings Summary - Alkaline ($9.98)

:;tore: 013180 Register: 02 Iran: 4164 HI J1 I) I 11, ;a A L1I: FL

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BANIQ?&WEST P.O. Box 2830, Omaha, NE 68103-2830

Account Statement October 1 1 2012- October 31, 2012

Page 1 of 4

IuiIllIIIIilIlIIliiIIIIiiiiIIiiilitiiJiiuluiIiiiI,inilllilluilii >004398 7853627 11001 008230 IQZ FRESNO CO EMPLOYEES RETRMT ASSOC OFFICE EXPENSE ACCOUNT OFFICE EXPENSE ACCOUNT 1111 H STREET FRESNO CA 93721-2515

At your service

bankofthewest.com

1-800-488-2265

WELCOME TO YOUR NEW STATEMENT Check this new message area each month for information including important notices, changes to your account and speciS offers.

Finding information on your monthly statement just got quicker and easier, Our new design helps you better manage your finances by providing an easy-to-read overview of all your important account information.

Banking lust got easier with your new statement. The account and earnings summary sections provide a snapshot of account information, The activity detail lists your transactions In chronological order, along with a running balance.

BASIC BUSINESS CHECKINC FRESNO CO EMPLOYEES RETRMT ASSOC OFFICE EXPENSE ACCOUNT

ACCOUNT SUMMARY Beginning Balance Total deposits and additions Total Withdrawals and subtractions Ending Balance

EARNINGS SUMMARY

Interest this statement period Interest credited year-to-date Annual percentage yield earned Average monthly balance

RECE WED NOV 13 20lZ,2,

Fresno County Employees’

Hc-irerCr. L./------°

$20,000.00

12 �1tth-bz422i ,5o

$0.00 $0.00

a00% $19,066.00

j4vnnJ

For your protection: Examine this statement promptly. Any discrepancy must be reported within 30 days. Consumer customers: A discrepancy regarding an electronic payment or line of credit must be reported within 60 days.

Member In South Dakota, Bank of the West operates under the name of Bank of the West California. FIC

BANKB&WESTW Account Statement October 1 1 2012- October 31, 2012

Page 3 of 4

BASIC BUSINESS CHECKING xxx-xx3585 (continued)

ACTIVITY DETAIL

Transaction Detail

0* Desc,flon

UNITED 01629291750376 HOUSTON TX ON 121021 #9269

- 10/22 DEBIT CARD P05 -62.00 18731.42 NORTHERN FLORIDA IRAN JACKSONVILLE FL ON 121021 #9269

10/26 DEBT CARD POS -955.83 17775.59 EXPEDIAtSALES FINAL 600-367-3476 NV ON 121026 #9343

10/26 DEBIT CARD POS -95583 1681 9.76 EXPEDIA*SALES FINAL 800-367-3476 NV ON 121026 #9343

Totals $0100 -$3,180.24 Ending Balance $16,819.76

bankofthewest.com 1-800-488-2265

parking train taxis breakfast lunch

10/14/2012 IIIII!i’ L- rJjpr

10/15/2012 42 7.18 (beck) no lunch

/ (becky, (becky, kelly, 22 / ci kelly,

1011 612012 I 102.35 conor) no brnfast 18.38 conor)

I (becky,

/ kelly, 10/17/2012 32 (becky) j 34.73 conor)

dinner

hotel (becky, kelly,

50.86 conor)

(becky, kelly,

83.88 conor)

500.54 (becky)

(becky, (becky, kelly, kelly,

26.07 conor)

294.72 conor)

Left fresno at 6:30am on 10114/12 Returned Fresno at 10:45am on 10/17/122

C

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60M

DUE DILIGENCE TRAVEL TR #920012013 ACCOUNT 7564

BECKY VAN WYK 10114-1 7112

DATE AMOUNT DESCRIPTION ACCOUNT FUND DEPT PROGRAM SUBCLASS BY

10/14/2012 $ 16.96 DINNER 7564 1100 9200 0 10000 2013 10/1412012 $ 675 TRAIN TO HOTEL 7564 1100 9200 0 10000 2013 10/14/2012 $ 8.15 TAXI TO HOTEL 7564 1100 9200 0 10000 2013 10/15/2012 $ 7.18 BREAKFAST 7564 1100 9200 0 10000 2013 10/15/2012 $ 27.96 DINNER 7564 1100 9200 0 10000 2013 10/15/2012 $ 9.55 TAXI TO MTG 7564 1100 9200 0 10000 2013 10/15/2012 $ 10.15 TAXI AFTER MTG 7564 1100 9200 0 10000 2013 10/15/2012 $ 11.55 TAXI TODINNER 7564 1100 9200 0 10000 2013 10/15/2012 $ 10.75 TAXI AFTER DINNER 7564 1100 9200 0 10000 2013 10/16/2012 $ 40.35 TAXI TO AIRPORT 7564 1100 9200 0 10000 2013 10/16/2012 $ 62.00 AIRPORT TO MTG 7564 1100 9200 0 10000 2013 10/16/2012 $ 6.64 BREAKFAST 7564 1100 9200 0 10000 2013 10/16/2012 $ 8.69 DINNER 7564 1100 9200 0 10000 2013 10/17/2012 $ 11.58 *BREAKFAST 7564 1100 9200 0 10000 2013 10/17/2012 $ 32.00 PARKING (4 DAYS) 7564 1100 9200 0 10000 2013 10/14/2012 $ 250.27 HOTEL 7564 1100 9200 0 10000 2013 10/15/2012 $ 250.27 HOTEL 7564 1100 9200 0 10000 2013 10/16/2012 $ 98.24 HOTEL 7564 1100 9200 0 10000 2013

TOTAL $ 869.04

* $10.40 MAXIMUM ALLOWED FOR BREAKFAST $1.18 DUE FROM VAN WYK

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CONOR HINDS 10114-17112

DATE AMOUNT DESCRIPTION ACCOUNT FUND DEPT PROGRAM SUBCLASS BY

10/14/2012 $ 16.96 DINNER 7564 1100 9200 0 10000 2013 10115/2012 $ 27.96 DINNER 7564 1100 9200 0 10000 2013 10/16/2012 $ 5.11 BREAKFAST 7564 1100 9200 0 10000 2013 10/16/2012 $ 8.69 DINNER 7564 1100 9200 0 10000 2013 10/17/2012 $ 11.58 BREAKFAST 7564 1100 9200 0 10000 2013 10/16/2012 $ 98.24 HOTEL 7564 1100 9200 0 10000 2013

TOTAL $ 168.54

* $10.40 MAXIMUM ALLOWED FOR BREAKFAST $1.18 DUE FROM HINDS


KELLY PRINZ 10/14-17112

DATE AMOUNT DESCRIPTION ACCOUNT FUND

10/14/2012 $ 16.94 DINNER 7564 1100 10/15/2012 $ 27.96 DINNER 7564 1100 10/16/2012 $ 6.63 BREAKFAST 7564 1100 10/16/2012 $ 8.69 DINNER 7564 1100 10/17/2012 $ 11.57 *BREAKFAST 7564 1100 10/16/2012 $ 98.24 HOTEL 7564 1100

DEPT PROGRAM SUBCLASS BY

9200 0 10000 2013 9200 0 10000 2013 9200 0 10000 2013 9200 0 10000 2013 9200 0 10000 2013 9200 0 10000 2013

TOTAL $ 170.03

* $10.40 MAXIMUM ALLOWED FOR BREAKFAST $1.17 DUE FROM PRINZ

CI.cago iransit Auth. 1000 O’Hare Drive Chicago IL

EVIl : 11051 (530406)

Sun 14 Oct 12 17:00

Trans: Sale OK Amount: $ 6.75 Card Value: $ 6.75

Credit Card : 30(9269 Auth*: 170000 Ref 4*: 0040307335D8

Serial 4*:1498211050 Type: 002 N TransitCardl

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LOU MALNATI’S PIZZERIA RIVER NORTH 312-328-9000

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ffi Pan Classic Chicago INkK[ NOW

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$7.95

$17 95

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. 30, Iota! $44.813 Paid $44813

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TATIOM Total - RIDE RECEIPT

ASTERCARÜ (1610)

MJ)UUflt No: *****t***fl*920, 10/14/12 Approval: 201813

Delivery 312-82R Yduu 18: 11

SEQ: 473104 us at ---- AIJTH: 181119

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0051 1004 Franklin & Washing 230 west Washington St

Chicago, IL 60606 32-422-1002

10/15/2012 Host: janney 9:07 AM 235 60042

order Type: To Stay

Btst Regular oatmeal 2.99 349

Esp Vanilla Kiss TL

Subtotal, 070 030

To Stay -rot a’ jAB

718 h/C xxXXXXXXXXXX9269

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Tip ................

TOTAL :.

SIGNATURE

-- Check Closed --

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Margaritaville Bar & Grill 700 E Grand Ave Suite 113

Chicago, IL 60611

900794 Erin L / Chk 1046 131

S!S * Gst 3

F lTacos Fish 19 1 weetTea \ U3--l’ 1 Pepsi 1

1 Iced Tea

Subtotal Tax

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Please visit ou\je\ail fttore located just a Mw stçØ away, ask a staff nggib,feI directions. For all your Parrothead needs! Tell us how we did at margaritaville.com/comments

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DISPATCH TAXI AF r. CAB 4 0926 ’-

CUSTOMER copy Thask 10/15/12 TR 4985 iftnE - START END MILES 0 - 37 01 - 44 i

P.hltS $ 6.5 IND. 1 5:;40 ’.J RA: $ PATE: I

TOLL: $ 0,00 SRCH. $ 0.00 FuFt:

TIP: $ 2.00 A. s. TOTAL: $ 9.55, s2.0 CARD: 9269 TOTAL:$1U.5 AUTO: 134501 CkRD:

CALL 311 cflp rlhk.

COMPLIMENTS OR

COMPLAINTS ACCEFTEU

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Margaritaville Bar & Grill 700 E Grand Ave Suite 118

Chicago, IL 60611 Date: Octl5’12 07:41PM Card Type: Master Card Acct U: XXXXXXXXXXXX9269 Card Entry: SWIPED Trans Type: PURCHASE Auth Code: 194151 Check: 1046 Check ID: 131 Server: 900794 Erin L

BECKY VAN WYK

Subtotal: I-\ �

Tip: ----------------- -LV --------

Total:

** Customer Copy ** Play our new game on Facebook Escape to Margaritaville Orlin Facebook.corn/nrgaritavillegafl.

CAB 4 3973 CUSTOMER COPY 10/15/17 TR 353 SIARI END M1LhS OE:’ 5 06:37 1.7 FARE: T 8.05 EXTRA: $ 1.50 TOLL: $ 0.00 SRCrI: $ 0.00 TIP: $ 2,00 lufF: $ 11,55

CARD: 9059 AUTO: 183748

CALL 311 EDO COMPLIMENTS OR COMPLAIN is

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312-829-4222 yellowcabch icago.com

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CUSTOMER: RETAIN THIS COPY FOR YOUR RECORDS

Dispatch Taxi At Cab ft 49E7

MERCHANT COPY 10/16/12 TR 83 START END MILES 06:00 06:23 10.7 Far& $ 34. R5 Extra: $ 3.50

Toll: $ 0.00

Srch $ 0.00

Tir $ 2,00

TOTAL: $ 40.35

Card 9269

AUTH: 062459

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FRANKFURTER 2.79 with mustard with ketchup RELISH

REQ CORE -- 1 . 99

SUBTOTAL 76 SALES TAX 0.33

TOTAL 5.11 CREDIT CARD 5.11 CHANGE 00

TOTAL CHARGE 5.lt M/C

AcctNum: XXXXXXXXXXXX9269 Auth 110203

PetNuni: 000369

I AGREE TO PAY ABOVE TOTAL CHARGE PER CARD ISSUER AGREEMENT

(NO SIGNATURE REQUIRED)

RETAIN THIS COPY FOR YOUR RECORDS

CUSTOMER COPY

THANKS FOR DINING AT NATHAN’S FAMOUS

904"

Tue Oct U 1=1 C103

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BURGER KING *14913 2400 YANKEE CLIPPER OR

JACKSONVILLE FL.

TUE OCTOBER 16 2012 CHECK

1 SMALL DRINK $2 17 1 SPRITE $000 1 WHOPj MEAL $4.69 1 SMALL FRY $0.00 1 SM UP SIZE $0.00 1 COKE $0.00 1 Original Chicken $551 I PLAIN $0.00 SUB-TOTAL $12.37 FLA 7% $0.87 airport Security tax

TOTAL mp

THANK YOU FOR DINING WITH THE KING

HAVE IT YOUR WAYJ Burger King #14913

Time 1157 1 CUSTOMER

Whopper Sand. for your reply www. mYbkexPerience.com

YOU HAVE BEEN SERVED BY : BK MORSe R0Z

ORDER 201

CARD $13.27

CARD TYPE MASTER LANu Mu ***********t9258 EXPI *n ENTRY SNIPED AUTHORIZATION :105743 TERMINAL:1 REFERENCE: 156019

PURCHASE $13.27

THANK YOU OCTOBER 16,2012 11:57:44

Server’s name BK M0R56 ROZ

CUSTOMER COPY

H MS H 0 S I LABREA BAKERY T7

LOS ANGELES INTL AIRPORT

1393 Helen

OHM 6800 001 � 17 12 7:05AM

1 BAGEL & CREAM CH 249 I Wtr Art Sal 2502 299

I BACON GRILL 9.99

1 HAM GRILL 9.99

1 SODA FTN 22 3.19

1 ARIZONA TEA 3.29

SUBTOTAL 31.94

TAX 2.79 AMOUNT 34 .73 / XXXXXXXXXXXXXXX9 XX/XX MSTRCARO Al 34.73

GOT 5 STAR SERVICE? intact LAXOMHMSHOST.COM

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Fresno Yosemite International 5155 East Clinton Fresno, CA 93727

Duplicate

Fee Computer Number: 2 Cashier: Gomez to 9634 Transaction Number: 34504 Entered: 1011412012 05:14 Exited: 2011712012 10:45 Ticket 97953 Dispenser #2 Lot: Lot 2 Area; Area 2 Rate: Long Term Parking Fee: $32.00 Total Fee: $32.00 Mastercard A

$32.00 Credit Card Number: Total Paid: $32.D0.

Thank you for choosing Standard Parking Mxnt CO

Have A Nice Day!

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Holiday Inn 12

10-16-12

Becky Van Wyk Folio No. : 671495 Room No. : 2122 482W Prescott Ave NR Number : Arrival : 10-14-12 Clovis CA 93619-0434 Group Code : Departure : 10-16-12 US Company : Conf. No. : 62593963

Membership No. PC 581488125 Rate Code : JGCOR Invoice No, Page No. : 1 of 1

Date Description Charges Credits

10-14-12 Room Accommodations 215.00

10-14-12 Tax- State Hotel 25.59

10-14-12 Tax - City Hotel 9.68

10-15-12 Room Accommodations 215.00

10-15-12 Tax - State Hotel 25.59

10-15-12 Tax - City Hotel 9.68

10-16-12 MasterCard 500.54

XXXXXXXXXXXX9269

Thank you for staying at Holiday Inn Chicago Mart Plaza. Qualifying points for this stay will Total 500.54 500.54 automatically be credited to your account. To make additional reservations online, update your account information or view your statement please visit www. priorityclub.com . We look forward to welcoming you back soon. Balance OMO

Guest Signature: I have received the goods and / or services in the amount shown hereon. I agree that my liablity, for this bill is not waived and agree to be held personally liable in the event that the indicated person, company, or associate fails to pay for any part or the full amount of these charges. If a credit card charge, I further agree to perform the obligations set forth in the cardholders agreement with the issuer.

Holiday Inn Chicago Mart Plaza 350 W. Mart Center Drive

Chicago, IL 60654 Telephone: (312) 836-5000 Fax: (312) 222-9508

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Becky Vanwyk Room No.: 0316 482W Prescott Ave Arrival: 1016-12 Clovis CA 93619 Departure: 10-17-12

Page No.: lof 1

Joy of Life Club #: Folio No.: 129969

Company Name: Airport Accommodations Coat #: 5078121 Cashier: 2641

CRS: Guest Name:

Date -- Description Charges Credits

10-16-12 Room Charge 8500 10-16-12 Occupancy Tax 11.90 10-16-12 LAlourism Assessment 1.28 10-16-12 CATourism Assessment Fee 0.06 10-16-12 Room Charge 85.00 10-16-12 Occupancy -fax 11.90 10-16-12 LATourism Assessment 1.28 10-16-12 CATourism Assessment Fee 0.06 10-16-12 Room Charge 85.00 10-16-12 OccupancyTax 11.90 10-16-12 LATourism Assessment 1.28 10-16-12 CAlourism Assessment Fee 0.06 10-17-12 Mastercard 294.72

XXXXXXXXXXXX92 69 XX/XX

Total

294.72 294.72 \-’

Balance r

Thank you for choosing the Custom Hotel

l agree that myliability forth is bulls not waived and agree to be held personally liable in the event that the indicated person, company, or association fails to pay for any of the full amount of these charges. I also agree that all charges contained in this account are correct and any disputes or requests for copies of charges must be made at time of departure.

Signature:

8639 Lincoln Boulevard, Los Angeles, CA 90045 P:310.645.0400 F:310.645.0700

www.customhotel.com