Name and Address
Shchur, Orest
        
_ 0
UNITED STATES OF AMERICAConfirmation Number: 3098931587
CHARLOTTE WAVERLY
| Room. | 639/Q2RRV | 
| Arrival Date | 10/31/2025 2:04:54 PM | 
| Departure Date | 10/31/2025 | 
| Adult/Child | 2/0 | 
| Room Rate | 171.98 | 
| Rate Plan | OGBOSF | 
| HH # | 6813160124 BLUE | 
| AL: | |
| Car: | 
7415 Waverly Walk Avenue • Charlotte, NC 28277
Phone (903) 905-6380 • Fax (737) 890-2973
Reservations
www.HGI.com or 1 877 STAY HGI
10/31/2025
| Date | Description | ID | Ref No | Charges | Credits | Balance | 
| 10/31/2025 | GUEST ROOM | NWASHINGT ON16 | 686964 | $169.00 | ||
| 10/31/2025 | TAXES | NWASHINGT ON16 | 108236 | $25.77 | ||
| 10/31/2025 | GARDEN GRILLE #1907 | LINTR | 713407 | $16.18 | ||
| 
 | ** Balance ** | 
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 | $210.95 | 
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| Account No | 
| CARD MEMBER NAME | 
| Establishment No. & Location ESTABLISHMENT AGREES TO TRANSMIT TO CARD HOLDER FOR PAYMENT | 
| Card Member's Signature X | 
| MERCHANDISE AND OR SERVICES PURCHASED ON THIS CARD SHALL NOT BE RESOLD OR RETURNED FOR A CASH REFUND. | 
| Date of Charge Folio No / Check No877122 I | 
| Authorization Initial | 
| Purchases & Services Taxes Tips & Misc | 
| Total Amount | 
| PAYMENT DUE UPON RECEIPT | 
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