Holiday Inn Receipt

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Arrive date

Depart Date

Guest Name

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Folio No.

A/R Number

Group Code

Company

Membership No.

Invoice No.

Room No.

Conf. No.

Rate Code

Page No.

Guest Signature

Hotel Address

Hotel Fax

Contact Number

Payment Type

Card No

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01-30-2026

John Smith

United States

Folio No.

256877

A/R Number

AR-202601-534344

Group Code

GROUP26-7292

Company

Local

Membership No.

113310493

Invoice No.

INV-202601-846325

Room No.

101

Arrival

01-30-2026

Departure

01-30-2026

Conf. No.

884564915

Rate Code

EOAH

Page No.

1 of 1

Date	Description	Charges	Credit

Total0.000.00

Balance

0.00

Guest Signature:

I have received the goods and/or services in the amount shown hereon.I agree that my liability 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 cardholder’s agreement with the issuer.

Holiday Inn Express Lodi 1337 East Kettleman Lane Lodi, CA 95240

Telephone: (209)220-0125 Fax: (206)325-5258

Holiday Inn Receipt

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