Holiday Inn Receipt

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Arrive date

Depart Date

Guest Name

Country

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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

Guest Signature Content

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12-16-2025

United States

Folio No.

481125

A/R Number

AR-202512-565553

Group Code

GROUP25-5347

Company

Local

Membership No.

818616924

Invoice No.

INV-202512-165014

Room No.

101

Arrival

12-16-2025

Departure

12-16-2025

Conf. No.

155437700

Rate Code

MAIW

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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