Page I of 3 AMERICAN EXPRESS TRAVEL INVOICE Generated: Sun. 03 December 201716:30:46 Invoice American Express Travel Record Locator Invoice Information Ticket Date Invoice Customer Number 03/12/2017 Invoice Passenger Name(s) Contusion Travel Service 2401 W. Behrend Dr Ste.55 M/C 08-03-69 Phoenix Arizona 85027 Toll Free 1-877-877-0987 When Overseas Call Collect 602-537-4000 Your invoice contains ticketed airline information. Please see your itinerary for full trip details. Payment Detail Invoice Total USD196.20 Charge by Airline 196.20 Flight Information Charges Ticket Number Ticket Base Fare 169.30 Passenger Name Gott Taxes/Airline Imposed Fees 26.90 Airline UNITED AIRLINES INC. Total Ticket Amount 196.20 Flight Details 04 Dec 2017 UA489 S Class Newark/West Palm Beach Credit Card Information Charged to Card Travel Information Amount USD 196.20 Al services covered by this itinerary are subject to the terms and conditions specified by the travel suppliers. Customer agrees to the terms and conditions set forth on any brochures or advertisements describing any lcdgrig. tour. cruise. accommodations. transportation or other services, and to any and all conditions contained in documents for any such services including. without limitation. all cancellation and change fees. No employee. representative or agent of American Express Travel Related Services Company. Inc. and its parent. subsidiaries or affiliates (colectively. 'Amex") has authority to vary the terms and conditions. Please be advised that certain mandatory hotel- Page 1 of 3 Invoce EXPRESS EFTA00287719