AMERICAN EXPRESS TRAVEL INVOICE Generated: wed. 15 February 2017 17:57:40 Invoice American Express Travel Record Locator Invoice Information Ticket Date Invoice Customer Number 15102/2017 Invoice Passenger Name(s) Centurion 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 USD426.00 Charge by Airline 426.00 Flight Information Charges Ticket Number Ticket Base Fare 260.00 Passenger Name Gmit Taxes/Airline Imposed Fees 166.00 Airline LOT-POLISH AIRLINES Total Ticket Amount 426.00 Flight Details Flight Details Flight Details Flight Details 16 Feb 2017 LO776 H Class VilniusPNarsaw 16 Feb 2017 LO333 H Class Warsaw/Paris-De Gaulle 19 Feb 2017 SK578 W Class Paris-De Gaulle/Stockholm-Arlanda 19 Feb 2017 SK1740 W Class Stockholm-AilandaNilnius Credit Card Information Charged to Card • Amount USD 426.00 Page 1 of 3 Invoice pa ss EFTA00288950