AMERICAN EXPRESS TRAVEL INVOICE Generated: Mon. 05 December 2016 17:23:02 Page I of 3 Invoice American Express Travel Record Locator H LIZKP Invoice Information Ticket Date 05/12/2016 Invoice 876917 Customer Number 0000342129 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 Invoice Passenger Name(s) BACH/MIRA MARIA BACH/TAIYO ANATOL BACH/AINO ZORA Your invoice contains ticketed airline information. Please see your itinerary for full trip details. Payment Detail Flight Information Invoice Total USD200.70 Charge by Airline Charges 200.70 Ticket Number 7928596672 Ticket Base Fare 3.00 Passenger Name BACH!MIRA MARIA Gov't Taxes/Airline Imposed Fees 63.90 Airline AIR BERLIN Total Ticket Amount 86.90 Flight Details Flight Information 20 Dec 2016 AB6576 E Class Frankfurt/Berlin-Tegel Charges Ticket Number 7928596673 Ticket Base Fare 3.00 Passenger Name BACH/TA1YO ANATOL Gott Taxes/Airline Imposed Fees 63.90 Airline AIR BERLIN Total Ticket Amount 66.90 Flight Details 20 Dec 2016 AB6576 E Class Frankfurt/Berlin-Tegel Page 1 of 3 Invoice HLIZNP AMERKAN EXPRESS EFTA00294021