Page I of 3 AMERICAN EXPRESS TRAVEL INVOICE Generated: Mon. 02 October 2017 16:20:29 Invoice American Express Travel Record Locator SHJOTW Invoice Information Ticket Date 02/1012017 Invoice 210572 Customer Number 0000342129 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 USD215.36 Charge by Airline 215.36 Flight Information Charges Ticket Number 8659893406 Ticket Base Fare 187.13 Passenger Name I=mo Gott Taxes/Airline Imposed Fees 28.23 Airline AMERICAN AIRLINES INC. Total Ticket Amount 215.36 Flight Details 11 Oct 2017 AA177 G Class New York-Kennedy/San Francisco Credit Card Information Charged to Card AX XXXXXXXXXXX4009 Amount USD 215.36 Travel Information Al services covered by this rtinerary 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 ledgeig. 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 (collectively. *Amex") has authority to vary the terms and conditions. Please be advised that certain mandatory hotel- Page 1 of 3 Invoice SHJOTW DTPRESS EFTA00294767