Page 1 of 3 AMERICAN EXPRESS TRAVEL INVOICE Generated: Wed. 01 November 2017 09:44:57 Invoice American Express Travel Record Locator QHUL. Invoice Information Ticket Date 01/1112017 Invoice 43827 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) SHULIAK/KARYNA Your invoice contains ticketed airline information. Please see your itinerary for full trip details. Payment Detail Invoice Total USD370.20 Charge by Airline 370.20 Flight information Charges Ticket Number 7020322570 Ticket Base Fare 331.16 Passenger Name SHULIAMARYNA Omit Taxes/Airline Imposed Fees 39.04 Airline DELTA AIRLINES INC. Total Ticket Amount 370.20 Flight Details 02 Nov 2017 OL1902 A Class West Palm Beach/New York-Laguardia Credit Card Information Charged to Card AX XXXXXXXXXXX4009 Amount USD 370.20 Travel Information 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 lodgeig. tour. cruise. accommodations. transportation or other services, and to any and all ccneioons 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 Invoke OHUOVID Z A:v E RICAN EXPRESS EFTA00312053