AMERICAN EXPRESS TRAVEL INVOICE Generated: The. 02 October 2014 15:39.51 Pagel ol 3 Travel Arrangements for American Express Travel Record Locator AgentDetails Centurion Travel Service 2401 W. Behrend Dr Ste.55 MIC 08-03-69 Phoenix Arizona 85027 Toll Free 1-877-877-0987 When Overseas Call Collect 602-537-4000 Ticket Information for Charges Airline Name Lot Polish Airlines Ticket Date 02/1012014 Total Charged to American Express 35000 Ticket Number Invoice Ticket Base Fare 1476.00 Electronic Yes Gov't Taxes/Airline Imposed Fees 484.50 Total (USD) Ticket Amount 1960.50 Ticket Exchange Original Fare/Ticket Credit - 8632 (1960.50) New Fare/Ticket - 1960.50 Amount Charge/Credit 000 Airline Ticket Exchange Fee 350.00 The Baggage Rules of Delta Air Lines apply to this itinerary, and can be accessed by visiting htlp "r^vanhI rwpl fee, bagriortr. Travel Details Monday 27 Oct 14 Other Information CITIZENS OF POLAND MUST CARRY A VALID PASSPORT Other Information A VISA IS REQUIRED FOR ENTRY INTO UNITED STATES Other Information PASSPORT MUST BE VALID FOR PERIOD OF INTENDED STAY Page 1 of 3 Invoice UO'fIESS E FTA_R 1_02000690 EFTA02683487