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Trip on Aug 26, 2019

Locator: HVDEOP

Date: Aug 23, 2019

- Date: Aug 23, 2019
- Ticket purchase with: [redacted]
- Traveler: [redacted]
- Country: USA
- Mailing instruction: ALL MCO'S MUST BE MAILED TO: [redacted]
- EOUSA: [redacted line below EOUSA]
- Receipt note: THIS IS YOUR OFFICIAL RECEIPT FOR TRAVEL. PLEASE RETAIN FOR VOUCHERING OR REIMBURSEMENT PURPOSES.
- Customer Number: 643SR7F
- Agent: 3R

*TICKET PURCHASE WITH

FEES TOTALING 37.63PP CHARGED IN ADDITION TO TKT PRICE

FEE-USD37.63PP-AIR DOMESTIC, TRADITIONAL

<table><tr><th colspan="4">Monday, August 26, 2019 Confirmation MMRMJA</th></tr><tr><td rowspan="2">[x]</td><td>Flight JETBLUE AIRWAYS</td><td>424</td><td></td></tr><tr><td>DEPARTURE 
LOS ANGELES,CA
11:17 AM, Aug 26, 2019 </td><td></td><td>ARRIVAL 
NEW YORK JFK, NY
8:05 PM, Aug 26, 2019</td></tr><tr><td></td><td>Status </td><td>Confirmed </td><td></td></tr><tr><td></td><td>Class </td><td>Coach Class • Y</td><td></td></tr><tr><td></td><td>Duration </td><td>05:48 (Non-stop)</td><td></td></tr><tr><td></td><td>Equipment </td><td>325 </td><td></td></tr><tr><td></td><td>Meal Service</td><td>Snack </td><td></td></tr><tr><td></td><td>Notes </td><td>DEP-TERMINAL 5</td><td></td></tr><tr><td></td><td></td><td>ARR-TERMINAL 5</td><td></td></tr><tr><td></td><td></td><td>CABIN-ECONOMY </td><td></td></tr><tr><td></td><td></td><td colspan="2">SEAT ASSIGNMENT RESTRICTED TO AIRPORT CHECK-IN</td></tr></table>

## Tuesday, August 27, 2019

[x]

## Flight JETBLUE AIRWAYS 1623

DEPARTURE 
NEW YORK JFK, NY
7:30 PM, Aug 27, 2019

| Status         | Confirmed                         |
|-|-|
| Class          | Coach Class - Z                   |
| Duration       | 06:34 (Non-stop)                  |
| Equipment      | 325                               |
| Meal Service   | Snack                             |
| Reserved Seats | 22C (Aisle)                       |
| Notes          | DEP-TERMINAL 5                    |
|                | ARR-TERMINAL 5<br />CABIN-ECONOMY |

| Confirmation MMRMJA    |
|-|
|                        |
| ARRIVAL                |
| LOS ANGELES,CA         |
| 11:04 PM, Aug 27, 2019 |

Name



| Invoice / Ticket / Date       | Base       | Tax 1   | Tax 2   | Tax 3   | Total   |
|-|-|-|-|-|-|
| 2706478/000SFCTRF/23AUG19     | 37.63      |         |         |         | 37.63   |
| 1706478/2797393007028/23AUG19 | USD 393.49 | 29.51US | 8.40ZP  | 20.20XT | 451.60  |

EFTA00015135

Total Amount 489.23

Form of Payment: CAXXXXXXXXXXXX8394

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EFTA00015136