HomeMy WebLinkAboutInv# 19622 - Government Services Group, Inc. - 09/30/2023HOTEL DELLO --TAPESTRY COLLECTION BY
HILTON
28 SOUTH FEDERAL HIGHWAY
DANIA BEACH, FL 33004
United States of America
TELEPHONE 954-773-7174 FAX 754-263-9780
Reservations
www.hilton.com or 1 800 HILTONS
DELIMON, ALEXA Room No: 319/K1
Arrival Date: 8/2/2023 7:08:00 PM
XX Departure Date: 8/3/2023 12:50:00 PM
Adult/Child: 1/0
OVIEDO FL 32765 Cashier ID: SMACDONALD10
UNITED STATES OF AMERICA Room Rate: 144.00
AL:
HH #
VAT #
Folio No/Che 121909 A
Confirmation Number: 3405916182
HOTEL DELLO --TAPESTRY COLLECTION BY HILTON 8/30/2023 10:17:00
AM
DATE DESCRIPTION ID REF NO CHARGES CREDIT BALANCE
8/2/2023 MC *3610 BGOMEZ2
42
374981 ($162.72)
8/2/2023 GUEST ROOM NLEADER
1
375032 $144.00
8/2/2023 ROOM TAX NLEADER
1
375032 $10.08
8/2/2023 ROOM STATE TAX NLEADER
1
375032 $8.64
**BALANCE** $0.00
Page:1
This for is to be used for lost or missing receipts for EACH missing receipt, regardless of dollar amount.
Merchant Name: _______________________________________________________________________
Merchant Address: _____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Date of Purchase: ____/____/________
Description (list of items purchased):
Business Purpose: ______________________________________________________________________
Purchase Amount: _____________________________________________________________________
Explanation for why receipt is not available:
By signing my name below, I, ___________________________________________ certify the following:
(Type or Clearly Print Name)
1. This purchase was made for OFFICIAL Anser Advisory business.
2. I am aware the company requires original receipts for all purchases.
Signature of Purchaser: _________________________________________________________________
Date: _______________________________
Please attach this completed form to your reimbursement request in Deltek.
This for is to be used for lost or missing receipts for EACH missing receipt, regardless of dollar amount.
Merchant Name: _______________________________________________________________________
Merchant Address: _____________________________________________________________________
_____________________________________________________________________
_____________________________________________________________________
Date of Purchase: ____/____/________
Description (list of items purchased):
Business Purpose: ______________________________________________________________________
Purchase Amount: _____________________________________________________________________
Explanation for why receipt is not available:
By signing my name below, I, ___________________________________________ certify the following:
(Type or Clearly Print Name)
1. This purchase was made for OFFICIAL Anser Advisory business.
2. I am aware the company requires original receipts for all purchases.
Signature of Purchaser: _________________________________________________________________
Date: _______________________________
Please attach this completed form to your reimbursement request in Deltek.