Case File
efta-efta00314079DOJ Data Set 9OtherriRENZE
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta00314079
Pages
1
Persons
0
Integrity
No Hash Available
Extracted Text (OCR)
Text extracted via OCR from the original document. May contain errors from the scanning process.
riRENZE
Credit Card Type A M
Name of Cardholder
CREDIT CARD AUTHORIZATION FORM
Credit Card Number
Expiry Date le/ c) I
MEM
TErYK
PSTE~r.I
Address where statement of account is mailed:
Street
7 E4ST 3-)sr
City Mew ca.e._
State
Country
(ASA
I authorize Relais Piazza Signoria to charge for my reservation the above credit card number for the
amount of Euro
-3a C.-,c C 6LARQ..5
Check-in..N0V %%
- Check-out.. 14 Q.V. 3, atie
Total nights are .3.. Total amount is turn
This reservation cannot be canceled.
Cardholder signatur
Raids Pima *nods
Vacchereals, 3 50122 Wylie
Tel..39 055 3987239 Fax .39 055 2863C6
EFTA00314079
Technical Artifacts (2)
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Phone
3987239Tail #
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