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IBEROSTAR BERKELY HOTEL
Credit Card Authorization Form
4 ve authorisation to erostar
Yavonne Hand Berkeley Hotel
iocated at 1610 Collins Ave, Miami Beach, Florida to charge my credit
cone eae Sherry Franklin, Jerry James Il, Keith Fauntleroy, Demond Beal
Guest Name _Nicole Anaya, Gabriela Garcia, Emory Bernard
Arrival 07/23/19 Departure: 07/25/19
Confirmation # _469639950/ 469641100/ 469641737
‘Mark all that apply
Room &
Tax All Charges
Incidentals
only All charges
Name as it appears on credit card Yavonne Hand
ty
Credit Card # _4427-4221-2246-4582 Exp. Date __07/22
Security Code #682
Credit Card Holder Billing Address 7233 Southwest frwy
(or verification purposes only) 1-550
Houston, Tx 77074
city State Zip
Credit card Holder Phone # _ 424-535-6332 or 737-216-3486
‘A legible photocopy-front & back-of the credit card and State ID or Driver's
Heense to
Card Holder's Yorennedbd Today's
Signature dae 07/22/19 aE
California PRIVERLICENSE ence <9
SERUP ia Tete
OL CLASS C
EXP as dene vial
tn HAND
FN YAVONNE ANDREA
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