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Cancellation receipt

Name: Jessica Holt


Cancellation Date: Jul 27, 2014
Confirmation #: 7091826
Cancellation Number: 1406491298
Invoice number: 17164
Unit Assignment: ______________
Hotel Selkirk
PO Box 2359
1920s Street, Fort Edmonton Park
Edmonton, Alberta, Canada T5J 2R7
Jessica Holt
10832 79 Ave
Edmonton AB CA
T6E1S5
Date Description of services Cost(CAD)
2014/08/04 Miscellaneous - Cancellation Fee 20% 44.64
Sub-total 44.64
GST 0.00
TL 0.00
DMF 0.00
Total 44.64
Visa Merchant: Jul 27, 2014 - XXXX XXXX XXXX 7303 44.64
Amount owing (CAD) 0.00
A charge of $150.00 will be levied to anyone smoking in a guest room. The management is not responsible for any valuables not
secured by guests. I agree that my liability for the charges is not waived, and agree to be held liable in the event that the indicated
person, company, or association fails to pay for any of the amount of such charges.
Customer signature:
Tel: 1.877.496.7227 ext 1 Fax: 780.431.0946 Web: http://www.fortedmontonpark.ca/hotel-selkirk/

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