JONES

FOSTER
JOHNSTON
& STUBBS, PA.
Attorneys and counselors
John C. Randolph, Esquire
Direct Dial: 561-650-0458
Direct Fax: 561-650-0465
E-Mail: jrandolph@jones-foster.com
November 5, 2010
United States Bankruptcy Court
Southern District of New York
One Bowling Green, Room 534
New York, New York 10004-1408
Re: Town of Palm Beach
Innkeepers USA, Trust, et al
Case No. 10-13800
Our File No. 13156.8
Gentlemen:
Flagler Center Tower, Suite 1100
505 South Flagler Drive
West Palm Beach, Florida 33401
Telephone (561) 659-3000
Mailing Address
Post Office Box 3475
West Palm Beach, Florida 33402-3475
Enclosed is a copy of the Proof of Claim which was filed in the above referenced matter
on behalfofthe Town:of Palm Beach on October 29, 2010. Please be advised that the
debtor, Innkeepers USA, has paid all sums due to the Town of Palm Beach and,
therefore, the Town of Palm Beach hereby withdraws the Proof of Claim.
Thank you.
Sincerely,
JONES, FOSTER, JOHNSTON & STUBBS, P.A.
ohn C. Randolph
JCR!ssm
Enclosure
cc: Cheryl A. Somers
P:IDOCSI 13156100008\L TR\ 191B211.DOC
www.jones-foster.com
SINCE 1924

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.. i [. .NOV 1 2 2010 !
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UNITED STATES BANKRUPTCY COURT SOUTHERN DISTRICT OF NEW YORK
PROOF OF CLAIM
ln ..
Innkeepers USA Trust, et aL I C=No.
10-13800
N01E: This fo=sbouldnot bo used to mako a claim for an--Brisiog alb:rtbeccmm=emoftbe case
(o1her thOila dalm asserted under II U.S.C 503(b)(!l)).
Arcqucstforpoymcotofan administrative expense maybe filed
pmswmtto 1l U.S.C. 503 (otherthaaaclalmasserted Wlderll U.S.CS03(b)(!l)).
Name and Address of Creditor (Tbe person or otbcreutity to whom the debtor owes money or
0 Chcd;: 1hi& bm. if you. art: awiiRI

lbat.ll!l)'One else has. filed a proof THISSPACEISFORCOUR.TUSEONLY
of claim rclatiDg to your claim.
Yoa do not have a claim 1isttd Mtut'
NID 909-19-NS-5991 07129
AUicb. copy of s:tat:mt:atgivillg

"""""" 10\VNOFPALMBEACH
Cme Number. 10..13800
OCCUPATIONAL LICENSING 0 Cbook lhls badf)'OU bM,....
NatiR ofClaiJD: Unsecured Vtrldots
POBOX2029
nceiYed 8U)' notices m this case.
PALM BEACH, FL 33480
0 Chooktio box fflho....,
difi::rl from the add=s 011 tbe
euvclope sc:zd: to )'OIL
Your claim is eilbc:r PDt scbedakd, or schedaled
Name and adlbcss wbcrc payment should be scot (if difi'=:nt from above)!
1.Jnliqu;dmd.- lJDia>oMI
haficattd. eboYe. UDless }'0'11. me a Proof' or
Name:
Claim, tbe wlue of your claim will be zero.
Admssl:
Cbcckbcre if this claim
A-..2:
A-..3:

0"""""
I
I ! I I
I
Admss4: o-
AdmssS:
a prevWusly filed claim, dalod
TEL: Clsl6 !1 Dlzlzl7
1-[13 31' C:O/o::J/C:O
c.rclUIIy roadinslructiom mcludod wfthllrls Proof of Claim bofore camploliug. In cmk<IO bave your claim consMI=I forpa)'111CD1 aodlorvotiog I'WJX>'CS, complete ALL
The original ofllris ProofofClaim must be eDt to: IDnJceepen: USA, r:/o ODIIliManapment Group. LLC, 16161 Ventura Boulevard, Ste c,.
PMB 606,- CA91436. 1IUs ProofofClaim..,bet=ivedno iakrlhm0clobe<29,20JO. OMs, lakrlhm
).....,. 18,2Dil.
1. Total Amount ot03imuofDateCaseFded: $ $ $ $
(UDsocurcd) (Tolal)
I your claim is =ed"' entitled 10 priority, complete Item 4, S, and 6 below.
this boz; if )'OPI' claim includes intmst or other dwgcs iD additloD lD lb: priD::ipal amount of the claim. Atlllch ilc:mized statcmcm of aU im:t=stor additional charges.
1. Bads for Claim
I t'tx I I I I I I I I I I I
(See instruction #2 on :reverse e
3. Last four digiti of any 11.umber by which creditor ident:i6es debtor:
I 61310 1 I
3&. Debtor may bave JChedulcd account u:
I I I I I I I I I I I I I I
(See iDs1ructicm #3a side.)
4.S.....c1Ciaim. (Sec iDstrucllon #4 oa'""""" !rlde.)
5. Uuse<:ured Pri<>rily Oaim
0 Cbccl:: the appropriate box if your claim U: socurcd by a lien on
0 Cbeck Ibis box if you have .. ""'"""'"" priority ciiUm
pR>p0t1"' arishtof-ff and pMde tbe requostcd mfbnnation.
Spoci!Y tbe priority of tbe claim:
Na10roofpR>pOtlorriBbtofsetDff.
0
R<o!Esta .. 0 MotorV.mcle
0
Otbe<
0 AdminisbativccxpemesllrisiJJ&UIIdcr rr rrsc Wfblf!ll forb valucofauy
goo& m::eived byfhe debtorwilbia.20 1M Petition 11 u.s.c.
D<ooribe: I
! ! I I I I I I I I I I I
stl7(a)(2). goods eatitlcc1 to prlarity $
Value of
sl
I I I I I I I I
1.[]]
0 Waps, salaries,orMfP111iRrions (upto$11..725). c:amc6wi1bin
Collalcnl
filiDg of1bc baDbupc:tr petition or cessatioD. of the deb!Ot's bus:iDess:,
Almual-Rate:
__ %
11 U.S.C. 507(a)(4).
.
Amolml of..........,. aod other charges as of time- filed lnc:luded Ill secured claim,
0 Comrlbutkmstoon_l.,...booolhplanll U.S.C. iSD7(eXS).
lhll)': s I
I I I I I
I. [JJB..Uforperfedi<m:
0 Up 10$2,000 ofdq>GOlsiDWmd .,..a..o. <=. or..,.,Wof........,.or""'leos
forpononel. fiumly, orbomehold"" 11 U.S.C. i S07(e)(7).
AmountofSocaredCiaim
sl I I I I I I LCD
0 Taxesorpenaltjcsowed.to US.C. S07(a){8).
6. Unsecured NOD Priority Claim Am.P1lnt or Vnsecurcd Claim
0 c J.
!1 I I I I3IJJ1 !.[ill
Am--to priority:
1his box re (a) 1bere is no colla or lien securmg (b) )'OPI'daim
s I
I I I I I . OJ
exceeds 1bcvalue of1bc property securiDg it; or if(c) BODe or only part of your claim
is entitled to priority.
1. Tbc"""""" or.n payments on Ibis claim bas boca credited and-fbrtbe purpose of making Ibis proofofci!Um. -..... - ... __
8. SapporflngDocommtl: J.1tach all copks ofwpportjng dDcwnen#, soclus promisscxy no1os, pan:basc cm!ore, invo;ccs, "'1. IJf f{; 1<: ..
J /[1 ------- I (1
oflien. DO NOT SEND ORIGINAL DOCUMENTS. . i .. 1
To=c;veanacknowledgememoflhefilmgofyourcloim,=looeastompod,sell'oddn=d<nvclopo It ocr 2 ,d I I'
and """' of Ibis of cWm. . . 9 i i ' I i
[ilQJ I U la..ls;g......, 8;gn0Ddprlm..,..omddlle,if"''',O:t" L 20JO LJ/
'I
I
""' 2 0. 1 .. ,.,.,...._ . . -,./
/ romlhcnotJCCiddrc:ssahovc. Attachcopyofpowerofai!Om:')',lfBII)'. f ....
--r----. , Y C"u"[ij
_... u H 'DNy
01'. gr CJbolh. lB1J.S.C.flJSlaml3S7l. 7129
JO C. RANDOLPH, TOWN ATTORNEY -"'
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