REFUND RECORD ae CM/15MARI9 L TKT-¥ NM NAME: NATE/GEORGIANA MRS I ISsvED 1SMARI9 D1 DOCUMENT 157 8209251504 0 CPNS 1000 F FARE PAID BUR 200.00 U FARE USED 0.00 FARE REFUND 200.00 XT TAX REFUND 0.00 >TRET REFUND TOTAL 200.00 FP1 CASH 200.00 REFUND RECORD AGT=69861481 CM/15MARL9 L TKT-¥ NM NAME NATE/SILVIU MR I ISsvED 15MAR19 : D1 DOCUMENT 157 8209251505 T-Cens 1000 F FARE PAID EUR 200.00 U FARE USED 0.00 FARE REFUND 200.00 XT TAX REFUND 0.00 >TRET REFUND TOTAL 200.00 FP1 CASH 200.00QATARSS Finance Qatar Airways 47-53 Lascar Catargiu AV. Bucharest Romania Tel. +40 31 1012 112 Fax. +40 31 1012 115 mot 8K ape ‘Transfer offinds asin eso Th +Name, Sumame.... WATE, Telephone. ct 4 OF 92 fe (at Address..2€ treet er aiid ‘CBNALE, Sipsuy Pon ANit— riighdae... 08 822 / 04, MAR, 2013. _ Please, sranaterthe vate ot. . BOQ EUR... To the account (BAN)..£02 Pe 0 31803546) 53.0004. Bank BANSA. COM ERCINA POA WA... currency of the asount **Opened on the name of . ‘**having Personal Identification Number. +**Signature of the owner of the bank account... Date Ole). L0l9 Please, attach copy of your passport ++*To be filled only ifthe passenger request the payment of compensation to be done in other person bank account. ‘Qatar Anways, Europe House 47-53 Lascar Catarglu Avenve, 1" Distt, Bucharest, Romania Tel oa0-31 1013112, Fax +40 31 1012115, wor gataraways comQATAR AIRWAYS ayia = RELEASE AND DISCHARGE FORM |. the undersigned, of HEREBY declare that- |. accept tom QatarAlways 0c.8.¢ he sum ot TWO HUNKRED EURO. cnworss) 1 payent made without asso f abit and in ad el etterent of acon that may have howsoever manifest and of whelsoeverralure, ring ou of rin connection wih le eerence AGE R209] 504 [AND in consideration ofthe same payment i= Fully irrevocably and forever release and discharge Qatar Aiwoys Q.C.S.C. is Servants and agents and all associated and subsidiary companies and their servants, agents and insurers (the releases) from and ‘against any and all claims. actions, demands, expenses and costs (including legal expenses and costs) ‘now oF inthe future in connection with any ofthe matters related above: and ‘Acknowledge that this payment constitutes a fll and final settlement ofall claims, however manifest, that | ‘may have now or in the future and that | am bound by these tems of settlement, vate: Of- 04 2019 SIGNED nave. QEORG IANA NitTe passport iio numeer OFS SOCHL \WaTwess SIGNATURE preoae rooress: SEUNBARULUL STREET, #0 NO.) clewANE | olpithy Ron Anz (Qatar Aways Q.C.S.C + PO. Box 22550 « Doha + Qatar otarairways.com areaQATAR ‘AIRWAYS yj = Finance Qatar Airways 47-53 Lascar Catargiu Av. Bucharest Romania Tel. +40 31 1012 112 Fax. +40 31 1012 115 ‘Transfer of funds against reason/EMD 1494: ah +Name, Sumame... WATE, S/Lwry. t+4o #44 FE3340 Email... @Q.9m Address. Qelanbatelir Sr: 1 No. 704 y,¢ Flightidate.. QR. $32. Lol peek 2019. ‘Telephone. Please, ‘Transfer the value of ae Bank Ba Comercial fencing, currency of the account... EUR **Opened on the name of .. **having Personal Identification Number...... '**Signature of the owner of the bank account... Date Signature, 01.04. 2019 *Please, attach copy of your passport **To be filled only if the passenger request the payment of compensation to be done in other person bank account. Catar Airways, Europe House, 47-53 LascarCatargiu Avenue, 1" Distt, Bucharest, Romania Tel 40 31 1012112, Fax +40 31 1012115, worw qatarciways.comQATAR SE RELEASE AND DISCHARGE FORM |, the undersigned, of HEREBY deciare that- LL acoept tom Qatar Aways 2.6.8. the sum ot TR/OHYNDREDEUROS words) 28 payment made without admission of abt and in fl and fal setdement ofa aims that may have, howsoever manifest and of whatsoever nature, arising out of orn connection with ie reference 1578209251504 [AND in consideration of the same payment I= 2. Fully, irrevocably and forever release and discharge Qatar Aiways Q.C.S.C. its servants and agents and all associated and subsidiary companies and their servants, agents and insurers (the releases) from and ‘against any and all claims, actions, demands. expenses and costs (including legal expenses and costs) ‘Row of in the future in connection wit any of the matters related above; and b. Acknowledge that this payment constitutes a full and final settlement ofall claims, however manifest, that | ‘may have now or in the future and that | am bound by these terms of settlement, vate: O/. 04. 2019 NAME: Nave S/Awu passport /ionumBer: 053450664 WITNESS NAME: anoness: Gelimnbsrals’ str. Mo. ¥0 4) af: M, CHMABIE, SiBi0, Romagth. Qatar Airways Q.C.8.C + P.O, Box 22550 + Doha + Qatar qatarairways.com ‘GRIGSTEINT