Thousand Trails/NACO/Leisure Time

www.thousandtrails.com
South Jetty
05010 S Jetty Rd
Florence, OR 97439
(541) 997-8333
Date: 10/10/23 Time: 5:46:43 PM
Reservation Information:
Rez #: 2103752955
Site Type Check-InCheck-O Total
Retail Sit Retail Site 10/18/202310/20/202 $115.32
DONALD BALLARD
4377 WOOD ROAD
COWICHAN BAY, BC V0R 1N2
CAN
(778) 678-4773
Paid Via:
Card Name: Merchant ID: CC #: ************7711 Auth Code: 05740Z
Date: 09/12/2023 09:25:25 PM Ref #: 7908425Mastercard-Sale
Transaction Amount: $57.66
Date Site Description Charges Tax Total
8/13/2023 Retail Site10 1 day 2023-10-19 Reservation By Retai $53.00 $4.66 $57.66
8/13/2023 Retail Site10 1 day 2023-10-18 Reservation By Retai $53.00 $4.66 $57.66
Total Charges $106.00 $9.32 $115.32

Date Type Description Amount Change Total

08/13/2023 Payment Payment Received - Mastercard -$57.66 $0.00 -$57.66
09/12/2023 Payment Payment Received - Mastercard -$57.66 $0.00 -$57.66
Total Payments -$115.32 $0.00 -$115.32

Charges $106.00
Discount $0.00
Tax $9.32
Total $115.32
Total Paid -$115.32
Balance $0.00

I agree to pay above total amount according to card issuer agreement

(merchant agreement if credit voucher)

Signature: TO-TELEPHONE ORDER

Terms and Conditions. Refunds subject to cancellation policy. For further inquiry call us at (54

Printed Oct 10, 2023 17:46:43

 Thousand Trails/NACO/Leisure Time
www.thousandtrails.com
South Jetty
05010 S Jetty Rd
Florence, OR 97439
(541) 997-8333
Date: 10/10/23 Time: 5:46:43 PM
Reservation Information:
Rez #: 2103752955
Site Type Check-InCheck-O Total
Retail Sit Retail Site 10/18/202310/20/202 $115.32
DONALD BALLARD
4377 WOOD ROAD
COWICHAN BAY, BC V0R 1N2
CAN
(778) 678-4773
Paid Via:
Card Name: Merchant ID: CC #: ************7711Auth Code: 05740Z
Date: 09/12/2023 09:25:25 PM Ref #: 7908425Mastercard-Sale
Transaction Amount: $57.66
Date Site Description Charges Tax Total
8/13/2023 Retail Site10 1 day 2023-10-19 Reservation By Retai $53.00 $4.66 $57.66
8/13/2023 Retail Site10 1 day 2023-10-18 Reservation By Retai $53.00 $4.66 $57.66
Total Charges $106.00 $9.32 $115.32

Date Type Description Amount Change Total

08/13/2023 Payment Payment Received - Mastercard -$57.66 $0.00 -$57.66
09/12/2023 Payment Payment Received - Mastercard -$57.66 $0.00 -$57.66
Total Payments -$115.32 $0.00 -$115.32

Charges $106.00
Discount $0.00
Tax $9.32
Total $115.32
Total Paid -$115.32
Balance $0.00

Cardholder Copy: Retain this copy for statement validation

TERMS AND CONDITIONS:

Refunds subject to cancellation policy. For further inquiry call us at (541) 997-8333

Printed Oct 10, 2023 17:46:43