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[[preprinted]]
FORM C-132d 10-14-15M SETS

AMERICAN AIRLINES

DUPLICATE---TO TREASURY DEPARTMENT
OF CONTRACTING AIRLINE.

ADJUSTMENT NOTICE

^[[Jacques Seligmann & Co Inc]]
[[line]]
SUBSCRIBER
[[line]]
ADDRESS
[[line]]
DATE ^[[9-22-48]] [[line]]
AIR TRAVEL CARD ^[[A 1334]]
[[line]]
CODE   ACCT.   SERIAL
^[[Doyle]]
[[line]]
CARD HOLDER
REFERENCE NO. [[line]] CURRENCY CODE [[line]]
[[double line]]
[[12 column table]]
TICKETS FORM | TICKETS TICKET NO. | TICKETS DATE SOLD | FOR TRANSPORTATION FROM | FOR TRANSPORTATION TO | VIA | | ORIGINAL CHARGE | CORRECT CHARGE | ADJUSTMENT DEBIT | ADJUSTMENT CREDIT | RATE OF EX. [[line]] CY. [[line]]

^[[013 | 427660 | 817 | DHL | ALB | a]] | FARE [[line]] TAX | $ | $ | $ | $ ^[[44.10]] | |

^[[013 | 427659 | 817 | ALB | PHL | a]] | FARE [[line]] TAX | $ | $ | $ | $  | |

[[/12 column table]]
EXCESS BAGGAGE CHARGES

[[14 column table]]
FORM | TICKET NO. | FROM | TO | FOR TRANSPORTATION TO | VIA | | LBS | KGS | RATE | ORIGINAL CHARGE | CORRECT CHARGE | ADJUSTMENT CREDIT | RATE OF EX. [[line]] CY. [[line]]

 | | | | | | | | CHG. [[line]] TAX | | | | | |

 | | | | | | | | TOTAL | $ | $| $ | $^[[50.72]] | |

REMARKS: [[line]]
^[[Cr will be on your Sept 30 statement.]]
[[2 lines]]
PRINTED IN U.S.A.  ADJUSTMENT AUTHORIZED BY AMERICAN AIRLINES, INC.  MOORE BUSINESS FORMS, INC.. DALLAS. TEX