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[[preprinted hotel receipt]] HOTEL *** DeBret RUA ALMIRANTE CONÇALVES, 5 - COPACABANA - RIO DE JANEIRO - BRASIL 3 ESTRELAS: *** HOTEL • Nome do Hospede [[line]] [[3 columns table]] • Name:| |^[[410]] [[line]] • Número da U.H. Apto. N°:| | [[line]] • Diária|• Daily Rate|^[[16.500]] • Incluindo Café da Manhã|• Including Breakfast| [[line]] • Taxa de Serviço|• Service Charge|10% [[line]] • Horáia Venc. Diária|• Check out Time |12 hs. [[line]] • Permanencia| | • Data de Entrada|• Date of Entry|^[[16·11·83]] [[line]] • Data de Saída |• Date of Departure|^[[17·11·83]] [[/3 column table]] [[/printed hotel receipt]]