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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]]