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Vintage Lounge INVOICE 72 Broad Street Boston, MA 02110 Phone 617.482.1900 Fax 617.482.1933 Bill To: Meagan meehan DA...

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Vintage Lounge

INVOICE

72 Broad Street Boston, MA 02110 Phone 617.482.1900 Fax 617.482.1933 Bill To: Meagan meehan

DATE: December 6th INVOICE # 20121212 FOR: december 12th 4-7:30 DUE: Please be aware that reservations are not confirmed until contracts and payment are recvd.

Semi private space reservation DESCRIPTION Item 1 $

400.00

Food and Beverage Minimum

PLEASE BE AWARE THAT ANY ADDITIONAL FOOD + ALL BEVERAGE WILL BE CHARGED TO THE Subtotal CARD BELOW UPON Tax COMPLETION OF EVENT. Gratuity and Admin TOTAL

AMOUNT

$ $ $ $ $ $ $ $ $ $ $

400.00 -

$ $ $ $

400.00 28.00 86.16 514.16

Make all checks payable to GOLDEN VINTAGE GROUP: 72 Broad Street Boston MA 02110 If you have any questions concerning this invoice contact: David Paratore - 617 482 1900 - [email protected] The undersigned authorizes Vintage Lounge to charge the identified card for all charges related to this contract as stated above or subsiquent to. THANK YOU FOR YOUR BUSINESS! CC# _______________________________ Name On Card- _______________________ Exp Date ______ Verf. Code______ Signature _______________________