MANDARIN ORIENTAL NEW YORK 3‘ PARTY CREDIT CARD AUTHORIZATION GUEST NAME:_KAT HY RUEMMLER FROM:_JEFEREY ECosse,,| TREATMENT: DEED TISSUE praSmage DATE OF TREATMENT: NAT. FEA. j2 TIME OF TREATMENT: _ ] :30 I hereby authorize Mandarin Oriental, New York to charge my credit card for the charges indicated below for the above guest: Cardholders _ STein) First Name DEFEREY Credit Card # Exp. Date w/I &} EfAmex OD Visa MasterCard Diners CJ ics C1) Discover Cardholder Last Name EP Billing Address 4 Cast F\ Sr Sree CEA City NEW Noe?’ State NY Zip 1009) Country USA mene P| = = P| Amount $ 50 a) @ Approval Code: Item purchased [also, state quantity]: ] assume re: sony fo for “SO charges. \ ) Please sign XC L/ 7 i A> = , ey . M - , 7 2)}80 vthe attention of Mandarin Oriental, New York Spa Kindly fax to(2 Please check off the following: | For Office Use only: Copy for Guest Processed by: _ Date: Copy for Spa | Copy for Finance (IW) EFTA00313847