"UNIGROUP" d.o.o.TOWNHOUSE 27

Marsala Birjuzova 5011000 Beograd

PIB: 101994471 Maticni broj: 17160206

Tekuci racuni: Banca Intesa AD 160-4613-11Hypo Alpe-Adria Bank AD 165-22651-89

Tel. (+381)(11) 20 22 900Fax. (+381)(11) 26 20 955

e-mail: hotel@townhouse27.com www.townhouse27.com

US EmbassyKneza Milosa 5011000 BeogradSrbija

MissDeborah Lynn Perry

USA

Invoice

Račun Broj/ Invoice No : 507

Mesto i datum izdavanja računa /Place and date of invoice publication: Beograd/Belgrade 04.03.2011Mesto i datum prometa usluga i dobara/Place and date of services and goods traffic: Beograd/Belgrade 04.03.2011

Soba/Room: 403 Dolazak/Arrival: 21.02.2011 Odlazak/Departure: 04.03.2011

Strana/Page 1/2

Datum Date

Naziv usluge Services

PDV (VAT%)

KoličinaQty

Cena Price

Iznos Amount

Plaćanje Paid

21.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0021.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0021.02.2011 Cafe TH27

0010072 18% 1 440.00 440.00 0.00

22.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0022.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0022.02.2011 Coca Cola 18% 1 200.00 200.00 0.0022.02.2011 Chocolate 18% 2 160.00 320.00 0.0023.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0023.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0023.02.2011 Cafe TH27

0010099 18% 1 440.00 440.00 0.00

24.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0024.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0024.02.2011 Cafe TH27

0010116 18% 1 300.00 300.00 0.00

24.02.2011 Coca Cola 18% 2 200.00 400.00 0.0024.02.2011 Almond/Badem 18% 1 200.00 200.00 0.0025.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0025.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0026.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0026.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0027.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0027.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0028.02.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0028.02.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0028.02.2011 Coca Cola 18% 1 200.00 200.00 0.0028.02.2011 Evian 18% 1 250.00 250.00 0.0001.03.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0001.03.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.00

01.03.2011 Cafe TH27 0010174

18% 1 300.00 300.00 0.00

02.03.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0002.03.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0002.03.2011 Coca Cola 18% 1 200.00 200.00 0.0002.03.2011 Evian 18% 1 250.00 250.00 0.0003.03.2011 Accomodation 8% 1 16,817.06 16,817.06 0.0003.03.2011 Boravisna Taksa/City tax 0% 0% 1 128.00 128.00 0.0004.03.2011 Visa Card 1 189,895.65 0.00 189,895.65

Ukupno (Total): 189,895.65 189,895.65

PDV (VAT): 14,863.91

Osnovica (Net): 175,031.74

PDV Specifikacija (VAT Specification)

PDV Grupa (Group) Neto osnovica (Net) PDV (VAT) Ukupno (Gross)PDV 0 % 1,408.00 0.00 1,408.00PDV 18 % 9,740.05 1,753.21 11,493.26PDV 8 % 163,883.69 13,110.70 176,994.39

Boravisna taksa i osiguranje ne podležu PDV-u na osnovu čl. (17/3/2) i čl. (25/2/1) Zakona o PDV-u.City tax is not subject to VAT pursuant to Art (17/3/2) and art (25/2/1) in the Low on VATNapomena o poreskom oslobodjenju: Promet oslobodjen PDV-a u skladu sa clanom 24 stav 1 tacka 16.VAT Exemption :

Fiskalni isečak broj / Fiscal bill No _______________

_______________________________Cashier/No Atlagic, Djordje/ 20