November 2018 1 9 Report

Damian Kaczmarek

Ul. Saperska 26 m5

26-404 Częstochowa

17.01.2013

Hotel Motława

Ul. Tokarska 15

80-888 Gdańsk

I would like to book a double room for me and my wife and a single room for my disabled mother from 18th to 20th of May. I also want to book breakfasts, dinners and suppers delivered to my mother’s room for three persons.

All the payments will be paid in cash.

Identification data:

My personal details: Damian Kaczmarek, born 9 February 1975 in Częstochowa, father’s name – Krzysztof, mother’s name – Małgorzata, ID number 523426; NIP number 768-125-34-89

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