Bill Orchardz Hotel Jakarta [PDF]

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Folio Number Name Contact Address



: : : :



City/State



:



08912 Taufik Afdal, Mr 085765648325 Jl. Sultan Mahmud Rt. 01 Rw. 04 No. 20 Tanjungpinang INA



Pax : 2 Payment : CS Room Number : #4123 Room Rate : Rp. 550,000 Arrival Date : 28-Nov-2013 Departure Date : 29-Nov-2013 User ID :KARTIKA



Date



Transaction



Description



28-Nov



Room Charge Service Charge Room Tax Room Deposit Cash



Room Charge 28 – 29 Nov Service Charge Room Tax DPST #4123 – 2 N



29-Nov



Charges Room #4123 – 2 N Room #4123 Room #4123 1,300,000.00



I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT WAIVED AND AGREED TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT THE INDICATED PERSON, COMPANY OR ASSOCIATION FAILS TO PAY ANY PART OR THE FULL AMOUNT OF THESE CHARGES



1,100,000.00



1,100,000.00



Balance



Page 1 of 1



Credits



(200,000,00)



SIGNATURE :



Jalan Industri Raya No. 8 Gunung Sahari Jakarta 10720, Tel: (62-21) 6231 7788 (Hunting), Fax: (62-21) 6231 7799 Website: www.orchadshotel.com