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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