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INVOICE Guest Name Address 15971 04:52 Room No. FORIAN Room Type Arrival Date Departure Date



:



Koko Ondara : Indonesia



Invoice No Reservation No Print Date/Time



:



250



Cashier



: :



Deluxe Queen 25/08/15 : 26/08/15



Page



Billing Period : DATE ROOM NO. 25/08/15 250 25/08/15 250



25/08/15 to 26/08/15 DESCRIPTION



: : : 26/08/15 – : : 1 of 1



AMOUNT (IDR)



Room Charge 25/08/15/#250 Cash Payment Total Amount Payment Balance



469,000.00 -469,000.00 469,000.00 -469,000.00 0.00



I accept that my liability for this bill is not waived and agree to be held personally liable in the event that the indicated person company or association fails to pay for any part of the full amount of these charges. Signature



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Jl. Husein Sastranegara, kavling 1, Benda, Bandara Soekarno-Hatta, Tangerang 15125, Indonesia Telephone: (62-21)_225 23030 | Facsmile: (62-21)_225 23031 E-mail: [email protected] www.swiss-belhotel.com