Cakra N

Arrival date Departure date Company Group Address KEMENTERIAN PEKERJAAN UMUM KEMENTERIAN PEKERJAAN UMUM JAKARTA Page (s) Page 1 of 1 Cashier 16 Dec 2012 19 Dec 2012 OKY

*** INFORMATION INVOICE *** GUMILANG REGENCY HOTEL Date
16/12/12 17/12/12 18/12/12

Description
ROOM PACKAGE ROOM PACKAGE ROOM PACKAGE

Reference 507/CakraN 507/ CakraN 507/ CakraN

Debit 460,000 460,000 460,000

Credit

Total Total Balance

1.380,000 1.380,00 0

I agree 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 or the full amount of these charges

Saya menyatakan bahwa saya turut bertanggung jawab atas biaya ini dan bersedia bertanggung jawab secara pribadi, jika orarig, perusahaan yang ditunjuk diatas tidak bersedia membayar baik secara sebagian atau keseiuruhan dari jumiahbiaya diatas

Guest Signature Hotel Staff

Name Date

Name Date

Jl. Dr. Setiabudhi No,323 - 325 Bandung 40154 West Java Indonesia Ph : (62-22) 2012618 Fax : (62-22) 2012612 Email: gumilangregency@bdg.centrin.net.id Website : www.gumilangregency.com

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