No.

: 011731

CHEKOUT FOLIO
NAME
ADDRESS

Date
06/12/2014
06/14/2014

:
:

RASID ANDI SARIB. MR

DINAS PERKEBUNAN PROV.
KALIMANTAN TIMUR

Descriptions
ROOM CHARGE

RATE
ARRIVAL DATE

:
:

DEPARTURE DATE

References
25040

BALANCE DUE .......

Regardless of charge instructions, I acknowledge that I am

Personally liable for the payment of the above statement.

..........................................................................
Signature

Dr
800.000

06/12/2014
06/14/2014

ROOM NO
NO.OF PAX

: 2009
:2

ACCOUNTING NO : 81224

Cr
2

Balance
1.600.000,-

1.600.000,-

CHARGE TO
: .....................................................................
COMPANY
: .....................................................................
ADDRESS
: .....................................................................
.......................................................................................................
.......................................................................................................