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  • Randonesia Receipt For Transaction - 2265

    Uploaded by

    Hajilulung
    8 views2 pages
    Gatot Ismaya has registered for the Solo Audax Randonneurs Indonesia 2016 cycling event scheduled for October 22-23, 2016. He purchased one 100KM + jersey ticket for Rp400,000. His registration is currently pending payment. The order confirmation provides details on Gatot's personal information, emergency contact, jersey size, and the total amount due.

    Original Description:

    Randonesia 2016

    Original Title

    Randonesia Receipt for Transaction- 2265

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    Gatot Ismaya has registered for the Solo Audax Randonneurs Indonesia 2016 cycling event scheduled for October 22-23, 2016. He purchased one 100KM + jersey ticket for Rp400,000. His registration is currently pending payment. The order confirmation provides details on Gatot's personal information, emergency contact, jersey size, and the total amount due.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    8 views2 pages

    Randonesia Receipt For Transaction - 2265

    Uploaded by

    Hajilulung
    Gatot Ismaya has registered for the Solo Audax Randonneurs Indonesia 2016 cycling event scheduled for October 22-23, 2016. He purchased one 100KM + jersey ticket for Rp400,000. His registration is currently pending payment. The order confirmation provides details on Gatot's personal information, emergency contact, jersey size, and the total amount due.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    ORDER CONFIRMATION

    Date:

    October 4, 2016

    Transaction ID:
    Status:

    2265

    Incomplete

    Randonesia
    jakarta
    , ID
    info@randonesia.org

    Event Name: Solo Audax Randonneurs Indonesia 2016


    ( view )
    Ticket

    Description

    Quantity

    100 KM + Jersey

    (For Solo Audax Randonneurs Indonesia 2016)


    This ticket can be used once at any of the dates/times
    below.

    Date/Time:

    ( view )

    Attendee

    Gatot Ismaya (gatot.surgeon@gmail.com)

    Registration Code:

    2265-17-1-c8c5 - Pending Payment

    Custom Questions and Answers:


    Date of Birth

    12/26/1958

    Club / Personal

    RSUD Cilacap Bike Club

    Blood Type

    Riwayat penyakit khusus (Ada, sebutkan / Tidak


    Ada)

    Tidak ada

    Contact Emergency

    Endah Wahyuningsih

    Total

    Rp400,000.00 Rp400,000.00

    Venue

    Solo Audax 2016


    October 22, 2016 5:30 am - October 23, 2016 7:00 am
    (Indian/Christmas)
    Registration Details (

    Price

    Relation

    Istri

    Emergency Phone

    0811256529

    Jersey Size

    XL

    Additional Charges/Discounts
    Name

    Description

    Quantity

    Unit Price

    Total

    Taxes
    * Taxable items. The total amount collected for taxes is reflected in the total(s) below.
    Tax Name

    Description

    Rate

    Sales Tax

    Tax Amount

    15%

    Rp0.00

    Grand Total: Rp400,000.00 (IDR)


    Payments
    Payment Method

    Date

    Transaction Id / Cheque #

    P.O. / S.O.#

    Status

    Amount

    No approved payments have been received.

    Additional Information:

    Venue Details:
    Powered by Event Espresso

    Total Paid

    Rp0.00 (IDR)

    Amount Owed:

    Rp400,000.00 (IDR)

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