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INVOICE

DATE : 16 / 08 / 2017
INVOICE# : INVIMELS0352

DR TEZAR ANDREAN BUDIARTA


Villa Mutiara Pluit Blok I1/8, RT 2/13, Kec. Periuk, Kota Tangerang, Banten 15131
Universitas Trisakti
085291199673

Description Sub Total


1. Type (Dokter Umum & Co-Ass) Rp. 3.500.000
2. 2017, 4 - 5 November Rp. 0
Total Rp. 3.500.000

Pembayaran Transfer ke :
Bank Mandiri Cabang RSCM An. Nindy Jayatri No. Rek 1220007712881

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