Folio Number : 08912 Pax : 2

Name : Taufik Afdal, Mr Payment : CS

Contact : 085765648325 Room Number : #4123
Address : Jl. Sultan Room Rate : Rp. 550,000
Mahmud Rt. 01 Arrival Date : 28-Nov-2013
Rw. 04 No. 20 Departure Date : 29-Nov-2013
Tanjungpinang
City/State : INA
User ID
:KARTIKA
Date Transaction Description Charges
Credits

28-Nov Room Charge Room Charge 28 – 29 Nov Room #4123 – 2 N 1,100,000.00

Service Charge Room Service Charge Room Room #4123
Tax Room Tax Room #4123
29-Nov Deposit Cash DPST #4123 – 2 N 1,300,000.00
1,100,000.00

Page 1 of 1 Balance (200,000,00)

I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT

WAIVED AND AGREED TO BE HELD PERSONALLY LIABLE
IN THE EVENT THAT THE INDICATED PERSON, COMPANY SIGNATURE :
OR ASSOCIATION FAILS TO PAY ANY PART OR THE FULL
AMOUNT OF THESE CHARGES

Jalan Industri Raya No. 8 Gunung Sahari Jakarta 10720, Tel: (62-21) 6231 7788 (Hunting), Fax: (62-21) 6231 7799
Website: www.orchadshotel.com