Address: Telephone +44 (0)20 3027 7900

Agoda Company Pte, Ltd.

30 Cecil Street
Prudential Tower #19-08
Singapore 049712
Company No/GST 200506877R

Booking No. 413439341

Charge Date October 14, 2019

Receipt
Customer Name & Address

Name Meilisa
Robiana Rahmadani
Modjo

Billing Address -

Email Address bian@ui.ac.id

m.rahmadani@gmail.com

Description Amount

Hotel Name Amaroossa Suite Bali

Period October 30, 2019 - November 2, 2019 3 night(s)

Room Type Executive Suite

# of Rms. 1

# of Extra Beds 0

Total Room Charges USD 97.61

Total Extra Bed Charges USD 0.00

GRAND TOTAL USD 97.61

Total Charge to Credit Card IDR 1,377,300 (USD 97.61)

This receipt is automatically generated.