INVOICE

05/11/2019
#IN162208

Delivery Address Billing Address

Ruko Elite IV No. 02 Jalan Fauzan azhime Fauzan azhime

Arcamanik Endah (Perluasan) Jl. Beruntung Jaya Rt. 45 Jl. Beruntung Jaya Rt. 45
Bandung No.(Apotek Revayah) No.(Apotek Revayah)
40293 Kota Banjarmasin, Kec. Kota Banjarmasin, Kec.
Indonesia Banjarmasin Selatan Banjarmasin Selatan
Kalimantan Selatan Kalimantan Selatan
Indonesia Indonesia
081256530002 081256530002

Invoice Number Invoice Date Order Reference Order date

#IN162208 05/11/2019 JGZXAGUEG 05/10/2019

Reference Product Tax Base price Unit Price Qty Total

Rate (Tax excl.) (Tax excl.) (Tax excl.)

543 Sling Bag Walker Maroon Rp 129.000 Rp 59.000 1 Rp 59.000

Tax Detail Tax Rate Base price Total Tax Total Products Rp 59.000

No taxes Shipping Cost Rp 40.863

Total (Tax excl.) Rp 99.863

Payment Method BNI Rp 99.863
Total Rp 99.863
Carrier JNE REG Service

Ruko Elite IV No. 02 Jalan Arcamanik Endah (Perluasan) - Bandung - Jawa Barat - 40293 - Indonesia
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