RECEIPT

DATE :

Komp Lido,Jl.Yos Sudarso, Clasuur, Kec.Sorong, Sorong Papua Bar 98411

Arrival Date : No. Of Room : BILL TO :

Departure Date : Room No.s :
Total No. Of Day : :
Type Room : :
Rate per Day/Room : :
No. Of Adult : :
No. Of Children : :

CHARGED
DATE SERVICE DISCOUNT LINE TOTAL
AMOUNT

TOTAL DISCOUNT
TOTAL

Rate per Day No. Of Rooms DESCRIPTION AMOUNT DISCOUNT LINE TOTAL

TOTAL DISCOUNT
SUBTOTAL
SERVICE CHANGE
SALES TAX
THANK YOU FOR YOUR VISIT ! TOTAL