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RECEIPT

Number : #1712655420521214099
Date : 04 Oct 2021, 09:44 (Monday)

PAYMENT DETAILS
P.O. NUMBER: 726997803 METHOD: Bank Transfer STATUS: Paid

CUSTOMER DETAILS COMPANY DETAILS


Name : SULTAN JORGI Name : Trinusa Travelindo
Email : fersurooo@gmail.com NPWP : 31.616.320.3-031.000
Contact Number : +6285707286480 Address : Traveloka Campus [d/h Green Office Park 1] South Tower
Lantai 2 Zone 10, Jl. Grand Boulevard BSD Green Office
Park, Sampora, Cisauk, Kab Tangerang, Banten 15345

PASSENGER DETAILS
MR SULTAN JORGI (ADULT) | MR SULTAN JORGI (ADULT)

PURCHASE DETAILS

No Type of Item Item Description Qty Price per unit Rp Total Rp

1 Flight Ticket Lion Air (Adult) SUB - KDI | Oct 5, 2021 1 780.900 780.900

2 Flight Insurance CHUBB - Travel Insurance (Flight) - Domestic Plan 1 37.000 37.000

TOTAL 817.900

SERVICE FEE * 12.000

UNIQUE CODE * 903

PAYMENT AMOUNT 830.803

*Includes PPN

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