Jl.

Jendral Soeharto 51-53, ROOM : 209 GUEST FOLIO : PA-1010WLY03379

Kupang GUEST NAME : WAHIDIN,BKKBN ARRIVAL : 20 June 2012
NTT – Indonesia PHONE : 081367326723 DEPARTURE : 22 June 2012
Phone : (0380) 825191 COMPANY : BKKBN ADDRESS : ,JAKARTA

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Date Bill No Dept Description Charge Credit Balance
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20/06 MG-1107FRG11 PCKG 209 : DISCOUNT SPR 500,000 0 500,000
21/06 MG-1107FRG11 PCKG 209 : DISCOUNT SPR 500,000 0 1,000,000

21/06 GD-1107FRG00 SYS1 Guest Deposit/Paymen 0 -1,000,000 0

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TOTAL 1,000,000 -1,000,000 0
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CLOSED BY :
CHECK OUT TIME : 0:00

THANK YOU

Regardless of charge instructions. I Acknowledge that I am personally

Liable for payment of above statement.

GUEST
SIGNATURE
________________________________________

I agrre that my liability for this bill is not waived and agree to be held personality liable in the event that the indicated person, company,
Or association fails to pay any or the full amount of these charges. I also agree that all charges contained in this account are correct

And any dispute or request for copies of charge must be made within five days after my departure.