Professional Documents
Culture Documents
Number
: …………………………………….
RECEIPT
: …………………………………….
Blok Rahayu Selatan RT.18 RW.05 Palimanan Barat, Gempol Cirebon Date
Telp. (0231) 8330295 HP. 081222115171 – 081564788855
$Rp.
POLA TEKNIK
Heavy Equipment Rental
CASH CHEQUE BILYET GIRO
BANK
: ……………………………………………………………………………………………………………………………………………………
Bank
No.
: ……………………………………………………………………………………………………………………………………………………
Number
Tgl.
: ……………………………………………………………………………………………………………………………………………………
Date
Kwitansi ini baru dianggap sah, setelah pembayaran dengan Bilyet Giro/Cheque tsb. Dapat di Uangkan
This receipt will be cleared after Bilyet Giro/Cheque can be cleared
RECEIPT
: …………………………………….
Blok Rahayu Selatan RT.18 RW.05 Palimanan Barat, Gempol Cirebon Date
Telp. (0231) 8330295 HP. 081222115171 – 081564788855
$Rp.
POLA TEKNIK
Heavy Equipment Rental
CASH CHEQUE BILYET GIRO
BANK
: ……………………………………………………………………………………………………………………………………………………
Bank
No.
: ……………………………………………………………………………………………………………………………………………………
Number
Tgl.
: ……………………………………………………………………………………………………………………………………………………
Date
Kwitansi ini baru dianggap sah, setelah pembayaran dengan Bilyet Giro/Cheque tsb. Dapat di Uangkan
This receipt will be cleared after Bilyet Giro/Cheque can be cleared