RECEIPT

Number : #1744672075901075109
Date : 22 Sep 2022, 19:15 (Thursday)

PAYMENT DETAILS
P.O. NUMBER: 860408933 METHOD: Bank Transfer STATUS: Paid

CUSTOMER DETAILS COMPANY DETAILS

Name : Firdania Amelia Riyanto Name : Trinusa Travelindo
Email : firdaniariyanto@gmail.com NPWP : 31.616.320.3-031.000
Contact Number : +6281218265536 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 Khamim (ADULT) | MR Khamim Khamim (ADULT)

PURCHASE DETAILS

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

1 Flight Ticket Lion Air (Adult) BTH - CGK | Sep 23, 2022 1 1.463.200 1.463.200

2 Add-ons Prepaid Baggage 0 0

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

TOTAL 1.500.200

SERVICE FEE * 13.000

UNIQUE CODE * 733

PAYMENT AMOUNT 1.513.933

*Includes PPN

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