BI FAST REPORT

Value Date : 2-Nov-22 Debit A/C No. : 127800000714 - IDR

Status : Completed Debit A/C Name : PT. PAPAN JAYA TIRTA
Bank Ref No. : BVFAST223060944968 Charges A/C No. : 127800000714 - IDR
Customer Ref No. : 223060944968 Charges A/C Name : PT. PAPAN JAYA TIRTA
Amount : IDR 1,159,000.00
Service Charges : -
Credit A/C No. : 1490066673734 - IDR
Credit A/C Name : BORNEO ETAM MANDIRI
Proxy Data :

Bank Name : BANK MANDIRI TBK

Payment Remarks : PELUNASAN BED PASIEN P3K

Printed By : MKR_1_PJT
Page 1 of 1
Printed On : 02-Nov-2022 02:58:53 PM

This is computer-generated and does not require Bank's signature