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Emerald Palace Billed To

Jl.Branjangan No.28, Akhmad


Ternate 97722 Jakarta
Indonesia

Price per Other Charges


Hotel/Room Number # of Nights Total ($)
Night Parking, Bar, Etc.

Subtotal
Sales Tax
Other

Total

Terms and Conditions

Thank you for your business. Please send payment within ______ days of receiving this invoice. There
will be a ______% per ______ on late invoices.

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