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PEI(A}IBAB['

Name Member Meeting IGORNAS, Mr Anival Date 10-February-2023


Departure Date 11-February-2023
Company MEETING IGORNAS
Folio Number 170428
Address
Room Number 602

Room Rate
GB
Nationalrty : INA
Rate Code
Room Type SPTS
ztP Room Upgrade SPTS

Date Transaction Remarts Debit Cred t //


1o-Feb Room Transient Charge Room Charge Rmm # 602 350,000.00

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I

Page 1 of 1 Print No : User lD : YULIANA Tobl in IDR / USD 350,000.00 0.00

Balance 350,000.00
Guest Signaturc

I that I am personally liable for the payment of the following statement of the following statement and if the person, company
agree
or association indicated by me as being responsible for payment of the same does not do so, that my liability for such payment shall
be joint and several with such person, company or association.

Soyo setuju bohwo okon bertonggung jowab otos, pernyotoon di otos don iiko orong, perusohoon atou ososiosi yong
soyo
bertonggung jowob pembayoran rekening tersebut tidok melokukonnyo, mako kewoiiban soyo otos pemboyoron itu akon di
otos
gobungkon dengan orong, perusohoon otou ososiosi tersebut.

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