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Raden Muhammad Firzatullah Arrival 22/06/2023

Departure 23/06/2023
Room No.
INDONESIA No Person

PRO FORMA
Membership No. :

Date Description Ref. Debit Credit


22/06/2023 Accommodation 630,000.00

The rate is including 21.00% of government tax and service charges.

BALANCE DUE IDR 630,000.00

PAID
I AGREE THAT MY LIABILITY FOR THIS BILL IS NOT WAIVED AND AGREE TO
BE HELD PERSONALLY LIABLE IN THE EVENT THAT THE INDICATED
PERSON,COMPANY, OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE
FULL AMOUNT OF THESE CHARGES.
SIGNATURE

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