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KOPERASI GARUDA BIRU No.

0074

RENT CAR / ANGKUTAN SEWA DAN WISATA


Bandara Soekarno Hatta
Head Offoce : Jl. Huseien Sastranegara No. 24 Cengkareng, Jakarta Indonesia

DATE :

CUSTUMER NAME : ……………………………………………. ONE WAY / DROP OFF = USD / Rp.


…………………………..

DESTINATION : ……………………………………………. HOURLY – MINUMAN CHARGE ………hrs = USD / Rp.


…………………………..

DRIVER’S NAME : ……………………………………………. TOL & PARKING FEE ……….. = USD / Rp. ……………………..
……

LUN
CAR LICENCE NO. : ……………………………………………. = USD / Rp.
…………………………..

COMPLAIN – ORDER
0852 1792 4611
CANCEL FEE
AS
0821 1464 9389 25% ( ) ( )
SALES REPRESENTATIVE COSTUMER SIGNATURE

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