The Laguna Resort & Spa Nusa Dua, Bali

Kawasan Pariwisata Nusa Dua

Lot.2 Po Box 77
Nusa Dua, BALI 80363
Indonesia
Tel: 62-361-771327 Fax: 62-361-771326

ANYA KATIDIYAH Page Number : 1

PLEASE COMPLETE Guest Number : 515391
PLEASE COMPLETE, 80361 Folio ID : A
Indonesia Arrive Date : 13-FEB-21 13:14
Depart Date : 14-FEB-21 17:52
No. Of Guest : 2
Room Number : 148
Marriott Bonvoy Number : 1145

Tax Invoice

The Laguna DPSLC 14-FEB-2021 18:00 GSUAR810

Date Reference Description Charges (IDR) Credits (IDR)
13-FEB-21 VI Visa-3741 -1,494,350.00
13-FEB-21 RT148 Room Charge 1,494,350.00

** Total 1,494,350.00 -1,494,350.00

*** Balance 0.00

Signature_____________________
I agree 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 or the full amount of these charges. I also agree that all charges contained in this account are correct and
any disputes or requests for copies of charges must be made within five days after my departure.

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