RECEIPT

Number : #1791569791418399023
Date : 22 Feb 2024, 10:54 (Thursday)

PAYMENT DETAILS
P.O. NUMBER: 1117542189 METHOD: Bank Transfer STATUS: Paid

CUSTOMER DETAILS COMPANY DETAILS

Name : Livinus Name : Trinusa Travelindo
Email : livinus.t@gmail.com NPWP : 31.616.320.3-031.000
Contact Number : +628118884687 Address : Traveloka Campus [d/h Green Office Park 1] South Tower
Lantai 2 Zone 10, Jl. Grand Boulevard BSD Green Office
Park, Sampora, Cisauk, Kab Tangerang, Banten 15345

PASSENGER DETAILS
MR Livinus (ADULT) | MR Ari Prananta Sembiring (ADULT) | MR Ari Prananta Sembiring (PersonType_ADULT) | MR Livinus Livinus (PersonType_ADULT)

PURCHASE DETAILS

No Type of Item Item Description Qty Price per unit Rp Total Rp

1 Flight Ticket Lion Air (Adult) CGK - TKG | Feb 29, 2024 2 1.107.900 2.215.800
Lion Air (Adult) TKG - CGK | Mar 3, 2024

2 Travel Insurance Travel Insurance - Domestic Plan 2 63.000 126.000

TOTAL 2.341.800

SERVICE FEE * 20.000

UNIQUE CODE * 389

Paid with BCA Transfer 2.362.189

PAYMENT AMOUNT 2.362.189

*Includes PPN

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