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MAYSA ANJAYA lnvoice No. :KMlT.tlr/2A24

Maysa Kertamukti Date : 30 January 2024
Jambu Kav. Jambusari No.68B Vendor No. :4970003L
Kel. Pisangan Ciputat CO No. :C0/f l2024loo8
Tangerang Selatan 15419 LEG Approval Code : lo/ozg+z/srnv
Room rentalperiod : 1-31 January 2024
Due Date : 28 February 2A24

Billto:
lnternational Organization for Migration {lOM} lndonesia
Sampoerna Strategic Square North Tower 12 A
Jl. Jenderal Sudirman Kav. 45-46 Jakarta Selatan
Attention : Sihole
No Room Name Qtv Unit Price Total Price
No
A KERTAMUKTI 1 0 IDR.
tDR. 2,500,000,- lDR. -,-
Prorate

B KERTAMUKTI2 23 Unit Price IDR. 53,750,000,-

1 10 Abdallah A. L B. Alhajl Mukles A. l. B. Alhaj 1, IDR.2,000,000,- lDR. 2,000,000,-
/ AliA. l. B. Alhaj
1 1 Ayub Amini 3 tDR.2,300,000,- tDR. 6,900,000,-
2 7 Warda / Nasteha
3 30 Nasser Younis Abd Al Qadir Al Masri
1, 15 Salam Jabbar Abed / Fadheelah Shakir I 1DR.2,500,000,- lDR. 22,500,000,-
/ Ghait Salam Jabbar
2 L6 Rasool salam Jabar
3 t7 Arezo Muhammadil Mobin Muhammadil
Muhammadullah Muhammadi
4 18 Sakhi Muhammadi I Arita Muhammadi
5 2L Abdirizack Hassan FadaUDeko Hasan Muse
6 72 Mohamed Abdigani Mohamed / Mariam
Abdirizack HassanlMarwa A. H.
7 24 Mohammad Maria Khalid 1 Khalid
Mohammad Amin
8 25 Guleid Mohammad Hussain / Nadira
Mohammad Hassan / Mayza Guleid M.H.
I 26 Osman K. Mohammad I Aden S. Osman
L 5 Abdalla Haroon Khatir JumalAsia Abdelazis 6 1DR.2,800,000,- lDR. 16,800,000,-
Daldoum Fadul/Razan AbdallalTaqwa A
2 8 Najibullah Haidari I Sitaesh / Razia / Sonia
Guleid Baroud Ali/ Hamda Ahmad Hussein
3 9 / Arman Guled Baroud Ali
Ahmed Guled Baroud Ali / Maria Guled /
4 11 Aymad Guled / Anif Guled
Alsadiq lssa Brima Alhaj/ Rasheda G. S. A.

t
 5 L2 Rohullah Jawadi/ fatima Jawadi/ nmir ali
Jawadi/ Elisa Jawadi
6 31
1 73 Assadullah Sultani / Hamidah Sultani 1, lDR. 3,050,000 lDR.3,050,000,-
/Wazhma Sultani / Omid Sultani / Sanam
Sultani
c Prorate Unit Price tDR.7,200,000,-
Prorate 30 Days out 30 January 2024
1 27 Marwah Bahar Amini/ Mojda A 2 tDR. 82,000 1DR.4,920,000,-
2 28 Mohammad Zaman Amini/ Freshta Amini
/ Milad A
Prorate 30 Days out 30 lanuary2A24
3 29 Arefa Amini / Miraj Amini / Muhammad L tDR. 76,000 1DR.2,280,000,-
Zaman Amini
Total A+B+C : Fifty Eight Million Four tDR. 58,450,000,-
Hundred Fifty Thousand Rupiah
Note:
Please remit payment in full amount to our bank : Tangerang, 30 January 2024

Bank Central Asia

Account number :737O2LLLGA
account Holder : Ayu Mayshita
Bank Address : KCP Pondok lndah
 RECEIPT
Receipt No: KM. T. I

30 January 2024

Receipt from : INTERNATIONAL ORGANIZATION FOR MIGRATION (lOM)

Saidamount : lDR. 58,450,fi)0,- (Fifty Eight Million Four Hundred Fifty Thousand Rupiah)
Being payment of lnvoice No. : KM / T.l / t / ZaZq
Date : 30 January 2024
Vendor No. :4970003
CONo. :Co/tl2a24/008
LEG ApprovalCode : tD/07347 /SERV
Facilities rent room rental periode L - 3L January 2024

Tangerang, 30 January 2024