‘GrandHoliday LEMS © PTHASNUR INFORMASI TEKNOLOGI/mR OWT tei Mamet © Pls (024)29545088, GD OFFICE BL ANTAL It Gea Hon tans SENOPATIRAYANO.S, JEKARTA Sirona ay eat Grn outers Heme: Tovesse7 w Etaronnelaeai ‘omworatayen NaMPP tutta: 211034378 471009 Tanggal/due: — &-Yon-25 Duedate: S-Feb-29 IATA es 3 Deskripsi / Desciption Pas ens eke vouchies: 209 sumlah / Amount 3. WINGS ate - oonesTIK BTW aD) IvxRS. R MUHAPEOAD RIZKY AORLANSYAM sonzisi5ie02y 1 44008,300 141385 O7IAN Bw 0) fos dae 2 WINGS AiR « DOMESTIK BTW 8D) KePYED DS SHANLA NOOR LeTHEAH ssoetsi209865 4 4,006,300 "WW1585 O71aN BTW aD) 10S" se > SERVICE Fee ae 1 9,535 7aaee Torat Berore vars 2ai235 ee TOTAL VAT 1.085 BS ner ater EO Ort Dranca Terbiong: OWAJUTASERATUS TIGA GELAS RTBU OUARATUS TIGA PULUH RUPIAN Rp. 2.415.250 * fbr cognate fome yng tut Pt tants ma Penerima Bagian Kassa Pembuat ofan Beh fers hana age Acid Gair Madeby * inwggant# 9 semester a + ene aemrermnnecmmemer ren j oliday soni can a Grangyiolida * Reto Go nd ea eae cp ahiFoorto0e FORMULIR PERMINTAAN KAS DAN PEMBAYARAN (eee vanur-arsiospr23 Fam Pr FB Fern Toonuon aon [OWRBUREU Ei [ro [sai Bae Re Rac FOTO : robert am Peon a Fa Tones | Keser [Kee er Jonis Disposisi PEMBAYARAN SEGERA 6200030201 DT IW BTW BD) 7 Jan 2023 an.Rizky Adriansyan, Noor Lathifah Rp 2.413.230 No Invoice : TD/085797 Fremiang Jovasuta Sera Tiga betas Ribu Dua Rue Tis Puluh Rupiah enn Rp 2:413.230,00 Ne Pena ‘arate na TB. co Tener ag ‘An. PT. Grand Traveling Utama MANOR 172.000890-8528 Taam oa Diets Oa Dasa oan [onan (ORF) Poche) Foe) Garp Breccia) evenness Pa foevan De NDE. . fenacat: fran Paak ‘Ada/Tilak —Cacat/Ok JpseaPot Put 442)115121122123128 Foby Rivana lsnaent JuarDeskips ots rane ‘rp pee) Fae) FORRADGAC| oie Jove Ne tuna |i Pak Dowie! [Tax Reviewer Dictak sep Eawh Fiffaus 1Lion Air eTicket Itinerary / Receipt ‘This is an eTicket itinerary, To enter the airport and for checkin, you must present this itinerary receipt along with Official Government Issued photo identification such as passport, identity card or Indonesians KTP. Booking Details Booking Reference (PNR): Purchased From: Interline Reference: Issuing Airline: Place Of Issue: Kesued Date: Passenger Details No Passenger Name 1, Lathifan/Shania Noor Ms Itinerary Details Flight Depart 1W 1383 Batu Licia (BTW) 07 Jen 2023 12:05 hrs Operated by Wings Air Fare Detai Published Fare: “Total Taxes: ‘TOTAL TICKET others: Total Amount: Fare Rules EFZPRE Pt, Grand Travelindo Utama ST*KOPYCO Lion air IKTAG. Friday, 06 Jan, 2023 arrive Stops Class Banjarmasin (BDI) OY 07 Jan 2023 12:50 hes, 10k 840,000 IDR 1,172,600 TDR 2,012,600 IDR 2,012,600 Ticket Number Loyalty Number 9902151309965 Fare basis Status Baggage viwow Confirmed oka, bo nat put vaiable tems (cameras, laptops, phones, jewelleres, documents and cash) in checked baggage. Ditarang memasulekan barang-barang berharga (kamera, laptop, ponsel, perhiasan, dokumen berharga dan ang) ke dalam bagasi yang diserankan, Tour Code miokro015s5 Important Notes * please arrive at the airport for check-in 2 hours prior to departure. * For domestic flights check-in closes 30 minutes and for international flights check-in closes 45 minutes: before departure time. * Please be at the gate 30 minutes before departure time * Economy Class Passengers are allowed to bring up to 7kg of hand luggage onboard Lion Air Flights Please refer to our terms and condition for more information. Page tof aLion Air eTicket Itinerary / Receipt Lion $s Group ‘This is an eTicket itinerary. To enter the airport and for check-in, you must present this Itinerary receipt along with Official Government issued photo identification such as passport, Identity card or Indonesians KTP. Booking Details Booking Reference (PNR): IVKRJW Purchased From: Pt, Grand Travelindo Utama Interline Reference: STAVKRSI Issuing Airline: on Air Place Of Issu SKTAG Teeued Date: Friday, 06 Jan, 2023 Passenger Details No Passenger Name 1. Adriansyah/Muhammad Rizky Mr Itinerary Details Flight Depart arrive Stops Class 1W'1383 Batu Licin (STW) ——Banjarmasin (601) 0 Y 07 an 2023 07 dan 2023 12:05 hs 12:50 ts Operated by Wings Air Fare Details Published Fare: 10k 420,000 Total Taxes: OR 586,300 TOTAL TICKET TOR 1,006,300 Others: Total Amount: TOR 1,006,300, Fare Rules Ticket Number 9902151316201 Fare Basis Status viwow Confirmed Do not put valuable ites (cameras, laptops, phones, jewellerles, documents and cash) in checked baggage. Loyalty Numbe Baggage 0K) Dilarang memasukkan barang-barang berharga (kamera, laptop, ponsel, perhiasan, dokumen berharga dan uang) ke dalam bbagasi yong diserahkan. Tour Code rripaKr003555 Important Notes * Please arrive at the airport for check-in 2 hours prior to departure, * For domestic fights check-in closes 30 minutes and for international fights check-in closes 45 minutes before departure time. * Please be at the gate 30 minutes before departure time * Economy Class Passengers are allowed to bring up to 7kg of hand luggage onboard Lion Alr Flights Pleace refer to our terme and condition for mare Information, Page 1 of 4Faktur Pajak Kode dan Nomor Seri Faktur Pajak : 050.003-23.46039204 Pengusaha Kena Pajak Nama: PT GRAND TRAVELINDO UTAMA Alamat : GED. PLAZA BUMI DAYA LT 1 JL. IMAM BONJOL NO. 61 RT.000 RW.000, MENTENG , JAKARTA PUSAT NPWP : 21.103.437.6-071.000 Pembeli Barang Kena Pajak / Penerima Jasa Kena Pajak Nama : PT. HASNUR INFORMASI TEKNOLOGI ‘Alamat : JALAN KAMPUNG MELAYU DARAT Blok - No.72 RT-010 RW:001 Kel. MELAYU Kec.BANJARMASIN. TENGAH Kota/Kab.BANJARMASIN KALIMANTAN SELATAN 00000 NPWP : 03.183.572.1-731.000 Harga JualiPenggantian/Uang No, Nama Barang Kena Pajak / Jasa Kena Pajak Rae aa [err eer 90.535,00 Harga Juai / Penggantian 99,596,00 Dikurangi Potongan Harga 0,00 Dikurangi Uang Muka 0,00 Dasar Pengenaan Pajak 99,595,00 Total PN 1.095,00 Total PPnBM (Pajak Penjualan Barang Mewah) 0,00 ‘Sesual dengan kelentuan yang beraku, Droktoat Jondoral Pejak mengalur bahwa FakiurPajak ini telah dtandatangani seca elektronk schingga "dak diperukan tarda tanaan basah pada Fakir Pajak in YENY PEMBERTAHUAN Fie Pik ah Saran Oki nal Pik ah mann pen ‘cn san yng seers dontausaunaganya scbgamane ug Pas oar) UP ane a JAKARTA PUSAT, 06 Januari 2023 4 dori 4