Bukti ransaksi

QNB

Lembar Nasabah

Transaction Receipt
PT Bank QMB J

+62 ;' 2 \

Telepon
Ja~ arta - Perrr.ala H ~ a u

JL J . Soepo no Blok SA-OS Permata H iJ8l. No.

Fax

oneJ!1a TbJc

:;''', 6022

SWlFT

+62 ,; 2 1 299'10 160

AWANIDJAXXX

Tanggal

Jam

08 092015

10:47:08

12240 ebayoran Lama. Jakarta

Permohonan Transfer via Swift

E'I SAS PELT' JSIIH' PT

~~arra

10 Na

~<

...0 R~e"

1:2.1..{-(}52 1::2 -0:2

n,;

1'{t.415WQ2EOf.'1:2
ENSAS P~LlTA USAhA ~T
(102 11/2
~ a",at pemclloc, 76:116
,It FU TRI ORAV.l OI
G5E,1?47567
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Narnll peme

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Bank korespon c.en

Rlncia" pene (
c"'~...c JNlIMiTED W:)RLD'; '.1C<E
4200' COO~. STRrE l, STE .1 02

Nam
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Un ited Sta:1aS
;;S 09,. 015

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Rel:e nir.p~ E?~.t.

KOf.I e S'E\l FT

COIl5&SS69li21
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Nama, oor~

8f<,NK OF AMER:C.'1, VA,

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OARD CHARTEREO 3A!lf "

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TED 5 T"T;5
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Ko<nen:ar
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O. HERS
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JlITllah transfer
Ku :-s ICR -> SO
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\,'gl",t .a ;'.:> ( Q

KII'"

:OR - > USD

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Total jumlah

391.25

usa

1<1,225 OC<n)OO

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1J .~95 00000oo
lIrl 1

"'91.25 USD

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