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BUKTI PEMBELIAN (RECEIPT)

Nomor : #1618636100439399824
Tanggal : 01 Des 2018, 15:07 (Sabtu)

DATA PEMESAN DETAIL PEMBAYARAN

Nama : Miftahun Najih P.O. NUMBER : 389343296 DETAIL TRANSAKSI : Lunas


Email : timestravel320@gmail.com PEMBELIAN MELALUI : TRANSFER
No. Kontak : +6285710015778
 
 

DATA PENUMPANG

MR Taufik Hendri Nugroho SKM (DEWASA) | MR H Muammar (DEWASA) | MRS Hena Arlini (DEWASA) | MRS Estherlina Sitorus (DEWASA) |
MR Dr A Humariyadi (DEWASA) | MR dr H Ahmad Hasanuddin (DEWASA)

DETAIL PEMBELIAN

No. Jenis Barang Deskripsi Jml. Harga satuan Rp Total Rp

1 Tiket Pesawat AirAsia (Dewasa) CGK - DPS | 13 Des 2018<br/>AirAsia 6 2.579.100 15.474.600
(Dewasa) DPS - CGK | 15 Des 2018

2 Add-ons Prepaid Baggage 0 0

TOTAL 15.474.600
BIAYA ADMINISTRASI 1.000

JUMLAH PEMBAYARAN 15.475.600

Jika Anda membutuhkan informasi lebih lanjut, silakan hubungi kami No. Handphone: +62-804-150- Email: cs@traveloka.com
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TRISS TRAVEL
Jl. W.R Supratman No. 226 A, Denpasar-Bali INVOICE
Phone No : (+62-361) 223080 To : RSUD Kota Serang
Fax : +62-361- 223080 / 8413415
Mobile : +6287862420798
Email : info@trisstravel.com/trisstravel@gmail.com

DESCRIPTION RATE/DAY TOTAL


IDR IDR
SERVICE SURCHARGE
Program : Rent car Toyota Hiace
Tour : 3x Fulldaycarter
Period : 13 - 15 December 2018
Rate : idr 1.500.000/Day 1.500.000,00 4.500.000,00

TOTAL PAYMENT 4.500.000,00

Denpasar, 15 December 2018


BCA (Bank Central Asia)
Name account : NI NENGAH SUDIASTRINI
Account Number : 7730317560
International Bank Code / SWIFT Code : CENAIDJA
Deviana
Accounting
Travel Invoice

Bali2tour Invoice Date : Invoice No. 521/NN/XII/2018


Jl. Bhinekka Jati Jaya No 48 12-Dec-18 Bill To RSUD Kota Serang
Tuban - Badung - Bali 80361 Total Amount Due on: Address Banten
email: bali2tour@gmail.com 13-Dec-18

Bank Account :
Bank Central Asia Destination Bali
Kuta Branch Travel Dates 13 - 15 December 2018
Acc. No : 404 028 4694 No. of Travelers
Acc. Name : Kee Ven

Service Description Amount per Unit Total Amount

Hotel New Garden View Resort


13 - 15 December 2018
3 rooms Deluxe Poolside ; 2 nights Rp 837,900 Rp 5,027,400

Invoice Total Rp 5,027,400


Note: Deposit Received Rp
This is an electronic bill, no signature needed Total Amount Due Rp 5,027,400

Issued By Customer

Bali2tour RSUD Kota Serang