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ALL

DISPUTES
SUBJECT
TO SIKKIM

Guest Name: mr. abhirup mitra

Conf No.
Guest(s)
Room No.: 104

Company:
Address: Puratuli, English Bazaar, Malda

Arrival Date: 20 / 09 / 2013


Arrival time: 8:15 PM
Departure date: 22 / 09 / 2013
Departure time : 11:30 AM

Billing Instruction : Direct Payment

Invoice No.: 41125 / 1 Page : 1 / 1

Date

Description

Quantity

Amount

Total Amount (INR)

20/09/2013

Tariff

750.00

750.00

21/09/2013

Tariff

750.00

750.00

22/09/2013

Tariff

750.00

750.00
229.50

Service Tax @ 10.2%


Total Amount:
Payment Received:
Balance Due:

..........................................
Cashier's Signature

2479.50
2479.50
0.00

..............................................
Guest's Signature
[I agree that my liability for this bill is not waived
and agree to be held personally liable in the
event that the indicated person, company or
association fails to pay for any part or the full
amount of the these charges]

PLEASE DEPOSIT YOUR ROOM KEY.

(Please collect receipt when paying by cash)

JURISDICTION
Ranka Stand, P.S.Road, Gangtok, Sikkim
Phone- 03592-220021

HOTEL MEDIST
INVOICE

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