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Mr. Guest Name Room No. Reg No. Pax Room Type Nationality Room Rate Arrival Departure Invoice No
Mr. Guest Name Room No. Reg No. Pax Room Type Nationality Room Rate Arrival Departure Invoice No
Mr. Guest Name Room No. Reg No. Pax Room Type Nationality Room Rate Arrival Departure Invoice No
Room No.
Reg No.
Pax
Room Type
Nationality
Departure
Invoice No.
Address line 1
Address Line 2
Room Rate
Arrival
Address Line 3
Billing Instructions
Date
Description
14/01/11
Room Charge
14/01/11
Lux Tax
14/01/11
Service Tax
14/01/11
Service Charge
14/01/11
Advance Payment
14/01/11
Car Hire
14/01/11
BISO
Voucher
Charges
Credit
Balance
Day Total
15/01/11
Room Charge
15/01/11
Lux Tax
15/01/11
Service Tax
15/01/11
Service Charge
15/01/11
Telephone
Day Total
In Words :
TOTAL
ROUND
NET
Regardless of the billing instruction I agree to be held personally liable for payment of the total amount of
this bill.
Cashier Signature
Guest Signature
Luxury Tax No
Service Tax No
TIN No
PAN No
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Address
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