RECEIPT

Number : #1711415711870515944
Date : 20 Sep 2021, 17:20 (Monday)

PAYMENT DETAILS
P.O. NUMBER: 723011653 METHOD: Bank Transfer STATUS: Paid

CUSTOMER DETAILS COMPANY DETAILS

Name : Richal Grace Zefanya Uly Name : Trinusa Travelindo
Email : ulyrichal@gmail.com NPWP : 31.616.320.3-031.000
Contact Number : +6281214105182 Address : Traveloka Campus [d/h Green Office Park 1] South Tower
Lantai 2 Zone 10, Jl. Grand Boulevard BSD Green Office
Park, Sampora, Cisauk, Kab Tangerang, Banten 15345

PASSENGER DETAILS
MR Melson F Biaf (ADULT)

PURCHASE DETAILS

No Type of Item Item Description Qty Price per unit Rp Total Rp

1 Flight Ticket Lion Air (Adult) CGK - MKQ | Sep 28, 2021 1 3.524.800 3.524.800

2 Add-ons Prepaid Baggage 0 0

TOTAL 3.524.800

SERVICE FEE * 12.000

UNIQUE CODE * 853

PAYMENT AMOUNT 3.537.653

*Includes PPN

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