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BALIKPAPAN
INFORMATION COPY ONLY 
Folio :
 Arrival : 29/01/17 | 13:18
13:18
Ibu Nurbany Departure : 01/02/17
KEMENTERIAN PUPR No. of Guest : 1/0
Room No : 0517
INDONESIA
Page :1
Cashier : IKA
Cashier No : 55
 Agent :
Company :
Group :
NOVOTEL BALIKPAPAN 01/02/17 09:39:55

Date Description Reference Debit Credit 


Credit 

29/01 Room Charge 700,000


30/01 Room Charge 700,000
31/01 Room Charge 700,000

Balance : Rp 2,100,000,00

Tanda tangan/Signature

NOVOTEL BALIKPAPAN
Jl.Brigjen Ery Suparjan No.2 Telp +62 542 820820
Balikpapan 76112 Fax +62 542 732999 www.novotel.com/asia
www.novotel.com/asia
East Kalimantan  – Indonesia Info@novotelbalikpapan.com www. novotelbalikpapan.com

Saya menyatakan bersedia bertanggung jawab atas biaya biaya yg timbul dan bersedia secara pribadimenanggung biaya biaya dimana
perorangan, perusahaan atau asosiasi yang ditunjuk tidak menyelesaikan
menyelesaikan sebagian atau seluruh dari biaya biaya tersebut.
I Agree that my liability for this bill is not walved and agree to be help personally liable in the event that the indicated
i ndicated Person,Company or
 Association fails to pay for any part or Full amount of this charge
 

BALIKPAPAN 

INFORMATION COPY ONLY  


Folio :
Arrival : 29/01/17 | 13:18
Ibu Wiwik Arma Departure : 01/02/17
KEMENTERIAN PUPR No. of Guest : 1/0
Room No : 0519
INDONESIA
Page :1
Cashier : IKA
Cashier No : 55
Agent :
Company :
Group :
NOVOTEL BALIKPAPAN 01/02/17 09:39:55

Date Description Reference Debit Credit 


Credit 

29/01 Room Charge 700,000


30/01 Room Charge 700,000
31/01 Room Charge 700,000

Balance : Rp 2,100,000,00

Tanda tangan/Signature

NOVOTEL BALIKPAPAN
Jl.Brigjen Ery Suparjan No.2 Telp +62 542 820820
Balikpapan 76112 Fax +62 542 732999 www.novotel.com/asia
www.novotel.com/asia
East Kalimantan  – Indonesia Info@novotelbalikpapan.com www. novotelbalikpapan.com

Saya menyatakan bersedia bertanggung jawab atas biaya biaya yg timbul dan da n bersedia secara pribadimenanggung biaya biaya dimana
perorangan, perusahaan atau asosiasi yang ditunjuk tidak menyelesaikan
menyelesaikan sebagian atau seluruh dari biaya biaya tersebut.
I Agree that my liability for this bill is not walved and agree to be help personally liable in the evevent
ent that the indicated Person,Company or
 Association fails to pay for any part or Full amount of this charge
 

BALIKPAPAN 

INFORMATION COPY ONLY  


Folio :
Arrival : 29/01/17 | 13:18
Ibu Musniaty Departure : 01/02/17
KEMENTERIAN PUPR No. of Guest : 1/0
Room No : 0521
INDONESIA
Page :1
Cashier : IKA
Cashier No : 55
Agent :
Company :
Group :
NOVOTEL BALIKPAPAN 01/02/17 09:39:55

Date Description Reference Debit Credit 


Credit 

29/01 Room Charge 700,000


30/01 Room Charge 700,000
31/01 Room Charge 700,000

Balance : Rp 2,100,000,00

Tanda tangan/Signature

NOVOTEL BALIKPAPAN
Jl.Brigjen Ery Suparjan No.2 Telp +62 542 820820
Balikpapan 76112 Fax +62 542 732999 www.novotel.com/asia
www.novotel.com/asia
East Kalimantan  – Indonesia Info@novotelbalikpapan.com www. novotelbalikpapan.com

Saya menyatakan bersedia bertanggung jawab atas biaya biaya yg timbul dan bersedia secara pribadimenanggung biaya biaya dimana
perorangan, perusahaan atau asosiasi yang ditunjuk tidak menyelesaikan
menyelesaikan sebagian atau seluruh dari biaya biaya tersebut.
I Agree that my liability for this bill is not walved and agree to be help personally liable in the event that the indicated
i ndicated Person,Company or
 Association fails to pay for any part or Full amount of this charge
 

BALIKPAPAN 

INFORMATION COPY ONLY 


Folio :
Arrival : 29/01/17 | 13:18
Ibu Sari Nurfadillah SE Departure : 01/02/17
KEMENTERIAN PUPR No. of Guest : 1/0
Room No : 0523
INDONESIA
Page :1
Cashier : IKA
Cashier No : 55
Agent :
Company :
Group :
NOVOTEL BALIKPAPAN 01/02/17 09:39:55

Date Description Reference Debit Credit 


Credit 

29/01 Room Charge 700,000


30/01 Room Charge 700,000
31/01 Room Charge 700,000

Balance : Rp 2,100,000,00

Tanda tangan/Signature

NOVOTEL BALIKPAPAN
Jl.Brigjen Ery Suparjan No.2 Telp +62 542 820820
Balikpapan 76112 Fax +62 542 732999 www.novotel.com/asia
www.novotel.com/asia
East Kalimantan  – Indonesia Info@novotelbalikpapan.com www. novotelbalikpapan.com

Saya menyatakan bersedia bertanggung jawab atas biaya biaya yg timbul dan bersedia secara pribadimenanggung biaya biaya dimana
perorangan, perusahaan atau asosiasi yang ditunjuk tidak menyelesaikan
menyelesaikan sebagian atau seluruh dari biaya biaya tersebut.
I Agree that my liability for this bill is not walved and agree to be help personally liable in the
th e event that the indicated Person,Company or
 Association fails to pay for any part or Full amount of this charge
 

BALIKPAPAN 

INFORMATION COPY ONLY  


Folio :
Arrival : 29/01/17 | 13:18
Bapak Syubbanul Muslimin Departure : 01/02/17
KEMENTERIAN PUPR No. of Guest : 1/0
Room No : 0525
INDONESIA
Page :1
Cashier : IKA
Cashier No : 55
Agent :
Company :
Group :
NOVOTEL BALIKPAPAN 01/02/17 09:39:55

Date Description Reference Debit Credit 


Credit 

29/01 Room Charge 700,000


30/01 Room Charge 700,000
31/01 Room Charge 700,000

Balance : Rp 2,100,000,00

Tanda tangan/Signature

NOVOTEL BALIKPAPAN
Jl.Brigjen Ery Suparjan No.2 Telp +62 542 820820
Balikpapan 76112 Fax +62 542 732999 www.novotel.com/asia
www.novotel.com/asia
East Kalimantan  – Indonesia Info@novotelbalikpapan.com www. novotelbalikpapan.com

Saya menyatakan bersedia bertanggung jawab atas biaya biaya yg timbul dan bersedia secara pribadimenanggung biaya biaya dimana
perorangan, perusahaan atau asosiasi yang ditunjuk tidak menyelesaikan
menyelesaikan sebagian atau seluruh dari biaya biaya tersebut.
I Agree that my liability for this bill is not walved and agree to be help personally liable in the event that the indicated
i ndicated Person,Company or
 Association fails to pay for any part or Full amount of this charge
 

BALIKPAPAN 

INFORMATION COPY ONLY  


Folio :
Arrival : 29/01/17 | 13:18
Bapak A Pisal Departure : 01/02/17
KEMENTERIAN PUPR No. of Guest : 1/0
Room No : 0527
INDONESIA
Page :1
Cashier : IKA
Cashier No : 55
Agent :
Company :
Group :
NOVOTEL BALIKPAPAN 01/02/17 09:39:55

Date Description Reference Debit Credit 


Credit 

29/01 Room Charge 700,000


30/01 Room Charge 700,000
31/01 Room Charge 700,000

Balance : Rp 2,100,000,00

Tanda tangan/Signature

NOVOTEL BALIKPAPAN
Jl.Brigjen Ery Suparjan No.2 Telp +62 542 820820
Balikpapan 76112 Fax +62 542 732999 www.novotel.com/asia
www.novotel.com/asia
East Kalimantan  – Indonesia Info@novotelbalikpapan.com www. novotelbalikpapan.com

Saya menyatakan bersedia bertanggung jawab atas biaya biaya yg timbul dan bersedia secara pribadimenanggung biaya biaya dimana
perorangan, perusahaan atau asosiasi yang ditunjuk tidak menyelesaikan
menyelesaikan sebagian atau seluruh dari biaya biaya tersebut.
I Agree that my liability for this bill is not walved and agree to be help personally liable in the
th e event that the indicated Person,Company or
 Association fails to pay for any part or Full amount of this charge

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