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  • Bill Hotel Emersia Bambuwisata

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    Angga Ciro Bams
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    The document contains invoices from the Emersia Hotel & Resort in Bandar Lampung, Indonesia. It includes details of 5 hotel bookings between December 4-6, 2022. The guests stayed in rooms 207, 205, 209, and 239, and were charged between 985,000-885,000 IDR per night. The invoices list the room rates and total charges for 2 nights for each booking.

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    The document contains invoices from the Emersia Hotel & Resort in Bandar Lampung, Indonesia. It includes details of 5 hotel bookings between December 4-6, 2022. The guests stayed in rooms 207, 205, 209, and 239, and were charged between 985,000-885,000 IDR per night. The invoices list the room rates and total charges for 2 nights for each booking.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    569 views13 pages

    Bill Hotel Emersia Bambuwisata

    Uploaded by

    Angga Ciro Bams
    The document contains invoices from the Emersia Hotel & Resort in Bandar Lampung, Indonesia. It includes details of 5 hotel bookings between December 4-6, 2022. The guests stayed in rooms 207, 205, 209, and 239, and were charged between 985,000-885,000 IDR per night. The invoices list the room rates and total charges for 2 nights for each booking.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    of 13

    ROOM : 207

    PERSON : 1.00
    FOLIO : 00163551 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 985.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : DR H DIAUDDIN / MR 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Executive Ocean View Room / 207 / DR H DIAUDDIN 985.000.00
    05/12/22 Executive Ocean View Room / 207 / DR H DIAUDDIN 985.000.00

    TOTAL 1.970.000.00

    DR H DIAUDDIN

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 205
    PERSON : 1.00
    FOLIO : 00163552 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 985.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : META SORAYA / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Executive Ocean View Room / 205 / META SORAYA 985.000.00
    05/12/22 Executive Ocean View Room / 205 / META SORAYA 985.000.00

    TOTAL 1.970.000.00

    META SORAYA

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 209
    PERSON : 1.00
    FOLIO : 00163553 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 985.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : NURUL AHDANI / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Executive Ocean View Room / 209 / NURUL AHDANI 985.000.00
    05/12/22 Executive Ocean View Room / 209 / NURUL AHDANI 985.000.00

    TOTAL 1.970.000.00

    NURUL AHDANI

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 239
    PERSON : 1.00
    FOLIO : 00163554 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : YULIANI / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 239 / YULIANI 885.000.00
    05/12/22 Deluxe Room / 239 / YULIANI 885.000.00

    TOTAL 1.770.000.00

    YULIANI

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 240
    PERSON : 1.00
    FOLIO : 00163555 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : YULIA SUSINTA / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 240 / YULIA SUSINTA 885.000.00
    05/12/22 Deluxe Room / 240 / YULIA SUSINTA 885.000.00

    TOTAL 1.770.000.00

    YULIA SUSINTA

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 241
    PERSON : 1.00
    FOLIO : 00163556 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : AGNES MARGARETHA BERUTU / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 241 / AGNES MARGARETHA BERUTU 885.000.00
    05/12/22 Deluxe Room / 241 / AGNES MARGARETHA BERUTU 885.000.00

    TOTAL 1.770.000.00

    AGNES MARGARETHA BERUTU

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 243
    PERSON : 1.00
    FOLIO : 00163557 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : ANNISA FITRIA / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 243 / ANNISA FITRIA 885.000.00
    05/12/22 Deluxe Room / 243 / ANNISA FITRIA 885.000.00

    TOTAL 1.770.000.00

    ANNISA FITRIA

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 247
    PERSON : 1.00
    FOLIO : 00163558 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : SRI YANI WIJIANINGSIH / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 247 / SRI YANI WIJIANINGSIH 885.000.00
    05/12/22 Deluxe Room / 247 / SRI YANI WIJIANINGSIH 885.000.00

    TOTAL 1.770.000.00

    SRI YANI WIJIANINGSIH

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 245
    PERSON : 1.00
    FOLIO : 00163559 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : RAUDANAH / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 245 / RAUDANAH 885.000.00
    05/12/22 Deluxe Room / 245 / RAUDANAH 885.000.00

    TOTAL 1.770.000.00

    RAUDANAH

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 235
    PERSON : 1.00
    FOLIO : 00163560 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : VENADYA SYELA BONITA / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 235 / VENADYA SYELA BONITA 885.000.00
    05/12/22 Deluxe Room / 235 / VENADYA SYELA BONITA 885.000.00

    TOTAL 1.770.000.00

    VENADYA SYELA BONITA

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 233
    PERSON : 1.00
    FOLIO : 00163561 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : THEODORIK RIZAL MANIK / MR 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 233 / THEODORIK RIZAL MANIK 885.000.00
    05/12/22 Deluxe Room / 233 / THEODORIK RIZAL MANIK 885.000.00

    TOTAL 1.770.000.00

    THEODORIK RIZAL MANIK

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 249
    PERSON : 1.00
    FOLIO : 00163562 / B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : ARDIANSYAH / MR 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 249 / ARDIANSYAH 885.000.00
    05/12/22 Deluxe Room / 249 / ARDIANSYAH 885.000.00

    TOTAL 1.770.000.00

    ARDIANSYAH

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.
    ROOM : 251
    PERSON : 1.00
    FOLIO : 001635636/ B

    ARRIVAL : 04 – Dec – 2022


    DEPARTURE : 06 – Dec – 2022
    COMPANY : PERSONAL ROOM RATE : IDR 885.000.00
    GROUP : CASHIER : DWI
    CHARGE TO : INDAH ARUM PAWESTRI / MRS 06 - Dec - 2022

    *** INVORMATION INVOICE ***

    DATE DESCRIPTION DEBIT CREDIT


    04/12/22 Deluxe Room / 251 / INDAH ARUM PAWESTRI 885.000.00
    05/12/22 Deluxe Room / 251 / INDAH ARUM PAWESTRI 885.000.00

    TOTAL 1.770.000.00

    INDAH ARUM PAWESTRI

    TANDA TANGAN / SIGNATURE

    www.emersiahotel.com Telp : +62 721 258 258 EMERSIA Hotel & Resort
    reservation@emersiahotel.com Fax : +62 721 262 440 Jl. Wolter Monnginsidi No. 70
    Bandar Lampung 35125 Sumatera, Indonesia

    I AGREE THAT MY LIABILITYFOR THIS BILL IS NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT INDICATED PERSON.
    COMPANY OR ASSOCIATION FAILS TO PAY FOR ANY PART OR THE FUL L AMOUNT OF THESE CHARGES.

    SAYA MENYATAKAN BESEDIA BERTANGGUNG JAWAB ATAS BIAYA - BIAYA YANG TIMBUL DAN BERSEDIA SECARA PRIBADI MENANGGUNG BIAYA – BIAYA DIMANA
    PERORANGAN, PERUSAHAAN ATAU ASOSIASI YANG DITUNJUK TIDAK MENYELESAIKAN SEBAGIAN ATAU SELURUH DARI BIAYA – BIAYA TERSEBUT.

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