Billed to:

PT. Internet Prima Nusantara

Jalan ByPass Ngurah Rai No. 228 Sanur,
ATA HOUSE
Denpasar, 80228, Bali, Attn: I Nyoman Sudarsana (ATA HOUSE)
Indonesia Address: Nyambu, Kec. Kediri, Tabanan, 82121,
Tel: 03616200851 Bali, Indonesia
Mobile / Whatsapp: 081239999994 Tel: 0812467-0011
Email: billing@ipn.net.id Email:
inyoamnsudarsanaatahouse@billing.ipn.net.id

Reference No: 102148077042911

Invoice No 10580 Date: 01.05.2024
Due Date: 25.05.2024

No Description Unit Price Quantity Subtotal

1 iHome 50 Mbps 350,000 1 350,000

Total 350,000

Tiga Ratus Lima Puluh Ribu Rupiah Grand Total (IDR) 350,000

Nol Rupiah Paid (IDR) 0

Tiga Ratus Lima Puluh Ribu Rupiah Balance (IDR) 350,000

Say: Tiga Ratus Lima Puluh Ribu Rupiah

Sistem Pembayaran Transfer Bank:

Bank : BCA
No. Rekening : 6700477779
Atas Nama : PT. Internet Prima Nusantara

Buyer: ATA HOUSE

I Ketut Agus Tirta S.Pd

Signature & Stamp Signature & Stamp