RECEIPT

Number : #1577504620194853882
Date : 03 Sep 2017, 15:00 (Sunday)

CUSTOMER DETAILS PAYMENT DETAILS

Name : Ketip Wibisono Dwiputro P.O. NUMBER : 198842829 STATUS : Paid

Email : kwdwibisono@gmail.com METHOD : Mandiri Debit
Contact Number : +628111880533

GUEST

Ketip Wibisono Dwiputro

HOTEL DETAILS

Grand Darmo Suite by AMITHYA

Address: Jl. Progo No. 1-3, Surabaya, Indonesia, 60241
Check-in: 03-09-2017
Duration: 1 night

PURCHASE DETAILS

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

1 Hotel Room Grand Darmo Suite by AMITHYA, Deluxe Suite With 1 577.500 577.500
Breakfast - 2 guest

TOTAL 577.500

ADMINISTRATION FEE -671

PAYMENT AMOUNT 576.829

Should you have further enquiries, please contact us: Phone: +62-21-2910-3300 Email: cs@traveloka.com

Terms and Conditions applied. Please refer to http://www.traveloka.com/termsandconditions