(Ariantho Rahman) 15-16 Dec 2019 #402

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GUEST FOLIO

MARLIS, MR TRAVELOKA 29 DEPOSIT, PT

Room Number : 402


Room Rate :
Adults/Child : 2
Arrival Date : 12/03/19
Departure Date : 13/03/19
Payment : Cash Basis
Bill No : 72745(DUPLICATE)
Date Description/Voucher Qty RmNo Amount
12/03/19 Room Charge 1 402 795,555.00
Balance 795,555.00

I agree to remain personally liable for the payment of the account if the corporation
or other third party billed fails to pay part or all of these charges.
My signature is authorization for Grand Tjokro Balikpapan to use credit card
imprinted for the payment of these charges.
Please check that you have not left any valuables in the in-room personal safe. Signature_________________
Printed By : 38 13/03/2019 11:18

Thank You for choosing to stay with us and we wish you pleasant onward journey

Jl. Marsma Iswahyudi No.21 Balikpapan - Indonesia t: +62542 8521111 f: +62542 8521222

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