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Jatra

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GRAND JATRA HOTEL BALIKPAPAN

Balikpapan Superblock
Jl. Jend. Sudirman No.47 Balikpapan 76114
P: +62 542 721 3888 | F: +62 542 721 8999
E: reservation.balikpapan@jatrahotel.com
www.jatrahotelbalikpapan.com

GUEST BILL

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Invoice # 342492

Vivi Liani Room 761

Arrival 04/10/2021 Mon

Departure 05/10/2021 Tue

Voucher #

CRES #

Date Code Particulars Receipt Debit Credit Balance

1 04/10/2021 Mon PKG Room Charge - 761 650,000


Total Charges 650,000

Advance Deposits Received

Account Transfers

Payments Received

Net Balance Due 650,000

Printed by FO-ANI on 06-Oct-2021

" I AGREE THAT I AM PERSONALLY LIABLE FOR THE PAYMENT OF THE FOLLOWING STATEMENT AND IF THE
PERSON, COMPANY OR ASSOCIATION INDICATED BY ME AS BEING RESPONSIBLE FOR PAYMENT OF THE
SAME DOES NOT DO SO. THAT MY LIABILITY FOR SUCH PAYMENT SHALL BE JOINT AND SEVERAL WITH
SUCH PERSON, COMPANY OR ASSOCIATION"

Signature ______________________

Thank you for staying with us

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