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Kwitansi

- The document is a master bill from Bali Kuta Resort by Swiss-belHotel for guests from the DPRD Kota Tangerang Selatan. - It includes itemized charges for 3 rooms occupied from September 20-22, 2012 totaling IDR 1,900,000 each. - Invoices and receipts are provided acknowledging payment in full for each guest.

Uploaded by

Stephanie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
0% found this document useful (0 votes)
320 views66 pages

Kwitansi

- The document is a master bill from Bali Kuta Resort by Swiss-belHotel for guests from the DPRD Kota Tangerang Selatan. - It includes itemized charges for 3 rooms occupied from September 20-22, 2012 totaling IDR 1,900,000 each. - Invoices and receipts are provided acknowledging payment in full for each guest.

Uploaded by

Stephanie
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 66

* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48613
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


20/09/12 125 RM+B'FAST 950,000.00 950,000.00 $$
21/09/12 125 RM+B'FAST 950,000.00 1,900,000.00 $$
22/09/12 Goverment Ledger (1,900,000.00) 0.00 197

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR. IWAN RAHAYU #125

Printed by :
197 - 22/09/12 10:55
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - 48613 MR. IWAN RAHAYU


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0022-IX/KWT/2012

KWITANSI

Sudah terima dari : IWAN RAHAYU


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48614
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


20/09/12 127 RM+B'FAST 950,000.00 950,000.00 $$
21/09/12 127 RM+B'FAST 950,000.00 1,900,000.00 $$
22/09/12 Goverment Ledger (1,900,000.00) 0.00 197

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR. IR. H. ACHMAD FAUZI #127

Printed by :
197 - 22/09/12 10:55
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - 48614 MR. IR.H. ACHMAD FAUZI


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0023-IX/KWT/2012

KWITANSI

Sudah terima dari : IR.H.ACHMAD FAUZI


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48615
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance


20/09/12 135 RM+B'FAST 950,000.00 950,000.00
21/09/12 135 RM+B'FAST 950,000.00 1,900,000.00
22/09/12 Goverment Ledger (1,900,000.00) 0.00

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MRS. NANI SUPARNI SE #135

Printed by :
197 - 22/09/12 10:55
ID
$$
$$
197
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MRS. NANI SUPARNI SE


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0024-IX/KWT/2012

KWITANSI

Sudah terima dari : MRS NANI SUPARNI SE


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48616
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance


20/09/12 139 RM+B'FAST 950,000.00 950,000.00
21/09/12 139 RM+B'FAST 950,000.00 1,900,000.00
22/09/12 Goverment Ledger (1,900,000.00) 0.00

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR DRS. HERRY SUMARDI #139

Printed by :
197 - 22/09/12 10:55
ID
$$
$$
197
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR DRS. HERRY SUMARDI


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0025-IX/KWT/2012

KWITANSI

Sudah terima dari : MR DRS. HERRY SUMARDI


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48617
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance


20/09/12 233 RM+B'FAST 950,000.00 950,000.00
21/09/12 233 RM+B'FAST 950,000.00 1,900,000.00
22/09/12 Goverment Ledger (1,900,000.00) 0.00

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR H. ROMMY ADHIE S. SE #233

Printed by :
197 - 22/09/12 10:55
ID
$$
$$
197
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR H ROMMY ADHIE S. SE


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0026-IX/KWT/2012

KWITANSI

Sudah terima dari : MR H. ROMMY ADHIE S. SE


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
Kwitansi : ACCT-AR /0026-IX/KWT/2012

KWITANSI

Sudah terima dari : MR H. ROMMY ADHIE S. SE


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48618
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance


20/09/12 329 RM+B'FAST 950,000.00 950,000.00
21/09/12 329 RM+B'FAST 950,000.00 1,900,000.00
22/09/12 Goverment Ledger (1,900,000.00) 0.00

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR TB. IRVANNUL HAKIM #329

Printed by :
197 - 22/09/12 10:55
ID
$$
$$
197
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR TB. IRVANNUL HAKIM


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0027-IX/KWT/2012

KWITANSI

Sudah terima dari : MR TB. IRVANNUL HAKIM


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48619
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance


20/09/12 529 RM+B'FAST 950,000.00 950,000.00
21/09/12 529 RM+B'FAST 950,000.00 1,900,000.00
22/09/12 Goverment Ledger (1,900,000.00) 0.00

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR H. ARIF WAHYUDI #529

Printed by :
197 - 22/09/12 10:55
ID
$$
$$
197
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR H.ARIF WAHYUDI


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0028-IX/KWT/2012

KWITANSI

Sudah terima dari : MR H. ARIF WAHYUDI


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48620
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance


20/09/12 625 RM+B'FAST 950,000.00 950,000.00
21/09/12 625 RM+B'FAST 950,000.00 1,900,000.00
22/09/12 Goverment Ledger (1,900,000.00) 0.00

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MRS. ANDI CUT MUTHIA AM. AMD #625

Printed by :
197 - 22/09/12 10:55
ID
$$
$$
197
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MRS. ANDI CUT MUTHIA AM. AMD


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0029-IX/KWT/2012

KWITANSI

Sudah terima dari : MRS. ANDI CUT MUTHIA AM. AMD


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48621
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance


20/09/12 627 RM+B'FAST 950,000.00 950,000.00
21/09/12 627 RM+B'FAST 950,000.00 1,900,000.00
22/09/12 Goverment Ledger (1,900,000.00) 0.00

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR H. SUKARYA #627

Printed by :
197 - 22/09/12 10:55
ID
$$
$$
197
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR H SUKARYA
1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0030-IX/KWT/2012

KWITANSI

Sudah terima dari : MR H. SUKARYA


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48622
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


20/09/12 629 RM+B'FAST 950,000.00 950,000.00 $$
21/09/12 629 RM+B'FAST 950,000.00 1,900,000.00 $$
22/09/12 Goverment Ledger (1,900,000.00) 0.00 197

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR IR. MATHEAS TAHIR #629

Printed by :
197 - 22/09/12 10:55
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR IR MATHEAS TAHIR


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0031-IX/KWT/2012

KWITANSI

Sudah terima dari : MR IR. MATHEAS TAHIR


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48623
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


20/09/12 631 RM+B'FAST 950,000.00 950,000.00 $$
21/09/12 631 RM+B'FAST 950,000.00 1,900,000.00 $$
22/09/12 Goverment Ledger (1,900,000.00) 0.00 197

In Word : Balance 0.00


* One Million Nine Hundred Thousand RUPIAH *

Names : MR IR. H. SURYADI HENDARMAN #631

Printed by :
197 - 22/09/12 10:55
INVOICE
To : DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR IR. H. SURYADI HENDARMAN


1 Room x 2 Nts @ IDR 950.000nett/nt IDR 1,900,000.00

BALANCE : IDR 1,900,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0032-IX/KWT/2012

KWITANSI

Sudah terima dari : MR IR. H. SURYADI HENDARMAN


DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Sembilan Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,900,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : Sekretariat DPRD Kota Tangerang Selatan Arrival Date : 20/09/12
Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48624
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


20/09/12 637 RM+B'FAST 850,000.00 850,000.00 $$
20/09/12 637 Extra Bed 250,000.00 1,100,000.00
21/09/12 637 RM+B'FAST 850,000.00 1,950,000.00 $$
21/09/12 637 Extra Bed 250,000.00 2,200,000.00
22/09/12 Goverment Ledger (2,200,000.00) 0.00 197

In Word : Balance 0.00


* Two Million and Two Hundred Thousand RUPIAH *

Names : MR. TAUFIK KUROHMAN #637


MS RARA LEMBAYUNG #637
MR USEP DRAJAT #637

Printed by :
197 - 22/09/12 10:55
INVOICE
To : Sekretariat DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR. TAUFIK KUROHMAN


MS RARA LEMBAYUNG
MR USEP DRAJAT
1 Room x 2 Nts @ IDR 850.000nett/nt IDR 1,700,000.00
1 Extra Bed x 2 Nts @ IDR 250.000nett/nt IDR 500,000.00

BALANCE : IDR 2,200,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0033-IX/KWT/2012

KWITANSI

Sudah terima dari : MR. TAUFIK KUROHMAN


MS RARA LEMBAYUNG
MR USEP DRAJAT
SEKRETARIAT DPRD kota Tangerang Selatan

Banyaknya uang : # Dua Juta Dua Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 2,200,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : Sekretariat DPRD Kota Tangerang Selatan Arrival Date : 20/09/12
Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48625
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


20/09/12 639 RM+B'FAST 850,000.00 850,000.00 $$
21/09/12 639 RM+B'FAST 850,000.00 1,700,000.00 $$
22/09/12 Goverment Ledger (1,700,000.00) 0.00 197

In Word : Balance 0.00


* One Million and Seven Hundred Thousand RUPIAH *

Names : MR A SURYANA B AMSARI #639


MR ASEP SAEPUDIN #639

Printed by :
197 - 22/09/12 10:55
INVOICE
To : Sekretariat DPRD Kota Tanggerang Selatan Date : 22/09/12
JL. Raya Puspiptek No. 1 Kecamatan Setu
Kota Tanggerang Selatan Term of Payment : -
Ph. 021 - 7562233 // Fx. 021-75883251
Due Date : 22/09/12
cp : Accounting Department

Date Reference Bill No. Description Amount

22/09/12 - MR A SURYANA B AMSARI


MR ASEP SAEPUDIN
1 Room x 2 Nts @ IDR 850.000nett/nt IDR 1,700,000.00

BALANCE : IDR 1,700,000.00

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges

*** Looking forward to welcoming you again ***


- Page 1 -
Kwitansi : ACCT-AR /0034-IX/KWT/2012

KWITANSI

Sudah terima dari : MR A SURYANA B AMSARI


MR ASEP SAEPUDIN
SEKRETARIAT DPRD kota Tangerang Selatan

Banyaknya uang : # Satu Juta Tujuh Ratus Ribu Rupiah #


Untuk Pembayaran : Akomodasi Tanggal 20 - 22 September 2012

Rp 1,700,000

Bali, 22 September 2012

Bali Kuta Resort by Swiss-belHotel

Muhairy Haffiz Rosa


Financial Controller
* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48630
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


20/09/12 125 RM+B'FAST 950,000.00 950,000.00 $$
20/09/12 127 RM+B'FAST 950,000.00 1,900,000.00 $$
20/09/12 135 RM+B'FAST 950,000.00 2,850,000.00 $$
20/09/12 139 RM+B'FAST 950,000.00 3,800,000.00 $$
20/09/12 233 RM+B'FAST 950,000.00 4,750,000.00 $$
20/09/12 329 RM+B'FAST 950,000.00 5,700,000.00 $$
20/09/12 529 RM+B'FAST 950,000.00 6,650,000.00 $$
20/09/12 625 RM+B'FAST 950,000.00 7,600,000.00 $$
20/09/12 627 RM+B'FAST 950,000.00 8,550,000.00 $$
20/09/12 629 RM+B'FAST 950,000.00 9,500,000.00 $$
20/09/12 631 RM+B'FAST 950,000.00 10,450,000.00 $$
20/09/12 637 RM+B'FAST 850,000.00 11,300,000.00 $$
20/09/12 637 Extra Bed 250,000.00 11,550,000.00 $$
20/09/12 639 RM+B'FAST 850,000.00 12,400,000.00 $$
21/09/12 125 RM+B'FAST 950,000.00 13,350,000.00 $$
21/09/12 127 RM+B'FAST 950,000.00 14,300,000.00 $$
21/09/12 135 RM+B'FAST 950,000.00 15,250,000.00 $$
21/09/12 139 RM+B'FAST 950,000.00 16,200,000.00 $$
21/09/12 233 RM+B'FAST 950,000.00 17,150,000.00 $$
21/09/12 329 RM+B'FAST 950,000.00 18,100,000.00 $$
21/09/12 529 RM+B'FAST 950,000.00 19,050,000.00 $$
21/09/12 625 RM+B'FAST 950,000.00 20,000,000.00 $$
21/09/12 627 RM+B'FAST 950,000.00 20,950,000.00 $$
21/09/12 629 RM+B'FAST 950,000.00 21,900,000.00 $$
21/09/12 631 RM+B'FAST 950,000.00 22,850,000.00 $$
21/09/12 637 RM+B'FAST 850,000.00 23,700,000.00 $$
21/09/12 637 Extra Bed 250,000.00 23,950,000.00 $$
21/09/12 639 RM+B'FAST 850,000.00 24,800,000.00 $$
22/09/12 Goverment Ledger (24,800,000.00) 0.00 197

In Word : Balance 0.00


* Twenty Four Million Eight Hundred Thousand RUPIAH *

Names : MR. IWAN RAHAYU #125


* * * MASTER BILL * * *

Bill Rcvr : DPRD Kota Tangerang Selatan Arrival Date : 20/09/12


Address : Jl. Puspitek No. 1 Departure Date : 22/09/12
Kecamatan Setu Kota Tangerang Selatan Bill No : 48630
PH. 021-7562233 Fax. 021-75883251 Page : 1

Date RmNo Description Amount Balance ID


MR. IR. H. ACHMAD FAUZI #127
MRS. NANI SUPARNI SE #135
MR DRS. HERRY SUMARDI #139
MR H. ROMMY ADHIE S. SE #233
MR TB. IRVANNUL HAKIM #329
MR H. ARIF WAHYUDI #529
MRS. ANDI CUT MUTHIA AM. AMD #625
MR H. SUKARYA #627
MR IR. MATHEAS TAHIR #629
MR IR. H. SURYADI HENDARMAN #631
MR. TAUFIK KUROHMAN / MS RARA LEMBAYUNG / MR U#637
MR A SURYANA B AMSARI / MR ASEP SAEPUDIN #639

Printed by :
197 - 22/09/12 10:55
No of Page 1 DATE 22-Sep-12
Attention Ibu Rara Lembayung CC Financial Controller
Telp (021) 756 2233 Fax Reply 0361-753570
Company DPRD Kota Tanggerang Selatan
Re INVOICE

Period D e s c r i p t i o n Total
Rooms
20 - 22 Sept' 12 2 night X Rp.950.000 X 11 room Rp 20,900,000.00
20 - 22 Sept' 12 2 night X Rp.850.000 X 2 room Rp 3,400,000.00
20 - 22 Sept' 12 2 night X Rp.250.000 X 1 Extra Bed Rp 500,000.00

Grand total Rp 24,800,000.00


Payment by Cash Rp (24,800,000.00)
Less Payment Rp -

Prepared by, Acknowledge by,

Suriati Muhairy Haffiz Rosa


Account Receivable Financial Controller

IMPORTANT NOTICE
1. Please settle your outstanding to our account :
DWIMAS ANDALAN PROPERTY PT
BCA KCU Kuta
Jl. Raya Kuta 121, Kuta - Bali, Indonesia
A/C 1461760100 (Rp)
A/C 1461757150 (US$) Swift Code : CENAIDJA
2. In case you found a discrepancy, please contact us within 7 days upon invoice received
3. Please fax the bank transfer slip to +62361 753570 attn. : Account Receivable
Please do not forget to state "our Invoice No." on your remittance slip
4. All the payment made should be net of any bank charges
Agreed & accepted :

Name :
Date :
NO:

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