pt.

multi tjipta khayan

Jl. Parit Haji Husin II

Phone: 0561-

Kompleks Paris Indah Lestari

Fax: 0561E-mail: tanjungkhayana@gmail.com

Pontianak, Kalbar

Statement
Statement #: Enter statement number

Bill To: Name

Date: February 11, 2015

Company Name

Customer ID: Enter customer ID

Street Address
Address 2
City, ST ZIP Code

Date

Type

Invoice #

Description

Amount

Payment

Rp 500,000.00

Rp

69,000.00 Rp

431,000.00

Jilid Lap. Reses

Rp 431,000.00

Rp

32,000.00 Rp

399,000.00

Beli Flashdisk

Rp 399,000.00

Rp 130,000.00 Rp

269,000.00

Meterai 6000

Rp 269,000.00

Rp

14,000.00 Rp

255,000.00

Batrai Alkaline

Rp 255,000.00

Rp

14,000.00 Rp

241,000.00

Rp

1,595,000.00

Total
Reminder: Please include the statement number on your check.
Terms: Balance due in 30 days.

REMITTANCE
Customer Name: Enter customer name
Customer ID:

Enter customer ID

Statement #:

Enter statement number

Date:

February 11, 2015

Amount Due:

Err:509

Balance

Fotocopy Peta

Amount Enclosed:

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