Pro-Forma Invoice

PhoneCompany TELKOMSEL, PT

We are pleased to confirm the following reservation,

Guest Name JIMMY 2 , MrArrival 13-Mei-2014 (Sel)

15-Mei-2014 (Kamis)Departure

Room Rate 980,000.00

Confirmation No 301118Pre Payment

Room Type Spr Dlx Twin

Thank you and best regards.

Total Room Night 2Total Amount 1,960,000.00

3 Days Before Arrival

Extra Bed 0Extra Bed Rate 300,000.00IDR

IDR

IDR

Fax

Attention HEMA/08126008948Mei 12, 2014

Reservation Department

SBI - AC15 Pro-Forma Invoice

Grand Swiss-Belhotel MedanJalan S.Parman No. 217, Medan 20152, North Sumatra, Indonesia

Telp. (62-61), 457 6999, Fax. (62-61) 457 0606

Date :

EVE

Pax Adult / Child 2 0 /

Payment should be received by latest 3 (three) days prior to guest arrival date, please send copy bank transfer by fax or email, otherwise this reservation will be automatically cancelled by oursystem.Payment could be made either by Cash, Credit card or Bank Transfer to:

PT. GLOBAL MEDAN TOWN SQUAREBANK CENTRAL ASIA (BCA) BANK MANDIRICabang Diponegoro Medan KCP Medan S.ParmanAccount No: 022 - 2159677 (IDR) Account No: 105 - 00 - 49004900

1 night room rate will apply for No Show or cancellation within 24 hours before arrival.Remarks:

Account No: 022 - 2159995 (USD)Swift Code : CENAIDJA