Invoice:
#OBC6674
Issue Date : |
|
Payment Due : |
|
User : |
Septi Handayani
|
Bill to:
Septi Handayani
PT AXA Insurance Indonesia
AXA Tower lt. 11 Jl. Prof.Dr. Satrio Kav. 18 Jakarta Selatan , Jakarta
Indonesia - 12940
Email |
: septi.handayani@axa.co.id |
Phone |
: 081288241595 |
SKU |
Name |
QTY |
Price |
PPN |
Total |
AXABUA1003 |
AXA BUAH HOSPITALIZATION L6-L8 001 |
1 x |
Rp 595.000
|
|
Rp 595.000 |
|
Product price |
: Rp 595.000 |
|
Shipping |
: Rp 0 |
|
Total tax |
: Rp 65.450 |
|
Total paid |
: Rp 0 |
|
Outstanding Amount |
: Rp 660.450 |
Prepared By |
|
|
Proof Delivery |
![signature]() |
|
|
|
Outerbloom Business
business@outerbloom.com
|
|
|
|
Bank Transfer
PT Modern Esensial Abadi
Mandiri: 102-00-1113480-3
BCA : 865-06257-66
Note:
If you have any questions, please send an email to business@outerbloom.com