Invoice:
#OBC6683
Issue Date : |
|
Payment Due : |
|
User : |
Ananda Setyaningtyas - AMFS
|
Bill to:
Ananda Lutfiah
PT AXA Mandiri Financial Services
AXA Tower Kuningan City lt 15 , Jakarta Selatan
Indonesia - 12940
Email |
: ananda.setyaningtyas@axa-mandiri.co.id |
Phone |
: 085717424578 |
SKU |
Name |
QTY |
Price |
PPN |
Total |
AXABUA1002 |
AXA BUAH HOSPITALIZATION L1-L5 001 |
1 x |
Rp 495.000
|
|
Rp 495.000 |
|
Product price |
: Rp 495.000 |
|
Shipping |
: Rp 100.000 |
|
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