ACT TRAVEL SERVICES

1184-C GF BEN-LOR Bldg. Quezon Avenue Quezon City

Tel:332-2015 fax no: 332-2017
e-mail: acttravelservices@gmail .com/l izsatravel@pldtdsl.net
STATEMENT OF ACCOUNT
DATE : 09MAY201 3 OVRDP-0022013
TO:C/O MR GOTTY SIMBOLON - EMBASSY OF INDONESIA
ISSUE DATE DUE DATE ROUTE TRF CN PAX NAME
AMOUNT DUE
PESO USDOLLAR
22-Apr-13 29-Apr-13 MNLDVOMNL 5492 130547 PARDO/NESTORMR 13,326.00
24-Apr-13 1-May-13 MNLTAC 32322 123120 SEROT/NOLITOMR 6,014.00
25-Apr-1 3 2-May-13 MNLDVOMNL 32324 123122 NURWARDANI/PARISTIYANTI MS 12,325.00
26-Apr-1 3 11-May-1 3 MNLJKTMNL 32332 123130 I LMI/PRIMAYANTI NURULMSPTY2 38,034.00

TOTAL Php 69,699
PREPARED BY: Mae Villaceran
NOTED BY : Flordeliza Lutero