C.004/17
60517EXP0902
RENAN STORE CIPUTAT
JAKARTA TIMUR
TERM# 00606989 MERC#
000885000007791
CCC.004/17
1516160517EXP0902
CARD TYPE DEBIT BCA (DIP)
.............................1265
AJI LESMANA/
SALE
EXPY DATE:22/04
BATCH: 000172
TRACE NO: 105906
DATE/TIME 21 MARET,19 11:25
REF.NO. 105900
APPR.CODE 122883
CCC.004/17
1516160517EXP0902
TOTAL
Rp.3,650.000
AID : A000000031121
TVR : 8000048000
TC : DD3E752351B3FBDBA
AP/AL : NSICCS
SIGNATURE NOT REQUIRED
--CARDHOLDERCOPY--
TSI : F800