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My Company

Jl. Contoh No. 1, Surabaya
Phone: 62895411540104

PAYMENT RECEIPT

Success

Receipt No: PAY/2026/0002
Date: 03-07-2026

Paid By

Ahmad Fauzi

Jl. Pemuda No. 5, Sidoarjo
Phone: 082211223344

Payment Details

Invoice Reference: INV/2026/0002 INV/2026/0002

Payment Method: Cash

Amount Paid Rp 555.000 Say: # Lima Ratus Lima Puluh Lima Ribu Rupiah #

Notes / Remarks

Pembayaran Mouse Logitech

Received By

Authorized Signature

Paid By

Ahmad Fauzi