My Company
Jl. Contoh No. 1, Surabaya
Phone: 62895411540104
PAYMENT RECEIPT
Pending
Receipt No: PAY/2026/0012
Date: 04-07-2026
Paid By
Rizky Pratama
Jl. Kenjeran No. 21, Surabaya
Phone: 085712345678
Amount Paid
Rp 1.500.000
Say: # Satu Juta Lima Ratus Ribu Rupiah #
Notes / Remarks
Uang muka Headset Sony (Pending Verifikasi)
Received By
Authorized Signature
Paid By
Rizky Pratama