My Company
Jl. Contoh No. 1, Surabaya
Phone: 62895411540104
PAYMENT RECEIPT
Failed
Receipt No: PAY/2026/0014
Date: 06-07-2026
Paid By
Agus Setiawan
Jl. Raya Porong No. 9, Sidoarjo
Phone: 085655443322
Amount Paid
Rp 560.000
Say: # Lima Ratus Enam Puluh Ribu Rupiah #
Notes / Remarks
Transaksi Gagal - Limit Saldo
Received By
Authorized Signature
Paid By
Agus Setiawan