5/24/2017 InvoiceNo.

INV175456

PayNow
Invoice#INV175456
May24,2017 PaymentDueonMay24,2017(UTC)

Description SubscriptionPeriod Price Quantity Amount

SelectYearlyPlan May24,2017May23,2018 Rp1,399,000 1 Rp1,399,000

Total:Rp1,399,000

BILLINGDETAILS NOTES

EdiSutoyo

TelkomUniversity

SchoolofIndustrialEngineering,TelkomUniversity

Bandung,WestJava,Indonesia

40257

Indonesia

+6285235882320

Username:edisutoyo

HOWTOM AKEAPAYM ENT

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Usethefollowinginformationtomakeyourdeposit:

AccountName: SurveyMonkeyEuropeUC
BankName: BankofAmerica,N.A.

SwiftCode#: BOFAGB22
Account#: GB51BOFA16505059416018

NOTE:Pleaseincludetheinvoicenumber:#28867865inthecommentsofyourdeposit.

SurveyMonkeyEuropeUC
2ShelbourneBuildings,2ndFloor,ShelbourneRoad,Ballsbridge,Dublin4,Ireland
OurVATRegistrationNumber:IE3223102GH Contact:billing@surveymonk ey.com

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5/24/2017 InvoiceNo.INV175456

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