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bank Postal
bank Postal bank Postal bank Postal bank
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AXA BANQUE
AXA BANQUE DE FRANCE
d S.A. au capital de 5 milliards D’euros-C.C. N° 0100545 R
bank Postal Siège
banksocial:
Postal bank Postal
Fontenay-sous-bois bank
04 BP 1036Postal
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Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
Tél: +229-975-374-55 Fax:
Télex: 23834 BANKAT– Swift: ATCICIAB
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
Postal bank Postal AGENCE bank Postal bank Postal DATEbank Postal bank Postal bank Postal bank Postal bank Postal
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bank Postal bank LOME Postal bank Postal bank Postal

14-03-2018 bank Postal X bank
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AU CREDITbank Postal
DU COMPTE bank Postal bank
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Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank Postal DEVISEbank Postal bankMONTANT PostalENbank CHIFFRESPostal bank Postal bank TENIRPostal bank Postal
A LA DISPOSITION bank Postal bank
DU BENEFICIAIRE

Postal PESOS
bank CLP Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank Postal bank Postal bank **** 500000****
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PAYER PAR MANDAT POSTAL
bank Postal bank Postal bank Postal bank Postal bank Postal bank
Postal bank Postal MONTANT bank Postal EN LETTRESbank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
PAR COURRIER
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
QUINIENTOS MIL PESOS
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
PAR TELEX
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
Postal bank Postal bank Postal bank Postal bank Postal bank Postal ETABLIR bank Postal
UN CHEQUE bank
BARRE / NON Postal
BARRE bank Postal
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
COMPTE DEBITE

PostalD’ORDRE
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008765430086X0F
bank Postal bank**
A TENIR A MA DISPOSITION
Postal bank Postal bank Postal bank Postal bank Postal
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A M’ADRESSER
NOM, RAISON SOCIALE, ADRESSE
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
**** Sr. Cristina delia alvarez
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bankAU
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Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
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Postal bank Postal ***bank Postal X bank Postal
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Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
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COMPTE CREDITE
bank Postal R.C.I.Postal
** bank Postal bank Postal bank Postal bank Postal bank
EN FAVEUR DE *** 32805727 **** X A LA CHARGE DU BENEFICIAIRE
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank Postal bank NOM,Postal
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DU BENEFICICIAIRE
Postal Sra.RODRIGUEZ
bank Postal bankMaria PostalDel bank Huerto
Postal bank Postal bank Postal bank Postal bank Postal bank Postal
REFERENCES A TRANSMETTRE AU BENEFICIAIRE
bank Postal bank Postal bank
* ARGENTINA * Postal bank Postal bank Postal
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bank Postal
**** bank COMPTE Postal bank Postal
EPARGNE ****bank
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
SWIFT: *** COMPTE EPARGNE ***
bank Postal bank Postal bank
CODE
Postal
BANQUE* CODE
bank
GUICHET*
Postal
CLE
bank Postal bank Postal bank Postal bank Postal bank
RIB*
A COMPLETER POUR
Postal TOUTbank
VIREMENTPostal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank Postal bank PostalNéant
SUR LA FRANCE
bank PostalNéant bank Postal Néant bank Postal bank Postal bank Postal bank Postal bank
DECLARATION B.C.E.A.O.
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
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bank Postal BANQUE bank Postal bankNOM
DU BENEFICIAIRE Postal
AGENCE bank
PAYS Postal bank Postal bank Postal bank Postal bank Postal bank
X IMPORTATION 0010

BCO MACRO S.A *

COMPLETER
Postal bank*Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
VOYAGE – TOURISME 0720
bank Postal bank Postal bank )Postal bank Postal bank Postal
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POURbank
TOUT Postal bank Postal bank Postal bank
SCOLARITE, FAMILLE 0830
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
TRANSFERT
ECONOMIE SUR SALAIRE
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
SUPERIEUR
1470

Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
OU EGAL A
TRANSFERT GLOBALISES 3020

bank Postal bank CADRE Postal RESERVE A LA BA -CI

bank Postal bank Postal bank Postal bank Postal bank Postal DIVERSbank Postal bank
500.000 CLP
LE bankCOMPTE PostalDEBITE N°008765430086X0F
(A préciser ci-dessous)
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank PostalPEUTbank APPROVISIONNER
Postal bank PostalLEbank COMPTE Postal bank Postal bank Postal bank Postal bank Postal bank
Postal bank Postal bankCE
N° 14.135.367-5 Postal
DOSSIERbank Postal A ETEbank SAISI Postal bank Postal bank Postal bank Postal bank Postal
bank Postal bank Postal bank Postal bank Postal bank Postal MONTANTbank DUPostal
TRANSFERT bank Postal bank 500000 PostalPESOS
bank
ET AVISE AU SEIN DES BUREAUX DU C.T.A. COMMISSIONS XXXXX
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
TAXES DE VALIDATION -UEMOA 7500 PESOS
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank OK
TRANSFERT Postal bank
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal0000 DOSSIER bank Postal
FIXE
bank Postal bank Postal
La banque décline toute responsabilité :
bank Postal bank Postal bank Postal bank
PORT DE LETTRE Postal bank Postal bank Postal
OK bank
Postal bank
- Les retards Postal
que peuvent bank
subirent Postal
les ordres bank
dénoués par fil Postal bank Postal bank TELEXPostal bank Postal bank Postal XXXXXX bank Postal
- Les erreurs provenant d’instructions insuffisantes de la partie versante
bank Postal
et demande de : bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
TOTAL 507500 PESOS
Postal bank
Postal
-répéterbank
en lettre Postal bank
le montant en chiffresPostal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
SIGNATURE
-faire précéder et suivre ce dernier d’un signe non susceptible d’être confondu
bank
avecPostal bank Postal
un chiffre (astérisque par exemple)bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
* Ces informations figurent sur le relevé d’Identité bancaire du bénéficiaire.
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank PostalRéf.bank : 52-31-441