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Charge to checking account

Branch Date Time


16704 04/05/2021 11:59:41 AM

Logo: Inbursa Bank]


Amount 3,999,999.90 MXP
Customer Name Commission 0.00 MXP
AURORA MARIBEL SALAZAR GARCIA Value Added Tax 0.00 MXP
Total Charge 3,999,999.90 MXP
Account Number
50057625781

On this date, we have charged to your account the following:

TRANSFER SENT TO
Name of the Bank: WELLS FARGO BANK, N.A
Place: Texas
State and Country: Texas, United States

RECIPIENT
Name: AURORA MARIBEL SALAZAR GARCIA
Account: 7280926671 Address: 12639 S, HAUSMAN RD 6103 CP 78249 SAN
ANTONIO TEXAS, UNITED STATES.

Special Instructions:
SWIF WFBIUS6S ABA 121000248 ACCOUNT 7280926671

Exchange Rate 20.300000 MXP


Reason for sending the transfer:
PERSONAL
Transfer Amount 167487.68 USD
Commission 0.00
Information to recipient’s bank:
SWIF WFBIUS6S ABA 121000248 ACCOUNT Total Settlement 167487.68
7280926671

--T DEAR CUSTOMER, WE REMIND YOU THAT THE TOTAL AMOUNT YOU ARE SENDING
HE MAY BE SUBJECT TO CHANGES AT THE TIME OF DELIVERY TO THE INTERMIDIARY OR
RECEIVING BANK DUE TO ANY COMMISSION THE MAY GENERATE

REFUND WILL BE AT THE EXCHANGE RATE OF THE DAY ON WHICH THE TRANSACTION WAS MADE--

TRANSFER SEN AND SUBJECT TO FEES AND COMMISSIONS CHARGED BY INTERMIDIARY BANKS AND OR
RECIPIENT’S BANK

I AUTHORIZE THE AMOUNT TO BE SENT, AS WELL AS THE FEES RESULTING FROM THIS
TRANSACTION TO BE CHARGED TO THE SAME ACCOUNT

Signature: Illegible]

AURORA MARIBEL SALAZAR GARCIA


[Seal: Illegible]
PAYER’S NAME AND SIGNATURE
BANK STAMP
ORDENING PARTY DECLARES THAT THE INFORMATION PROVIDED REGARDING THE REQUESTED TRANSFER OF FUNDS ABROAD SERVICE, IS TRUE AND CORRECT, AND THEREFORE
RELEASES BANCO INBURSA, S.A, MULTIPLE BANKING INSTITUTION , FINANCIAL GROUP INBURSA, FROM ANY LIABILITY ARISING FROM/ OR IN CONNECTION WITH THE FACT THAT
SUCH INFROMATION IS INCORRECT OR INACCURATE AND THAT AS A RESULT IF SUCH TRANSFER OF FUNDS ABROAD CANNOT BE CARRIED OUT, AND UNDERTAKES TO HOLD TH
BANK HARMLESS FROM ANY CLAIM, COMPLAINT, ADMINISTRATIVE OR JUDICIAL ACTION THAT MAY BE BROUGHT AGAINST IT FOR THE AFOREMENTIONED CONCEPTS

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