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EC-Payment INDEPENDENT REPRESENTATIVE RECEIPT

ANNUAL RENEWAL FEE

Your ID Number: HN536408

Order No: DN70760584 Transaction Date: 10/JAN/2024 20:41:41
Receipt No: RE16003978 Transaction Description: ANNUAL RENEWAL FEE
Sponsor IR: HN405476
Sponsor Name: NFOR SAMUEL SAMA SHEY

Customer Name: GENSANG CALEB DINGA

Residential Address:
Shipping Address:
Shipping Contact No.:
eMail Address:
BUREAU INFINITY MILLENNIAL MANGO BUREAU INFINITY MILLENNIAL MANGO TOGO MANGO DOUANE
0000 Togo
BUREAU INFINITY MILLENNIAL MANGO BUREAU INFINITY MILLENNIAL MANGO TOGO MANGO DOUANE
0000 Togo
22870089895
EKAIMARCEL2@GMAIL.COM

Transaction Summary

Item Number Product Quantity Unit Amount Paid Amount

1 Annual Renewal Fee 1 27.00 27.00
Shipping and Handling Fee: EUR 0.00
Total Amount Paid : EUR 27.00

EC-PAYMENT DETAILS

Item Number eCard No. Value Used Value Remaining Value

1 EA011836635492 11.00 11.00 0.00

2 EK008100951137 1.00 1.00 0.00

3 EH009044375198 5.00 5.00 0.00

4 EA011836651102 20.00 10.00 10.00

Total Amount Paid : EUR 27.00

I have read, understood and agreed to be bound by all the terms and conditions set forth by Company Ltd regarding this transaction. I have
also read and agreed to comply with the Policies and Procedures as stated.

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