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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 Postal bank Postal
ORDRE DE TRANSFERT PAR SWIFT
AXA BANQUE
AXA BANQUE DE FRANCE
bank PostalS.A. bank Postal
au capital de 5bank Postal
milliards bankN°Postal
D’euros-C.C. 0100545bank
R Postal bank Postal bank
Siège social: Fontenay-sous-bois 04 BP 1036 - FRANCE
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
Tél: +229-975-374-55 Fax:
bank Postal bank Postal bank Postal bank Postal
Télex: bank Postal
23834 BANKAT– Swift: bank Postal bank Postal bank Postal bank
ATCICIAB
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 DATEbank Postal bank Postal bank Postal bank Postal bank Postal
VEUILLEZ

bank Postal bank Postal bank Postal bank Postal bank Postal X bank VIRERPostal bank Postal bank Postal bank
COTONOU 22-01-2017 AU CREDIT DU COMPTE DU BENEFICIAIRE
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank Postal
DEVISEbank Postal bankMONTANTPostalENbank Postal bank Postal bank
CHIFFRES TENIRPostal bank Postal
A LA DISPOSITION bank Postal bank
DU BENEFICIAIRE

PESOS
Postal bank CLP
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
bank Postal bank Postal **** 1.600.000****
bank Postal bank Postal bank Postal bank PAYER PAR MANDAT POSTAL
Postal bank Postal bank Postal bank
Postal bank Postal MONTANT
bank Postal bank
EN LETTRES Postal bank Postal bank Postal bank Postal bank Postal bank Postal
PAR COURRIER
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UN bank
Postal MILLION SEISCIENTOS
Postal bank Postal bank Postal MIL bank PESOS 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 ETABLIRbank 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
bank Postal
DE bank **Postal
008765430086X0F
bank Postal bank** Postal bank Postal bank A TENIR A MA DISPOSITION
Postal bank Postal bank Postal
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
A M’ADRESSER
Postal bank Postal bank
NOM, RAISON SOCIALE, ADRESSE
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
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bank Sr.bank
Postal Fernando
Postal GARATE
bank Postal bank Postal bank Postal bank Postal bankAU Postal bank Postal bank
A ADRESSER BENEFICIAIRE
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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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bank 26 bank
Postal Rue Postal
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Postal bank Postal *** bank Postal X bank Postal
EN CAS DE FRAISbank Postal
À PERCEVOIR bank
CEUX-CI Postal bank
SERONT

Postal bank Postal bank Postal bank Postal


COMPTE CREDITE
bank Postal bank Postal bank
A MA CHARGE Postal bank Postal bank Postal
bank Postal bank Postal bank Postal bank Postal bank Postal X bank A LA Postal bank Postal bank Postal bank
bank Postal*** 14.135.367-5 **** bank Postal bank CHARGE DU BENEFICIAIRE
EN FAVEUR DE
Postal bank Postal bank Postal Postal bank Postal bank Postal bank Postal
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
NOM, ADRESSE DU BENEFICICIAIRE
Postal bank Postal
Sr. BELMAR PARRA bank PostalRICARDObank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
REFERENCES A TRANSMETTRE AU BENEFICIAIRE
bank Postal bank Postal
* CHILE bank*Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
IBAN: **** COMPTE EPARGNE ****
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 SWIFT:
bank Postal ***bankCOMPTEPostal EPARGNE
bank Postal***bank
A COMPLETER POUR CODE BANQUE* CODE GUICHET* CLE RIB*
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
A
bank Postal BANQUE bank Postal bankNOM
DU BENEFICIAIRE Postal
AGENCE bank
PAYS Postal bank Postal bank Postal bank XPostal bank Postal bank
IMPORTATION 0010
Postal bank Postal * BANCO bank Postal ESTADO bank Postal
* bank Postal bank Postal bank Postal bank
COMPLETER Postal bank Postal
VOYAGE – TOURISME 0720
bank Postal bank Postal bank Postal bank Postal bank Postal POURbank
TOUT Postal bank Postal bank Postal bank
(CHILE ) SCOLARITE, FAMILLE 0830
Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal
TRANSFERT
bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank Postal bank
SUPERIEUR
ECONOMIE SUR SALAIRE 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 bank Postal bank Postal bank Postal bank Postal bank Postal
RESERVE A LA BA -CI
DIVERSbank Postal bank
500.000 CLP (A préciser ci-dessous)
Postal
LE bankCOMPTE Postal bank Postal
DEBITE bank Postal bank Postal bank
N°008765430086X0F Postal bank Postal bank Postal bank Postal
bank Postal bank Postal
PEUT APPROVISIONNER LE COMPTE 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
N° 14.135.367-5 CE DOSSIER A ETE SAISI
bank Postal bank Postal bank Postal bank Postal bank Postal MONTANTbank DU Postal bank Postal bank
TRANSFERT 1.600.000 Postal bank
ET AVISE
Postal bank Postal AU SEIN bank DES Postal BUREAUX
bank Postal DUbank C.T.A.
Postal bank Postal bank Postal bank PostalXXXXX
COMMISSIONS bank Postal
bank Postal bank Postal bank Postal bank Postal bank Postal TAXES DE VALIDATION -UEMOA
bank Postal bank Postal bank OK 120.000
Postal bank
TRANSFERT
Postal bank Postal bank Postal bank Postal bank Postal bank DOSSIERPostal bank Postal bank Postal40.000 bank Postal
XXXXXX
FIXE
bank Postal bank Postal bank Postal bank Postal bank Postal
La banque décline toute responsabilité : PORT DEbank Postal bank Postal bankOK
LETTRE Postal bank
Postal bank
- Les retards Postal
que peuvent bank
subirent Postal
les ordres dénouésbank
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 1.160.000 Postal bank
Postal
-répéterbank
en lettre Postal bank
le montant en chiffres Postal 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
avec Postal 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 Postal Réf. :bank
52-31-441

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