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XXXXXXXXXXXXXXXXXXXXX
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XXXXXXXX
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U Code:
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585564559854564 |
PayinDate: 23-Aug-2008 07:39:33
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Send Form
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AgentTxnRefNo:
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Duplicate
Slip
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DeliveryOption:Pickup Service
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| Receiver Details PaymentInfo | |||||
| No: | 0 | ID: | PayoutAmout: | 500.00 USD | |
| IDType: | Others | OtherIDType: | XchgRatePayintoPayout: | 0.56762323 | |
| Name: | JACSON F. PAUL | PayinAmount: | 16,736.45 | ||
| Address: | GETEERD | OtherCharges | 0.00 | ||
| Commission: | 35.00 | ||||
| City: | Tax: | 0.00 | |||
| Phone: | Mobile: | TotalPayinAmount: | 16,771.50 | ||
| Sender Details | |||
| No: | ID: | 00 | |
| IDType: | Govt.ApprovedID | OtherIDName: | 00 |
| Name: | EMILY PAUL | POBox: | |
| Address: | |||
| City: | |||
| Phone: | Mobile: | +256541265484 | |
| Sixteen thousand Seven hundred Seventy One and 50/100 only | ||
| Collect At: | ||
| U Centre LLC - | ||
| Mawona Street, West of Gishra, Geteerd | ||
| Ph: 334684, 236293 WorkingHrs: (Sat-Thu): 09:00 To 21:00, Sunday Holiday | ||
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Conditions Apply,terms and conditions are available at the counter. I certify that this txn is not intended for any sort of “Money Laundering and Terrorist Financing” activities.Information furnished by me is true and correct. |
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| Customer's Signature |
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Agent's Signature
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