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Provider: Series Buyer:

C.U.I/C.I.F: and number


Address: Number of registration

Country: Fiscal Bill C.U.I.


Bank account: Address
Bank Name Number of bill:
Date: Country:
Telephone Bank account:
Email Bank name:
VAT RATE: 24%

Number Name of products Unit Quantity Price No VAT Value Value VAT

0 1 2 3 4 5 (3x4) 6
1 Stickers piece 1.00 0.00 0.00
0.00

Signature and Expedition Data 0.00 0.00


stamp of Delegate name:
provider Identified with ID nr:
Authority: Reception
Total payment
Signature:

Date: £
Time: Signature:

Provider:
C.U.I/C.I.F: Receipt Number CF-4555
Address: Date:
Country:

Received from:
Address:
Amount of: £
Representing bill number: Date:

Name and signature:

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