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https://reciprocidad.provincianet.com.ar/ResizeImage.aspx?Image=images/LogoTicket.jpg&Size=490

TASA DE RECIPROCIDAD / RECIPROCITY FEE


Fecha Emisin/Transaction Date:

Apellido/Last Name:

22/10/2014

Mihajlovska

Fecha Vto/Expiration Date:

Nombre/First Name:

22/10/2015

Ivana

Nacionalidad/Nationality:

Nro Documento/Passport Number:

Australia

n-4394316

Forma de Pago/Payment Method:

Tarjeta/Credit Card:

Tarjeta de Crdito

American Express

Cd Autorizacin/Authorization Code:

Nro Tarjeta/Credit Card Number:

000057

376453XXXXX1003

IDSticker:

Importe/Amount:

20472988

USD 100.00

Recuerde imprimir este ticket. El mismo deber ser presentado en las oficinas de Migraciones de Argentina al ingresar al pas.
Remember to print this ticket. You will must present the printed ticket to Migrations Office in Argentina when arriving to the country.

00220472988AUS100001410221510226

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