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"UniCredit Tiriac Bank ,

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~~~Hi Data procesare / V~lue! date: Referinta Tranzactie Transaction


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~I~_~~~ DEPUNERE NUMERAR/


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CASH DEPOSIT ref. number: 1101A0037 21.02.2012 Data tranzactie Ora tranzactie / Booking date: 21.02.2012 ! Transaction hour:11:45 Denom. Iss. Pieces Cupiura Ed. Buc. 50,00 2 3 10,00 2 15.00 2 11;00 2 40,10 2 4-

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Nume beneficiar beneficiar

! Beneficiary / Beneficiary ! Depositor

Name Account Name

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~~~-Us CNP!PAS depunator ~~~H ~Moneda ! Cur rency


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/ Deposi tor PIC/PASS


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/ Amount / Commission

130,60

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NITA ROXANAMIHAELA

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Semnatura si stampila easier / Cashier's signature and stamp Semnatura si stampila client / Client's signature and stamp

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