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[See Rule 5 under Tax Invoice, Credit and Debit Note rules]

Sgectacles
1 90049090 2BBD4995 3STEL 1 1B00.0 1B00.0 0.0 1B00.0 0 0 0 0 17.0 156.0 0 0
Corrective

Sgectacles
7 90049090 214C4995 3STEL 1 1B00.0 1B00.0 0.0 1B00.0 0 0 0 0 17.0 156.0 0 0
Corrective

0 0 0 0 0 0 0 0 0 0
88
88
88
1000.0
0

7600.0 0.0 7600.0 0.0 0.0 B17.0 0 0

1917
one tAousand, nine Aundred and tJ elve

2.- .h .2

2lectronic Nay e of tAe


Reference SiOnatormDesiOnation
Nuy ber& : Status

Note&

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