Passport number: AA0000068 Issued to:

Reference date: 20.09.2021 JOHN CITIZEN

Privada Union 126
IZTACALCO, COL.
AGRICOLA PANTITLAN
08100 MEXICO, DF
ACCOUNT REFERENCE MEXICO

STATEMENT

This statement is given to confirm that John Citizen (passport: AA0000068, 0007,
21.05.2016) is a customer of “Inbursa” CJSC and holded No 4040 0000 7777 0000 visa card
(with USD account 7005004203206505), which as of 28․08․21 is closed.

To be submitted upon request.

customer service office manager
Alejandro Lopez

INBURSA
Calle 25, Jalisco, 83447 San Luis Río Colorado, Son., Mexico
www.inbursa.com ● 55 5447 8000