Receipt
Account / Payable to
CH44 3199 9123 0008 8901 2
Thomas LeClaire
Rue examplaire 22a
1000 Lausanne
Reference
12 34567 89012 34567 89012 34567
Payable by (name/address)
Currency
EUR
Amount
0.00
Acceptance point
Payment part
Currency
EUR
Amount
0.00
Account / Payable to
CH44 3199 9123 0008 8901 2
Thomas LeClaire
Rue examplaire 22a
1000 Lausanne
Reference
12 34567 89012 34567 89012 34567
Additional information
DO NOT USE FOR PAYMENT
Payable by (name/address)
