icxont satin. (Fill up by remitter)
J) 50. Cuer, nainwenonanne
garembinKa
itter's account and name
‘apes
wa:
Samarkand city M Koshgari 63
P/N:FA0390447 DD:25.06.2019
52) Baw mavens
Remitter’s bank
SAMARKAND SH., CHET EL KAPITALI ISHTIROKIDAGI
“HAMKORBANK" ATB BOGISHAMOL FILIALL
140100, Samarkand sh., M.Koshgariy k, 49
32.Bamora w cysnra nepenoaa
(uanpasarv nponniciso)
Currency amount (in figures, in
words)
USD 1 $00.00
‘One thousand five hundred dollars USA, 00 cents
‘56. Koppecriowacn Ganxa Genedpaumapa
Correspondent of beneficiary's bank
57, Hanctiopanne Ganxa Genespinunapa
{aapec: ropox, crpana, CBHOT)
Beneficiary’s bank (address: city,
country, SWIFT)
EURIKZKAXXX
EURASIAN BANK, KAZAKHSTAN, ALMATY
SET HaMeHionanie Genegumutapa
Topol, crpaia)
Beneficiary’s account and name
(address: city, country)
KKZ169480004404060224
SUMOROKOVA NATALYA VASILEVNA,
ADRESS: 56 Kunaey st., Medeu dist,
Almaty,A2SYSK2, INN:721*******'
70, Hanwaveune naarexa (unpopwauien
ans Gexepiurapa)
Details of payment (information
details)
PRIVATE REMITTANCE
72, OcoGuie yenowua nepesoia
(anupoparauuin ax Gana
Special terms of transfer
for beneficiary)
Kowuiccu Ganka naTexeuuixe enncars
Remitter’s bank charges to be written
60 eueTa
off the account
20206840962236818000
71. Kommceus mocrpannoro Sanka 3a
caer:
Traremunea
Remitter. "OUR"
Benedpnana
Foreign bank charges to be paid by
sneficlary. "BEN"
Hloansce narenbunnxa “hus
Hawaabanx over
Orwer nenonnirrea
Sanoansetes paGorduxann Ganka naareabsiKa,