Cardholder Signature .

Date

Unknown

Source

DOJ Data Set 9

Reference

efta-efta00313732

Pages

Persons

Integrity

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Extracted Text (OCR)

EFTA Disclosure

Text extracted via OCR from the original document. May contain errors from the scanning process.

Cardholder Signature . Date: June 20, 2018 Please send a LEGIBLE photocop of the front & back of the Credit Card and a copy of a valid ID such as a driver's license or passport. MOS MOTEL PREMIUM pan. Maul • nova • EFTA00313732

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