CARDHOLDER COPY

CARDHOLDER COPY

AGRICULTURAL BANK OF CHINA

MERCHANT:

TERMINAL ID.

MERCHANT NO.:

CARD TYPE/NUMBER:

TRANS TYPE:

EXP. DATE

BATCH NO.

TRACE NO.

DATE/TIME

REF. NO.

RMB ¥

X CARDHOLDER SIGNATURE

I ACKNOWLEDGE SATISFACTORY RECEIPT OF RELATIVE GOODS/SERVICE

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