Приложение 1. j Seller ref. number (Номер банка) ___

j Seller ref. number (Номер банка) ___________________

m Number of forms (Кол-во страниц) ________

Instructions: 1. Enter the Amex Account Number in the space provided. 2. Fill in the organization name, address, phone & fax, along with the name of the person submitting the destruction certificate. 3. List the Travellers Cheques you are destroying in the columns provided. (Use additional forms as required) 4. Indicate the number of forms submitted. (Top right hand corner) 5. Indicate the method of destruction (INCINERATION or SHREDDING) along with a full explanation for the destruction. 6. Travellers Cheque destruction’s must be witnessed by two authorized persons. Fill in the Name, Title, Date and Signature of the witnesses. 7. Keep a copy of this form for your records and send the original to: Оставьте себе копию, а оригинал отошлите в: American Express Company Russia, Moscow, 119048, Usacheva 33 building 1, tel: [phone]

k Location Destroying Cheques (Организация, производящая уничтожение чеков)

Name: (Название) Phone: (Тел.)

Address: (Адрес) Fax: (Факс)

Name of Person (ФИО лица, заполняющего сертификат)

Дата добавления: 2015-09-06