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<title>Reçu de don CERFA FR</title> |
<title>Reçu de don CERFA FR</title> |
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<td width="20%" nowrap>Cerfa No 11580 01</td> |
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<td width="15%" nowrap="nowrap" valign="middle">Cerfa No 11580 01</td> |
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<font size="+2">Reçu de dons</font> |
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<font size="+2">Reçu de dons</font><br> |
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<font size="+1"> |
<font size="+1"><b>(Article 200-5 du Code Général des Impôts)</b></font><br> |
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<b>(Article 200-5 du Code Général des Impôts)</b> |
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+ article 238 bis |
+ article 238 bis |
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Numéro de référence du reçu<br> |
Numéro de référence du reçu |
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<td width="20" height="20">No:</td> |
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<td width="80" height="20" align="center">__REF__ </td> |
<td align="center">__REF__ </td> |
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<b>Date du versement</b> : __DATE__ <br> |
<b>Date du versement</b> : __DATE__ <br> |
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<b>Mode de versement</b> : __PAYMENTMODE_LIB__ <br> |
<b>Mode de versement</b> : __PAYMENTMODE_LIB__ <br> |
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Merci pour votre don. |
Merci pour votre don. |
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<center>Date et signature</center> |
<center>Date et signature</center> |
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__NOW__ |
__NOW__ |
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