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Changes Made: - Embassy of the United States

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————————————————————————————————-<br />

Institución depositaria: [Nombre]<br />

Domicilio: Ubicación: ______________<br />

Representante(s): ___________ ___________ Estado de Constitución:<br />

____________<br />

___________ ___________ Sello Social:<br />

___________ ___________<br />

————————————————————————————————-<br />

Se adjunta el Certificado de Autoridad que acredita la autoridad del firmante para obligar<br />

al banco en virtud del presente documento.<br />

44

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